HIST 249 Lecture Notes - Lecture 18: Infant Mortality, Urethra, Pharmacology
Document Summary
Separate guilds for practitioners based on different practices. Outside the medical mainstream, usually at the margins of surgery. 1830s-1880s: period of emergence of specialization as academic category: only because people developed expertise, which they then tried to teach gps. 1880s 1920s, 30s: period of widespread unregulated specialist practice: no (cid:272)o(cid:374)t(cid:396)ol o(cid:448)e(cid:396) (cid:449)ho (cid:449)as a(cid:374)d (cid:449)as(cid:374)"t a spe(cid:272)ialist. 1920s-1940: development of specialist certification: decided it was necessary that having these skills needed to be tests and certified. If specialize, limit number of patients you are going to treat: the total mass of patients increasing thus makes this ok. Material self-interest of doctors: earn more money, t(cid:396)ue (cid:271)ut does(cid:374)"t a(cid:374)s(cid:449)e(cid:396) (cid:395)uestio(cid:374) (cid:449)h(cid:455) do(cid:272)to(cid:396)s sudde(cid:374)l(cid:455) o(cid:374)l(cid:455) (cid:271)e(cid:272)a(cid:373)e spe(cid:272)ialists i(cid:374) the. George rosen; erwin ackerknecht: 1910-1977; 1906-1988. Organic localism combined with technologies, to create a foci of interest around organs and organ systems that creates groups of specialists.