
Contents
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Physical Setting and Work Routine Physical Setting and Work Routine
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Study Design Study Design
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Scenario 1 Scenario 1
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Scenario 2 Scenario 2
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Network Analyses Network Analyses
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The Network of Roles The Network of Roles
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The Semantic Networks The Semantic Networks
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Discussion of role and Semantic Network Analysis Discussion of role and Semantic Network Analysis
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Physicians’ views of their Work Physicians’ views of their Work
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The Cognitive Perspective on Expertise The Cognitive Perspective on Expertise
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The Sociological Perspective on Expertise The Sociological Perspective on Expertise
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The Communication Perspective on Expertise The Communication Perspective on Expertise
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Summary Summary
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Advancing the Study of Expertise Advancing the Study of Expertise
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Contribution Contribution
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Future Research Future Research
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References References
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8 Expertise in Context: Interaction in the Doctors’ Room of an Emergency Department
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Published:June 2016
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Abstract
This chapter examines how expertise operates inside of a hospital emergency department. The argument is made that physicians’ expertise is a product of both an already recognized and institutionalized attribution that doctors act as experts and active communication present in work interactions. Findings are presented from a study involving field work in an emergency department doctor’s room, which captured the actions and interactions among physicians and other workers consulting each other on patient care issues. A semantic analysis of the talk of doctors during work, along with an examination of how doctors viewed their own work, revealed both the topics and types of expertise expressed by physicians. The findings demonstrate that physicians’ expertise exists both cognitively in the sense they know things unique to being a doctor, and communicatively in that they interact with others to apply knowledge and solve emergent problems.
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