Transfessional content of management culture in the medical field: the balance of objective alienation and involvement

The contemporary society imposes new requirements to the world of professions and professionals. In many respects, the specificity of professionalization is directly related to general cultural changes taking place in the society and to the situation within a professional sphere. Specific features of modern culture are the power of knowledge in its inter-and transdisciplinary character, dynamism and uncertainty in development, market practicality in orientations. Consumer-oriented approach in the modern requires professionals not only to fulfill their duties but also carry out complex work with the client as an individual with unique features and personal traits. In this respect, modern specialists' professional identity should develop in the discourse of trasfessionalism: to develop "beyond" the subject and professional boundaries of a professional field. Within the named aspects of the modern culture is considered to a unique professional field. Medicine has to face new cultural challenges which are mostly emerging in doctor-patient relations as market relations. The market in medicine is marked professional resonance when a professional is required to have transfessional knowledge. For the purpose of effective combination of modern challenges and demands of the market world with serious value bases existing in the medical field, the professionalization of managerial detail must also acquire features of a transfession. A continuous combination of opposing trends in a clinic, transformation of the management process into an organization's culture is the task for the chief physician. The article reveals the specifics of management in medicine as an independent sphere amplifying the profession of doctors-managers on the macro- and microsocial levels and provides it with transfes-sional character and content. The macrosocial level analyses the status of management. It is concluded that managers take a lot of advantages from maintaining the status of a doctor and presenting themselves to society through this status. The microsocial level analyses the communication between chief physicians and professional from other fields and non-professionals. It is concluded that a favorable professional communicative space requires managers to think beyond different subject areas, i.e. acquire the character of transfessionals. In this respect, a chief physician's professional identity is supposed to develop both medical and administrative line as well as transfessional because it is to become open, without limits. The transfessional aspect of management within a clinic shall should exist as an opportunity to face modern challenges and changes while preserving the value aspect of the medical profession. Development of transfessional content of a chief physician's culture is not only extension of the scope of his knowledge and skills. This is "cultivation" of a specific internal professional culture which serves to be the base for developing managerial skills.

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