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Chapter 9 Operating Together: The Collective Achievement of Surgical Action

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1. Title Title of document Chapter 9 Operating Together: The Collective Achievement of Surgical Action - Communication in Surgical Practice
2. Creator Author's name, affiliation, country Lorenza Mondada; University of Basel; Switzerland
3. Subject Discipline(s) Communication Studies; Linguistics
4. Subject Keyword(s) Surgery; social interaction; conversation analysis; ethnomethodology; situated practice request; directive; instruction; indexicality; coordination; collaboration; teamwork; praxeological context; visibility; video practice; multimodality; multimodal Gest
5. Subject Subject classification Sociolinguistics (CFB); Medical sociology (MBS); Medical ethics & professional conduct (MBDC)
6. Description Abstract The study of social interactions in medical work has primarily dealt with doctor-patient consultations in which the body is often talked about rather than actually manipulated. In surgery, the body itself is manipulated and radically transformed. By contrast, social interaction and detailed teamwork organization during operative surgery have been understudied. In this chapter, I first show how anatomy, or the surgical field as it is referred to by surgeons, is situated and collectively achieved during an operation, both through the way in which it is locally seen and interpreted, and also through the way the patient’s body is actually cut, dissected, cauterized, and repaired. Second, I show that surgical practice is an exemplary case of collaboration in which a team’s actions are timely, precise and coordinated. This paper deals with surgical practice as it is locally shaped within the course of an operation; it focuses on the way in which surgical action is temporally situated and interactively organized. In order to do that, the analyses are based on a substantial corpus of video recorded surgical operations, using open techniques as well as laparoscopic approaches. On this basis, the paper analyzes the systematic way in which surgeons coordinate their actions – in directives and requests concerning the management of instruments and of micro-actions responsible for the progression of the operation.
7. Publisher Organizing agency, location Equinox Publishing Ltd
8. Contributor Sponsor(s)
9. Date (YYYY-MM-DD) 15-Mar-2016
10. Type Status & genre Peer-reviewed Article
11. Type Type
12. Format File format PDF
13. Identifier Uniform Resource Identifier
14. Identifier Digital Object Identifier 10.1558/equinox.26410
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Communication in Surgical Practice
16. Language English=en en
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) international,
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd