Submission ID 77921
| Code | OG-5-2 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Student |
| Title | "What's the Culture in Medicine?": Exploring Medical Culture From the Perspective of Medical Students in Clerkship |
| Background/Purpose | Despite frequent reference to "culture change" in discussions surrounding wellbeing in medicine and medical education, little work has been done to elucidate how medical students conceptualize culture, how they believe this impacts wellbeing and their perspectives on culture change. This study aimed to gain a deeper understanding of how clerkship medical students conceptualize the culture in medicine, and determine what influences and shapes this perception. |
| Methods | Qualitative, semi-structured interviews were conducted with 15 clerkship students attending three different Canadian medical schools via Zoom. The interview transcripts were coded and in-depth thematic analysis conducted by a team of 3 researchers. |
| Results | Our analysis revealed a number of themes including that medical culture is partly shaped by how learners perceive and attempt to navigate the learning environment including aspects of the hidden curriculum, that the medical hierarchy and power structures are very prominent in medicine, and that the learning environment is highly competitive which leads to the need for "impression management." Ultimately these contribute to the overarching sense that the culture in medicine does not prioritize wellbeing amongst learners and staff. Participants noted adapting to this culture required one to not internalize and instead reframe negative experiences. |
| Discussion | Our in-depth exploration of how clerkship students conceptualized and perceived the culture of medicine revealed that learners view many aspects of the learning environment as negative. These findings provide insight into many tangible opportunities for educators and mentors to address in our quest to improve medical culture and wellbeing within medical education. |
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| Abstract content most relevant to: (check all that apply) | Undergraduate Medical Education |
| Abstract Track - First Choice | Wellness and the culture of medicine |
| Authors | Anita Truong Anita Truong Rishi Durupala Cheryl Goldstein Victor Do |
