Studies comparing particular medical specialties in different national settings have not appeared in the sociology of the profession's literature. Consequently, little is known about how local contexts actually affect the professionalization process and medical specialization. Are certain determinants of specialization active in some countries and not in others? Can some determinants be said to be always active? Two recent independent studies of medical geneticists in the UK and Canada present a unique opportunity to reflect on earlier social-theoretical discussions concerning the determinants of medical specialization in the context of country-specific organizational frameworks. Placed side by side, the two studies lend support to earlier research that emphasizes, first, conceptual and technological innovations in medicine as driving specialty formation, and, second, the dominant position of physicians in the resulting division of medical labour. Beyond this, however, each study highlights local influences as being important with respect to particular courses of action or inaction at the national and regional level. In the end, what appear to be coherent sets of diagnostic and counselling services from a unitary, global perspective can also be viewed as loose networks of resource dependencies, personnel, and organizations which can be re-configured within local health care delivery systems.
Abbott, A. (1988) The System of Professions: An Essay on the Division of Expert Labor. Chicago, IL: University of Chicago Press.
2.
Ben-David, J. (1957) “The Professional Role of the Physician in Bureaucratized Medicine: A Study in Role Conflict”, Human Relations10: 255-274.
3.
Ben-David, J. and Collins, R. (1966) “Social Factors in the Origins of a New Science: The Case of Psychology”, American Sociological Review31(4): 451-465.
4.
Blacker, C. P. , ed. (1934) The Chances of Morbid Inheritance. London: H. K. Lewis & Co.
5.
Bucher, R. (1972) “Pathology: A Study of Social Movements Within a Profession”, in E. Freidson and J. Lorber (eds) Medical Men and Their Work, pp. 113-127. Chicago, IL and New York: Aldine-Atherton. (Originally published 1962.)
6.
Bucher, R. and Stelling, J. (1969) “Characteristics of Professional Organizations”, Journal of Health and Social Behavior10(1): 3-15.
7.
Bucher, R. and Strauss, A. (1961) “Professions in Process”, American Journal of Sociology66: 325-334.
8.
Carr-Saunders, A. M. and Wilson, P. A. (1933) The Professions. Oxford: Clarendon Press.
9.
Childs, B. (1988) “Introduction”, in B. Childs, N. A. Holtzman, H. H. Kazazian and D. L. Valle (eds) Molecular Genetics in Medicine. Progress in Medical Genetics, vol. 7, pp. 1-16. New York, Amsterdam and London: Elsevier.
10.
Cockerham, W. C. (1988) “Medical Sociology”, in N.J. Smelser (ed.) Handbook of Sociology, pp. 575-599. Newbury Park, CA, London and New Delhi: Sage.
11.
Cogan, M. L. (1953) “Toward a Definition of Profession”, Harvard Educational Review23: 33-50.
12.
Connor, J. M. and Ferguson-Smith, M. A. (1991) Essential Medical Genetics. Oxford: Blackwell Scientific Publications.
13.
Coventry, P. A. and Pickstone, J. V. (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 & Medicine49: 1227-1238.
14.
Davidson, R. G. and Childs, B. (1987) “Perspectives in the Teaching of Human Genetics”, Advances in Human Genetics16: 79-119.
15.
DiMaggio, P. J. and Powell, W. W. (1983) “The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields”, American Sociological Review48: 147-160.
16.
Döhler, M. (1993) “Comparing National Patterns of Medical Specialization: A Contribution to the Theory of Professions”, Social Science Information32(2): 185-231.
17.
Emery, A. E. and Mueller, R. F. (1988) Elements of Medical Genetics, 7th edn.Edinburgh and London: Churchill Livingstone.
18.
Freidson, E. (1970) Profession of Medicine. New York: Dodd-Mead.
19.
Garrod, A. E. (1923) Inborn Errors of Metabolism, 2nd edn.London: H. Frowde and Hodder & Stoughton.
