Kiely, Philip J. (2018) The construction of intra-professional status in medicine and its role within processes of organisational change. PhD thesis, University of Warwick.

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Abstract

The medical profession continues to sub-divide and sub-specialise into increasingly smaller units (Rosen, 1944). From cardiologists to cardiac surgeons, gynaecologists to geriatricians, orthopaedic surgeons to otologists, renal physicians to respiratory physicians, virologists to vascular surgeons, and diabetologists to dermatologists, to name but a few. It has been said that the profession is becoming increasingly composed of groups of doctors that have separate identities, boundary awareness, ideology, and governing principles. As such there is no longer a core within the profession that shares a sense of unity (Roth & Ruzek, 1986: 166).

But how does this differentiation affect the identity of doctors and how does it affect the way they perceive those working in the other sub-groups of the profession? Does a cardiologist consider themselves to be higher status than a dermatologist, or are they just different in kind? Does a general practitioner or psychiatrist feel subordinate to a hospital specialist? How do doctors construct their professional status, and do doctors working within different specialties, or who work in different organisational contexts, do it in different ways? How do these constructions of status manifest themselves, and to what extent can they provide insights into the behaviour of doctors within processes of organisational change?

Item Type:	Thesis (PhD)
Subjects:	H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management R Medicine > RA Public aspects of medicine
Library of Congress Subject Headings (LCSH):	Medicine, Medical personnel, Organizational change
Official Date:	September 2018
Dates:	Date Event September 2018 UNSPECIFIED
Institution:	University of Warwick
Theses Department:	Warwick Business School
Thesis Type:	PhD
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Swan, Jacky ; McGivern, Gerry
Sponsors:	Warwick Business School. Innovation, Knowledge and Organisational Networks
Format of File:	pdf
Extent:	342 leaves : illustrations
Language:	eng

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