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Charismatic authority in modern healthcare: the case of the ‘diabetes specialist podiatrist’

Charismatic authority in modern healthcare: the case of the ‘diabetes specialist podiatrist’
Charismatic authority in modern healthcare: the case of the ‘diabetes specialist podiatrist’
Professional specialisation is broadly considered to result from increased complexity in professional knowledge and to be linked to specialist education, formalised credentials and registration. However, the degree of formal organisation may vary across professions. In healthcare, although medical specialisation is linked to rigorous selection criteria, formal training programmes and specialist registration, some forms of specialisation in the allied health professions are much less formal. Drawing on Weber’s concept of charismatic authority, the establishment of a specialist role in podiatry, the ‘diabetes specialist podiatrist’, in the absence of codified or credentialed authority, is explored. ‘Charismatic’ leaders in podiatry, having attracted a following of practitioners, were able to constitute a speciality area of practice in the absence of established career pathways and acquire a degree of legitimacy in the medical field of diabetology.
charismatic authority, specialisation, healthcare
0141-9889
1080-1094
Bacon, Dawn
6ac0d529-d163-4464-ac2f-80fa7df8817e
Borthwick, A.M.
b4d1fa51-182d-4296-b5fe-5b7c32ef6f9d
Bacon, Dawn
6ac0d529-d163-4464-ac2f-80fa7df8817e
Borthwick, A.M.
b4d1fa51-182d-4296-b5fe-5b7c32ef6f9d

Bacon, Dawn and Borthwick, A.M. (2013) Charismatic authority in modern healthcare: the case of the ‘diabetes specialist podiatrist’. Sociology of Health & Illness, 35 (7), 1080-1094. (doi:10.1111/1467-9566.12024).

Record type: Article

Abstract

Professional specialisation is broadly considered to result from increased complexity in professional knowledge and to be linked to specialist education, formalised credentials and registration. However, the degree of formal organisation may vary across professions. In healthcare, although medical specialisation is linked to rigorous selection criteria, formal training programmes and specialist registration, some forms of specialisation in the allied health professions are much less formal. Drawing on Weber’s concept of charismatic authority, the establishment of a specialist role in podiatry, the ‘diabetes specialist podiatrist’, in the absence of codified or credentialed authority, is explored. ‘Charismatic’ leaders in podiatry, having attracted a following of practitioners, were able to constitute a speciality area of practice in the absence of established career pathways and acquire a degree of legitimacy in the medical field of diabetology.

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e-pub ahead of print date: 20 December 2012
Published date: September 2013
Keywords: charismatic authority, specialisation, healthcare
Organisations: Faculty of Health Sciences, Physical & Rehabilitation Health

Identifiers

Local EPrints ID: 346704
URI: http://eprints.soton.ac.uk/id/eprint/346704
ISSN: 0141-9889
PURE UUID: 6fbf1689-e39d-401b-ae22-0775ad25d159
ORCID for Dawn Bacon: ORCID iD orcid.org/0000-0003-3719-8340

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Date deposited: 07 Jan 2013 15:04
Last modified: 14 Mar 2024 12:40

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Contributors

Author: Dawn Bacon ORCID iD
Author: A.M. Borthwick

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