Dr Dawn GoodwinSenior Lecturer in Social Sciences and Director of PBL
My research interests have focused on cultures of health care work and issues of learning, knowledge and practice. These interests have manifested themselves in previous studies as a focus on decision making and accountability, patient safety and critical incident analysis, constructions of evidence and expertise, diagnostic work and embodied knowledge, collaborative work in critical care, and human-machine relations in medical work. Theoretically, these interests are informed by science and technology studies, ethnomethodology, workplace studies and medical sociology. Methodologically, my studies have been largely ethnographic but I have also used interviews, focus groups and documentary analysis.
Connections of workplace cultures, patient safety and dignity. ESRC funding sought.
Learning about bodies: Intersections of technology, morality and pedagogy. Source of funding: Faculty of Health and Medicine.
Evidence and expertise: A manifesto for hybrid practices. A project in memory of Tracy Dryden. Source of funding: Lancaster University Friends Programme.
Prospective projects: I am pursuing my interests in learning, knowledge and practice in a developing research collaboration and proposal around high fidelity simulation in medical education. I am interested in the idea that cultures of clinical practice are being simulated and I would like to explore the implications this holds for patient safety. Repeatedly, official inquiries point to the fundamental role culture plays in patient safety incidents and I am interested in how high fidelity simulation might address this - inadvertently or consciously. Methodologically, this is likely to require close analysis of the video recordings.
Current projects: In 'learning about bodies', with colleagues Dr Laura Machin and Dr Adam Taylor, we held focus groups with medical students to explore how students learn about anatomy in the absence of dissection – a method that has traditionally been the cornerstone of anatomy learning. Here, my interests in learning, knowledge and practice, have led me to explore the way that issues of learning anatomy through the observation of post-mortem examinations are entangled with discourses of dignity and respect for the dead.
Previous projects: In ‘Building networks of accountability: connecting humans, machines and devices’ (funded jointly by Economic and Social Research Council/Medical Research Council), I pursued questions around the relationship between decision making and accountability. Codes of professional conduct and organisational policies tend to tether accountability to specific human actors and discrete actions. However, some of the elements that contribute to shaping decisions go unrecognised in such formal descriptions of clinical practice - particularly patients, machines and medical devices - which causes practitioners difficulty when legitimating and accounting for care. Therefore, a tension exists in which certain practitioners are held accountable for decisions and actions that are authored by many participants, both human and non-human, and distributed both spatially and temporally, and consequently, over which they may only have limited control.
My teaching responsibilities in the medical degree programme include:
Problem Based Learning I am a PBL tutor for first year medical students and convene a 'Study Skills for PBL' workshop. I am also Director of the four year PBL programme.
Lectures and Workshops I give lectures on social science aspects of 'Health, Culture and Society' to first and second year medical students. For third year medical students, I convene two workshops: 'Cultures of Health and Medical Practice' and 'Critical Review of Qualitative Research'.
Special Study Modules I convene three SSMs: 'Learning About Bodies' for first year medical students, 'Medicine and the Media' for second year students, and a social science focused, student-led SSM for third year students.
Ethical Case Analysis I am one of the markers for this piece of third year course work.
Additional Information – Teaching
In my capacity as Director of PBL, I am heavily involved in the development of a new PBL curriculum for the medical degree programme. At an organisational level, I am leading the working party that is responsible for revising the PBL syllabus. This entails coordinating the interdisciplinary input for medical sciences, public health and epidemiology, social and behavioural sciences, ethics and issues of professional practice, then guiding the construction of new scenarios, and ensuring the compilation of a suitable set of associated learning resources. In terms of my own area of the curriculum, I am responsible for revising and developing the social science component. Finally, beyond development of the PBL syllabus, I am also introducing some innovation in the process of PBL. I have begun to implement a move away from scenario-based PBL and towards patient-based PBL in the later years of study (corresponding with increasing emphasis on clinical practice).
