Dr. Kellog Chapter 2 Summary

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Recommended: Differences between micro level and macro level

Chapter two focuses on the three different hospitals and their different programs. Dr. Kellogg explains why she choose these three hospitals. Each hospital has many factors in common like they all had a high reputation, they possessed similar demographic, they had similar size, and how each had little external pressures to reform. They also similar programs for intern residents and top manager interests. She believes micro-level approach is more important than the macro-level explanation because the macro-level explanation fails to support why Advent adapt the reform. Dr. Kellogg also give defenses against the possible criticisms that her research ad gives the merits of her qualitative ethnographic. Next, we look into the defenders. In Chapter …show more content…

Dr. Kellogg identifies four individual groups of outsiders to the “Iron Men” persona. These outsiders are females, specialists, incoming interns, and other male who are “Family Men, “Egalitarian”, and “Patient-Centered Men”. These outsiders failed to meet the standards of the Iron Men or are rejected the Iron Men and they are mostly to be in support of the work hours reforms. Many females residents try to adapt the Iron Men persona but are usually are exclude of the Iron Men persona because of their sex. Specialist residents are little unique as they are disinterested in the iron ma practices because they are only work with them for about year and Iron Men exclude them to focus more on incoming general surgeon interns. Incoming interns are against the Iron Men persona because they are new to the culture and do not want to work the long 120 hours. The incoming interns are usually convert to Iron Men persona during their residency period. The other male who are “Family Men, “Egalitarian”, and “Patient-Centered Men” do not meet the standard of the Iron Men persona because they have different goals and values. The “Family Men” want to spend more time with their families. “Egalitarian” are not comfortable the Iron Men persona. “Patient- Centered Men” wants to spend more quality time with their patients rather simple drop in and out like the other surgeons. We have finish with part one of the book and will begin explaining part two of the

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