Most research on medical professional socialization was conducted when
medical students were almost uniformly white, upper- to upper-middle class, young
men. Today 50% of medical students in Canada are women, and significant numbers
are members of racialized minority groups, come from working class backgrounds,
identify as gay or lesbian, and/ or are older. This research examined the impact of such
social diversity on processes of corriing to identify as a medical professional, drawing
on a survey of medical students in one third-year class, interviews with 25 third-year
students, and interviews with 23 medical school faculty members.
Almost all of the traits and processes noted by classic studies of medical
professional socialization were found to still apply in the late 1990s. Students learn to
negotiate complex hierarchies; develop greater self-confidence, but lowered idealism;
learn a new language, but lose some of their communication skills with patients. They
begin playing a role that becomes more real as responses from others confirm their new
identity. Students going through this training process achieve varying degrees of
integration between their medical-student selves and the other parts of themselves.
There is a strong impetus toward homogeneity in medical education. It
emphasizes the production of neutral, undifferentiated physicians - physicians whose
gender, 'race/ sexual orientation, and social class background do not make any
difference. While there is some recognition that patients bring social baggage with them
into doctor-patient encounters, there is very little recognition that doctors do too, and
that this may affect the encounter.
Instances of blatant racism, sexism, and homophobia are not common.
Nonetheless, students describe an overall climate in the medical school in which some
women, students from racialized minority groups, gays and lesbians, and students from
working class backgrounds seem to 'fif less well. The subtlety of these micro-level
experiences of gendering, racialization and so on allows them to co-exist with a
prevalent individual and institutional denial that social differences make any
difference. I critique this denial as (unintentionally) oppressive, rooted in a liberal
individualist notion of equality that demands assimilation or suppression of difference.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:BVAU.2429/9814 |
| Date | 05 1900 |
| Creators | Beagan, Brenda L. |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Relation | UBC Retrospective Theses Digitization Project [http://www.library.ubc.ca/archives/retro_theses/] |
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