TAILIEUCHUNG - Making Fun of Patients: Medical Students’ Perceptions and Use of Derogatory and Cynical Humor in Clinical Settings

An offer was made the Society to establish the proposed school in the then young and aspiring village of Worthington, Ohio. A strong effort was being made to constitute that town the Capital City of Ohio, but its near neighbor Columbus won out. In Worthington there had been established in 1808 a literary and scientific school known as the Worthington Academy. This was successfully conducted until 1819, when a new charter was granted it, with title Worthington College. One of Dr. Beach's appeals (for the Society) for a college site having reached Worthington College, the trustees, at the instance of. | Physician-Patient Relationship Making Fun of Patients Medical Students Perceptions and Use of Derogatory and Cynical Humor in Clinical Settings Delese Wear PhD Julie M. Aultman PhD Joseph D. Varley MD and Joseph Zarconi MD Abstract Purpose It has long been known that medical students become more cynical as they move through their training and at times even exhibit ethical erosion. This study examines one dimension of this phenomenon how medical students perceive and use derogatory and cynical humor directed at patients. Method The authors conducted five voluntary focus groups over a three-month period with 58 third- and fourth-year medical students at the Northeastern Ohio Universities College of Medicine in 2005. After transcribing the taped interviews the authors analyzed the data using qualitative methods and identified themes found across groups. Results The categories that emerged from the data were 1 categories of patients who are objects of humor including those deemed fair game due to obesity or other conditions perceived as preventable or self-inflicted 2 locations for humor 3 the humor game including student resident and faculty interaction and initiation of humor 4 not-funny humor and 5 motives for humor including coping and stress relief. Conclusions The authors offer recommendations for addressing the use of derogatory humor directed at patients that include a more critical open discussion of these attitudes and behaviors with medical students residents and attending physicians and more vigorous attention to faculty development for residents. Acad Med. 2006 81 454-462. Editor s Note A Commentary on this Research Report appears on page 415. You can t use our inside jokes with the ones outside all this. Some things have to be kept private Basch. You think parents want to hear schoolteachers making fun of their kids the Fat Man in House of God 1 Cynicism An attitude of scornful or jaded negativity especially a general distrust of the integrity or .

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• successfully conducted
• Atacama Desert
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• Rare and Endemic
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• Medical Physicists
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