Title

Training for efficiency: work, time, and systems-based practice in medical residency.

Year of Publication

2012

Number of Pages

344-58

Date Published

2012 Sep

ISSN Number

2150-6000

Abstract

<p>Medical residency is a period of intense socialization with a heavy workload. Previous sociological studies have identified efficiency as a practical skill necessary for success. However, many contextual features of the training environment have undergone dramatic change since these studies were conducted. What are the consequences of these changes for the socialization of residents to time management and the development of a professional identity? Based on observations of and interviews with internal medicine residents at three training programs, we find that efficiency is both a social norm and strategy that residents employ to manage a workload for which the demand for work exceeds the supply of time available to accomplish it. We found that residents struggle to be efficient in the face of seemingly intractable "systems" problems. Residents work around these problems, and in doing so develop a tolerance for organizational vulnerabilities.</p>

DOI

10.1177/0022146512451130

Alternate Title

J Health Soc Behav

PMID

22863601

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