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Scalpel's Edge, The: The Culture of Surgeons 1/e
Pearl Katz
Published October 1998 by Allyn & Bacon
Copyright 1999, 251 pp., Paper
ISBN: 0-205-27007-7
List Price:
$20.00
Inventory Status:
In-Stock
Summary
This ethnography about the culture of surgeons describes how and why they differ significantly from other physicians. Historically rising from humble roots as lower-class, uneducated, itinerant barbers, the profession has evolved into one of the most prestigious in America, one that utilizes the most sophisticated technologies in medicine. Surgeons have nonetheless retained many aspects of their historical culture, such as their proclivity for quick decisions, surgical "cures," and their detachment and aloofness from patients and other physicians. This book describes in detail what surgeons actually do in and out of the operating room. It reveals how they think about disease, patients, and other physicians; how their thinking is often non-scientific; how they make decisions; and how they keep secrets from patients and colleagues.
KEY TOPICS:
This book gives a detailed description of a professional culture and how the culture, especially their active posture, influences decisions which affect patients and the health care system. The book discusses the methodology used to obtain and maintain trust with the surgeons and how the behavior was interpreted (1). Chapter 2 explains how history can help us understand why particular culture traits appear in the culture of surgeons. Thorough descriptions of the barriers to effective communication between surgeons and their patients, and the implications of these barriers, are in chapters 5 and 6. Case studies describe how many decisions are made based on complex issues, including professional ties and financial interests (7, 8, and 9). And also includes a detailed description of operating room rituals (10).
MARKET:
For anyone with an interest in medical culture.
Features
Gives a detailed description of a professional culture and how the culture, especially their active posture, influences decisions which affect patients and the health care system.
Discusses the methodology used by Dr. Katz to obtain and maintain trust with the surgeons she was studying and to interpret their behavior in each encounter (Ch. 1).
Explains how history can help us to understand why particular culture traits appear in the culture of surgeons (Ch. 2).
Provides thorough descriptions of the barriers to effective communication between surgeons and their patients and between surgeons and other physicians, as well as the implications of these barriers (Chs. 5 & 6).
Describes, through case studies, how many decisions are made based on complex issues, including professional ties and financial interests (Chs. 7, 8, & 9).
Offers a detailed description of operating room rituals (Ch. 10).
Table of Contents
Acknowledgments.
Introduction.
1.Encounters with Surgeons.
2.The Surgeon as Hero.
3.Are Surgeons Scientists?
4.Styles of Surgeons.
5.Communication with Colleagues.
6.Communication with Patients.
7.How Surgeons Make Decisions: Influence of Active Posture on Decision-Making.
8.Surgical Decision-Making, Referrals, and “Keeping” Patients.
9.The Natural History of Surgical Decisions and Their Consequences.
10.Operating Room Rituals.
11.Implications of the Culture of Surgeons for Modern Medicine.
Appendix A: Culture, Medical Anthropology, and Biomedicine.
Appendix B: American College of Surgeons.
Appendix C: Cybersurgery: The New Surgical Technologies.
Bibliography.
Index.
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