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Training for efficiency: work, time, and systems-based practice in medical residency.
Julia E Szymczak1, Charles L Bosk
1University of Pennsylvania, Department of Sociology, Philadelphia, PA 19104, USA. jszymcza@sas.upenn.edu
Journal of Health and Social Behavior
|August 7, 2012
Summary
Medical residents use efficiency as a social norm and strategy to manage heavy workloads. They navigate systemic issues, developing tolerance for organizational vulnerabilities during their training and professional identity formation.
Area of Science:
- Medical Education
- Sociology of Professions
- Healthcare Management
Background:
- Medical residency involves intense socialization and heavy workloads.
- Previous studies highlighted efficiency as crucial for resident success.
- Training environments have changed, impacting resident socialization and professional identity.
Purpose of the Study:
- To investigate the consequences of changes in medical training environments on resident socialization to time management.
- To explore how residents develop professional identity in relation to efficiency and workload.
- To understand the role of efficiency as a social norm and strategy among residents.
Main Methods:
- Qualitative study using observations and interviews.
- Data collected from internal medicine residents across three training programs.
- Analysis focused on social norms, strategies, and systemic challenges.
Main Results:
- Efficiency is a key social norm and strategy for managing time-constrained workloads.
- Residents struggle with systemic problems that hinder efficiency.
- Working around these issues fosters a tolerance for organizational vulnerabilities.
Conclusions:
- Modern medical residency training shapes efficiency norms and strategies.
- Systemic issues in healthcare training impact residents' time management and professional identity.
- Residents adapt to and develop tolerance for organizational weaknesses as part of their socialization.
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