Document Detail

Learning to doctor: tinkering with visibility in residency training.
MedLine Citation:
PMID:  23030786     Owner:  NLM     Status:  Publisher    
Medical doctors in teaching hospitals aim to serve the two central goals of patient care and medical training. Whereas patient care asks for experience, expertise and close supervision, medical training requires space to practise and the 'invisibility' of medical residents. Yet current reforms in postgraduate medical training point to an increasing emphasis on the measurable visibility of residents. Drawing on an ethnographic study of gynaecology training in The Netherlands, this article demonstrates that in daily clinical routines multiple practices of residents' visibility (visibilities) coexist. The article lists four visibilities: staging residents, negotiating supervision, playing the invisibility game and filming surgical operations. The article shows how attending physicians and medical residents tinker with these visibilities in daily clinical work to provide good care while enacting learning space, highlighting the increasing importance of visualising technologies in clinical work. Moreover, the article contributes to traditional sociological accounts on medical education, shifting the focus from medical education as a social institution to the practices of medical training itself. Such a focus on practice helps to gain an understanding of how the current reform challenges clinicians' educational activities.
Iris Wallenburg; Antoinette Bont; Maas-Jan Heineman; Fedde Scheele; Pauline Meurs
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-3
Journal Detail:
Title:  Sociology of health & illness     Volume:  -     ISSN:  1467-9566     ISO Abbreviation:  Sociol Health Illn     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205036     Medline TA:  Sociol Health Illn     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Sociology of Health & Illness © 2012 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.
Institute of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands Academic Medical Centre, University of Amsterdam, The Netherlands Medical Centre, Free University, Amsterdam, The Netherlands.
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