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

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. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? 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.

A history of the Epidemic Intelligence Service from smallpox to smoking

A key resource for coaches, scientists and clinicians Sport is by its nature competitive and even during youth it is performed at different levels with elite young athletes at the top of the performance pyramid. A coordinated series of comprehensive, research-based reviews on factors underlying the performance of children and adolescents involved in competitive sport is presented in this volume. Leading exercise and sport scientists provide the latest information on the physiology of young elite athletes, the essential role of nutrition, and the effects of endurance, high-intensity and high-resistance training and overtraining as well as on the importance of laboratory and field-based monitoring of young athletes' performances. Further, thermoregulation and environmental factors that might affect performance are re-viewed. Finally, strategies for preventing sudden cardiac death and the diagnosis and management of common sport injuries in young athletes are discussed. The book provides up-to-date, evidence-based information for sports scientists, coaches, physiotherapists, pediatric sports medicine specialists, and other professionals involved in supporting elite young athletes.

Health and Elite Sport is the first book to critically examine the relationship between participation in high performance sport and health outcomes. Drawing on theory and empirical data from a wide range of disciplines, including sociology, developmental psychology, epidemiology, and physical education, the book explores the benefits and detriments of participation in elite sport for both individuals (athletes, coaches, spectators) and communities. Written by a team of leading international sport researchers, the book examines key issues including: Talent identification and young athletes Abuse in sport Positive youth development through sport Athlete health in periods of transition Health, sport and the family Health in professional sport The Olympics, Paralympics and public health Long term effects of participation in elite sport Highlighting the connections and contradictions between high performance sport and health, the book also discusses the clear and important implications for our socio-cultural, political and developmental understanding of sport. Health and Elite Sport is fascinating and important reading for all students and researchers with an interest in youth sport, sports development, sport policy, sports coaching, exercise and health, physical education, the sociology of sport, or the sociology of health.

This wide-ranging and imaginative book examines the social and scientific role of the French Academy of Medicine from its creation in 1820 to the outbreak of the Second World War. It employs academic activities and sources to explore such major questions in the social and scientific history of medicine as the nature of therapeutic reasoning, the specificity of French medicine, and the consequences of hierarchial centralization for the medical profession.

A scientifically based herbal and nutritional program to master stress, improve energy, prevent degenerative disease, and age gracefully • Explains how adaptogenic herbs work at the cellular level to enhance energy production and subdue the pro-inflammatory state behind degenerative disease • Explores the author’s custom adaptogenic blends for the immune system, cardiovascular health, thyroid function, brain health, and cancer treatment support • Provides more than 60 monographs on herbs and nutritional compounds based on more than 25 years of clinical practice with thousands of patients Weaving together the ancient wisdom of herbalism and the most up-to-date scientific research on cancer, aging, and nutrition, renowned medical herbalist and clinical nutritionist Donald Yance reveals how to master stress, improve energy levels, prevent degenerative disease, and age gracefully with the elite herbs known as adaptogens. Yance’s holistic approach, called the Eclectic Triphasic Medical System (ETMS), is based on extensive scientific research, more than 25 years of clinical practice, and excellent results with thousands of patients. It centers on four interconnected groups of health tools: botanical formulations, nutritional supplements, diet, and lifestyle. Defining three categories for adaptogenic herbs, he explains how formulations should combine herbs from each category to create a synergistic effect. He provides more than 60 monographs on herbs and nutritional compounds as well as custom combinations to revitalize the immune system, build cardiovascular health, protect brain function, manage weight, and support cancer treatment. He explains the interplay of endocrine health, the hypothalamic-pituitary-adrenal (HPA) axis, thyroid function, and stress in the aging process and reveals how adaptogenic treatment begins at the cellular level with the mitochondria--the microscopic energy producers present in every living cell. Emphasizing spirituality, exercise, and diet in addition to herbal treatments and nutritional supplements, Yance’s complete lifestyle program explores how to enhance energy production in the body and subdue the proinflammatory state that lays the groundwork for nearly every degenerative disease, taking you from merely surviving to thriving.