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美国医学协会外科分会:美国外科组织、专业化及专科化的开端

The American Medical Association's Section on Surgery: The Beginnings of the Organization, Professionalization, and Specialization of Surgery in the United States.

作者信息

Rutkow Ira

出版信息

Ann Surg. 2017 Jan;265(1):227-233. doi: 10.1097/SLA.0000000000001635.

Abstract

OBJECTIVE

To explore the founding of the American Medical Association's Section on Surgery in 1859 and how it represented, on a national basis, the beginnings of organized surgery and the formal start of the professionalization and specialization of surgery in the United States.

BACKGROUND

The broad social process of organization, professionalization, and specialization that began for various disciplines in America in the mid-19th century was a reaction to emerging economic, political, and scientific influences including industrialization, urbanization, and technology. For surgeons or, at least, those men who performed surgical operations, the efforts toward group organization provided a means to promote their skills and restrict competition.

METHODS

An analysis of the published literature, and unpublished documents relating to the creation of the American Medical Association's Section on Surgery.

RESULTS

During the 1850s and through the 1870s, a time when surgery was still not considered a separate branch of medicine, the organization of the American Medical Association's Section on Surgery provided the much needed encouragement to surgeons in their quest for professional and specialty recognition.

CONCLUSIONS

The establishment of the American Medical Association's Section on Surgery in 1859 helped shape the nationwide future of the craft, in particular, surgery's rise as a specialty and profession.

摘要

目的

探讨1859年美国医学协会外科学分会的成立情况,以及它如何在全国范围内代表有组织的外科手术的开端,以及美国外科学专业化和职业化的正式起步。

背景

19世纪中叶在美国各学科中开始的广泛的组织、专业化和职业化社会进程,是对包括工业化、城市化和技术在内的新兴经济、政治和科学影响的一种反应。对外科医生,或者至少是那些进行外科手术的人来说,建立团体组织的努力提供了一种提升他们技能并限制竞争的手段。

方法

对已发表的文献以及与美国医学协会外科学分会创建相关的未发表文件进行分析。

结果

在19世纪50年代到70年代期间,当时外科手术仍未被视为医学的一个独立分支,美国医学协会外科学分会的组织为外科医生寻求专业和专科认可提供了急需的鼓励。

结论

1859年美国医学协会外科学分会的成立有助于塑造这一行业在全国范围内的未来,特别是外科作为一门专科和职业的兴起。

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