Tag Archives: patient safety

On Top or Down Low: The Status Hierarchies in Medicine ft. Tania Jenkins, PhD

Share

What you should know about the super hierarchical world of medicine

Have you ever wondered what the world of medicine would look like to an ethnographer? To University of North Carolina Chapel Hill Professor Tania Jenkins, perhaps it looks like a ladder of status, from the lowly med student to the exalted attending (and even higher). For her book Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession, Professor Jenkins spent years looking at the construction and consequences of those distinctions for doctors before, during, and after their training, especially among American, international, and osteopathic residents in two US hospitals.

Cohosts Emma Barr (M3), Bryn Myers (M2), and Greta Becker (M2) discuss with Dr. Jenkins why status hierarchies seem so important in medicine, what they accomplish and inhibit, and why they may be short-changing the system, the practitioners, and the patients.

Dr. Jenkins also helps us answer a question from “Glisten Rumpybottom” about the future of medicine as the scope of practice for mid-level practitioners like nurse practitioners and PAs continues to expand. Is this a safety issue or a turf war?

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Karma Bro, A Trumped-Up Doctor’s Note, and Sleepless in The Saddle

Share

big pharma photo
Just doing his job? Photo by stevendepolo

After Martin Shkreli’s arrest, John Pienta, Marc Toral, Greg Woods, and Amy Young, discuss why Pharma Bro Martin Shkreli is so hated, given that capitalist enterprises have profit as their overarching goal–hasn’t he just done his job?  Meanwhile, two ongoing clinical trials have been experimenting on human subjects without consent. Those subjects: residents and their patients.  The experiment: what happens if hospitals return to the longer hours that prevailed for residents before they were restricted in 2011? We explore the limitations of consent, residents’ satisfaction with their working conditions, how many residents may not feel that restricting their hours is best for their patients, and what working and being a patient at an academic medical center means.

Continue reading Karma Bro, A Trumped-Up Doctor’s Note, and Sleepless in The Saddle