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«Empecé a preguntarme si me estoy volviendo emocionalmente insensible». Antecedentes socioculturales, currículo oculto y autorreflexión moral en el desarrollo de la identidad profesional médica: un estudio cualitativo

DOI

10.22550/2174-0909.4627

Abstract

The focus of our study is personal, emotional, and moral development of medical students in the context of their medical school experience, and the impact of hidden curriculum on the formation of their professional identity. We conducted interviews with 26 fourth-year students and analysed them by methods of content and discourse analysis. Several factors impacting the adaptation to the medical environment and the adoption of professional identity emerged as significant: their sociocultural background, the institutional culture of medical school, and the practice of moral self-reflection. The adaptation to medical environments and the appropriation of professional roles come more easily to students from medical families, yet present significant challenges to students from non-medical families who are more likely to be impacted by both positive and negative aspects of the hidden curriculum. Students who expressed moral self-reflection were capable of critically assessing the impact of the medical environment on their personal and professional development. We suggest that the provision of safe space for students to reflect on their subjective experiences might be both an educational and therapeutic intervention supporting development of moral and professional integrity, while faculty mentorship might partially compensate for the lack of privilege of medical family background.

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Author Biography

Tereza Pinkasová. Medical doctor, psychotherapist, and doctoral student at the Department of Medical Ethics and Humanities, Third Faculty of Medicine, Charles University, Prague. She graduated from Charles University in 2016 with a medical degree, and in 2018 completed the Educational Program of Pedagogical Skills focused on higher education, ibid. In 2019, she completed training in psychodynamic psychotherapy. Her research focuses on medical education and the moral and personal development of medical students.

https://orcid.org/0000-0002-8834-5411

Lydie Fialová. She studied Medicine and Humanities in Prague and Tübingen, and Social Anthropology in Edinburgh and London. She has taught Medical Ethics, Philosophy and Anthropology at Charles, Boston, and Edinburgh universities for over a decade. Also, as a fellow in medical education, she oversaw teaching of Medical Ethics and Law at Edinburgh university. Taking a career break for family reasons, she now works as independent researcher and writer, collaborating on research projects and teaching courses in medical education, planetary health, and ecological humanities, inspired by experiential and dialogical pedagogy.

https://orcid.org/0000-0002-6891-1877

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Creative Commons Attribution-NonCommercial 4.0 International License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

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Palabras clave | Keywords

Medical students, medical education, professional identity, hidden curriculum, moral self-reflection, institutional culture, sociocultural background.