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Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?

John Martyn Chamberlain, Marty Chamberlain Orcid Logo

European Sociological Association 12th Annual Conference

Swansea University Author: Marty Chamberlain

Abstract

Medical regulation in the United Kingdom has undergone a period of substantial reform in the last decade, with the regulatory body responsible for overseeing doctors - the General Medical Council - becoming more open, transparent and publicly accountable than at any time since its inception in 1858....

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Published in: European Sociological Association 12th Annual Conference
Published: Prague, Czech Republic European Sociological Association 2015
Online Access: http://www.esa12thconference.eu/
URI: https://cronfa.swan.ac.uk/Record/cronfa29737
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spelling 2016-09-11T16:59:06.6727924 v2 29737 2016-09-03 Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge? 98bbc13e72a7ce4126a562a668e50144 0000-0001-6067-6561 Marty Chamberlain Marty Chamberlain true false 2016-09-03 CRIM Medical regulation in the United Kingdom has undergone a period of substantial reform in the last decade, with the regulatory body responsible for overseeing doctors - the General Medical Council - becoming more open, transparent and publicly accountable than at any time since its inception in 1858. This paper argues that this state of affairs signals the beginning of a shift toward a new form of neoliberal medical professionalism where medical virtue is being recast in a form more congruent with the of the risk adverse governing conditions associated with high modernity. As a result, both individual practitioners and their professional institutions must increasingly manage their affairs using the formal calculative regimes of the business marketplace; such as, audit, best-evidenced case management and performance appraisal. All of which seek to performance manage professional working practices in order to better economise and risk-manage occupational tasks. Noting that such developments are at odds with the tacit dimensions of medical expertise and the inherent messy nature of everyday clinical practice, this paper focuses on exploring the possibility that instead of acting to ‘nudge’ practitioners to act more virtuously such processes in fact often end up ‘smudged’, with doctors often adopting a stance of ‘paperwork compliance’ toward them. The paper concludes by considering what the implications of this state of affairs may be for the profession, policy makers and the public given that trust in medical regulation is at an all time low. Conference Paper/Proceeding/Abstract European Sociological Association 12th Annual Conference European Sociological Association Prague, Czech Republic medical regulation, nudge, medical revalidation, 25 8 2015 2015-08-25 http://www.esa12thconference.eu/ COLLEGE NANME Criminology COLLEGE CODE CRIM Swansea University 2016-09-11T16:59:06.6727924 2016-09-03T09:13:44.0215700 Hillary Rodham Clinton School of Law Law John Martyn Chamberlain 1 Marty Chamberlain 0000-0001-6067-6561 2
title Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
spellingShingle Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
Marty, Chamberlain
title_short Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
title_full Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
title_fullStr Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
title_full_unstemmed Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
title_sort Governing Virtuous Regulatory Bodies: A Matter of Nudge or Smudge?
author_id_str_mv 98bbc13e72a7ce4126a562a668e50144
author_id_fullname_str_mv 98bbc13e72a7ce4126a562a668e50144_***_Marty, Chamberlain
author Marty, Chamberlain
author2 John Martyn Chamberlain
Marty Chamberlain
format Conference Paper/Proceeding/Abstract
container_title European Sociological Association 12th Annual Conference
publishDate 2015
institution Swansea University
publisher European Sociological Association
college_str Hillary Rodham Clinton School of Law
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hierarchy_top_id hillaryrodhamclintonschooloflaw
hierarchy_top_title Hillary Rodham Clinton School of Law
hierarchy_parent_id hillaryrodhamclintonschooloflaw
hierarchy_parent_title Hillary Rodham Clinton School of Law
department_str Law{{{_:::_}}}Hillary Rodham Clinton School of Law{{{_:::_}}}Law
url http://www.esa12thconference.eu/
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description Medical regulation in the United Kingdom has undergone a period of substantial reform in the last decade, with the regulatory body responsible for overseeing doctors - the General Medical Council - becoming more open, transparent and publicly accountable than at any time since its inception in 1858. This paper argues that this state of affairs signals the beginning of a shift toward a new form of neoliberal medical professionalism where medical virtue is being recast in a form more congruent with the of the risk adverse governing conditions associated with high modernity. As a result, both individual practitioners and their professional institutions must increasingly manage their affairs using the formal calculative regimes of the business marketplace; such as, audit, best-evidenced case management and performance appraisal. All of which seek to performance manage professional working practices in order to better economise and risk-manage occupational tasks. Noting that such developments are at odds with the tacit dimensions of medical expertise and the inherent messy nature of everyday clinical practice, this paper focuses on exploring the possibility that instead of acting to ‘nudge’ practitioners to act more virtuously such processes in fact often end up ‘smudged’, with doctors often adopting a stance of ‘paperwork compliance’ toward them. The paper concludes by considering what the implications of this state of affairs may be for the profession, policy makers and the public given that trust in medical regulation is at an all time low.
published_date 2015-08-25T03:48:02Z
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