Abstract:
OBJECTIVE:To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. METHODS:A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2). RESULTS:While having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working-class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment. CONCLUSION:Students from working-class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of 'everyday classism' they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.
journal_name
Med Educjournal_title
Medical educationauthors
Beagan BLdoi
10.1111/j.1365-2929.2005.02225.xkeywords:
subject
Has Abstractpub_date
2005-08-01 00:00:00pages
777-84issue
8eissn
0308-0110issn
1365-2923pii
MED2225journal_volume
39pub_type
杂志文章abstract:OBJECTIVE:To investigate the relationship between psychological constructs related to professional and research integrity and moral reasoning among medical students. METHODS:Medical students, 2nd-year (n = 208, 85.6% of 243 enrolled students), answered the moral reasoning test-defining issues test 2 (DIT2) and the Mac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02391.x
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:Since their introduction, workplace-based assessments (WBAs) have proliferated throughout postgraduate medical education. Previous reviews have identified mixed findings regarding WBAs' effectiveness, but have not considered the importance of user-tool-context interactions. The present review was conducted t...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14221
更新日期:2020-11-01 00:00:00
abstract::Older clinicians typically engage in reflections on their own early careers and indeed whichever generation of clinician you talk to, their medical school and early career experiences were more challenging than the last. We draw on inspiration from Monty Python and specifically the Four Yorkshiremen to illustrate this...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13098
更新日期:2016-12-01 00:00:00
abstract::During their first training period in general practice the authors felt that they did not encounter the balanced workload which is the foundation for learning to be a GP. Previous studies confirmed the existence of differences in overall and specific workload between trainees and trainers. From their own experience an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02473.x
更新日期:1997-03-01 00:00:00
abstract:CONTEXT:Continuity of supervision (CoS) is generally accepted as an important element of competency-based medical education (CBME). However, collecting and interpreting evidence for its effectiveness are a challenge because we lack a shared understanding of CoS. Translating the available evidence about CoS into practic...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14378
更新日期:2020-09-14 00:00:00
abstract:OBJECTIVES:Teaching at the bedside during attending rounds is considered to be fundamental to medical education. We conducted an ethnographic case study to investigate such teaching in general paediatrics as a social phenomenon and to explore change over time in both the meaning of rounds and the context in which round...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03767.x
更新日期:2010-11-01 00:00:00
abstract:CONTEXT:Tutors in problem-based learning (PBL) tutorials have a complex role to play in facilitating students' learning. This includes providing support for students' acquisition of content knowledge and skills in critical thinking, coaching of group processes and modelling of reflective practice. Few studies which inv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03293.x
更新日期:2009-04-01 00:00:00
abstract::By providing injecting equipment to drug misusers, community pharmacists in the UK may become involved in preventing the spread of HIV via the intravenous route. Over 60% of pharmacy graduates from the School of Pharmacy enter community pharmacy and, as part of their undergraduate course, attend a series of lectures a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02725.x
更新日期:1994-11-01 00:00:00
abstract::Education and training are terms which are often used loosely, interchangeably, and require definition. Training is often seen as a series of activities which are related to the acquisition of specific skills and may be narrowly based. Education, on the other hand, has an important value base and is broader in concept...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00790.x
更新日期:1988-11-01 00:00:00
abstract::A postal survey about opinions of quality assurance and the methods used to teach this subject was sent to all family practice course organizers in England, Wales and Scotland, and to all family practice residency directors in the USA. Opinions of quality assurance were more positive from the American responders. A wi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb00010.x
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVES:Remediation is usually offered to medical students and doctors in training who underperform on written or clinical examinations. However, there is uncertainty and conflicting evidence about the effectiveness of remediation. The aim of this systematic review was to synthesise the available evidence to clarify...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.12052
更新日期:2013-03-01 00:00:00
abstract::Information about medical students' lifestyles was obtained from 785 second-year students from seven medical schools in Great Britain by a personally administered questionnaire. Fifteen per cent of the students were non-drinkers. Among those who drank, 48% of the men and 38% of the women exceeded sensible weekly limit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00204.x
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Given the complexity of competency frameworks, associated skills and abilities, and contexts in which they are to be assessed in competency-based education (CBE), there is an increased reliance on rater judgements when considering trainee performance. This increased dependence on rater-based assessment has l...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.12973
更新日期:2016-05-01 00:00:00
