Surgical malpractice: staying out of trouble

Beard, Jonathan

doi:10.1016/j.mpsur.2020.07.009

Surgery (Oxford)

2020

DOI: 10.1016/j.mpsur.2020.07.009

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Surgical malpractice: staying out of trouble

Jonathan Beard

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2021

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“…Neoliberal medicine and the medical industrial complex's (MIC) 2 concerns with iatrogenic outcomes are shaped by statistically managing and minimizing injuries, illnesses, or deaths that can be counted and measured. Incidents that demand clinical attention are those that can lead to litigation, are potentially career-ending for providers, or reputation-harming for hospital systems, rankings, prestige, and funding, among other things (see Beard 2020;Buzzacchi, Scellato, and Ughetto 2016;Calikoglu and Aras 2020). As a result, accounts of iatrogenesis from within medicine overwhelmingly prioritize provider-and system-side concerns over patient experiences.…”

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Introduction: medicine’s shadowside: revisiting clinical iatrogenesis

Varley

Varma

2021

Anthropology & Medicine

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Drawing on the work of Ivan Illich, our special issue reanimates iatrogenesis as a vital concept for the social sciences of medicine. It calls for medicine to expand its engagement of the injustices that unfold from clinical processes, practices, and protocols into patient lifeworlds and subjectivities beyond the clinic. The capacious view of iatrogenesis revealed by this special issue collection affords fuller and more heterogeneous insights on iatrogenesis that does not limit it to medical explanations alone, nor locate harm in singular points in time. These papers attend to iatrogenesis' immediate and lingering presences in socialities and structures within and beyond medicine, and the ways it reflects or reproduces the racism, sexism, and ableism built into medical logics.I want my voice to be harsh, I don't want it to be beautiful, I don't want it to be pure, I don't want it to have all dimensions. I want it to be torn through and through, I don't want it to be enticing, for I am speaking of man and his refusal, of the day-to-day rottenness of man, of his dreadful failure. I want you to tell.-Frantz Fanon, Letter to a Frenchman, Toward the African Revolution This special issue is dedicated to Leah M. Ashe (1980Ashe ( -2020. Shadowside medicineThis special issue grew out of our experiences as ethnographers of the clinic who witnessed a number of uncomfortable and distressing situations, which starkly limited our agency and capacities to theorize. One of us watched patients receive electroconvulsive therapy in psychiatric settings without anesthesia or sedatives, in contravention to Indian law and UN human rights guidelines (UN Human Rights Council 2013). The short-circuiting of law was justified as necessary in a resource-poor setting; some care, psychiatrists argued, was better than no care. Another of us was a bedside witness to the cumulative impacts of

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confidence: 99%

Introduction: medicine’s shadowside: revisiting clinical iatrogenesis

Varley

Varma

2021

Anthropology & Medicine

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Surgical malpractice: staying out of trouble

Cited by 1 publication

References 9 publications

Introduction: medicine’s shadowside: revisiting clinical iatrogenesis

Introduction: medicine’s shadowside: revisiting clinical iatrogenesis

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