In this article we analyse, via a critical review of the literature, the development of a relatively new medical specialism in the United Kingdom, that of emergency medicine. Despite the high media profile of emergency care, it is a low-status specialism within UK medicine. The creation of a specialist College in 2008 means that, symbolically, recognition as a full specialism has now been achieved. In this article, we will show, using a sociology of professions approach, how emergency medicine defined itself as a specialism, and sought to carve out a distinctive jurisdiction. While, in the context of the UK National Health Service, the state was clearly an important factor in the development of this profession, we wish to develop the analysis further than is usual in the sociology of professions. We will analyse the wider cultural context for the development of this specialism, which has benefited from its high profile in the media, through both fictional and documentary sources.
AbbottA (1988) The System of the Professions. Chicago, IL: The University of Chicago Press.
2.
AdamsonJBen-ShlomoYChaturvediN. (2009) Exploring the impact of patient views on ‘appropriate’ use of services and help seeking: A mixed methods study. British Journal of General Practice59(564): e226–e233.
3.
AlagappanKHollimanCJ (2005) History of the development of international emergency medicine. Emergency Medicine Clinics of North America23: 1–10.
4.
American Academy of Emergency Medicine Residents and Students Association (2014) http://www.aaemrsa.org/
5.
ArnoldJL (1999) International emergency medicine and the recent development of emergency medicine worldwide. Annals of Emergency Medicine33(1): 97–103.
6.
CalnanM (1982) The hospital accident and emergency department: What is its role?Journal of Social Policy11(4): 483–503.
7.
CarretMLVFassaAGKawachiI (2007) Demand for emergency health service: Factors associated with inappropriate use. BMC Health Services Research7: 131.
8.
CoventryPPickstoneJ (1999) From what and why did genetics emerge as a medical specialism in the 1970s in the UK? A case-history of research, policy and services in the Manchester region of the NHS. Social Science & Medicine4: 1227–1238.
9.
Department of Health (2000) The NHS Plan: A Plan for Investment, a Plan for Reform. London: Department of Health.
10.
DiemSTulskyJLantosJ (1996) Cardiopulmonary resuscitation on television: Miracles and misinformation. New England Journal of Medicine334: 1578–1582.
11.
DingwallR (1999) Professions and social order in a global society. International Review of Sociology9(1): 131–140.
12.
DodierNCamusA (1998) Openness and specialisation: Dealing with patients in a hospital emergency service. Sociology of Health & Illness20(4): 413–444.
13.
EvettsJ (2006) Introduction: Trust and professionalism: Challenges and occupational changes. Current Sociology54(4): 515–531.
14.
FreidsonE (1970) Profession of Medicine: A Study of the Sociology of Applied Knowledge. Chicago, IL: The University of Chicago Press.
15.
GulyH (2005) A History of Accident and Emergency Medicine, 1948–2004. Basingstoke: Palgrave Macmillan.
16.
HarrisDWilloughbyH (2009) Resuscitation on television: Realistic or ridiculous? A quantitative observational analysis of the portrayal of cardiopulmonary resuscitation in television medical drama. Resuscitation80: 1275–1279.
HughesEC (1984) The Sociological Eye: Selected Papers. London: Transaction Publishers.
19.
JacobsJ (2003) Body Trauma TV: The New Hospital Dramas. London: British Film Institute.
20.
JeffreyR (1979) Normal rubbish: Deviant patients in casualty departments. Sociology of Health & Illness1(3): 90–107.
21.
KennedyJFTrethewyCAndersonK (2006) Content analysis of Australian newspaper portrayals of emergency medicine. Emergency Medicine Australasia18(2): 118–124.
22.
LarsonM (1977) The Rise of Professionalism: A Sociological Analysis. Berkeley, CA: University of California Press.
23.
LepofskyJNashSKasermanB. (2006) I’m not a doctor but I play one on TV: E.R. and the place of contemporary health care in fixing crisis. Health & Place12(2): 180–194.
24.
LiggensK (1993) Inappropriate attendance at accident and emergency departments: A literature review. Journal of Advanced Nursing18: 1141–1145.
25.
LowyAKohlerBNichollJ (1994) Attendance at accident and emergency departments: Unnecessary or inappropriate?Journal of Public Health Medicine16(2): 134–140.
26.
MurphyAW (1998a) ‘Inappropriate’ attenders at accident and emergency departments 1: Definition, incidence and reasons for attendance. Family Practice15(1): 23–32.
27.
MurphyAW (1998b) ‘Inappropriate’ attenders at accident and emergency departments II: Health service responses. Family Practice15(1): 33–37.
28.
PickardS (2010) The role of governmentality in the establishment, maintenance and demise of professional jurisdictions: The case of geriatric medicine. Sociology of Health & Illness32(7): 1072–1086.
29.
RobertsH (1992) Professionals’ and parents’ perceptions of A&E use in a children’s hospital. Sociological Review40(1): 109–131.
30.
ScottIWrightBBrenneisF. (2009) Whether or wither some specialties: A survey of Canadian medical student career interest. BMC Medical Education9: 57.
31.
Standing Medical Advisory Committee (1962) Accident and Emergency Services (The Platt Report). London: HMSO.
32.
StevensR (2001) Public roles for the medical profession in the United States: Beyond theories of decline and fall. The Milbank Quarterly79(3): 327–353.
33.
SuterRE (2011) The light of emergency medicine: Vietnam – the next chapter in the global history of emergency medicine?Society for Academic Emergency Medicine18(4): e31–e35.
34.
TapperEB (2010) Doctors on display: The evolution of television’s doctors. Baylor University Medical Centre Proceedings23(4): 393–399.
35.
TimmermansS (1999) Sudden Death and the Myth of CPR. Philadelphia, PA: Temple University Press.
36.
TimmonsS (2011) Professionalisation and its discontents. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine15(4): 337–352.
37.
TimmonsSCoffeyFVezyridisP (2014) Implementing lean methods in the emergency department: The role of professions and professional status. Journal of Health Organisation and Management28(2): 214–228.
WeberEMasonSCarterA. (2011) Emptying the corridors of shame: Organizational lessons from England’s 4-hour emergency throughput target. Annals of Emergency Medicine57(2): 79–88.e1.
40.
WeiszG (2005) Divide and Conquer: A Comparative History of Medical Specialization. New York: Oxford University Press.
41.
WilliamsBBrownTOnsmanA (2009) From stretcher-bearer to paramedic: The Australian paramedics’ move towards professionalisation. Australasian Journal of Paramedicine7(4). Available at: http://ro.ecu.edu.au/jephc/vol7/iss4/8
42.
ZetkaJ (2011) Establishing specialty jurisdictions in medicine: The case of American obstetrics and gynaecology. Sociology of Health & Illness33(6): 837–852.
43.
ZinkBJ (2006) Anyone, Anything, Anytime: A History of Emergency Medicine. Philadelphia, PA: Mosby Elsevier.