In line with the PBL curricular approach, I have, with colleagues, developed a new form of assessment for social and behavioural sciences as well as the ethical and professional aspects of the course. In ‘scenario-based assessment’, ethical, legal, psychological and social science topics are enfolded and illustrated. Students are expected to identify the issues exemplified and respond to open questions that probe the depth of their knowledge. This form of assessment has the advantage over the traditional short answer format as it allows for assessment of application of knowledge rather than recall.
Additional Information – Research
My PhD supervision has been largely focused around ethnographic studies of health care practice in settings such as accident and emergency, radiology, mental health care, palliative medicine and maternity services. Theoretically, these studies have drawn primarily on science and technology studies but also on organisational studies, ethnomethodology, feminist technoscience, postcolonial studies, medical sociology and workplace studies.
Current students include:
Tania Pastrana,‘Knowing (in) Palliative Medicine: An ethnographic analysis about construction and performativity of knowledge in palliative medicine’
Katie Willocks, ‘An exploratory investigation into the NHS Skill Mix agenda: Negotiated role boundaries in maternity services’
My research interests and collaborations have resulted in the following academic events:
Organisers: Dawn Goodwin, Maggie Mort and Lucy Suchman
Public Lecture and workshop with Jean Lave, Professor Emeritus, University of California at Berkeley
Workshop: Engaging with Apprenticeship in Critical Ethnographic Practice
23-24th November, 2011, Lancaster University
Organisers: Dawn Goodwin and Maggie Mort
Re-imagining Supervision: Reflections on experience, theory and policy
An interdisciplinary workshop in memory of Tracy Dryden
15th June, 2011, Lancaster University.
Sponsored by Centre for Science Studies and School of Health and Medicine
Organisers: Dawn Goodwin and Monika Buscher
Workshop: Ethnographies of diagnostic work
17-18th April, 2007, Lancaster University
Sponsored by Department of Sociology, Centre for Science Studies, Institute for Health Research, Department of Medicine, Palcom
PhD Supervision Interests
I would be interested in supervising social science (especially ethnographic) studies of healthcare work, and around issues of knowledge, evidence and practice.
An alternative view of self-discharge against medical advice: an opportunity to demonstrate empathy, empowerment, and care
Machin, L.L., Goodwin, D.S., Warriner, D. 7/02/2018 In: Qualitative Health Research.
The dynamics of dignity and safety: a discussion
Goodwin, D.S., Mesman, J., Grant, S., verkerk, m. 13/01/2018 In: BMJ Quality and Safety. 5 p.
Cultures of caring: healthcare ‘scandals’, inquiries, and the remaking of accountabilities
Goodwin, D.S. 9/01/2018 In: Social Studies of Science.
Socialization, Indifference, and Convenience: Exploring the Uptake of Influenza Vaccine Among Medical Students and Early Career Doctors
Edge, R., Goodwin, D., Isba, R., Keegan, T. 1/11/2017 In: Qualitative Health Research. 27, 13, p. 1982-1993. 12 p.
Socialization, Indifference, and Convenience: Exploring the Uptake of Influenza Vaccine Among Medical Students and Early Career Doctors
Edge, R.L., Goodwin, D.S., Isba, R.E., Keegan, T.J. 2017
Seasonal influenza vaccination in health-care workers: the influence of consultants on the uptake of vaccination by medical students and early career doctors
Edge, R., Goodwin, D.S., Isba, R.E., Keegan, T.J. 25/11/2016
The social life of the dead: the role of post-mortem examinations in medical student socialisation
Goodwin, D.S., Machin, L.L., Taylor, A.M. 1/07/2016 In: Social Science and Medicine. 161, p. 100-108. 9 p.
How we tackled the problem of assessing humanities, social and behavioural sciences in medical education
Goodwin, D., Machin, L. 02/2016 In: Medical Teacher. 38, 2, p. 137-140. 4 p.
