Tahim, A;
Bezemer, J;
(2023)
‘It's not just getting a biopsy': Transposing ‘take-home' messages from the operating theatre to a proforma.
In: Ravelli, Louise and van Leeuwen, Theo and Höllerer, Markus A and Jancsary, Dennis, (eds.)
Organizational Semiotics: Multimodal Perspectives on Organization Studies.
(pp. 190-211).
Routledge: New York, NY, USA.
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Abstract
In this chapter, we explore how surgical trainees and their supervisors construct ‘take-home' messages – generic principles for future action – as the former operates under the guidance of the latter in the operating theatre and subsequently transposes these messages on a so-called workplace-based assessment (WBA) form. These forms are uploaded onto an online platform and count as evidence of learning for the trainee's annual review, which determines whether the trainee can continue their training. Adopting a social semiotic perspective, and drawing on video recordings, observations, interviews, and WBA forms, we explore how a trainee and supervisor constructed take-home messages as they rendered, read, and recorded digital images during a surgical procedure and how these messages were taken forward by the trainee in the form. We show, first, how trainee and supervisor jointly created a picture of an area of interest inside the patient's body, interpreted the picture in terms of opportunities for future surgical intervention, and recorded it to facilitate preparations for a possible future intervention, and second, what take-home messages were designed from this operative activity. We conclude with reflections on the value of turning a social semiotic eye onto (health care) organisations.
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