The impact of the American Civil War on medical modernisation is increasingly being recognised, yet the ways in which the Civil War challenged and changed doctors' understanding of their professional role during the war remains underappreciated. By juxtaposing Union doctors' personal and professional responses to the Civil War with the wider public reaction to Union medical care, this paper explores the tensions that arose between the public and the professional perceptions of medicine as these developed on the battlefields of the nation's internecine conflict. It argues that the intersection between the positive and negative narratives of Union medical provision, specifically surgery, established an important discursive space within which Union doctors could negotiate their public and professional status. It finds that the negative narrative, far from a hindrance, was instrumental to the process of medical modernisation by enabling Union physicians to define, defend and develop a more modern medical role.
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