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Between two worlds

Medical student perceptions of humor and slang in the hospital setting
  • Genevieve Noone Parsons
  • Sara B. Kinsman
  • Charles L. Bosk
  • Pamela Sankar
  • Peter A. Ubel
Original Articles

Abstract

OBJECTIVE: Residents frequently use humor and slang at the expense of patients on the clinical wards. We studied how medical students react to and interpret the “appropriateness” of derogatory and cynical humor and slang in a clinical setting.

DESIGN: Semistructured, in-depth interviews.

SETTING: Informal meeting spaces.

PARTICIPANTS: Thirty-three medical students.

MEASUREMENTS: Qualitative content analysis of interview transcriptions.

MAIN RESULTS: Students’ descriptions of the humorous stories and their responses reveal that students are able to take the perspective of both outsiders and insiders in the medical culture. Students’ responses to these stories show that they can identify the outsider’s perspective both by seeing themselves in the outsider’s role and by identifying with patients. Students can also see the insider’s perspective, in that they identify with residents’ frustrations and disappointments and therefore try to explain why residents use this kind of humor. Their participation in the humor and slang—often with reservations—further reveals their ability to identify with the perspective of an insider.

CONCLUSIONS: Medical students describe a number of conflicting reactions to hospital humor that may enhance and exacerbate tensions that are already an inevitable part of training for many students. This phenomenon requires greater attention by medical educators.

Key words

medical education ethics qualitative interview medical students medical humor 

References

  1. 1.
    Shem S. The House of God. New York, NY: Richard Marek Publishers; 1978.Google Scholar
  2. 2.
    Coombs RH, Chopra S, Schenk DR, Yutan E. Medical slang and its functions. Soc Sci Med. 1993;36:987–98.PubMedCrossRefGoogle Scholar
  3. 3.
    George V, Dundes A. The gomer: a figure of American hospital folk speech. J Amer Folklore. 1978;91:568–81.CrossRefGoogle Scholar
  4. 4.
    Leiderman DB, Grisso J-A. The gomer phenomenon. J Health Soc Behav. 1985;26:222–3.PubMedCrossRefGoogle Scholar
  5. 5.
    Goffman E. The Presentation of Self in Everyday Life. Garden City, NJ: Anchor-Doubleday; 1959.Google Scholar
  6. 6.
    Hughes EC. The Sociological Eye: Selected Papers on Work, Self and Society. Chicago, Ill: The University of Chicago Press; 1971.Google Scholar
  7. 7.
    Becker HS, Geer B, Hughes EC, Strauss AL. The Boys in White: Student Culture in Medical School. Chicago, Ill: The University of Chicago Press; 1961.Google Scholar
  8. 8.
    Donnelly WJ. Medical language as symptom: doctor talk in teaching hospitals. Perspect Biol Med. 1986;30:81–94.PubMedGoogle Scholar
  9. 9.
    Schwarz H. A person is a person and a shpos is not. Man Med. 1980;5:226–8.Google Scholar
  10. 10.
    Feudtner C, Christakis D, Christakis NA. Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environment and personal development. Acad Med. 1994;69:670–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Brim JA, Spain DH. Research Design in Anthropology: Paradigms and Pragmatics in the Testing of Hypotheses. New York: Holt, Rinehart and Winston; 1974.Google Scholar
  12. 12.
    Pope C, Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995;311:42–5.PubMedGoogle Scholar
  13. 13.
    Van McCrary S, Christensen RC. Slang ‘On Board’. Arch Fam Med. 1993;2:101–5.PubMedCrossRefGoogle Scholar
  14. 14.
    Andre J. Learning to see: moral growth during medical training. J Med Ethics. 1992;18:148–52.PubMedCrossRefGoogle Scholar
  15. 15.
    Mizrahi T. Getting Rid of Patients: Contradictions in the Socialization of Physicians. New Brunswick, NJ: Rutgers University Press; 1986.Google Scholar
  16. 16.
    Hahn SR, Croen LG, Kupfer R, Levin G. A method for teaching human values in clinical clerkship through group discussion. Teach Learn Med. 1991;3:143–50.CrossRefGoogle Scholar
  17. 17.
    Lief HI, Fox RC. Training for detached concern in medical students. In: Lief HI, ed. The Psychological Basis of Medical Practice. New York, NY: Hoeber Medical Division, Harper and Row; 1963:12–35.Google Scholar
  18. 18.
    Konner M. Becoming a Doctor: A Journey of Initiation in Medical School. New York, NY: Viking; 1987.Google Scholar
  19. 19.
    Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med. 1994;69:861–71.PubMedCrossRefGoogle Scholar

Copyright information

© Blackwell Science Inc 2001

Authors and Affiliations

  • Genevieve Noone Parsons
    • 1
    • 2
  • Sara B. Kinsman
    • 1
    • 3
  • Charles L. Bosk
    • 1
    • 4
  • Pamela Sankar
    • 1
  • Peter A. Ubel
    • 5
    • 6
  1. 1.Received from the Center for BioethicsUniversity of Pennsylvania School of MedicinePhiladelphia
  2. 2.the Department of PediatricsJohns Hopkins UniversityBaltimore
  3. 3.the Craig-Dalsimer, Division of Adolescent MedicineThe Children’s Hospital of PhiladelphiaPhiladelphia
  4. 4.the Department of SociologyUniversity of PennsylvaniaPhiladelphia
  5. 5.the Division of General Internal MedicineUniversity of Michigan School of MedicineAnn Arbor
  6. 6.the Veterans Affairs Medical CenterAnn Arbor

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