Curricular Battles: Is it Possible to Win the War even if a Few Battles are Lost?
This paper is a response to the two commentaries (Sircar, 2012; Sarbadhikari, 2012) written for the article â€œReforming Medical Curriculum in India in Recent Years: Conflicts of Political, Regulator, Educationist and Professional Nature and Strategies for their Resolutionâ€ (Sood & Ananthakrishnan, 2012). Considering the enormity of the process of bringing about a change, often compromises have to be made for a step wise approach to make the proposed changes more acceptable across the board. A â€˜one size fits allâ€™ approach is unlikely to work in India because of numerous conflicting pressures and the solution has to be tailored to the specific situations in the country. While a national exit examination as a measure of quality control looks admirable, a number of issues have to be addressed before it can become a reality. The authors conclude that a much higher role of educationists and professionals, consensus building, and political support are essential to achieve successful curricular reforms. A strong regulatory agency could play a definitive role in maintaining standards.
Information as Change Agent or Barrier in Health Care Reform?
Health care systems across the world are in a state of flux. If the experience of the early 1990s can be used as a model, the recent global economic downturn will lead to very significant pressures to reduce spending and achieve better value. Systems have provided a range of approaches to modeling and evaluating these more complex organizations, from simple process models to complex adaptive systems. This paper considers the pros and cons of such approaches and proposes a new modeling approach that combines the best elements of other techniques. This paper also describes a case study, where the approach has been deployed by the authors. The case study comes from health care services in Ontario, Canada, who are shifting from the traditionally hospital-based system to one that recognizes a greater role for community and primary care services.
Comparative Industrial Sociology and the Convergence Hypothesis
Industrial sociology grew spectacularly after World War II, concentrating on three areas: workers' relations with each other, their managers, and their unions; the social organization of the factory; and the impact of technology on social systems extending from the factory to the society. Unable to sus­ tain leadership in all of these areas, industrial sociology shrivelled as other fields invaded its domains. Human relations became the ideological property of the business schools; labor economics maintained its grip on industrial relations; industry-community relations waned as interest in community power soared; industrial organizations were absorbed into the study of com­ plex organizations; occupational sociology maintained research impetus in labor force analysis; and the sociology of the economy dominated the study of industry's institutional relationships. Industrial sociology survived on remnants: worker-machine relationships (job satisfaction, alienation, un­ employment), organizational responses to technological changes. and a bit of working-class ethnology. Enduring interest in technology, however, en­ abled industrial sociology to take part in sociology's expanding interest in comparative studies.