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dc.contributor.authorBryce, Marie
dc.contributor.authorLuscombe, K
dc.contributor.authorBoyd, A
dc.contributor.authorTazzyman, A
dc.contributor.authorTredinnick-Rowe, JF
dc.contributor.authorWalshe, K
dc.contributor.authorArcher, Julian
dc.date.accessioned2018-08-09T09:43:58Z
dc.date.issued2018-07-27
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttp://hdl.handle.net/10026.1/11997
dc.descriptionNo embargo required.
dc.description.abstract

Doctors' work and the changing, contested meanings of medical professionalism have long been a focus for sociological research. Much recent attention has focused on those doctors working at the interface between healthcare management and medical practice, with such 'hybrid' doctor-managers providing valuable analytical material for exploring changes in how medical professionalism is understood. In the United Kingdom, significant structural changes to medical regulation, most notably the introduction of revalidation in 2012, have created a new hybrid group, Responsible Officers (ROs), responsible for making periodic recommendations about the on-going fitness to practise medicine of all other doctors in their organisation. Using qualitative data collected in a 2015 survey with 374 respondents, 63% of ROs in the UK, this paper analyses the RO role. Our findings show ROs to be a distinct emergent group of hybrid professionals and as such demonstrate restructuring within UK medicine. Occupying a position where multiple agendas converge, ROs' work expands professional regulation into the organisational sphere in new ways, as well as creating new lines of continuous accountability between the wider profession and the General Medical Council as medical regulator. Our exploration of ROs' approaches to their work offers new insights into the on-going development of medical professionalism, pointing to the emergence of a distinctly regulatory hybrid professionalism shaped by co-existing professional, managerial and regulatory logics, in an era of strengthened governance and complex policy change.

dc.format.extent98-105
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier
dc.subjectMedical regulation
dc.subjectMedical profession
dc.subjectRestratification
dc.subjectRevalidation
dc.subjectResponsible Officers
dc.titlePolicing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000445980800012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.volume213
plymouth.publication-statusPublished
plymouth.journalSocial Science and Medicine
dc.identifier.doi10.1016/j.socscimed.2018.07.042
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA23 Education
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2018-07-25
dc.rights.embargodate2019-11-26
dc.identifier.eissn1873-5347
dc.rights.embargoperiodNot known
rioxxterms.versionVersion of Record
rioxxterms.versionofrecord10.1016/j.socscimed.2018.07.042
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-07-27
rioxxterms.typeJournal Article/Review


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