abstract::Teaching medical ethics in Manchester within the introductory course of obstetrics and gynaecology is a joint activity with the Centre for Social Ethics and Policy. This interdisciplinary teaching has evolved through lecture sessions with small-group discussions dealing with topics of interest in human reproduction. T...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02670.x
更新日期:1990-11-01 00:00:00
abstract::The development and maintenance of expertise in any domain requires extensive, sustained practice of the necessary skills. However, the quantity of time spent is not the only factor in achieving expertise; the quality of this time is at least as important. The development and maintenance of expertise requires extensiv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00831.x
更新日期:2001-01-01 00:00:00
abstract::In collaboration with aid agencies and government health workers, Save the Children Fund medical staff have been involved in the training of primary health care workers in the Sahel region of upper Volta. This report deals specifically with the problems involved in training illiterate health workers. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01233.x
更新日期:1982-03-01 00:00:00
abstract::There is national and international interest in increasing the community-based component of undergraduate medical education, but more research is needed on its potential, practicability and effectiveness. The objective of the study was to examine the feasibility and efficacy of general practitioners teaching basic cli...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1997.00678.x
更新日期:1997-09-01 00:00:00
abstract::Introductory courses in environmental health are intended for doctors newly appointed to the emergency duty rotas of the Medical Officer for Environmental Health. Three courses have been held in Bristol between 1984 and 1987. They have been evaluated with a problem management questionnaire completed by 44 of the 47 pa...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01548.x
更新日期:1989-05-01 00:00:00
abstract:CONTEXT:Despite a growing and influential literature, 'professionalism' remains conceptually unclear. A recent review identified three discourses of professionalism in the literature: the individual; the interpersonal, and the societal-institutional. Although all have credibility and empirical support, there are tensio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12368
更新日期:2014-04-01 00:00:00
abstract:CONTEXT:The long-term impact of faculty development programmes (FDPs) is poorly understood, and most assessments of them have been quantitative in nature. OBJECTIVE:This study aimed to use qualitative methods to better understand the long-term impact of an FDP in teaching skills (FDP/TS). METHODS:A survey was carried...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02770.x
更新日期:2007-06-01 00:00:00
abstract::Despite concern over the concentration on science in pre-medical education and the selection of medical students in the United States, no major changes have been made. The present study compares attrition rates and clinical competence levels of medical students who vary in pre-medical training, age, and sex, in order ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02415.x
更新日期:1981-11-01 00:00:00
abstract::Audit is an important part of clinical practice, and has been promoted as a core aspect of undergraduate and postgraduate medical education. Few examples of how audit is taught in the undergraduate curriculum exist. This article presents a model for student teaching using innovative methods, which include an extended ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00240.x
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVES:Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through well-e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03775.x
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:Multi-source feedback (MSF) enables performance data to be provided to doctors from patients, co-workers and medical colleagues. This study examined the evidence for the validity of MSF instruments for general practice, investigated changes in performance for doctors who participated twice, 5 years apart, an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03127.x
更新日期:2008-10-01 00:00:00
abstract::The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02510.x
更新日期:1990-03-01 00:00:00
abstract::How contract learning may be used in the introduction to clinical medicine is described, with the goal to develop and enhance self-directed learning skills and attitudes of first- and second-year medical students. Essential tasks associated with successful self-directed learning are cited, and the contract method is d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb01458.x
更新日期:1983-07-01 00:00:00
abstract::Over the past decade, on-line databases have become increasingly popular among health care professionals. As a group, these 'end-users' report utilizing databases to keep abreast of medical progress, to conduct research and to address specific patient care issues. Throughout the literature, medical professionals ('con...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.1998.00229.x
更新日期:1998-05-01 00:00:00
abstract::In 119 patients with diabetes, student nurses, social workers, dietitians and medical students a pretest was carried out with multiple-choice questions on the subject of diabetes diet. The group was then exposed to programmed diet instruction with a teaching machine. There was a significant learning effect as measured...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00482.x
更新日期:1976-11-01 00:00:00
abstract::Primary health care has been held to be the foundation of any rational health system. The principle was fully endorsed by the Alma-Ata Conference in 1978, and has become the main policy of the World Health Organization. Important implications are involved for the education and training of doctors and other health care...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb00653.x
更新日期:1983-05-01 00:00:00
abstract::The purpose of this paper is to examine similarities and differences between graduating medical students who do and do not match through the National Internship and Resident Matching Programme (NIRMP). Data from graduates of 3- and 4-year undergraduate curricula were examined separately. A two way analysis of variance...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01530.x
更新日期:1979-09-01 00:00:00