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Managing Medical Authority

How Doctors Compete for Status and Create Knowledge

Daniel A. Menchik

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Princeton University Press img Link Publisher

Geisteswissenschaften, Kunst, Musik / Pädagogik

Beschreibung

How the authority of medicine is continuously shaped by relationships among physicians, industry, colleagues, and organizations

Exploring how the authority of medicine is controlled, negotiated, and organized, Managing Medical Authority asks: How is knowledge shared throughout the profession? Who makes decisions when your heart malfunctions—physicians, hospital administrators, or private companies who sell pacemakers? How do physicians gain and keep their influence? Arguing that medicine’s authority is managed in collegial competition across venues, Daniel Menchik examines the full range of stakeholders driving the direction of the field: medical trainees, clinicians, researchers, administrators, and even the corporations that develop groundbreaking technologies enabling longer and better lives.

Menchik takes us into Superior Hospital to witness surgeries and executive negotiations. He moves outside the hospital to watch professional committees craft standards for treatments, case management, and professional ethics. At industry-sponsored meetings, he observes company representatives who train some experienced doctors on their technologies, while deterring others who they think might injure patients. Using an innovative ethnographic approach tying individual actions and their collective consequences, he considers how stakeholders ally across the various venues of medicine, even as they are sometimes pressed into competition within those venues. Menchik finds that these alliances and rivalries strengthen the authority of medicine as a whole. From place to place, and group to group, we see how a medical specialty renews and reinvigorates itself.

Beginning within the walls of the hospital, and moving to the professional and commercial venues that shape it, Managing Medical Authority offers an agenda-setting take on the social organization of medical authority.

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Patient education, Rheumatology, Attending physician, Medscape, Bolsheviks, Vocabulary, Ablation, Aristotelianism, Lecture, Monitor mount, Organization, Theology, Social Gospel, Referral (medicine), Fine motor skill, Criticism, Atrial fibrillation, Electrophysiology, The New England Journal of Medicine, Case report, Christian tradition, God, Adverse effect, Physician, Raw material, Justification (theology), Heart Rhythm Society, Malpractice, Emerging technologies, Industrialisation, Peer review, Christian socialism, Instance (computer science), Indication (medicine), Bed management, Palpitations, Ethnography, Fluoroscopy, Cardiology, Hospital, Fellow, Apeiron (cosmology), Criticism of capitalism, Case study, American Express, Intensivist, Labour movement, Ventricular Dysfunction, Guideline, Clinician, Internal medicine, Career, Dual unionism, Electrocardiography, Catheter, Dialysis, Embarrassment, Behavior, Medicaid, William Maclure, Case presentation, Finding, Liver failure, Technology, Program director, Role, Solidity, Nursing home care, Systematic process, Clinton Roosevelt