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首页> 外文期刊>Sociology of health & illness >Establishing specialty jurisdictions in medicine: the case of American obstetrics and gynaecology.
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Establishing specialty jurisdictions in medicine: the case of American obstetrics and gynaecology.

机译：建立医学专业管辖区：以美国妇产科为例。

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摘要

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 three-party relationship among gynaecologic oncologists, American ob/gyns, and gynaecologic pelvic surgeons. Aggressive movement by the gynaecologic pelvic surgeons challenging the established elite'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.
机译：医学界已经发展成为极为专业的职业。然而，最近的研究忽略了影响医学专业的职业过程。本文旨在纠正这种疏忽。它描述了职业因素的历史影响，这些因素影响了1972年将妇科肿瘤科确定为美国妇产科手术专科的决定。在Everett C. Hughes和他的学生最初开发的框架内，本文将这种发展作为结果进行了考察。妇科肿瘤学家，美国妇产科医师和妇科骨盆外科医生之间的三方关系。妇科盆腔外科医生的激进运动挑战了妇产科专家对既定精英身份的定义，这刺激了官方对妇科肿瘤学的认识，而后者是威胁较小的专科。本文从威胁他人在影响专业化过程中的作用的案例中得出了理论启示。

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