The craft of intensive care medicine

Datos Bibliográficos

ID2266466
AutoresSimon Carmel (0000-0001-6514-4628, University of Essex, autor de correspondencia)
Año2013
Volumen35
Número5
Páginas731-745
Fecha de publicación2013-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/j.1467-9566.2012.01524.x
PMID23009749
OpenAlexW2171145934
IdiomaEN
Citas recibidas19
Referencias citadas44

The practice of medicine is often represented as a dualism: is medicine a 'science' or an 'art'? This dualism has been long-lasting, with evident appeal for the medical profession. It also appears to have been rhetorically powerful, for example in enabling clinicians to resist the encroachment of 'scientific' evidence-based medicine into core areas of medical work such as individual clinical judgement. In this article I want to make the case for a more valid conceptualisation of medical practice: that it is a 'craft' activity. The case I make is founded on a theoretical synthesis of the concept of craft, combined with an analysis of ethnographic observations of routine medical practice in intensive care. For this context the craft aspects of medical work can be seen in how biomedical and other types of knowledge are used in practice, the embodied skills and practical judgement of practitioners and the technological and material environment. These aspects are brought together in two conceptual dimensions for 'craft': first, the application of knowledge; second, interaction with the material world. Some practical and political implications of a 'craft' metaphor for medical practice are noted

Art · Craft · Visual arts · Empathy and Medical Education · Family and Patient Care in Intensive Care Units · Healthcare cost, quality, practices · Medicine