20.
Glaser, B.G. (1964) Organizational Scientists: Their Professional Careers. New York: Bobbs-Merrill.
21.
Goldner, F. H. and Ritti, R. R. (1967) “Professionalization as Career Immobility”, American Journal of Sociology72: 489-502.
22.
Goode, W. (1960) “Encroachment, Charlatanism, and the Emerging Profession: Psychology, Sociology, and Medicine”, American Sociological Review25: 902-914.
23.
Greenwood, S. (1957) “Attributes of a Profession”, Social Work2(3): 44-55.
24.
Gritzer, G. and Arluke, A. (1985) The Making of Rehabilitation. A Political Economy of Medical Specialization, 1890-1980. Berkeley, Los Angeles and London: University of California Press.
25.
Haldane, J. B. S. (1938) Heredity and Politics. London: W. W. Norton.
26.
Hall, R. H. (1968) “Professionalization and Bureaucratization”, American Sociological Review33(1): 92-103.
27.
Halpern, S. A. (1988) American Pediatrics. The Social Dynamics of Professionalism. Berkeley, Los Angeles and London: University of California Press.
28.
Halpern, S. A. (1992) “Dynamics of Professional Control: Internal Coalitions and Crossprofessional Boundaries”, American Journal of Sociology97(4): 994-1021.
29.
Haug, M. R. (1973) “Deprofessionalization: An Alternate Hypothesis”, Sociological Review Monograph20: 195-211.
30.
Hickman, F. (1981) “Comprehensive Planning of Human Genetics Education: A Position Statement”, American Journal of Medical Genetics8(2): 243-247.
31.
Hogben, L. T. (1931) Genetic Principles in Medicine and Social Science. London: H. K. Lewis & Co.
32.
Hogben, L. T. (1933) Nature and Nurture. London: W. W. Norton.
33.
Hughes, E. C. (1958) Men and Their Work. New York: Free Press.
34.
Hughes, E. C. (1971) “The Professions in Society”, in E. C. Hughes, The Sociological Eye: Selected Papers, pp. 364-373. Chicago, IL: Aldine-Atherton. (Originally published 1960.)
35.
Huskins, C. L. (1938) “Genetics and Medicine”, McGill Medical Undergraduate Journal7(3): 6-12.
36.
Johnson, T. J. (1972) Professions and Power. London: Macmillan.
37.
Kornhauser, W. (1962) Scientists in Industry: Conflict and Accommodation. Berkeley and Los Angeles: University of California Press.
38.
Larson, M. (1977) The Rise of Professionalism: A Sociological Analysis. Berkeley: University of California Press.
39.
Leeming, W. (1999) “Medical Specialization and Medical Genetics in Canada (1947 and After)”, unpublished doctoral thesis, York University, Toronto.
40.
Lewis, R. and Maude, A. (1952) Professional People. London: Phoenix House.
41.
Lubs, H. A. and de la Cruz, F., eds (1977) Genetic Counseling. A Monograph of the National Institute of Child Health and Human Development. New York: Raven Press.
42.
Macklin, M. T. (1931) “A Conference on Heredity as Applied to Man”, Science73 (1901): 613-614.
43.
Macklin, M. T. (1932) “Medical Genetics: A Necessity to the Up-to-date Medical Curriculum”, Journal of Heredity23: 485-486.
44.
Macklin, M. T. (1933) “The Teaching of Inheritance of Disease to Medical Students. A Proposed Course in Medical Genetics”, Annals of Internal Medicine6(8): 1335-1343.
45.
Mannheim, K. (1935) Man and Society in an Age of Reconstruction. New York: Harcourt Brace.
46.
Marshall, T. H. (1963) “The Recent History of Professionalism in Relation to Social Structure and Social Policy”, in T. H. Marshall, Sociology at the Crossroads, pp. 82-111. London: Heinemann. (Originally published 1939.)
47.
