Doctoring Medical Governance : Medical Self-regulation in Transition

Intro -- DOCTORING MEDICAL GOVERNANCE: MEDICAL SELF-REGULATION IN TRANSITION -- CONTENTS -- PREFACE -- DEDICATION -- INTRODUCTION -- FROM ANCIENT BEGINNINGS TO THE 1858 MEDICAL ACT -- Ancient Beginnings -- Galen's Humors -- Galenic Medicine and the Christian Worldview -- The Enlightenment and the Clinical Gaze of the Biomedical Model -- Medicine in the Eighteenth Century -- The Industrial Revolution, the Growth of Modern Medicine and the Birth ofthe Clinic -- The Clinical Gaze and the Doctor-Patient Relationship -- The 1815 Apothecaries Act -- An Upwardly Mobile Profession -- The 1858 Medical Act -- Victorian Club Government and Medicine's 'Club Mentality' -- Sorry Mrs, These are 'Men Only' Clubs -- Women and the Modern Medical Profession -- Medical Science, the Principle of Self-Regulation and the Doctrine of ClinicalAutonomy -- FROM CLUB GOVERNANCE TO STAKEHOLDER REGULATION -- Medicine and the Establishment of the National Health Service -- Changes in the GMC: Discipline, Education and Membership -- Lighting the Blue Torch Paper: The Retention Fee -- The Rise of NHS Management and the Patient Revolt -- The GMC and the Case of Alfie Winn -- The Spearing Bill -- New Public Management, Medical Audit and Evidence Based Medicine -- New Labour and Clinical Governance -- The Scientific Rationality of Performance Management -- Reforms in Undergraduate Medical Education -- The Central Issue of Continuing Medical Education -- Medicine's New Professionalism -- Bristol and Shipman - 'All Changed, Changed Utterly' -- The Kennedy Report -- Revalidation -- Annual Appraisal -- The Shipman Case -- A Culture of Medical Protectionism -- Professionally-led Regulation and the Donaldson Report -- Future Unknown (For Now) -- The 2008 Health and Social Care Act -- State and Professional Forms of Governance.