Making fun of patients: medical students' perceptions and use of derogatory and cynical humor in clinical settings.

Title

Making fun of patients: medical students' perceptions and use of derogatory and cynical humor in clinical settings.

Creator

Wear Delese; Aultman Julie M; Varley Joseph D; Zarconi Joseph

Publisher

Academic medicine : journal of the Association of American Medical Colleges

Date

2006
2006-05

Description

PURPOSE: It has long been known that medical students become more cynical as they move through their training, and at times even exhibit "ethical erosion." This study examines one dimension of this phenomenon: how medical students perceive and use derogatory and cynical humor directed at patients. METHOD: The authors conducted five voluntary focus groups over a three-month period with 58 third- and fourth-year medical students at the Northeastern Ohio Universities College of Medicine in 2005. After transcribing the taped interviews, the authors analyzed the data using qualitative methods and identified themes found across groups. RESULTS: The categories that emerged from the data were (1) categories of patients who are objects of humor, including those deemed "fair game" due to obesity or other conditions perceived as preventable or self-inflicted; (2) locations for humor; (3) the "humor game," including student, resident, and faculty interaction and initiation of humor; (4) not-funny humor; and (5) motives for humor, including coping and stress relief. CONCLUSIONS: The authors offer recommendations for addressing the use of derogatory humor directed at patients that include a more critical, open discussion of these attitudes and behaviors with medical students, residents, and attending physicians, and more vigorous attention to faculty development for residents.

Subject

*Attitude of Health Personnel; *Attitude to Health; *Physician-Patient Relations; *Social Perception; *Wit and Humor as Topic; Adult; Female; Focus Groups; Humans; Interviews as Topic; Male; Medical; Medical/*psychology; Mentally Ill Persons; Morbid; Obesity; Ohio; Quality of Health Care; Sociology; Stereotyping; Students

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

454–462

Issue

5

Volume

81

Citation

Wear Delese; Aultman Julie M; Varley Joseph D; Zarconi Joseph, “Making fun of patients: medical students' perceptions and use of derogatory and cynical humor in clinical settings.,” NEOMED Bibliography Database, accessed August 5, 2021, https://neomed.omeka.net/items/show/4288.

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