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Medical students' views on what professionalism means: an Ubuntu perspective.
Advances in Health Sciences Education ( IF 4 ) Pub Date : 2023-09-15 , DOI: 10.1007/s10459-023-10280-5
Mantoa Mokhachane 1 , Lionel Green-Thompson 2 , Ann George 1 , Tasha Wyatt 3 , Ayelet Kuper 4
Affiliation  

Medical training has become a global phenomenon, and the Physician's Charter (PC), as a missionary document, is key to training those outside the Global North. Undergraduate and postgraduate students in the medical profession are sometimes trained in contexts foreign to their social and ontological backgrounds. This might lead to confusion and blunders, creating an impression of what might look and feel unprofessional to those unfamiliar with the local context. Understanding the cultural backgrounds of the trainees is crucial, and the reverse is also as important. It is essential for clinicians and trainees to understand the cultural backgrounds of their patients to avoid miscommunication. In this phenomenological study, we recruited participants in 2020 who were in their first to fourth year of study of medical training during the #FeesMustFall protests. We used data from this extensive study looking at students' experiences during their training amidst protest and social upheavals in a South African tertiary institution. For this paper, we examined what professionalism means to the student participants using an African Ubuntu lens. Ubuntu and the Collective Finger theory were used to investigate what professionalism means to participants. The Ubuntu philosophy was compared to the PC. In the findings, the clinical space is hierarchical, silencing and the opposite of what Ubuntu means. In comparison to the PC, respect is overarching while compassion and responsibility are the most comparable to the Charter. This study adds an African voice to the professionalism discourse while showing African elements that could be aligned to the PC to challenge the current global discourses.

中文翻译:

医学生对专业精神的看法:Ubuntu 视角。

医疗培训已成为一种全球现象,而《医师宪章》(PC) 作为一份传教文件,对于培训北半球以外的人员至关重要。医学专业的本科生和研究生有时会在与其社会和本体背景不同的环境中接受培训。这可能会导致混乱和错误,给那些不熟悉当地环境的人留下看起来和感觉不专业的印象。了解学员的文化背景至关重要,反之亦然。临床医生和学员必须了解患者的文化背景,以避免沟通不畅。在这项现象学研究中,我们招募了 2020 年 #FeesMustFall 抗议期间医学培训学习第一年至第四年的参与者。我们使用了这项广泛研究的数据,调查了学生在南非一所高等教育机构的抗议和社会动乱中接受培训的经历。在本文中,我们使用非洲 Ubuntu 镜头研究了专业精神对学生参与者意味着什么。Ubuntu 和集体手指理论被用来调查专业精神对参与者意味着什么。Ubuntu 的哲学与 PC 进行了比较。在研究结果中,临床空间是分层的、沉默的,与 Ubuntu 的含义相反。与个人电脑相比,尊重是至高无上的,而同情心和责任感与《宪章》最具有可比性。这项研究在专业主义话语中加入了非洲的声音,同时展示了可以与个人电脑结合起来挑战当前全球话语的非洲元素。
更新日期:2023-09-15
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