Becoming a Professional Doctor
The chapter begins with a brief historical overview of medical education. This is followed by an examination of the current sociocultural climate in which medical practitioners work. This is a climate which has seen rapid change in the public perception of the medical profession as a result of high-profile cases of ‘bad doctors’, better educated patients as a result of information via the Internet, self-regulation successes and failures and the changing status of doctors. The chapter then highlights the key stages in the journey from a lay person to becoming a medical practitioner. The author identifies seven key stages in becoming a doctor: selection, medical studies, junior doctor, the hidden curriculum, mentors, working in a team and professional maturity. In a detailed examination of each of the stages, the author highlights issues such as medical elitism, theory and practice tensions and junior doctor status.
KeywordsMedical Student Medical Education Professional Identity Junior Doctor Clinical Teacher
- AAMC & Colleges, A. O. A. M. (2008). US medical school applicants and matriculants by school, state of legal residence and sex 2008. http://www.aamc.org/data/facts.html. Accessed July 22, 2009.
- Coulehan, J., & Williams, P. C. (2000). Professional ethics and social activism. In D. Wear & J. Bickel (Eds.), Educating for professionalism, creating a culture of humanism in medical education (pp. 49–72). Iowa: University of Iowa Press.Google Scholar
- Douglas, N., Robinson, J., & Fahy, K. (2001). Inquiry into obstetric and gynaecological services at King Edward Memorial Hospital 1990–2000. http://www.wnhs.health.wa.gov.au/general/KEMH_Inquiry/reports.htm. Accessed July 24, 2009.
- Flexner, A. (1910). Medical education in the United States and Canada. A report to the Carnegie Foundation for the advancement of teaching. New York City: Carnegie Foundation.Google Scholar
- Friere, P. (1996). Pedagogy of the oppressed (M. B. Ramos, Trans. 7th ed.). London: Penguin Books.Google Scholar
- Harris Interactive (2006). Doctors and teachers most trusted among 22 occupations. The Harris Poll. http://www.harrisinteractive.com/harris_poll/index.asp?PID=688. Accessed November 29, 2009.
- Hippocrates (Circa 400BC). The Law. http://www.ebooks.adelaide.edu.au/h/hippocrates/law/. Accessed July 3, 2009 from eBooks@Adelaide 2007.
- Inui, T. S. (2003). A flag in the wind: Educating for professionalism in medicine. Washington DC: Association of American Medical Colleges.Google Scholar
- Ipsos MORI (2006). Public trust in professional group. http://www.marketresearchworld.net/index.php?option=com_content&task=view&id=964&Itemid=77. Accessed November 29, 2009.
- Jenkins, R. (2008). Social identity (3rd ed.). Abingdon, Oxon: Routledge.Google Scholar
- Oxford Dictionary (2009). Ask oxford.com, from http://www.askoxford.com/?view=uk
- Pikoulis, E., Msaouel, P., Avgerinos, E. D., Anagnostopoulou, S., & Tsigris, C. (2008). Evolution of medical education in ancient Greece. Chinese Medical Journal, 121(21), 2202–2206.Google Scholar
- Royal College of Physicians UK (1518). Founding charter. http://www.rcplondon.ac.uk/history-heritage/College-history-new/Pages/Overview.aspx. Accessed August 1, 2009.
- School of Clinical Medicine Cambridge (2009). History of the School of Clinical Medicine, Cambridge. http://www.medschl.cam.ac.uk/about/history.html. Accessed August 20, 2009.
- Shem, S. (1978/2003). The house of God. New York: Delta Trade Paperbacks.Google Scholar
- Smith, D. J. (2002). The shipman inquiry (First report). http://www.the-shipman-inqiry.org.uk/firstreport.asp. Accessed October 4, 2009.
- Suchman, A. L., Williamson, P. R., Litzelman, D. K., Frankel, R. M., Mossbarger, D. L., Inui, T. S., et al. (2004). Toward an informal curriculum that teaches professionalism. Transforming the social environment of a medical school. Journal of General Internal Medicine, 19(5 Pt 2), 501–504.CrossRefGoogle Scholar
- Sullivan, A. (2006, June 23). How doctors got into the torture business. Time U.S. in Partnership with CNN, on-line at http://www.time.com/time/nation/article/0,8599,1207633,00.html. Accessed November 20, 2009.
- Trewin, Y. (1960). Jean becomes a nurse. London and Glasgow: Collins.Google Scholar
- Wenger, E. (2006). Communities of practice, learning, meaning and identity. New York: Cambridge University Press.Google Scholar
- Wilkinson, D., Zhang, J., Byrne, G., Luke, H., Ozolins, I., Parker, M., et al. (2008). Medical school selection criteria and the prediction of academic performance. MJA, 188(6), 349–354.Google Scholar
- Wilson, L. (2009, 5 November). Cosmetic surgeon ruled out hospital. The Australian.Google Scholar
- World Federation for Medical Education. (2003a). Basic medical education – WFME global standards for quality improvement. Denmark: WFME Office, University of Copenhagen.Google Scholar
- World Federation for Medical Education. (2003b). Continuing Professional Development (CPD) of medical doctors – WFME global standards for quality improvement. Denmark: WFME Office, University of Copenhagen.Google Scholar
- World Federation for Medical Education. (2003c). Postgraduate medical education - WFME global standards for quality improvement. Denmark: WFME Office, University of Copenhagen.Google Scholar
- World Federation for Medical Education (2007). World Federation for Medical Education. In F. O. H. S. University of Copenhagen, The Panum Institute (Ed.). Copenhagen: WFME.Google Scholar
- Wymer, N. (1958). Medical scientists and doctors. Oxford, UK: Oxford University Press.Google Scholar