Surgeons and the Scope

Zetka, James R.

doi:10.7591/9781501711305

Cited by 55 publications

(42 citation statements)

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“…A complementary line of research examines jurisdictional conflicts in organizational settings, where expert groups define and protect jurisdictions by asserting task boundaries through ongoing deliberation (Becker et al 2002, Bechky 2003a, Kellogg et al 2006, sometimes to avoid being outflanked by a more active or enterprising occupation (Barley 1986). Zetka (2003), for example, chronicles how a highstatus profession (surgeons) essentially ignored endoscopy, which they assumed was applicable only to diagnostic procedures. This created an opening for lower-status gastroenterologists to experiment with endoscopic techniques as a less invasive alternative to gastrointestinal surgery.…”

Section: Jurisdictional Dynamics In Organizationsmentioning

confidence: 99%

The Double-Edged Sword of Jurisdictional Entrenchment: Explaining Human Resources Professionals’ Failed Strategic Repositioning

Sandholtz

Chung

Waisberg

2019

Organization Science

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To protect themselves against deskilling and obsolescence, professionals must periodically revise their claims to authority and expertise. Although we understand these dynamics in the broader system of professions, we have a less complete understanding of how this process unfolds in specific organizational contexts. Yet given the ubiquity of embedded professionals, this context is where jurisdictional shifts increasingly take place. Drawing on a comparative ethnographic study of human resources (HR) professionals in two engineering firms, we introduce the concept of jurisdictional entrenchment to explain the challenges embedded professionals face when they attempt to redefine their jurisdiction. Jurisdictional entrenchment describes a condition in which embedded professionals have accumulated tasks, tactics, and expertise that enable them to make jurisdictional claims in an organization. We show how such entrenchment is a double-edged sword: instrumental to the ability of professionals to withstand challenges to their authority but detrimental when expertise and skills devalued by the professionals remain in high demand by clients, thus preventing the professionals' shift to their aspirational jurisdiction. Overall, our study contributes to a better understanding of how embedded professionals renegotiate jurisdictional claims within the constraints of organizational employment.

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Section: Jurisdictional Dynamics In Organizationsmentioning

confidence: 99%

The Double-Edged Sword of Jurisdictional Entrenchment: Explaining Human Resources Professionals’ Failed Strategic Repositioning

Sandholtz

Chung

Waisberg

2019

Organization Science

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“…Ob/gyn’s official account of the subspecialty programme establishing gynaecologic oncology and its sister subspecialties—maternal‐fetal medicine and reproductive endocrinology—is consistent with that of the negotiation framework, a popular sociological account of medical specialisation (see below; see also Zetka 2003, ch. 3).…”

Section: Introductionmentioning

confidence: 70%

“…A negotiation framework has guided research on medical specialisation over the last thirty years (see Zetka 2003: ch. 3).…”

Section: Re‐embracing Hughes’ Perspectivementioning

confidence: 99%

Establishing specialty jurisdictions in medicine: the case of American obstetrics and gynaecology

Zetka

2011

Sociology Health & Illness

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The profession of medicine has evolved into an extremely specialised occupation.Yet, recent research has neglected the intra-occupational processes influencing medical specialisation. This article aims to correct this oversight. It develops an historical account of intra-occupational factors influencing the decision to establish gynaecologic oncology as American ob ⁄ gyn's surgical subspecialty in 1972. Working within the framework initially developed by Everett C. Hughes and his students, the article examines this development as the outcome of a threeparty relationship among gynaecologic oncologists, American ob ⁄ gyns, and gynaecologic pelvic surgeons. Aggressive movement by the gynaecologic pelvic surgeons challenging the established e´lite's identity definition for the ob ⁄ gyn specialty helped spur official recognition of gynaecologic oncology, a less threatening subspecialty. The article draws theoretical implications from the case regarding the role of a threatening other in influencing the specialisation process.

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“…Beagan suggests that medical knowledge and skills are male gendered and embedded in historical and social relations and that medical training and practice reproduce gendered knowledge and skills [21]. For example, autobiographical accounts and research have documented that there is a masculine ethos in surgical practice and that women surgeons have to embrace this gender ethos in order to be considered professionals [6,8,20,22,40].…”

Section: Sociological Theorizing On Gender and Professionsmentioning

confidence: 99%

Gendered Careers in Post-Soviet Society: Views on Professional Qualifications in Surgery and Pediatrics

Riska

Novelskaitė²

2008

Gend. Issues

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This study examines the medical profession in post-Soviet society, where women have been in the majority of the physicians for almost seven decades. It examines pediatricians' and surgeons' definitions of the professional skills and qualities needed for ''good'' work. Lithuania is used as a case study. Thirty-six semi-structured interviews were conducted in 2005 with male and female surgeons and pediatricians in Lithuania. The results show that the gender composition of the specialty-surgery being a male-dominated and pediatrics a female-dominated specialty-tended to influence the way that physicians perceived the qualities needed for good work. For surgeons, male-gendered qualities were prerequisites for being a good surgeon: physical strength and being in control. Female surgeons added a female-gendered quality-empathy and compassion-that made them good surgeons. A good pediatrician had a holistic and empathic approach and an ability to communicate, which were seen as female-gendered skills. Male pediatricians experienced otherness in this specialty but did not, as women surgeons did, offer a counter discourse in order to legitimate themselves as being as skilled as women.

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Surgeons and the Scope

Cited by 55 publications

References 0 publications

The Double-Edged Sword of Jurisdictional Entrenchment: Explaining Human Resources Professionals’ Failed Strategic Repositioning

The Double-Edged Sword of Jurisdictional Entrenchment: Explaining Human Resources Professionals’ Failed Strategic Repositioning

Establishing specialty jurisdictions in medicine: the case of American obstetrics and gynaecology

Gendered Careers in Post-Soviet Society: Views on Professional Qualifications in Surgery and Pediatrics

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