The Appraisal Ritual within the Medical Club: ‘Bureaucratic Accountability’ and ‘Paperwork Compliance’ Appraisal requires doctors document their decisions and the reasons for them in a manner that is open to collegiate surveillance and correction (Harrison and Dowswell 2002). Interviewees admitted that portfolio appraisal leaves a ‘paper trail’. In doing so, it places them under greater […]
Supporting ‘Paperwork Compliance’: The Ideological Factor Although of clear importance, it may well be that the ‘ideological’ factor is most important in comparison to the structural one. For the ‘structural factor’ reinforces the ‘ritual quality’ of doctors ‘bureaucratic accountability’ to medical elites. In doing so, it contributes to the adoption of ‘paperwork compliance’ by ‘rank […]