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Object Formulation in the Operating Room: Pointing Out the Cystic Artery |
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Abstract:
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We analyze interaction among doctors during a fairly routine surgical procedure: An experienced surgeon, a surgical resident, and a medical student gather around a patient to perform a cholecystectomy (i.e., the surgical removal of a gallbladder). Our purpose in taping and analyzing interaction in this setting was to explore how object formulation is accomplished through word and gesture. We describe the ways in which the determination of a particular structure, the cystic artery, was contingently and reflexively made by the surgical team. In attempting to provide a theoretical basis for our findings we draw upon the notion of inquiry developed by the pragmatic philosopher, John Dewey. We highlight two orders of inquiry relevant to the analyzed fragment—inquiry to resolve repeated acts of ostensive reference and joint inquiry to ultimately determine for the purposes of the surgery as the cystic artery. We argue that Dewey’s treatment of inquiry is helpful in understanding the socially-organized practices by which mundane objects are formulated in practical settings. |
Most Common Document Word Stems:
resid (71), object (63), cystic (55), refer (51), arteri (50), inquiri (46), point (45), attend (45), clerk (41), procedur (35), dewey (28), interact (27), ostens (26), way (26), right (25), work (25), gestur (24), structur (24), perform (24), demonstr (23), one (23), |
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Association:
Name: International Communication Association
URL: http://www.icahdq.org
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Citation:
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MLA Citation:
| Koschmann, Timothy., Lebaron, Curtis., Goodwin, Charles. and Feltovich, Paul. "Object Formulation in the Operating Room: Pointing Out the Cystic Artery" Paper presented at the annual meeting of the International Communication Association, Marriott Hotel, San Diego, CA, May 27, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p111709_index.html> |
APA Citation:
| Koschmann, T. , Lebaron, C. D., Goodwin, C. and Feltovich, P. , 2003-05-27 "Object Formulation in the Operating Room: Pointing Out the Cystic Artery" Paper presented at the annual meeting of the International Communication Association, Marriott Hotel, San Diego, CA Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p111709_index.html |
Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: We analyze interaction among doctors during a fairly routine surgical procedure: An experienced surgeon, a surgical resident, and a medical student gather around a patient to perform a cholecystectomy (i.e., the surgical removal of a gallbladder). Our purpose in taping and analyzing interaction in this setting was to explore how object formulation is accomplished through word and gesture. We describe the ways in which the determination of a particular structure, the cystic artery, was contingently and reflexively made by the surgical team. In attempting to provide a theoretical basis for our findings we draw upon the notion of inquiry developed by the pragmatic philosopher, John Dewey. We highlight two orders of inquiry relevant to the analyzed fragment—inquiry to resolve repeated acts of ostensive reference and joint inquiry to ultimately determine for the purposes of the surgery as the cystic artery. We argue that Dewey’s treatment of inquiry is helpful in understanding the socially-organized practices by which mundane objects are formulated in practical settings. |
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| Document Type: |
.PDF |
| Page count: |
36 |
| Word count: |
8477 |
| Text sample: |
| Object Formulation in the Operating Room: Pointing Out the Cystic Artery ABSTRACT We analyze interaction among doctors during a fairly routine surgical procedure: An experienced surgeon a surgical resident and a medical student gather around a patient to perform a cholecystectomy (i.e. the surgical removal of a gallbladder). Our purpose in taping and analyzing interaction in this setting was to explore how object formulation is accomplished through word and gesture. We describe the ways in which the determination of |
| (1996) with permission of Blackwell Science Inc. –32– Monitor Monitor anesthes. Resident Attending Clerk scrub nurse Figure 4: Physical arrangement of the surgical workspace. –33– Figure 5a. –34– Figure 5b. –35– Figure 5c. Figure 5: Captured frames from the endoscopic display at particular moments in the unfolding interaction. Arrows added to represent motion of the tool. –36– |
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