American Pediatrics: The Social Dynamics of Professionalism, 1880-1980

Citations Over TimeTop 10% of 1989 papers

Abstract

Today's parents routinely consult pediatricians for care of sick youngsters, information on child development, and advice on problems of child management. Yet only a hundred years ago, special medical services for children barely existed. During the intervening century, physicians defined a new field and built occupational structures that established pediatrics as a permanent division of medical practice. Professor Halpern traces the development of pediatrics over the last century and identifies social processes underlying its evolution. How did the pediatric specialty arise? Through what processes did it emerge? What forces shaped its changing scope and organization? In addressing these questions, the author draws on a rich combination of primary and secondary historical sources, unpublished documents, and interview data. She shows how successive generations of specialists redefined pediatrics and created a series of occupational institutions, including professional societies, academic divisions, training programs, and certifying boards. American Pediatrics offers an original approach to the study of medical specialties and professions and contributes a new perspective on professionalism. Showing specialties to be both products and agents of societal change, the book highlights multiple and interrelated forces contributing to the rise of new professions and documents the influence of surrounding occupations on the shape specialties assume. Halpern enriches our understanding of medicine and clarifies the origins of expert services for children and families.

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