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To Be and Not To Be: The Paradox of the Emerging Professional Stance. Ginsburg S, Regher G, Lingard, L. Med Ed 37, 350-357 Briefly reviewed by Steve Miller, Columbia University


To Be and Not To Be: The Paradox of the Emerging Professional Stance. Ginsburg S, Regher G, Lingard, L. Med Ed 37, 350-357

Briefly reviewed by Steve Miller, Columbia University

This is a fascinating study - that looks at student narratives describing lapses in professionalism. Students describe being in a "double bind" - in which they must choose to intervene to prevent the lapse, or maintain cohesiveness in front of the team or patient. The authors state that most narratives reveal that students vacillate between action and dissociation (which facilitates non action).The take home point? Students need specific strategies for trying to go beyond the two choices - each which is inadequate - and be able to act in a way that maintains the trust of the patient.

(Do you explicitly teach about Humanism and or Professionalism in your clerkship? SM)

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