{"title":"'Hm no-one says anything, did you notice?'","authors":"Ged M Murtagh, Jeff Bezemer","doi":"10.1558/cam.15138","DOIUrl":"10.1558/cam.15138","url":null,"abstract":"<p><p>Effective teamwork is a critical feature of surgical practice and is based on shared expectations and understandings between team members. These shared understandings are intimately tied to a hierarchy of expertise pertaining to role, responsibility and participation status, and it has been suggested that this can sometimes negatively impact trainees' experience of intraoperative surgical training. This paper examines this issue, exploring how surgeons and their trainees collaboratively manage decision making amidst the hierarchy of expertise. Our data set consists of audio and video recordings of surgical procedures, which are examined using conversation analysis. Our findings indicate that implicit in the interactions between consultant surgeons and trainees is the expectation that the lead surgeon is the authoritative expert and will therefore direct decision making. Trainees actively acquiesce to that order. Notwithstanding this, the analysis underscores some of the interactional practices used by surgeons and trainees which preserve, and on rare occasions, challenge that hierarchical relation. The paper concludes by considering the implications of the findings within the broader context of patient safety.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"7 1","pages":"17-31"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78512291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adaptability and change.","authors":"Sue Ziebland","doi":"10.1558/cam.19755","DOIUrl":"10.1558/cam.19755","url":null,"abstract":"<p><p>.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"10 1","pages":"99-101"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78621701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(Inter)visibility.","authors":"Rodney H Jones","doi":"10.1558/cam.19977","DOIUrl":"10.1558/cam.19977","url":null,"abstract":"<p><p>(Inter)visibility.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"18 1","pages":"181-184"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79066170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Newspaper representations of hand, foot and mouth disease (HFMD) and cancer in a Malaysian newspaper.","authors":"Su-Hie Ting, Nursilah Kapiten","doi":"10.1558/cam.17603","DOIUrl":"10.1558/cam.17603","url":null,"abstract":"<p><p>The present study examines newspaper coverage of hand, food and mouth disease (HFMD) and cancer, to compare how infectious and non-infectious diseases are represented in Malaysia. The Health Belief Model was used as the framework for selecting themes relevant to health actions for the content analysis of 69 articles (32,808 words in total) from the New Straits Times. It was found that more emphasis was given to HFMD (51 articles) than to cancer (18 articles). The information most frequently included in the articles was recommended health actions (3.8 mentions per article for HFMD; 1.1 for cancer). The articles represented HFMD as posing a greater threat than cancer, as more information on susceptibility (1.6 for HFMD; 0.3 for cancer) was included compared to severity (0.5 for HFMD; 0.2 for cancer). The HFMD articles stressed the outbreak of HFMD: incidence and deaths, symptoms, causes and preventive measures. However, the cancer articles were usually not incident-specific and focused on promoting a healthy lifestyle to avoid cancer and to warn readers of cancer prevalence. Only 17% of the cancer articles carried treatment themes. The findings suggest that news coverage of cancer should include medical research and advances to create better awareness of cancer.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"4 1","pages":"32-46"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89312717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extending the Field.","authors":"Lindsay Prior","doi":"10.1558/cam.19751","DOIUrl":"https://doi.org/10.1558/cam.19751","url":null,"abstract":"","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"17 2","pages":"185-187"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small talk in Arabic medical encounters.","authors":"Rula Ahmad Mahmoud Abu-Elrob","doi":"10.1558/cam.17885","DOIUrl":"10.1558/cam.17885","url":null,"abstract":"<p><p>Small talk (ST) refers to talk that is seen as space filling or aimless because of its non-goal-oriented purpose in comparison with work-related talk. This article examines ST in Jordanian medical encounters to explore the sequence structure in which ST occurs in combination with goal-oriented talk and the different forms and contexts of its occurrence. The framework of conversation analysis is used to analyze naturally occurring data, in particular exploring how talk orients to and departs from the medical agenda. The findings reveal both the forms and functions of ST in the dataset. The findings show various aspects related to ST: compliments, joking, laughter and ST linked to personal biography. This study offers insights into Arabic medical interaction in terms of the occurrence of ST, and it offers the possibility of designing training courses to employ ST as a communication technique in medical encounters.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"1 1","pages":"4-16"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82103874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It's not all bad.","authors":"Fiona Stevenson","doi":"10.1558/cam.19748","DOIUrl":"10.1558/cam.19748","url":null,"abstract":"<p><p>.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 1","pages":"96-98"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86318934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conflict in migrant doctor-local doctor communication in public healthcare institutions in Chile.","authors":"Mariana Lazzaro-Salazar, Lucas Pujol-Cols","doi":"10.1558/cam.36271","DOIUrl":"10.1558/cam.36271","url":null,"abstract":"<p><p>When investigating intercultural communication in healthcare settings, interprofessional communication has received very little scholarly attention compared to doctor-patient interactions. Interactions among doctors, however, are an important locus for the organizational life of a hospital as the way these professionals communicate will promote (or hinder) professional effectiveness and efficiency. This paper presents the findings of a study that explores the perceptions concerning the degree and frequency of communicative conflict of 61 migrant doctors working in public healthcare institutions in the central region of El Maule in Chile. Drawing on data from a survey on communicative conflicts, the study analyses the perceptions of the migrant doctors in relation to one particular style of conflict management, namely, adaptability. Findings show that although communicative conflicts seem to occur only occasionally, moderate scores are reported for how such perceptions are believed to affect work performance. Also, the demands of communicative adaptability are perceived to be met largely by migrant doctors alone. The paper then offers considerations about the possible impact that these adaptability efforts could have on migrant doctors' integration processes.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"3 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79785846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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