Abstract
This paper argues that “backstage” gallows humor among clinical mentors not only affects medical students’ perceptions of what it means to be a doctor but is also symptomatic and indicative of a much larger problem in medicine—namely, the failure to attend fully to the complexity and profundity of the lived experiences of illness, suffering, and death. Reorienting the discourse surrounding gallows humor away from whether or in what context it is acceptable and toward the reasons why doctors feel the need to use such humor in the first place addresses this issue in a more illuminating way.
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References
Anonymous. 2014. “I Never Understood the Loss of Empathy During Medical Training. Until Now.” Medpage Today’s KevinMD.com. http://www.kevinmd.com/blog/2014/09/never-understood-loss-empathy-medical-training-now.html.
Bishop, Jeffrey P. 2011. The Anticipatory Corpse: Medicine, Power, and the Care of the Dying. Notre Dame, IN: University of Notre Dame Press.
Block, Susan D., and J. Andrew Billings. 2005. “Learning from the Dying.” New England Journal of Medicine 353(13):1313–5.
Brainard, Andrew H., and Heather C. Brislen. 2007. “Viewpoint: Learning Professionalism: A View from the Trenches.” Academic Medicine 82(11):1010–4.
Dunn, Laura B., Alana Iglewicz, and Christine Moutier. 2008. “A Conceptual Model of Medical Student Well-being: Promoting Resilience and Preventing Burnout.” Academic Psychiatry 32(1):44–53.
Dyrbye, Liselotte, Matthew R. Thomas, and Tait D. Shanafelt. 2005. “Medical Student Distress: Causes, Consequences, and Proposed Solutions.” Mayo Clinic Proceedings 80(12):1613–22.
Elmore, Shekinah. 2011. “A Piece of My Mind. The Good Doctor.” JAMA 306(14):1525–6.
Feudtner, Chris, Dimitri A. Christakis, and Nicholas A. Christakis. 1994. “Do Clinical Clerks Suffer Ethical Erosion? Students’ Perceptions of their Ethical Environment and Personal Development.” Academic Medicine 69(8):670–9.
Gawande, Atul. 2014. Being Mortal: Medicine and What Matters in the End. New York, NY: Metropolitan Books.
Hafferty, Frederic William. 2008. “Professionalism and the Socialization of Medical Students.” In Teaching Medical Professionalism, edited by Richard L. Creuss, Silvia R. Creuss, and Yvonne Steinert, 53–73. New York, NY: Cambridge University Press.
Inui, Thomas S. 2003. A Flag in the Wind: Educating for Professionalism in Medicine. Washington, DC: Association of American Medical Colleges.
Kay, Jerald. 1990. “Traumatic Deidealization and the Future of Medicine.” JAMA 263(4):572–3.
Kumagai, Arno K, and Thirusha Naidu. 2015. “Reflection, Dialogue, and the Possibilities of Space.” Academic Medicine 90(3): 283–288.
Liaison Committee on Medical Education. 2014. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. LCME, http://www.lcme.org/publications.htm.
Montgomery, Kathryn. 2005. How Doctors Think: Clinical Judgment and the Practice of Medicine. New York, NY: Oxford University Press.
Newton, Bruce W., Laurie Barber, James Clardy, Elton Cleveland, and Patricia O’Sullivan. 2008. “Is There Hardening of the Heart during Medical School?” Academic Medicine 83(3):244–9.
Olthuis, Gert, and Wim Dekkers. 2003. “Medical Education, Palliative Care and Moral Attitude: Some Objectives and Future Perspectives.” BMC Medical Education 37(10):928–33.
Poirier, Suzanne. 2009. Doctors in the Making: Memoirs and Medical Education. Iowa City, IA: University of Iowa Press.
Rousseau, Cecile, and Toby Measham. 2007. “Posttraumatic Suffering as a Source of Transformation.” In Understanding Trauma: Integrating Biological, Clinical and Cultural Perspectives, edited by Laurence J. Kirmayer, Robert Lemelson, and Mark Barad, 275–93. Cambridge, U.K.: Cambridge University Press.
Shapiro, Johanna. 2008. “Walking a Mile in Their Patients’ Shoes: Empathy and Othering in Medical Students’ Education.” Philosophy, Ethics & Humanities in Medicine 3(1):10–21.
Shapiro, Johanna, Deborah Kasman, and Audrey Shafer. 2006. “Words and Wards: A Model of Reflective Writing and its Uses in Medical Education.” The Journal of Medical Humanities 27(4):231–44.
Shapiro, Johanna, Jack Coulehan, Delese Wear, and Martha Montello. 2009. “Medical Humanities and Their Discontents: Definitions, Critiques, and Implications.” Academic Medicine 84(2): 192–8.
Shay, Jonathan. 1994. Achilles in Vietnam: Combat Trauma and the Undoing of Character. New York: NY, Scribner; 1994.
-----. 2011. “Casualties.” Daedalus. 140:179–188.
Sklar, David P. 2014. “Mistreatment of Students and Residents: Why Can’t We Just be Nice?” Academic Medicine 89(5):693–5.
Treadway, Katharine. 2007. “The Code.” New England Journal of Medicine 357(13): 1273–5.
Watson, Katie. 2011. “Gallows Humor in Medicine.” Hastings Center Report 41(5):37–45.
Wear, Delese, Julie M. Aultman, Joseph D. Varley, and Joseph Zarconi. 2006. “Making Fun of Patients: Medical Students’ Perceptions and Use of Derogatory and Cynical Humor in Clinical Settings.” Academic Medicine 81(5):454–62.
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Piemonte, N.M. Last Laughs: Gallows Humor and Medical Education. J Med Humanit 36, 375–390 (2015). https://doi.org/10.1007/s10912-015-9338-4
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DOI: https://doi.org/10.1007/s10912-015-9338-4