In between ethics and efficiency. On the professional identity of doctors working for the drug industry in the field of biomedical oncology.

本项目将医药行业医生职业认同的实证研究与当前职业精神变化的理论研究相结合。生物医学的日益重要和工业研究与开发过程中的日益节约，这两者都在影响着当前药品生产的转型。作为国际项目团队负责人的医生在这一过程中发挥着关键作用。他们必须在医疗创新方面管理新药和成分的研究和开发，但也非常严格地考虑到经济效率。在过去的几十年里，面对医疗保健系统的根本改变，医疗行业在科学和实用医学之间的关系，持续的专业化和整体视角，专家-客户关系以及专业和组织之间的动态方面经历了复杂的变化。据推测，为制药行业工作的医生的职业领域也受到这些变化的影响。这在肿瘤学领域尤为明显，因为它非常依赖于药物的发展。在这一领域工作的医生的专业身份可能受到教育、临床实践、纯研究和应用研究中不同社会经历的综合影响。从理论的角度来看，这是当代专业主义的典范，将专业知识和价值观与管理导向结合在一个新的水平上。在制药发展的学科和伦理价值与经济约束发生冲突的程度上，专业自我概念如何在个人层面上形成，以及新的道德社区是否正在出现，将在本项目中进行实证研究。聚焦癌症疾病的生物医学研究，是因为该领域代表了医学治疗利益与分支机构压力之间的鲜明矛盾。分支机构的压力是由股东价值、高水平的投资风险和日益激烈的国际竞争驱动的。

The project connects empirical research on the professional identity of doctors working for the drug industry with a theoretical approach concerning the current changes of professionalism. Both, an increasing relevance of biomedicine and the rising economisation within the industrial research and development process, are affecting the current transformation of pharmaceutical production. Doctors, who are working as team leaders of international projects, are playing a key role in this process. They have to manage the research and development of new drugs and compo-nents in terms of medical innovation but also very strictly concerning economic efficiency. In the face of the fundamental alteration of the health care system during the last decades the medical profession experienced complex changes in respect of the relations between scientific and practical medicine, of ongoing specialization and a holistic perspective, of the expert-client relation and of the dynamics between profession and organizations. It is assumed, that the occupational field of doctors working for the pharmaceutical industry is also affected by theses changes. This becomes in particular apparent in the field of oncology, which is very much dependent on pharmaceutical developments. The professional identity of medicines working in this field is probably influenced by a combination of different socializing experiences within education, clinical practice, pure and applied research. In a theoretical perspective it is supposed, that this is exemplary for a contemporary type of professionalism, combining professional knowledge and values and managerial orientation on a new level. In how far disciplinary and ethical values and economic constraints of the pharmaceutical development come into conflict, how the professional self-concept is constituted on the individual level and if new moral communities are emerging, will be studied empirically within this project. Biomedical research on cancer-diseases is focussed, because this field represents distinctive contradictions between medical curing interests and the pressures of a branch, which is driven by shareholder value, high level investment risks and increasing international competition.