Boundary Crossing: Chinese Orthopedic Surgeons as Researchers

Abstract

In hospitals around the world it is common to find clinician researchers who play the dual roles of clinician and researcher. In major Chinese hospitals, the young generation of clinical doctors, especially those who hold a doctoral degree, is commonly expected to stay research-active. The study reported in this article was conducted at a major hospital in East China, featuring a group of orthopedic surgeons for whom there is an SCI-publication requirement. The study draws upon cultural-historical activity theory (CHAT) to illuminate the medical doctors' boundary crossing between clinical and research activity systems. Based on analyses of observations, interviews with 11 research-active doctors, and 2 weeks of activity logs kept by three of the doctors, the article demonstrates how the doctors take the advantage of rich clinical data for research purposes and how they “squeeze time” for research.