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Soc Sci Med. 2017 May 27;186:70-77. doi: 10.1016/j.socscimed.2017.05.048. [Epub ahead of print]

'You do not cross them': Hierarchy and emotion in doctors' narratives of power relations in specialist training.

Author information

1
Royal College of Surgeons in Ireland, Department of Epidemiology and Public Health Medicine, Ireland. Electronic address: sophiecrowe@rcsi.ie.
2
Royal College of Surgeons in Ireland, Department of Epidemiology and Public Health Medicine, Ireland. Electronic address: nicholasclarke@rcsi.ie.
3
Royal College of Surgeons in Ireland, Department of Epidemiology and Public Health Medicine, Ireland. Electronic address: rbrugha@rcsi.ie.

Abstract

Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone interviews with fifty doctors at initial and advanced stages of specialist postgraduate training in teaching hospitals across Ireland, conducted between May and July, 2015. The study found that respect for hierarchy, anger and fear, intimidation, and disillusion were key themes in participants' narratives of relationships with senior staff who oversaw their postgraduate training. The implications of these emotional subjectivities for quality of training, patient care and willingness of junior doctors to pursue careers in Ireland, are discussed and recommendations and areas for further research proposed.

KEYWORDS:

Emotion; Hierarchy; Ireland; Medical education; Power; Qualitative research

PMID:
28587868
DOI:
10.1016/j.socscimed.2017.05.048
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