Doctors' Orders
The Making of Status Hierarchies in an Elite Profession
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Narrated by:
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Ginger White
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By:
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Tania M. Jenkins
About this listen
The United States does not have enough doctors. Every year, since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions - because there are too few American-trained MDs.
Doctors’ Orders offers a groundbreaking examination of the construction, and consequences, of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals, to reveal the unspoken mechanisms that are taken for granted, and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit, and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare, ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies, and their significance for both doctors and patients.
The book is published by Columbia University Press. The audiobook is published by University Press Audiobooks.
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Critic reviews
"A major contribution to our understanding status hierarchies within medicine and their impact on patient care." (Charles L. Bosk, author of Forgive and Remember: Managing Medical Failure)
"An insightful examination of the forces that drive status inequality in medicine." (Sandeep Jauhar, author of Intern: A Doctor’s Initiation)
"The book is a must-read for scholars interested in medical sociology and the sociology of professions as well as practitioners." (Lauren A. Rivera, author of Pedigree: How Elite Students Get Elite Jobs)
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Story
In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans.
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Great insight into Public Health
- By Ann-Karen Weller on 05-09-22
By: Deborah Birx
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Engine of Impact
- Essentials of Strategic Leadership in the Nonprofit Sector
- By: William F. Meehan III, Kim Starkey Jonker
- Narrated by: C. J. Lengua
- Length: 7 hrs and 32 mins
- Unabridged
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We are entering a new era - an era of impact. The largest intergenerational transfer of wealth in history will soon be underway, bringing with it the potential for huge increases in philanthropic funding. Engine of Impact shows how nonprofits can apply the principles of strategic leadership to attract greater financial support and leverage that funding to maximum effect.
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Must listen for all nonprofit leaders
- By Peter A. Mello on 02-09-19
By: William F. Meehan III, and others
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The New Education
- How to Revolutionize the University to Prepare Students for a World in Flux
- By: Cathy N. Davidson
- Narrated by: Carolyn Cook
- Length: 11 hrs and 1 min
- Unabridged
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Our current system of higher education dates to the period from 1865 to 1925, when the nation's new universities created grades and departments, majors and minors, in an attempt to prepare young people for a world transformed by the telegraph and the Model T. As Cathy Davidson argues in The New Education, this approach to education is wholly unsuited to the era of the gig economy.
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Practical Enough / Scholarly Enough
- By Amazon Customer on 07-22-20
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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The End of Average
- How We Succeed in a World That Values Sameness
- By: Todd Rose
- Narrated by: Fred Sanders
- Length: 6 hrs and 31 mins
- Unabridged
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Are you above average? Is your child an A student? Is your employee an introvert or an extrovert? Every day we are measured against the yardstick of averages, judged according to how close we come to it or how far we deviate from it. The assumption that metrics comparing us to an average—like GPAs, personality test results, and performance review ratings—reveal something meaningful about our potential is so ingrained in our consciousness that we don't even question it. That assumption, says Harvard's Todd Rose, is spectacularly—and scientifically—wrong.
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Good intentions, terrible execution
- By Kristofer Jarl on 05-06-19
By: Todd Rose
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Whistling Vivaldi
- How Stereotypes Affect Us and What We Can Do
- By: Claude M. Steele
- Narrated by: DeMario Clarke
- Length: 6 hrs and 52 mins
- Unabridged
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Claude M. Steele, who has been called “one of the few great social psychologists,” offers a vivid first-person account of the research that supports his groundbreaking conclusions on stereotypes and identity. He sheds new light on American social phenomena from racial and gender gaps in test scores to the belief in the superior athletic prowess of black men, and lays out a plan for mitigating these “stereotype threats” and reshaping American identities.
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Surprising, in a good way
- By Michael on 09-25-20
By: Claude M. Steele
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Excellent Sheep
- The Miseducation of the American Elite and the Way to a Meaningful Life
- By: William Deresiewicz
- Narrated by: Mel Foster
- Length: 8 hrs and 34 mins
- Unabridged
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Excellent Sheep takes a sharp look at the high-pressure conveyor belt that begins with parents and counselors who demand perfect grades and culminates in the skewed applications Deresiewicz saw firsthand as a member of Yale's admissions committee. As schools shift focus from the humanities to "practical" subjects like economics and computer science, students are losing the ability to think in innovative ways.
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skip the book read the essay
- By Amazon Customer on 05-07-15
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Success and Luck
- Good Fortune and the Myth of Meritocracy
- By: Robert H. Frank
- Narrated by: Robert H. Frank
- Length: 5 hrs and 19 mins
- Unabridged
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How important is luck in economic success? No question more reliably divides conservatives from liberals. As conservatives correctly observe, people who amass great fortunes are almost always talented and hardworking. But liberals are also correct to note that countless others have those same qualities yet never earn much. In recent years, social scientists have discovered that chance plays a much larger role in important life outcomes than most people imagine.
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Not what is advertised
- By Andre on 04-18-17
By: Robert H. Frank
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Influencer, Second Edition
- The New Science of Leading Change
- By: Joseph Grenny, Kerry Patterson, David Maxfield, and others
- Narrated by: Joseph Grenny
- Length: 8 hrs and 10 mins
- Unabridged
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From the best-selling authors who taught the world how to have Crucial Conversations comes the new edition of Influencer, a thought-provoking book that combines the remarkable insights of behavioral scientists and business leaders with the astonishing stories of high-powered influencers from all walks of life. You'll be taught each and every step of the influence process - including robust strategies for making change inevitable in your personal life, your business, and your world.
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Very enlightening
- By Bryan Rael on 08-23-24
By: Joseph Grenny, and others
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Questions Are the Answer
- A Breakthrough Approach to Your Most Vexing Problems at Work and in Life
- By: Hal Gregersen
- Narrated by: Rick Adamson
- Length: 8 hrs and 45 mins
- Unabridged
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For innovation and leadership guru Hal Gregersen, the power of questions has always been clear - but it took some years for the follow-on question to hit him: If so much depends on fresh questions, shouldn’t we know more about how to arrive at them? That sent him on a research quest ultimately including more than 200 interviews with creative thinkers. Questions Are the Answer delivers the insights Gregersen gained about the conditions that give rise to catalytic questions - and breakthrough insights - and how anyone can create them.
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All you need is the title
- By Bob Jordy on 01-13-22
By: Hal Gregersen