Everyday classism in medical school: experiencing marginality and resistance

Objective  To explore the medical school experiences of students who self‐identify as coming from a working‐class or impoverished family background. Methods  A questionnaire was administered to Year 3 medical students at a Canadian medical school and in‐depth interviews were held with 25 of these st...

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Published in:Medical education Vol. 39; no. 8; pp. 777 - 784
Main Author: Beagan, Brenda L
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Science Ltd 01.08.2005
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ISSN:0308-0110, 1365-2923
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Abstract Objective  To explore the medical school experiences of students who self‐identify as coming from a working‐class or impoverished family background. Methods  A questionnaire was administered to Year 3 medical students at a Canadian medical school and in‐depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2). Results  While having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working‐class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment. Conclusion  Students from working‐class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of ‘everyday classism’ they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.
AbstractList To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2). While having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working-class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment. Students from working-class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of 'everyday classism' they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.
To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background.OBJECTIVETo explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background.A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2).METHODSA questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2).While having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working-class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment.RESULTSWhile having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working-class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment.Students from working-class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of 'everyday classism' they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.CONCLUSIONStudents from working-class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of 'everyday classism' they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.
Objective  To explore the medical school experiences of students who self‐identify as coming from a working‐class or impoverished family background. Methods  A questionnaire was administered to Year 3 medical students at a Canadian medical school and in‐depth interviews were held with 25 of these students (cohort 1). The same methods were repeated with another Year 3 class 3 years later (cohort 2). Results  While having (or not having) money was the most obvious impact of social class differences, students also discussed more subtle signs of class that made it easier or more difficult to fit in at medical school. Students from working‐class or impoverished backgrounds were significantly less likely to report that they fitted in well, and more likely to report that their class background had a negative impact in school. They were also more likely to indicate awareness that a patient's social class may affect their health care treatment. Conclusion  Students from working‐class or impoverished backgrounds may experience alienation in medical school. Through the commonplace interactions of ‘everyday classism’ they may experience marginalisation, isolation, disrespect and unintentional slights. At the same time, they suggest that their experiences of exclusion may strengthen their clinical practice.
Author Beagan, Brenda L
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Cites_doi 10.1037/h0087722
10.2307/3341493
10.4135/9781483345239
10.1515/9780773563070
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Keywords Medicine
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medical
Questionnaire
education
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Snippet Objective  To explore the medical school experiences of students who self‐identify as coming from a working‐class or impoverished family background. Methods  A...
Objective To explore the medical school experiences of students who self‐identify as coming from a working‐class or impoverished family background. Methods A...
To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. A questionnaire was...
To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background.OBJECTIVETo explore...
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StartPage 777
SubjectTerms Adult
Canada
Cohort Studies
Curriculum subjects: programmes and methods
education
Educational sciences
Female
Humans
Interpersonal Relations
Male
medical
Medical and paramedical education
medical/psychology
Nova Scotia
qualitative research
questionnaires
Self Concept
Social Class
socio-economic factors
students
Students, Medical - statistics & numerical data
Surveys and Questionnaires
Teaching methods
undergraduate/methods
Title Everyday classism in medical school: experiencing marginality and resistance
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https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1365-2929.2005.02225.x
https://www.ncbi.nlm.nih.gov/pubmed/16048620
https://www.proquest.com/docview/202938239
https://www.proquest.com/docview/68086128
Volume 39
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