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内部的敌人:医学教育中的新战争
Tasha R Wyatt1, Vinayak Jain2, TingLan Ma1
1Uniformed Services University of the Health Sciences, Department of Medicine, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
Social science & medicine (1982)
|July 23, 2024
概括
医疗学员正在使用战争比喻来描述他们对不公正的抵抗,并倡导医疗教育的变化. 本研究分析了他们使用该语言的情况,以了解他们对该领域重组的意图.
科学领域:
- 医学教育 医学教育
- 医学中的社会正义.
- 专业的电阻是专业的
背景情况:
- 传统上,战争和军事比喻在医学中用于描述对抗疾病的斗争.
- 最近,医疗学员也采用了类似的语言来描述对社会伤害和不公正的专业抵抗.
研究的目的:
- 分析抵抗学员使用的隐喻语言.
- 了解他们在专业抵抗中使用战争比喻背后的意图.
主要方法:
- 通过网络和雪球采样,通过网络和雪球采样招募了18名抵抗学员.
- 在2022年7月至2023年2月期间进行了采访.
- 分析数据使用方法学工,不断的比较分析和话语文本分析,包括咨询军事历史学家.
主要成果:
- 训练员使用战争比喻来标志着旨在推翻权力结构的叛乱.
- 确定了两个主要的冲突:对患者和学员的虐待.
- 敌人被概念化为那些保护传统医疗机构的人;战场是社会化过程;武器包括LCME现场访问和教师支持.
结论:
- 反抗的学员采用了战争隐喻来表明他们打算重组医学教育的意图.
- 这意味着医生从传统的使用转变.
- 敦促领导人与实习生合作,以实现广泛的变革.
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