Occupations which are designed as subordinate to the more powerful and prestigious professions have built-in limits to the degree to which they can acquire valued professional attributes. The physician's assistant (P.A.) occupation is an example. The general model of professional development cannot adequately deal with the evolutionary process of the P.A. A content analysis of the literature on the P.A. uncovered three periods in the P.A.'s development: Period I, characterized by the design and selling of an innovative role; Period II, characterized by the planning and establishment of the P.A.; and Period III, characterized by attempts to entrench the P.A. within the medical/paramedical hierarchy.
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References
1.
BRUNNER, J. S.
and G. W. ALLPORT (1940) "Fifty years of change in American psychology."Psych. Bull.37: 757-777.
2.
CAPLOW, T.
(1954) The Sociology of Work. Minneapolis: Univ. of Minnesota Press.
3.
CROOG. S.
and D. VERSTEEG (1972) "The hospital as social system," pp. 274-314 in H. Freemanet al. (eds.) Handbook of Medical Sociology. Englewood Cliffs, N.J.: Prentice-Hall.
4.
DUTTERA, M. J.
and W. R. HARLAN (1975) "Evaluation of physician extenders in the rural Southeast: patterns of practice and patient care." Paper presented at the American College of Physicians, San Francisco.
5.
ENGEL, G. V.
(1969) "The effects of bureaucracy on the professional autonomy of the physician."J. of Health and Social Behavior10: 30-41.
6.
FREIDSON, E.
(1970) Profession of Medicine: A Study of the Sociology of Applied Knowledge. New York: Dodd Mead.
7.
GLASER, B. G.
and A. L. STRAUSS (1967) The Discovery of Grounded Theory. Chicago: Aldine.
8.
GREENWOOD, E.
(1957) "Attributes of a profession."Social Work2 (July): 45-55.
9.
GROSS, E.
(1958) Work and Society. New York: Thomas Y. Crowell.
10.
HALL, R. H.
(1968) "Professionalization and bureaucratization."Amer. Soc. Rev.31 (February): 92-104.
11.
Medical Times
(1970) "Physicians' assistants: job description and licensing." Vol. 97: 246-247.
12.
RITZER, G.
(1972) Man in his work: conflict and change. New York: Appleton-Century-Crofts.
13.
ROGERS, E. M.
and t. F. SHOEMAKER (1971) Communication of Innovations. New York: Free Press.
14.
ROTH, J. A.
(1974) "Professionalism: the sociologists' decoy."Sociology of Work and Occupations1: 6-23.
15.
SADLER, A. M.
, B. L. SADLER, and A. N. BLISS (1972) The Physician's Assistant Today and Tomorrow. New Haven, Conn: Yale Univ. Press.
16.
SALZ, A.
(1933) "Occupations," Vol. II, p. 425 in E. Seligman (ed.) The Encyclopedia of Social Sciences. New York: Macmillan.
17.
SCHNEIDER, L.
and S. M. DORNBUSCH (1958) Popular Religion. Chicago: Univ. of Chicago Press.
18.
SCHNELLER, E. S.
(1974a) A Comprehensive Bibliography on Physician's Assistants. Durham, N.C.: Health Care Systems.
19.
SCHNELLER, E. S.
(1974b) "Perceptions of autonomy of prospective physician's assistants." Paper presented at the Second National Conference on New Health Practitioners, New Orleans.
20.
SLOCUM, W. L.
(1966) Occupational Careers. Chicago: Aldine.
21.
SMIGEL, E.
(1954) "Trends in occupational sociology in the United States: a survey of post war research."Amer. Soc. Rev.19: 398-404.
22.
VOLLMER, G.
and E. MILLS (1966) Professionalization. Englewood Cliffs, N.J.: Prentice-Hall.
23.
WILENSKY, H.
(1964) "The professionalization of everyone?"Amer. J. of Sociology70 (September): 137-158.
