Lecture Three, Jan 31

Lecture Three, Jan 31 - January 31, 2008 Lecture 3: Topics...

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January 31, 2008 Lecture 3: Topics in Medical Sociology continued XIV. Organizations of Healthcare Provider a. Education and training of physicians, nurses, physician assistants i. Medical Students are overworked and underpaid 1. Based on apprenticeship a. See, Do, Teach b. 120hrs. a week for surgical residents (only 160hrs in a week) c. 80hrs. a week for med students i. Sleep deprived residents ii. Psychological problems iii. Could harm or kill patients because of sleep deprivation b. Don’t get medical care on weekend and at night and when the newbies start (July) c. Professional relationships among healthcare providers i. Doctor Nurse Relationships 1. Nurses low status, doctors high status 2. Gender differences (doctors were male dominated, nurses women dominated) 3. Difference in wage earned 4. Doctor nurse game a. Doctor appears to be in charge b. Nurses actually more experienced and under the doctor ii. Doctor Doctor Relationships 1. Specialized Pediatric Cardiologist surgeons a. Earn over $900,000
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2. Pediatricians, General, and Psychiatrists are lowest paid a. About $150,000 3. At conventions surgeons don’t associate with psychiatrists d. Factors that interfere with their working together XV. Sociology of the Hospital a. Very complex social organization i. Medical Hierarchy 1. Max Veber a. Pyramid of how organizations work and are organized i. Does not work for hospitals b. Physicians c. In house physicians d. Residents e. Interns f. Med Students ii. Business Hierarchy 1. Administration that keeps hospital open and working a. Master of Hospital Administration b. Head of parking c. Head of food iii. Two pyramids have to work together 1. Have to compromise 2. Conflict arises 3. CEO’s of the hospital are usually the scapegoats b. Different types of hospitals with different rules
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i. Public v. Private 1. Muncipal (public), Federal, State, church (private), voluntary, Genreal ii. For-profit v. Non-profit 1. Public are non profit
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Lecture Three, Jan 31 - January 31, 2008 Lecture 3: Topics...

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