Review of Feeling Medicine: How the Pelvic Exam Shapes Medical Training

Underman, Kelly

doi:10.1093/sf/soab021

Cited by 16 publications

(40 citation statements)

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“…For example, Vinson (2016) shows how physicians use patient empowerment discourse as a countervailing power against patient consumerism to mitigate deprofessionalization. Underman (2020) further demonstrates that medical students learn ways of relating to patients that allow them to strategically uphold professional authority in the clinical encounter—a form of social control.…”

Section: Professional Socializationmentioning

confidence: 99%

“…As structural changes in health care place more demand on physicians to engage empathetically with patients, communication skills have become an increasingly intentional and intensive part of the medical curriculum (Underman and Hirshfield 2016). Vinson and Underman (2020), for example, use the lens of emotional labor to explore teaching clinical empathy and communication skills in contemporary medical education. These efforts reflect a particularly enduring tension between “learning to cure” and “learning to care” (Michalec 2011) or between scientific knowledge and humanist values.…”

Section: Professional Socializationmentioning

confidence: 99%

“…Sociologists have since identified several persistent tensions within the field. These tensions include conflict between the desire for “objective” tools and the recognition of the limitations of standardization (Paradis et al 2017; Rangel et al 2016; Underman 2020) and friction between scholars of medical education and practitioners in medical education (Albert 2004). This latter tension highlights an ongoing question among medical education scholars who note the speed with which the field has developed but also emphasize the ambiguity of its jurisdictional boundaries (Martimianakis and Albert 2013).…”

Section: Sociology Of the Field Of Medical Educationmentioning

confidence: 99%

“…There is continued interest in new skills required by physicians, particularly those related to emotion and embodiment—areas that would be ripe for analysis by sociologists broadly interested in culture. More attention is necessary to understand how medical trainees develop the “feel” for embodied skills like palpation (Underman 2020), for example, as well as new styles of emotional expression and medical power in the clinical encounter (Timmermans 2020; Vinson 2016; Vinson and Underman 2020). Future work on emotion, embodiment, and medical power should continue to examine how physicians learn interactional styles.…”

Section: Future Directionsmentioning

confidence: 99%

“…In the past 20 years, the largest change has been the use of standardized patients (SPs), or laypeople who are trained to role-play as patients, in teaching and assessment. Underman (2020) describes how concerns about communication skills training during the 1970s and 1980s led to widespread adoption of standardized communication skills tests. Training with SPs may present advantages; research has demonstrated that giving medical students control over the emotional intensity of SP encounters allows them to engage in difficult emotional tasks more comfortably (Lefroy, Brosnan, and Creavin 2011).…”

Section: Learning To Interact In Professional Waysmentioning

confidence: 99%

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The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future

et al. 2021

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From 1940 to 1980, studies of medical education were foundational to sociology, but attention shifted away from medical training in the late 1980s. Recently, there has been a marked return to this once pivotal topic, reflecting new questions and stakes. This article traces this resurgence by reviewing recent substantive research trends and setting the agenda for future research. We summarize four current research foci that reflect and critically map onto earlier projects in this subfield while driving theoretical development elsewhere in the larger discipline: (1) professional socialization, (2) knowledge regimes, (3) stratification within the profession, and (4) sociology of the field of medical education. We then offer six potential future directions where more research is needed: (1) inequalities in medical education, (2) socialization across the life course and new institutional forms of gatekeeping, (3) provider well-being, (4) globalization, (5) medical education as knowledge-based work, and (6) effects of the COVID-19 pandemic.

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Section: Professional Socializationmentioning

confidence: 99%

Section: Professional Socializationmentioning

confidence: 99%

Section: Sociology Of the Field Of Medical Educationmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Section: Learning To Interact In Professional Waysmentioning

confidence: 99%

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The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future

et al. 2021

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New context, new content—Rethinking genital anatomy in textbooks

Hayes

Temple-Smith

2022

Anatomical Sciences Ed

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It has been widely claimed that reductions in allocated teaching time and the widespread implementation of short‐cut teaching methodologies have led to a shortfall in anatomy knowledge among graduating doctors. This decline in knowledge is evident in the failure of anatomy content to prepare graduates for contemporary clinical practice. The implications for postgraduate surgical training are addressed in the numerous extracurricular anatomy courses available to surgical candidates. This paper focuses on genital diversity and its relevance to non‐surgical graduates, thus highlighting another potential impact of this knowledge shortfall on frontline clinic consultations. As the gender revolution and female genital cosmetic surgery industry flourish, nothing in contemporary anatomy textbooks addresses issues of diversification of female genitalia nor gives medical graduates a realistic view of what is normal regarding female genital appearance.

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Teaching vulval anatomy in the twenty‐first century: The Australian experience

Hayes

Temple-Smith

2023

Anatomical Sciences Ed

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Anatomy has often been regarded as an immutable discipline where everything that needs to be known is known. This article focuses on the teaching of vulval anatomy, the diversification of gender in contemporary society, and the increasing popularity of the Female Genital Cosmetic Surgery (FGCS) industry. The binary language and singular structural arrangements contained in lectures and chapters on “female genital anatomy” are nowadays rendered exclusive and incomplete. A series of 31 semi‐structured interviews with Australian anatomy teachers identified barriers and facilitators for teaching vulval anatomy to contemporary student cohorts. Barriers included lack of connection to contemporary clinical practice, time and technical difficulty involved in regularly updating online presentations, the crowded curriculum, personal sensitivity to teaching vulval anatomy, and reluctance to introduce inclusive terminology. Facilitators included lived experience, regular use of social media, and institutional initiatives toward inclusivity including the support of queer colleagues.

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Review of Feeling Medicine: How the Pelvic Exam Shapes Medical Training

Cited by 16 publications

References 0 publications

The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future

The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future

New context, new content—Rethinking genital anatomy in textbooks

Teaching vulval anatomy in the twenty‐first century: The Australian experience

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