Below are descriptions of my major research projects and links to publications.
Creating Learning Networks for Improved Care
Please visit theLN Transformation Study page for more information.
Teaching the Work of Doctoring:
How the Medical Profession Adapts to Change
Foundational ethnographers of medical education investigated how medical students take up the social role of the physician by examining the professional norms and values students learn during training. Researchers in broader medical sociology, for their part, have focused on the macrosocial relationship of the medical profession to other stakeholders, such as government, insurance and consumers. While healthcare is shaped by evolving professional dynamics, the everyday work of healthcare occurs on the interactional level–in individual patient-provider encounters. I argue that the dominant sociological focus on the medical student in ethnographies of medical training has left the professional context of medical work, and the physicians who carry out medical teaching, unexamined. By conceptualizing the medical school as an institution populated by physicians who actively adapt their practice and teaching to new constraints in healthcare work, I present an analysis of medical education that situates professional socialization in the context of the ongoing social transformation of medicine.
This NSF-supported research (2010-2013) is based on a four-year ethnography of the training of medical students by teaching physicians and administrators at “West Coast Medical School” and “University Hospital.”
Vinson, Alexandra H. (2021). “Articulating the Canon: The Sociology of Medical Education from 1980-2000.” Health, DOI: 10.1177/13634593211013886
Jenkins, Tania, Kelly Underman, Alexandra H. Vinson, Lauren D. Olsen & Laura Hirshfield. “The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future.” Journal of Health and Social Behavior, forthcoming Sept 2021.
Vinson, Alexandra H. & Kelly Underman (2020). “Clinical Empathy as Emotional Labor in Medical Work.” Social Science & Medicine. DOI: 10.1016/j.socscimed.2020.112904
Vinson, Alexandra H. (in press). “Surgical Identity Play: The Anatomy Lab Revisited.” Symbolic Interaction, DOI: 10.1002/SYMB.465.
Vinson, Alexandra H. (2019). “Short White Coats: Knowledge, Identity and Status Negotiations of First-Year Medical Students.” Symbolic Interaction, DOI: 10.1002/SYMB.400.
Vinson, Alexandra H. (2016). “Constrained Collaboration: Empowerment Discourse as a Resource for Countervailing Power.” Sociology of Health & Illness, 38(8):1364-1378.
Learning Ethnographies of New Engineers
From 2015-2017 I collaborated with colleagues Reed Stevens & Pryce Davis on an NSF-funded study that investigated how undergraduate engineering majors transitioned from college to the workplace. We used ethnographic methods, including semi-structured interviewing and video-based interaction analysis, to understand changes in skills and identity as the engineers moved into full-time work. We also examined the role of mentors, curricula, early work experiences, parents, and other factors in shaping engineers’ workplace learning and career trajectories.
We carried out our research at five field sites: a large steel mill, a third-party medical device testing company, a supply chain management company, a product design/implementation team at an elevator manufacturer, and a small R&D company specializing in containerless processing.
Our findings speak to disciplinary concerns in sociology, STS, and learning sciences, as well as to engineering educators.
Sargent, Adam, Alexandra H. Vinson & Reed Stevens (2021). “Sensing Defects: Collaborative Seeing in Engineering Work.” Social Studies of Science. DOI: 10.1177/0306312721991919.
Vinson, Alexandra H., Pryce Davis & Reed Stevens (2017). “Problem Solving in Engineering Education & Professional Engineering Work.” Proceedings of the 2017 American Society for Engineering Education Annual Conference & Exposition. (Peer-reviewed)
Vinson, Alexandra H., Pryce Davis & Reed Stevens (2017). “Learning to Anticipate the User in Professional Engineering Work.” Proceedings of the 2017 American Society for Engineering Education Annual Conference & Exposition. (Peer-reviewed)
Davis, Pryce, Alexandra H. Vinson & Reed Stevens (2017). “Informal Mentorship of New Engineers in the Workplace.” Proceedings of the 2017 American Society for Engineering Education Annual Conference & Exposition. (Peer-reviewed)
Vinson, Alexandra H. & Reed Stevens (2016). “Staying In or Getting Out: The Relationship Between Undergraduate Work Exposure and Job Satisfaction After Graduation.” Proceedings of the 2016 American Society for Engineering Education Annual Conference & Exposition. (Peer-reviewed)
Stevens, Reed & Alexandra H. Vinson (2016). “Institutional Obstacles to Ethnographic Observation in Engineering Industry.” Proceedings of the 2016 American Society for Engineering Education Annual Conference & Exposition. (Peer-reviewed)
Standiford, T., K. Davuluri, N. Trupiano, D. Portney, L. Gruppen & A.H. Vinson. “Physician leadership during the COVID-19 pandemic: an emphasis on the team, well-being and leadership reasoning.” BMJ Leader, doi: 10.1136/leader-2020-000344.
Vinson, Alexandra H., Astrid Fishstrom & Deborah Rooney (2021). “Charting the experience of novel collaborations in a disaster: case study of university-community partnership to manufacture medical personal protective equipment.” International Journal of Environmental Research and Public Health, DOI: 10.3390/ijerph18052258.
Koscielniak, Nikolas, Rachel Richesson, Alexandra Vinson, Charles Friedman, Gretchen Piatt & Carole Tucker (2021). “Development of a Standards-Based Phenotype Model for Gross Motor Function to Support LHS in Pediatric Rehabilitation.” Learning Health Systems. DOI: 10.1002/lrh2.10266
Ferguson, Lisa, Victor Cattani Rentes, Lauren McCarthy & Alexandra H. Vinson (2021). “Collaborative Conversations During the Time of COVID-19: Building a “Meta” Learning Community.” Learning Health Systems, DOI: 10.1002/lrh2.10284.