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Learning Language, Un/Learning Empathy in Medical School.

Seth M Holmes1,2,3

  • 1University of California, Berkeley, 50 University Hall, MC 7360, Berkeley, CA, 94720, USA. sethmholmes@berkeley.edu.

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Medical school training can diminish empathy and patient solidarity. Learning medical language and performative empathy during early training may increase physician-patient separation and hinder health equity efforts.

Keywords:
Clinical trainingEmpathyLanguage socializationMedical educationSolidarity

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Area of Science:

  • Medical Education
  • Sociology of Medicine
  • Linguistics

Background:

  • Medical school curricula may inadvertently erode student empathy.
  • Early training, including the White Coat Ceremony, shapes professional identity.
  • The development of physician-patient relationships is influenced by educational processes.

Purpose of the Study:

  • To examine how empathy and solidarity are potentially diminished in medical students.
  • To analyze the role of language socialization in medical training.
  • To explore the impact of early medical education on physician-patient separation and health equity.

Main Methods:

  • Ethnographic research utilizing personal medical training field notes and recordings.
  • Observant participation and interviews with medical students over several years.
  • Analysis through the framework of language socialization.

Main Results:

  • Learning the language of medical practice (verbal, textual, bodily) contributes to physician-patient separation.
  • Medical students develop a performative empathy that can limit clinical care.
  • This performative empathy impedes the potential for solidarity in achieving health equity.

Conclusions:

  • Medical education, particularly in pre-clinical years, requires re-evaluation to preserve empathy.
  • Language socialization in medicine can have unintended negative consequences on the physician-patient relationship.
  • Addressing these issues is crucial for fostering health equity and improving patient care.