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Text
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URL Address
<a href="http://doi.org/10.1097/ACM.0b013e3181782d67" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ACM.0b013e3181782d67</a>
Pages
639–645
Issue
7
Volume
83
Dublin Core
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Title
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Perspective: medical students' perceptions of the poor: what impact can medical education have?
Publisher
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Academic medicine : journal of the Association of American Medical Colleges
Date
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2008
2008-07
Subject
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*Attitude of Health Personnel; *Education; *Empathy; *Prejudice; *Social Perception; Attitudes; Graduate; Health Knowledge; Humans; Medical; Medical/*psychology; Poverty/*psychology; Practice; Social Class; Socioeconomic Factors; Students; Undergraduate; United States
Creator
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Wear Delese; Kuczewski Mark G
Description
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There is currently little knowledge or understanding of medical students' knowledge and attitudes toward the poor. Teaching hospitals bring students face-to-face with poor and uninsured patients on a regular basis. However, an overview of the research available suggests that this contact does not result in students' greater understanding and empathy for the plight of the poor and may, in fact, lead to an erosion of positive attitudes toward the poor. A basic understanding of justice suggests that as the poor are disproportionately the subjects of medical training, this population should enjoy a proportionate benefit for this service. Furthermore, medicine's social contract with the public is often thought to include an ideal of service to the underserved and a duty to help educate the general public regarding the health needs of our nation. In their discussion, the authors situate medical students' attitudes toward the poor within larger cultural perspectives, including attitudes toward the poor and attributions for poverty. They provide three suggestions for improving trainees' knowledge of and attitudes toward the poor-namely, increasing the socioeconomic diversity of students, promoting empathy through curricular efforts, and focusing more directly on role modeling. The authors argue that service learning, especially efforts that include gaining detailed knowledge of a particular person or persons, coupled with critical reflection, presents a very promising direction toward achieving these goals. Finally, they posit an agenda for future educational research that might contribute to the increased efficacy of medical education in this important formative domain.
Identifier
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<a href="http://doi.org/10.1097/ACM.0b013e3181782d67" target="_blank" rel="noreferrer noopener">10.1097/ACM.0b013e3181782d67</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Attitude of Health Personnel
*Education
*Empathy
*Prejudice
*Social Perception
2008
Academic medicine : journal of the Association of American Medical Colleges
Attitudes
Department of Family & Community Medicine
Graduate
Health Knowledge
Humans
Kuczewski Mark G
Medical
Medical/*psychology
NEOMED College of Medicine
Poverty/*psychology
Practice
Social Class
Socioeconomic Factors
Students
Undergraduate
United States
Wear Delese