Millerson, G. (1964) The Qualifying Professions. London: Routledge & Kegan Paul.
48.
Mills, C. W. (1956) White Collar. New York: Oxford University Press.
49.
Motulsky, A. G. , Robbins, F. C. and Murray, T. H. (1994) “Introduction: The New Genetics and Health Care”, International Journal of Technology Assessment in Health Care10(4): 525-526.
50.
Muller, H. J. (1935) Out of the Night: A Biologist's View of the Future. New York: Vanguard Press.
51.
Park, R. E. (1936) “Human Ecology”, American Journal of Sociology42: 1-15.
52.
Parsons, T. (1965) “The Professions and Social Structure”, in T. Parsons, Essays in Sociological Theory, pp. 34-49. New York: Free Press. (Originally published 1939.)
53.
Penrose, L. S. (1934) The Influence of Heredity on Disease. London: H. K. Lewis & Co.
54.
Riccardi, V. M. (1977) The Genetic Approach to Human Disease. New York: Oxford University Press.
55.
Riccardi, V. M. (1979) “Genetic Services as Health Care Services”, in I. H. Porter and E. B. Hook (eds) Service and Education in Medical Genetics, pp. 129-136. New York, San Francisco, CA and London: Academic Press.
56.
Ritzer, G. and Walczak, D. (1986) Working: Conflict and Change, 3rd edn.Englewood Cliffs, NJ: Prentice Hall.
57.
Ritzer, G. and Walczak, D. (1988) “Rationalization and the Deprofessionalization of Physicians”, Social Forces67(1): 1-22.
58.
Robbins, D. and Johnston, R. (1976) “The Role of Cognitive and Occupational Differentiation in Scientific Controversies”, Social Studies of Science6: 349-368.
59.
Roberts, J. A. F. (1940) An Introduction to Medical Genetics. London: Oxford University Press.
60.
Rueschemeyer, D. (1986) Power and the Division of Labour. Cambridge: Polity Press.
61.
Schatzman, L. and Bucher, R. (1964) “Negotiating a Division of Labor Among Professionals in the State Mental Hospital”, Psychiatry27(3): 266-277.
62.
Seashore, M. R. and Wappner, R. S. (1997) Genetics in Primary Care & Clinical Medicine. Stamford, CT: Appleton and Lange.
63.
Snyder, L. H. (1933) “Genetics and Medicine”, Ohio Medical Journal29: 705-708.
64.
Snyder, L. H. (1941) Medical Genetics. Durham, NC: Duke University Press.
Strauss, A. L. (1978) Negotiations: Varieties, Contexts, Processes, and Social Order. San Francisco, CA, Washington, DC and London: Jossey-Bass.
67.
Strauss, A. , Schatzman, L., Ehrlich, D., Bucher, R. and Sabshin, M. (1963) “The Hospital and Its Negotiated Order”, in E. Freidson (ed.) The Hospital in Modern Society, pp. 147-169. London: The Free Press of Glencoe.
68.
Stuurgroep Toekomstscenario's Gezondheidzorg (1987) Anticipating and Assessing Health Care Technology (v.1): General Considerations and Policy Conclusions. Dordrecht, Boston, MA and Lancaster: Martinus Nijhoff.
69.
Tawney, R. H. (1982) The Acquisitive Society. Brighton: Harvester Press. (Originally published 1921.)
70.
Thompson, J. S. and Thompson, M. W. (1966) Genetics in Medicine. Philadelphia, PA and London: W. B. Saunders Co.
71.
Wiener, A. S. (1943) Blood Groups and Transfusion. Springfield, IL: C. C. Thomas.
72.
Wilensky, H. L. (1964) “The Professionalization of Everyone?”, American Journal of Sociology69: 137-158.
73.
Wirth, L. (1938) “Urbanism as a Way of Life”, American Journal of Sociology44: 1-24.
74.
Young, M. (1958) The Rise of the Meritocracy. London: Routledge.
