Stoking the fires of professional resistance: Trainees' efforts across time.
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| Názov: | Stoking the fires of professional resistance: Trainees' efforts across time. |
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| Autori: | Wyatt TR; Department of Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA., Scarlett E; Department of Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA., Jain V; Department of Pulmonary, Critical Care and Sleep Medicine, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA., Ma TL; Department of Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. |
| Zdroj: | Medical education [Med Educ] 2025 Feb; Vol. 59 (2), pp. 182-187. Date of Electronic Publication: 2024 Aug 19. |
| Spôsob vydávania: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 7605655 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2923 (Electronic) Linking ISSN: 03080110 NLM ISO Abbreviation: Med Educ Subsets: MEDLINE |
| Imprint Name(s): | Publication: Oxford : Wiley-Blackwell Original Publication: Oxford, Blackwell Scientific Publications. |
| Výrazy zo slovníka MeSH: | Grounded Theory*, Humans ; Male ; Female ; Students, Medical/psychology ; Longitudinal Studies ; Time Factors ; Social Justice ; Interviews as Topic ; Qualitative Research |
| Abstrakt: | Introduction: Researchers who study acts of resistance largely focus on efforts when they are at their peak, giving the impression that those who resist are in a constant state of arousal. What is missing in such studies is the variable of time, which is theorised to be intimately connected to power and resistance. To explore this aspect, we followed a group of trainees engaged in professional resistance against social injustice over the period of 1 year to understand how their efforts shifted across time. This longitudinal approach was meant to capture the temporality of resistance, specifically how time affects resistance efforts. Methods: Using a constructivist grounded theory approach for data collection and analysis, we conducted follow-up interviews with 13 trainees approximately 10 months apart. Interviews were analysed using holistic narrative analysis, in which we analysed contexts, subjectivities and interactions across the two time points. We then conducted a cross-case analysis and restoried the data to develop an understanding of how resistance shifts across time. Finally, we contextualised the data using the metaphor of open and zombie wildfires. Results: The findings demonstrate that when trainees transition to new institutions or professional positions, their access to power and interactions with colleagues shift, thus making it challenging for them to resist in ways they had done so earlier. In transitions where trainees were given power, the flames of resistance continued to blaze visibly. In other cases, without an appreciable change in power, resistance resembled more of a 'zombie fire', smouldering quietly underfoot. Discussion: Examining trainees' acts of resistance across time demonstrates that the work of advocacy and resistance is extremely taxing for trainees. Therefore, when they experience shifts in their context or subjectivity, they conserve energy and strategise their next move. This study provides new insight on the relationship between time and resistance. (Published 2024. This article is a U.S. Government work and is in the public domain in the USA.) |
| Komentáre: | Comment in: Med Educ. 2025 Feb;59(2):135. doi: 10.1111/medu.15600. (PMID: 39777690) |
| References: | Wyatt TR, Ma T, Ellaway R. Physician resistance to injustice: a scoping review. Soc Sci Med. 2023;320:115727. doi:10.1016/j.socscimed.2023.115727. Wyatt TR, Jain V, Ma T. ‘When I stood up for something it's because I felt a … moral violation’: trainees' acts of resistance against social harm and injustice. Med Educ. 2024;58(4):457‐463. doi:10.1111/medu.15256. Wyatt T, Jain V, Ma T. “I never wanted to burn any bridges”: discerning between pushing too hard and not enough in trainees' professional acts of resistance. Adv Health Sci Educ. 2024. doi:10.1007/s10459‐024‐10312‐8. Wyatt T, Jain V, Ma T. The enemy within: the new war in medical education. Soc Sci Med. 2024;355:117138. doi:10.1016/j.socscimed.2024.117138. Vanstone M, Grierson L. Medical students strategies for actively negotiating hierarchy in the clinical environment. Med Educ. 2019;53(10):1013‐1024. doi:10.1111/medu.13945. Essex R, Aked H, Daiels R, Newton P, Weldon S. 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| Grant Information: | R.0038013.3.11 Uniformed Services University of the Health Sciences |
| Entry Date(s): | Date Created: 20240820 Date Completed: 20250108 Latest Revision: 20250114 |
| Update Code: | 20250114 |
| DOI: | 10.1111/medu.15489 |
| PMID: | 39161226 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Introduction: Researchers who study acts of resistance largely focus on efforts when they are at their peak, giving the impression that those who resist are in a constant state of arousal. What is missing in such studies is the variable of time, which is theorised to be intimately connected to power and resistance. To explore this aspect, we followed a group of trainees engaged in professional resistance against social injustice over the period of 1 year to understand how their efforts shifted across time. This longitudinal approach was meant to capture the temporality of resistance, specifically how time affects resistance efforts.<br />Methods: Using a constructivist grounded theory approach for data collection and analysis, we conducted follow-up interviews with 13 trainees approximately 10 months apart. Interviews were analysed using holistic narrative analysis, in which we analysed contexts, subjectivities and interactions across the two time points. We then conducted a cross-case analysis and restoried the data to develop an understanding of how resistance shifts across time. Finally, we contextualised the data using the metaphor of open and zombie wildfires.<br />Results: The findings demonstrate that when trainees transition to new institutions or professional positions, their access to power and interactions with colleagues shift, thus making it challenging for them to resist in ways they had done so earlier. In transitions where trainees were given power, the flames of resistance continued to blaze visibly. In other cases, without an appreciable change in power, resistance resembled more of a 'zombie fire', smouldering quietly underfoot.<br />Discussion: Examining trainees' acts of resistance across time demonstrates that the work of advocacy and resistance is extremely taxing for trainees. Therefore, when they experience shifts in their context or subjectivity, they conserve energy and strategise their next move. This study provides new insight on the relationship between time and resistance.<br /> (Published 2024. This article is a U.S. Government work and is in the public domain in the USA.) |
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| ISSN: | 1365-2923 |
| DOI: | 10.1111/medu.15489 |