Decision-making and accountability: differences of distribution
Goodwin, D. 01/2014 In: Sociology of Health and Illness. 36, 1, p. 44-59. 16 p.
Goodwin, D. 2014 In: The Wiley-Blackwell Encyclopedia of Health, Illness, Behavior and Society. Wiley-Blackwell
Entry for encyclopedia/dictionary
Diagnostic work: a disorderly process
Goodwin, D., McConnell, T. 2014 In: Social issues in diagnosis. Baltimore, MD : Johns Hopkins University Press p. 33-46. 14 p. ISBN: 9781421413006.
Uncertainty in medical innovation : experienced pioneers in neonatal care by Jessica Mesman: a commentary by Dawn Goodwin
Goodwin, D. 11/2011 In: Medical Sociology Online. 6, 1, 7 p.
Accounting for incoherent bodies.
Goodwin, D., Mort, M. 02/2010 In: Technology and Medical Practice : Blood, Guts and Machines. Aldershot : Ashgate 228 p. ISBN: 978-0-7546-7836-6.
Ethnographies of diagnostic work: introduction
Buscher, M., Goodwin, D., Mesman, J. 2010 In: Ethnographies of diagnostic work. Basingstoke : Palgrave Macmillan p. 1-14. 14 p. ISBN: 9780230223288.
Ethnographies of diagnostic work : dimensions of transformative practice.
Buscher, M., Goodwin, D., Mesman, J. 2010 Basingstoke : Palgrave Macmillan. 280 p. ISBN: 9780230223288.
Moving towards a new view of diagnostic work: some implications
Bal, R., Buscher, M., Goodwin, D., Mesman, J., Sangiorgi, D., Smith, A. 2010 In: Ethnographies of diagnostic work. Basingstoke : Palgrave p. 245-260. 16 p. ISBN: 9780230223288 .
Sensing the way :: embodied dimensions in diagnostic work
Goodwin, D. 2010 In: Ethnographies of diagnostic work. Basingstoke : Palgrave Macmillan p. 73-92. 20 p. ISBN: 9780230223288.
Teams, talk and transitions in anaesthetic practice.
Smith, A.F., Pope, C., Goodwin, D., Mort, M. 09/2009 In: Safer Surgery: Analysing Behaviour in the Operating Theatre.. Aldershot : Ashgate 482 p. ISBN: 978-0-7546-7536-5.
Acting in anaesthesia: ethnographic encounters with patients, practitioners and medical technologies
Goodwin, D. 03/2009 New York : Cambridge University Press. 208 p. ISBN: 9780521882064.
Interprofessional handover and patient safety in anaesthesia : observational study of handovers in the recovery room.
Smith, A.F., Pope, C., Goodwin, D., Mort, M. 09/2008 In: British Journal of Anaesthesia. 101, 3, p. 332-337. 6 p.
Refashioning bodies, reshaping agency
Goodwin, D. 2008 In: Science, Technology, and Human Values. 33, 3, p. 345-363. 19 p.
Upsetting the order of teamwork: is ‘the same way every time’ a good aspiration?
Goodwin, D. 04/2007 In: Sociology. 41, 2, p. 259-275. 17 p.
Anaesthetic talk in surgical encounters.
Pope, C., Mort, M., Goodwin, D., Smith, A.F. 2007 In: Discourses of Hospital Communication and Organization: Tracing Complexities in Contemporary Health Care Organizations.. Basingstoke : Palgrave Macmillan p. 161-181. 21 p. ISBN: 9781403998484.
What defines expertise in regional anaesthesia. An observational analysis of practice.
Smith, A.F., Goodwin, D., Mort, M., Pope, C. 1/09/2006 In: British Journal of Anaesthesia. 97, 3, p. 401-407. 7 p.
Adverse events in anaesthetic practice : qualitative study of definition, discussion and reporting.
Smith, A.F., Goodwin, D., Mort, M., Pope, C. 06/2006 In: British Journal of Anaesthesia. 96, 6, p. 715-721. 7 p.
