一个手术习惯:外科医生对手术中学习者虐待的看法
Stephanie Peel1,2, Andrew Glennie3, Anne Mahalik4
1Faculty of Medicine, Dalhousie University, Halifax, NS, Canada. speel@dal.ca.
概括
在外科教育中,尽管有意识,但学员虐待仍然存在. 这项研究使用布尔迪欧的习惯概念来解释体现的外科文化如何延续虐待,超越了简单的文化解释.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 职业社会学的社会学
背景情况:
- 学生虐待是医学教育中持续存在的问题,特别是在外科手术中.
- 手术培养经常涉及到对虐待的解释和理由.
- 现有的解释往往将虐待视为手术文化中固有的现象.
研究的目的:
- 在外科教育中批判性地检查学习者虐待的持续性.
- 利用皮埃尔·布尔迪欧 (Pierre Bourdieu) 的习惯概念来理解外科医生对虐待的看法.
- 在外科培养中超越对虐待的缩小主义解释.
主要方法:
- 批判性的定性研究采用构造主义的基础理论.
- 在加拿大一所机构进行了20次与10个学科的外科教师进行深入采访.
- 探讨了外科医生对他们在整个职业生涯中遭受虐待的经历的反思.
主要成果:
- 许多接受采访的外科医生回忆说,他们在自己的培训期间经历过虐待.
- 很少有教职员工报告说,他们目前的实践中目睹了学习者虐待.
- 分析揭示了通过习惯体现的手术文化如何有助于虐待的再生产.
结论:
- 在手术中对学员的虐待是通过通过habitus体现和复制手术培养来延续的.
- 了解习惯的概念可以更深入地了解虐待的持续性.
- 这一框架超越了对虐待的简单归因,将其归结为固有的外科培养.
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