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T0041


The human cost of becoming a medical doctor: a social and emotional reading from medical diaries using the capability approach in Lima, Peru 
Author:
Diego Luza (Universidad Científica del Sur)
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Format:
Individual paper
Theme:
Health inequalities, disability and aging

Short Abstract:

This article provides a reading of the diaries of a medical doctor from a capability approach and sociological theory perspective. The educational system built around the training of medical doctors is reconstructed. Learning takes place, not only related to medical knowledge (treatments and diagnostics), but also attitudes, emotions and behaviors from interactions in the hospital scenery.

Long Abstract:

This article seeks to make a reading of the diaries of medical doctor from a capabilities approach and sociological theory perspective related to educational processes (in this case, training of medical doctors). What is proposed is to reconstruct, through different testimonies, the functioning of the educational system built around the training of medical doctors, especially in a crucial period such as the internship and medical residency, in which learning takes place in the scenery of the hospital. It is in this enviroment that learning takes place, not only related to medical knowledge (treatments and diagnostics of diseases) but also attitudes, emotions and behaviors that come from interactions between patients, doctors, residents and interns that introduce how medicine is practiced and taught in Peru. What type of education do the medical students have? What do you learn of this type of education? And what kind of doctors emerge from this educational system? To resolve these unknowns, the article will be presented in three sections.

In the first section, the theoretical and methodological frameworks that are used to analize the testimonies will be presented. The scope will be placed on contributions that the capabilities approach, educational sociological theory and emotions can provide to analyze this testimony, mainly in the capability to go about life without shame. Also the related sociological theory regarding educational processes from a critical perspective will be mentioned. The second part will show the most important findings from the analysis made to the testimony with the framework presented. Based on the testimonies, the medical education system will be characterized and the effects on the professional training of future medical doctors will be analized, as well as in the quality of the health attention that these professionals give to their patients. Finally, the conclusions will present the kind of professionals that this educational medical system provides: individuals that, in a context of inequialities and lack of resources of the Peruvian healthcare public system, reproduce those inequalities in the healthcare attention and relationship with the patients.