Access, boundaries and their effects: legitimate participation in anaesthesia
Goodwin, D., Pope, C., Mort, M., Smith, A. 2006 In: The social organisation of healthcare work. Oxford : Blackwell Publishing p. 167-182. 16 p. ISBN: 9781405133340 .
Ethical Issues: Qualitative Research in Health Care 3rd Edn.
Goodwin, D., Mays, N., Pope, C. 2006 In: Ethical Issues. Blackwell Publishing 53 p. ISBN: 1-4051-3512-3.
Safe asleep? Human-machine relations in medical practice.
Mort, M.M., Smith, A.F., Pope, C., Goodwin, D. 25/11/2005 In: Social Science and Medicine. 61, 9, p. 2027-2037. 11 p.
Communication between anaesthesiologists, patients and the anaesthesia team: a descriptive study of induction and emergence.
Smith, A.F., Goodwin, D., Mort, M., Pope, C. 1/11/2005 In: Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 52, 9, p. 915-920. 6 p.
Access, Boundaries and their effects: legitimate participation in anaesthesia.
Goodwin, D., Pope, C., Mort, M., Smith, A. 09/2005 In: Sociology of Health and Illness. 27, 6, p. 855-871. 17 p.
Making monitoring 'work': human-machine interaction and patient safety in anaesthesia.
Smith, A.F., Mort, M.M., Goodwin, D., Pope, C. 11/2003 In: Anaesthesia. 58, 11, p. 1070-1078. 9 p.
Expertise in practice : an ethnographic study exploring acquisition and use of knowledge in anaesthesia.
Smith, A.F., Goodwin, D., Mort, M., Pope, C. 09/2003 In: British Journal of Anaesthesia. 91, 3, p. 319-328. 10 p.
Passing on tacit knowledge in anaesthesia : a qualitative study.
Pope, C., Smith, A.F., Goodwin, D., Mort, M. 07/2003 In: Medical Education. 37, 7, p. 650-655. 6 p.
Ethics & Ethnography: An Experiential Account.
Goodwin, D., Pope, C., Mort, M., Smith, A. 04/2003 In: Qualitative Health Research. 13, 4, p. 567-577. 11 p.
Quality, not quantity in learning regional anaesthesia skills.
Smith, A.F., Goodwin, D., Pope, C., Mort, M. 2003 In: European Journal of Anaesthesiology. 19, Supple, p. 103-104. 2 p.
Developing and maintaining anaesthetic expertise : the place of observational methods.
Mort, M., Goodwin, D., Pope, C., Smith, A.F. 2002 In: European Journal of Anaesthesiology. 19, Supple, p. 13.
How do anaesthetists react to abnormal monitor readings? : an observational study.
Smith, A.F., Mort, M.M., Pope, C., Goodwin, D. 2002 In: European Journal of Anaesthesiology. 19, Supple, p. 12.
Interesting case or critical incident?
Smith, A.F., Goodwin, D., Pope, C., Mort, M.M. 2002 In: European Journal of Anaesthesiology. 19, Supple, p. 13-14. 2 p.
Making explicit anaesthetic expertise : methodological considerations : proceedings of the anaesthetic research society.
Smith, A., Goodwin, D., Mort, M., Pope, C. 10/2001 In: British Journal of Anaesthesia. 87, 4, p. 654-655. 2 p.
Cultures of caring
01/10/2016 → …
What is a 'good anaesthetic? Producing evidence in complex settings: the case of fractured neck of femur.
01/10/2015 → 30/09/2018
Connections of Workplace Cultures, Patient Safety and Dignity
01/08/2014 → 19/12/2014
Learning about Bodies: Intersection of Technology, Morality, and Pedagogy
01/05/2012 → 22/12/2014
ITEMS - Identifying Trends in European Medical Space
01/06/2003 → 30/09/2006
Problem of Expertise in Anaesthesia
01/04/2000 → 01/03/2002