Daniel A. Menchik is associate professor of sociology at the University of Arizona.
How the authority of medicine is continuously shaped by relationships among physicians, industry, colleagues, and organizations
Exploring how the authority of medicine is controlled, negotiated, and organized, Managing Medical Authority asks: How is knowledge shared throughout the profession? Who makes decisions when your heart malfunctions-physicians, hospital administrators, or private companies who sell pacemakers? How do physicians gain and keep their influence? Arguing that medicine's authority is managed in collegial competition across venues, Daniel Menchik examines the full range of stakeholders driving the direction of the field: medical trainees, clinicians, researchers, administrators, and even the corporations that develop groundbreaking technologies enabling longer and better lives.
Menchik takes us into Superior Hospital to witness surgeries and executive negotiations. He moves outside the hospital to watch professional committees craft standards for treatments, case management, and professional ethics. At industry-sponsored meetings, he observes company representatives who train some experienced doctors on their technologies, while deterring others who they think might injure patients. Using an innovative ethnographic approach tying individual actions and their collective consequences, he considers how stakeholders ally across the various venues of medicine, even as they are sometimes pressed into competition within those venues. Menchik finds that these alliances and rivalries strengthen the authority of medicine as a whole. From place to place, and group to group, we see how a medical specialty renews and reinvigorates itself.
Beginning within the walls of the hospital, and moving to the professional and commercial venues that shape it, Managing Medical Authority offers an agenda-setting take on the social organization of medical authority. "Reminiscent of classic medical ethnographies from the midcentury, Managing Medical Authority provides a much-needed update that will be required reading for students of the culture and organization of medicine. This fascinating, surprising, and unsettling book provides an unprecedented backstage view of the dynamics of medical authority and reveals how the medical profession maintains its power despite substantial challenges and change."-Brea L. Perry, Indiana University "Managing Medical Authority examines the internal stratification of electrophysiologists and offers an interesting exploration of the industry-clinical practice nexus. With telling details and in-depth research, this book makes a thought-provoking and stimulating contribution to medical sociology and the literature on professions."-Stefan Timmermans, University of California, Los Angeles "Beautifully crafted, Managing Medical Authority gives us a sense of the worlds that electrophysiologists inhabit. There are many things to like about this mature piece of work."-Peter Bearman, Columbia University "This is a serious book about an important topic. Menchik looks into how medical specialists produce status through the procedures they carry out, their relationships with other doctors, and the companies that make the devices they use and host the conferences they go to. Solid and well-researched, Managing Medical Authority will appeal to medical sociologists and scholars of professions and expertise."-Kieran Healy, Duke University
