From Residency to Retirement: Physicians' Careers over a Professional Lifetime
From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services.
 
Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory.
 
They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.
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From Residency to Retirement: Physicians' Careers over a Professional Lifetime
From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services.
 
Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory.
 
They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.
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From Residency to Retirement: Physicians' Careers over a Professional Lifetime

From Residency to Retirement: Physicians' Careers over a Professional Lifetime

by Terry Mizrahi
From Residency to Retirement: Physicians' Careers over a Professional Lifetime

From Residency to Retirement: Physicians' Careers over a Professional Lifetime

by Terry Mizrahi

Hardcover

$52.95 
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Overview

From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services.
 
Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory.
 
They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.

Product Details

ISBN-13: 9780813570020
Publisher: Rutgers University Press
Publication date: 04/16/2021
Series: Critical Issues in Health and Medicine
Pages: 276
Product dimensions: 6.12(w) x 9.25(h) x 1.00(d)
Age Range: 18 Years

About the Author

TERRY MIZRAHI is a sociologist and a social worker. She has been a professor at the Silberman School of Social Work at Hunter College of the City University of New York since 1980. She is the author of dozens of scholarly and professional articles and five books on health policy and practice; community organizing; interdisciplinary and interprofessional collaboration; and social work-physician relationships. Her first book, Getting Rid of Patients: Contradictions in the Socialization of Physician (Rutgers University Press) is the predecessor to From Residency to Retirement
 

Table of Contents

1 Introduction 1

2 Meet the Doctors: Career Choices in Their Own Voices 18

3 Satisfaction and Strains: The Ups and Downs of Being a Doctor, Part I (Early to Mid-Career) 46

4 Satisfaction and Strains: The Ups and Downs of Being a Doctor, Part II (Mid-Career to Retirement) 65

5 "Speaking of Their Own": Relationships with Peers, Partners, and Protégés 92

6 Mistakes and Malpractice: The Bane of Physicians 119

7 The Physicians on Health Regulations, Reimbursement, and Reform 145

8 Vulnerability from Within: Hidden Revelations about Disillusionment, Cynicism, Fear of Failure, and Self-Doubt 162

9 The Personal and the Professional: The Interaction between Private Lives and Public Postures 180

10 Physicians' Happiest and Unhappiest Times, and Their Wishes and Misses throughout Their Careers 198

11 Conclusion 217

Acknowledgments 227

Notes 231

References 235

Index 251

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