[The technological escalation of medical practice and the impacts on the physician's relationship with their work].

Abstract

This essay aims to critically reflect on the impacts of the technological escalation in medical practice, with particular attention to the transformations of professional practice. From a historical-social perspective grounded in the critical thought of collective health - particularly the work of Ricardo Bruno Mendes-Gonçalves - technology is examined as both a material and immaterial form that reconfigures healthcare work and reproduces the social order. Based on the analysis of previous studies drawing on the work-life narratives of physicians from different generations, three central axes are addressed: the construction and progressive dismantling of medical autonomy, the crisis of trust-based relationships in professional practice, and the transformation of clinical judgment in favor of standardized protocols. The essay concludes that the growing technification has reduced the reflexivity of medical action and transformed the clinical encounter into a depersonalized practice. In the face of this crisis, it argues for the need to recover the ethical-political dimension of medicine by promoting shared decision-making and spaces of mutual recognition between professionals and patients.