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[Work in medicine: some issues concerning professional autonomy].

L B Schraiber1

  • 1Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, Brasil.

Cadernos De Saude Publica
|January 1, 1995
PubMed
Summary
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This study explores the dual nature of medical practice, balancing scientific knowledge with the art of medicine. It examines how physicians navigate technical autonomy and its impact on their professional identity and daily work.

Area of Science:

  • Medical practice
  • Philosophy of medicine
  • Sociology of professions

Context:

  • The professional autonomy of physicians is increasingly shaped by technological advancements and the complex interplay between scientific evidence and practical application.
  • Medicine encompasses both a rigorous scientific foundation and an empirical, pragmatic dimension often referred to as the 'medical art.'

Purpose:

  • To analyze the multifaceted nature of medical practice, focusing on technical autonomy within the medical profession.
  • To explore the coexistence of the scientific and empirical aspects of medicine, including the concept of the 'medical art.'
  • To examine the implications of technological rationality on the practical application of medical knowledge.

Summary:

  • The analysis highlights the dualistic nature of medicine, comprising scientific knowledge and the 'medical art,' emphasizing the challenges physicians face in integrating technological rationality into practice.

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  • The author conceptualizes medical work as a 'tensive structure,' investigating its effects on physician self-perception, daily routines, and their roles as professional agents and active subjects.

    • Impact:

    • Provides a framework for understanding the complexities of physician autonomy and the integration of technology in healthcare.
    • Offers insights into the evolving identity and professional experience of physicians in contemporary medical practice.
    • Contributes to the discourse on the sociology of medicine and the philosophy of professional practice.