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If you want to understand the social controls inside a surgery unit-you will find this book very interesting. The biggest issue is that it was written in 1979, soooo long ago and healthcare has undergone a transformation since then. However, the author does add an epilogue and appendix updating his original work-dont skip that part.My take away is that social control by the Attending surgeon has two components: technical errors and normative errors of residents, interns and training docs. In other words, technical errors by a resident were accepted-the resident needs more training, but not following orders and falling in line with the Attendings rules, this was unforgivable-and could end the career of a would be surgeon. The author is a sociologist-and was in his early 20s when he did his field research. Im not sure how much of this still goes on in todays surgery units, but people are people and Im sure as much as things change, they stay the same due to human nature.

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