Health and illness lecture 3 week 4.
Professions, professionalisation and the medical profession.
Television and medicine 1960s – changing representations of medical representation in
popular culture.
Reinforces / reproduces our thoughts on medical professionals.
Always white, tended to have a stethoscope, always women nurses, doctor could do
no wrong.
Angels (1975-82) about nurses, name reflects their kind, caring nature.
With time it became more complex with women becoming doctors, men becoming
nurses, greater diversity in terms of gender / race. No longer idealised.
Then the intro of the suited hospital manager, doctor loses power due to politics of
the power, managers could set procedure and guidelines – regulations.
Then Bodies and Cardiac Arrest (Jed Mercurio) – wrote about his own experiences.
Did dramas based on own experiences that highlighted racism, bullying, mistakes,
exhaustion, drug taking. Image of the doctor changed.
Changes to politics.
What is a profession? (distinct from occupation) Core characteristics:
Specialised knowledge/lengthy training.
Altruism – always put interest of client above all else. Always in their interest.
Monopoly of practice – only a registered professional can practice medial work, can
cut hair and claim to be a hairdresser, but would be sent to jail for doing a medical
thing without being registered.
Self-regulate – doctors can regulate whether clinical practice is of good quality. Need
authority and legitimacy to comment on whether it is suitable.
Professionalisation.
Need a concept which understands the process in which an occupational group
becomes a profession – secures a monopoly of knowledge and practice and protects
itself from assessment and interferences from others – privileges of a profession.
Professional medical autonomy.
Professional autonomy is granted by the state – to be in control of your own work
and declare other people illegitimate.
Can be struck off a medical register – have to register each year which grants them
to license to practice.
It is a legitimated public state.
Professional autonomy can be thought of in 3 dimensions:
Clinical autonomy – in clinical decision making.
Political autonomy – ability to influence policy.
Economic autonomy – ability to influence your pay and resources.
Doctors did not want NHS when introduced, were very angry and opposed, as it
would comprise their autonomy. They were paid off so they were happy with the
NHS.
Professions, professionalisation and the medical profession.
Television and medicine 1960s – changing representations of medical representation in
popular culture.
Reinforces / reproduces our thoughts on medical professionals.
Always white, tended to have a stethoscope, always women nurses, doctor could do
no wrong.
Angels (1975-82) about nurses, name reflects their kind, caring nature.
With time it became more complex with women becoming doctors, men becoming
nurses, greater diversity in terms of gender / race. No longer idealised.
Then the intro of the suited hospital manager, doctor loses power due to politics of
the power, managers could set procedure and guidelines – regulations.
Then Bodies and Cardiac Arrest (Jed Mercurio) – wrote about his own experiences.
Did dramas based on own experiences that highlighted racism, bullying, mistakes,
exhaustion, drug taking. Image of the doctor changed.
Changes to politics.
What is a profession? (distinct from occupation) Core characteristics:
Specialised knowledge/lengthy training.
Altruism – always put interest of client above all else. Always in their interest.
Monopoly of practice – only a registered professional can practice medial work, can
cut hair and claim to be a hairdresser, but would be sent to jail for doing a medical
thing without being registered.
Self-regulate – doctors can regulate whether clinical practice is of good quality. Need
authority and legitimacy to comment on whether it is suitable.
Professionalisation.
Need a concept which understands the process in which an occupational group
becomes a profession – secures a monopoly of knowledge and practice and protects
itself from assessment and interferences from others – privileges of a profession.
Professional medical autonomy.
Professional autonomy is granted by the state – to be in control of your own work
and declare other people illegitimate.
Can be struck off a medical register – have to register each year which grants them
to license to practice.
It is a legitimated public state.
Professional autonomy can be thought of in 3 dimensions:
Clinical autonomy – in clinical decision making.
Political autonomy – ability to influence policy.
Economic autonomy – ability to influence your pay and resources.
Doctors did not want NHS when introduced, were very angry and opposed, as it
would comprise their autonomy. They were paid off so they were happy with the
NHS.
