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Object Formulation in the Operating Room: Pointing Out the Cystic Artery
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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 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.
Keywords: sociology of objects, ostension, inquiry
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| | Authors: Koschmann, Timothy., Lebaron, Curtis., Goodwin, Charles. and Feltovich, Paul. |
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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 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.
Keywords: sociology of objects, ostension, inquiry
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