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The Medical Elite - Training for Leadership (Hardcover)
Loot Price: R3,893
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The Medical Elite - Training for Leadership (Hardcover)
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In the tradition of C. Wright Mills, Stephen J. Miller defines and
analyzes the power of the medical elite in American elite. He
describes a group of interns who are becoming the successors of the
physicians who determine the character of medicine in a complex
society. The group is at the Harvard Medical Unit of the Boston
City Hospital, and its members are heirs apparent to the elite of
the medical profession. Miller spent more than a year living with
these interns. He observed them as they worked on the wards, in
clinics, and on the accident floor. He interviewed interns,
administrators, teachers, researchers, and other personnel at the
university-affiliated hospital. He describes how members of the
elite are chosen and promoted, discusses what makes them elite, and
demonstrates how they maintain their elite status. In the course of
his analysis he describes fully the training of these young
physicians and how their internship prepares them for the future
role in medicine. The thrust of the book is to document the
training of interns in a big-city hospital and to describe the
operations and self-perpetuating tactics of elite. The best or the
elite of the medical profession, explains Miller, are teachers and
researchers at medical schools and particularly those at "name"
schools and their affiliated hospitals. More than half of those who
served in the internship program went on to become professors,
deans, chairmen, and administrators in those institutions. The
author describes how interns serve the purpose of the elite they
may someday join: they provide the bulk of the medical care at the
hospital and, by so doing, free the researchers so that they are
able to spend more time in the laboratory. While much of what
interns do is everyday tasks of caring for patients, those who
serve such internships are taking the first step on a route that
leads to membership in the medical elite
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