3 results
Search Results
2. Professional identity and epistemic stress: complementary medicine in the academy.
- Author
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Brosnan, Caragh and Cribb, Alan
- Subjects
ACADEMIC medical centers ,ALTERNATIVE medicine ,ATTITUDE (Psychology) ,CHIROPRACTIC education ,INTERVIEWING ,THEORY of knowledge ,RESEARCH methodology ,MEDICAL personnel ,CHINESE medicine ,OSTEOPATHIC medicine ,PROFESSIONS ,PSYCHOLOGICAL stress ,PROFESSIONAL identity ,PROFESSIONALISM - Abstract
Complementary and alternative medicine (CAM) degrees in Australian and British universities have come under attack from sceptics who argue that such courses teach only 'pseudoscience'. Moreover, CAM academics have themselves been publicly labelled 'quacks'. Comparatively little is known about this group of health professionals who span the two worlds of CAM practice and academia. How do they navigate between these domains, and how are their collective and individual professional identities constructed? Drawing on 47 semi-structured interviews, this paper explores the professional identities of academics working in three university-based CAM disciplines in Australia and the UK: osteopathy, chiropractic and Chinese medicine. By analysing these individuals' accounts, and building on prior research on health professions in the academy, the paper contributes to understanding how contests about professionalism and professional knowledge take place against the academic-practice divide. By focussing on a domain where knowledge claims are conspicuously contested, it highlights the salience of navigating 'epistemic stress' for both group and individual professional identity. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
3. Are new forms of professionalism emerging in medicine? The case of the implementation of NICE guidelines.
- Author
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Spyridonidis, Dimitrios and Calnan, Michael
- Subjects
HEART failure treatment ,OBESITY treatment ,ATTITUDE (Psychology) ,AUTONOMY (Psychology) ,DECISION making ,DIFFUSION of innovations ,ENTREPRENEURSHIP ,EXPERTISE ,GROUP identity ,INTERVIEWING ,MANAGEMENT ,RESEARCH methodology ,MEDICAL personnel ,MEDICAL protocols ,MEDICAL practice ,NATIONAL health services ,MOTIVATION (Psychology) ,PRIMARY health care ,PROFESSIONS ,RESEARCH funding ,EVIDENCE-based medicine ,QUALITATIVE research ,PROFESSIONAL standards ,JUDGMENT sampling ,PROFESSIONALISM ,THEMATIC analysis ,HUMAN services programs ,PHYSICIANS' attitudes - Abstract
Scientific-bureaucratic medicine (SBM) has been the dominant discourse on evidence-based medicine in the English National Health System (NHS). It has being claimed that SBM has led to new forms of medical professionalism with an emphasis on organisational values and the control of autonomy. This paper explores the medical professions' response to SBM, where SBM is manifested in the form of National Institute of Health and Clinical Excellence (NICE) guidelines. Seventy-four face-to-face informal interviews were carried out with clinicians and managers between 2007 and 2009. Three major themes emerged from the analysis each of which was linked to doctors' receptiveness to NICE guidelines implementation. The first emphasised organisational values, which accounted for conditional acceptance of NICE guidelines. The second was proactive professionalism or entrepreneurial professionalism, which was linked to the rejection of NICE guidelines and the emergence of alternative forms of introducing new ideas for the expansion of their clinical practice. The third was related to the prominence of clinical autonomy linked with doctors' resistance to the use of NICE guidelines. It is argued that this evidence does not reflect a significant emergence of new forms of professionalism but the development of multiple occupational identities. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
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