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The "Dark Side" of Medical Education?
It is rare that a medical journal would publish an essay by a physician anonymously which describes the "dark side of medicine" and perhaps including the "dark side" of medical education. The article is in the August 18 2015 issue of the Annals of Internal Medicine
and in an editorial in the same issue, the following:
We hope that medical educators and others will use this essay as a jumping-off point for discussions that explore the reasons why physicians sometimes behave badly and brainstorm strategies for handling these ugly situations in real time. By shining a light on this dark side of the profession, we emphasize to physicians young and old that this behavior is unacceptable—we should not only refrain from personally acting in such a manner but also call out our colleagues who do. We all need the strength to act like the anesthesiologist in this story and call our colleagues “assholes” when that label is appropriate. We owe it to ourselves, to our profession, and especially to our patients.
So this "dark side" can be said to also involves those of us in involved medical education such as myself.. Perhaps medical educators are inadequately inspecting and controlling the content of the "hidden curriculum" being presented to medical students and not facilitating advice and support for those students and doctors who witness "dark behavior" to "speak up" to the perpetrators but also to superiors in administration.
an immediate response to the Annals essay. ..Maurice.
Graphic: From Google Images and modified by me with ArtRage and Picasa3.
Patent Modesty: Volume 72: NOTICE
"PATIENT MODESTY VOLUME 72" HAS BEEN CLOSED TO NEW COMMENTS SINCE AUGUST 5 2015 AND IS NO LONGER ACCEPTING COMMENTS.
YOUR COMMENTS ARE STILL WELCOME. PLEASE GO TO "PATIENT MODESTY: VOLUME 73"
Patient Modesty: Volume 73
So the issue now with regard to patient modesty and patient dignity issues in the care of patients is whether there is "broken" trust in the doctor-patient relationship, particularly with regard to the patient not trusting their physician or nurses. Or, one might argue, was there any trust from the very beginning of the relationship? If so, was the absence of trust because the physician or nurse did not offer evidence which would support trust by the patient or that patients enter or put into the relationship with the mindset that "all professionals in medicine are considered untrustworthy"?
Whatever the origin, it is clear from the comments on the previous Volumes that trust is a missing element in medical care and is clearly a part of any discussion of patient modesty or dignity. ..Maurice.
Graphic: From Google Images.
AS OF DECEMBER 8 2015, NO FURTHER COMMENTS WILL BE PUBLISHED ON VOLUME 73 BUT COMMENTS WILL CONTINUE ON VOLUME 74.