Residency training marks a period of rapid learning in the career of a physician. As new physicians are swiftly acquiring medical knowledge and practicing new clinical skills, they are also undergoing intense professionalization and socialization, which influences their understanding of the healthcare system and their role within it. The working conditions of residency training and culture of medicine interact to exploit the labor of trainees. This perpetuates dominance and authority for the institutions that create and sustain these conditions. The history of the development of residency training programs, the Match, and house staff activism in the 1970s illuminate the systems of power operating within graduate medical education. This history produced the GMEA system we know today that is predicated on self-sacrifice, individualism, and deference to institutional power. As trainees are subject to the practices and beliefs that maintain this system, they internalize and normalize oppression, and in turn enact it upon others as they advance through the hierarchy themselves and acquire more material and social capital. By understanding the history of GME and interrogating these systems, we can begin to imagine a different kind of residency training that might better serve the needs of both learners and the patients they care for. Trauma informed education and critical pedagogy are two lenses that can inform future iterations of graduate medical education. These frameworks offer a different set of values, practices and systems that center healing and aspire to health justice. / Urban Bioethics
| Identifer | oai:union.ndltd.org:TEMPLE/oai:scholarshare.temple.edu:20.500.12613/8482 |
| Date | January 2023 |
| Creators | Healy, Megan, 0000-0001-8145-1898 |
| Contributors | Cabey, Vielka Whitney |
| Publisher | Temple University. Libraries |
| Source Sets | Temple University |
| Language | English |
| Detected Language | English |
| Type | Thesis/Dissertation, Text |
| Rights | IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available., http://rightsstatements.org/vocab/InC/1.0/ |
| Relation | http://dx.doi.org/10.34944/dspace/8446, Theses and Dissertations |
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