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Holding the scalpel : Achieving surgical care in a learning environment

Bezemer, Jeff and Cope, Alexandra and Kress, Gunther and Kneebone, Roger (2013) Holding the scalpel : Achieving surgical care in a learning environment. Journal of Contemporary Ethnography. pp. 1-26. ISSN 0891-2416. DOI UNSPECIFIED

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Abstract

In this article, we show what surgical training looks like in situ. Drawing on fieldwork in a London hospital, we explore how a trainer and trainee jointly achieve surgical care when the trainee holds the scalpel. We make this common pedagogic arrangement visible through transcription and analysis of audio- and video-recorded interaction in the operating theater. Through moment-by-moment analysis of the temporal unfolding of action and speech, we show that the actions performed by the trainee with the scalpel serve as mini-gestures, signaling to the trainer where and when the trainee is going to cut. The trainer “reads” these gestures and prompts the trainee to continue or change his course of action through spoken utterances. We use our ethnographic account as a detailed empirical point of reference for reflecting on the challenges and possibilities of surgical education and patient safety in the operating theater.

Item Type: Article
Additional Information: NB: The paper is now published through OnlineFirst, by which forthcoming articles are published online before they are scheduled to appear in print. I have asked the editors to fast-track the paper for publication in print
Controlled Keywords: Ethnography, Workplace learning, Health
Divisions: IOE Departments > Departments > London Knowledge Lab
IOE Departments > Departments > Culture, Communication and Media
Depositing User: Atira Pure
Date Deposited: 19 Feb 2014 15:40
Last Modified: 29 Jan 2015 09:04
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