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Detached concern?: Emotional socialization in twenty-first century medical education

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  • Underman, Kelly
  • Hirshfield, Laura E.

Abstract

Early works in medical sociology have been pivotal in the development of scholarly knowledge about emotions, emotional socialization, and empathy within medical training, medical education, and medical contexts. Yet despite major shifts in both medical education and in medicine writ-large, medical sociologists’ focus on emotions has largely disappeared. In this paper, we argue that due to recent radical transformations in the medical arena, emotional socialization within medical education should be of renewed interest for sociologists. Developments in medical education such as increased diversity among enrollees, the rise of patient health movements, and curricular transformation have made this context a particularly interesting case for sociologists working on a variety of questions related to structural, organizational, and cultural change. We offer three areas of debate within studies in medical education that sociologists may be interested in studying: 1) gendered and racialized differences in the performance of clinical skills related to emotion, 2) differences in self-reported empathy among subspecialties, and 3) loss of empathy during the third year or clinical year of medical school.

Suggested Citation

  • Underman, Kelly & Hirshfield, Laura E., 2016. "Detached concern?: Emotional socialization in twenty-first century medical education," Social Science & Medicine, Elsevier, vol. 160(C), pages 94-101.
  • Handle: RePEc:eee:socmed:v:160:y:2016:i:c:p:94-101
    DOI: 10.1016/j.socscimed.2016.05.027
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    References listed on IDEAS

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    1. Weisman, Carol S. & Teitelbaum, Martha Ann, 1985. "Physician gender and the physician-patient relationship: Recent evidence and relevant questions," Social Science & Medicine, Elsevier, vol. 20(11), pages 1119-1127, January.
    2. Underman, Kelly, 2015. "Playing doctor: Simulation in medical school as affective practice," Social Science & Medicine, Elsevier, vol. 136, pages 180-188.
    3. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
    4. L. Aubree Shay & Jennifer Elston Lafata, 2015. "Where Is the Evidence? A Systematic Review of Shared Decision Making and Patient Outcomes," Medical Decision Making, , vol. 35(1), pages 114-131, January.
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    Cited by:

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    3. Grace, Matthew K. & VanHeuvelen, Jane S., 2019. "Occupational variation in burnout among medical staff: Evidence for the stress of higher status," Social Science & Medicine, Elsevier, vol. 232(C), pages 199-208.
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    5. Kroll, Camille & Murphy, Julia & Poston, Lindsay & You, Whitney & Premkumar, Ashish, 2022. "Cultivating the ideal obstetrical patient: How physicians-in-training describe pain associated with childbirth," Social Science & Medicine, Elsevier, vol. 312(C).
    6. Aaron Baugh & Reginald F. Baugh, 2020. "Assessment of Diversity Outcomes in American Medical School Admissions: Applying the Grutter Legitimacy Principles," Sustainability, MDPI, vol. 12(12), pages 1-17, June.
    7. Menon, Alka V. & Sariego, Chloe, 2022. "Engendering connection: The embodied emotional labor of U.S. cosmetic surgeons," Social Science & Medicine, Elsevier, vol. 306(C).
    8. Crowe, Sophie & Brugha, Ruairi, 2018. "“We've all had patients who've died …”: Narratives of emotion and ideals of competence among junior doctors," Social Science & Medicine, Elsevier, vol. 215(C), pages 152-159.
    9. Vinson, Alexandra H. & Underman, Kelly, 2020. "Clinical empathy as emotional labor in medical work," Social Science & Medicine, Elsevier, vol. 251(C).

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