The public prestige of medical specialties: Overviews and undercurrents

Rosoff, Stephen M.; Leone, Matthew C.

doi:10.1016/0277-9536(91)90110-x

Cited by 49 publications

(38 citation statements)

References 15 publications

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“…Indeed, we observed that students with greater SDO, independently of their gender, were more likely to choose technique-oriented careers. Technique-oriented specialties are rooted in the dominant technocratic paradigm of medicine, therefore are generally considered as the most prestigious orientations (Davis-Floyd 2001;Hinze 1999;Rosoff and Leone 1991). SDO may therefore provide an explanation as to why different students value prestige differently and hence complement SEU and TRA theories in this respect.…”

Section: Main Findingsmentioning

confidence: 96%

Social dominance theory and medical specialty choice

Lepièce

Reynaert

Meerbeeck

et al. 2015

Adv in Health Sci Educ

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Understanding how medical students select their specialty is a fundamental issue for public health and educational policy makers. One of the factors that students take into account is a specialty's prestige which hinges partly on its focus on technique rather than whole person. We examine the potential of a psychological framework, social dominance theory, to explain why some students, and not others, are drawn to more prestigious, technique-oriented specialties, based on their desire for hierarchy. We conducted a cross-sectional study among medical students at Institution X (N = 359). We examined the link between medical students' characteristics i.e. social dominance orientation (SDO), gender, age, and their career intention. We also examined level of medical students' SDO at different stages of the curriculum. SDO scores were significantly associated with technique-oriented career intentions (OR 1.56; 95 % CI [1.18, 2.06]; p = 0.001). The effect was independent of gender. Medical students' SDO scores were significantly higher in later stages of the medical curriculum (F = 6.79; p = 0. 001). SDO is a significant predictor of medical students' career intention. SDO scores are higher in students during the clinical phase of the curriculum. Medical socialization, involving the internalization of implicit and explicit norms, particularly in hospital settings, is likely to underpin our findings. This theory illuminates consistent findings in the literature on specialty prestige and the influence of medical school on career choice.

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Section: Main Findingsmentioning

confidence: 96%

Social dominance theory and medical specialty choice

Lepièce

Reynaert

Meerbeeck

et al. 2015

Adv in Health Sci Educ

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“…While confidence in surgeons as a group is higher than for many other medical specialties, both surgical leaders and ethicists believe that the surgeonpatient relationship has been damaged by forces both internal and external to the profession. 18,19 Surgeons may have contributed to the decreasing level of trust from patients by emphasizing technical procedures over interpersonal relationships. While communication skills are of immense importance for establish-ARCH SURG/ VOL 135, JAN 2000 WWW.ARCHSURG.COM 58 ing and maintaining trust, especially when the clinical relationship needs to develop rapidly, they are not a key component of surgical residency training programs as they have been in the past.…”

Section: The Surgeon-patient Relationship Under Attackmentioning

confidence: 99%

Maintaining Trust in the Surgeon-Patient Relationship

Axelrod

Goold

2000

Arch Surg

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“…Hence, surgery, internal medicine and anaesthesiology are at the very top whereas psychiatry and general practice are generally low in prestige. This hierarchy has proved consistent across Norway (Norredam & Album, 2007), the United States (Rosoff & Leone, 1991) and Australia (Creed et al, 2010).…”

Section: Integration Vs Horizontal Segregation In the Labour Marketmentioning

confidence: 88%

Stratification in the Medical profession: Non-Western Physicians in Norway

Drange

Vågan

2013

P&P

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Previous studies of internal stratification in medicine suggest that nonWhite foreign-trained physicians fill the bottom level of the specialist hierarchy. However, in this study we use administrative registers for majority and nonWestern physicians in Norway and find that non-Western physicians acquire specialisation in the same volume as majority colleagues, are equally likely to enter several of the high prestige specialties and are not delayed in their careers. The equal distribution is discussed as a consequence of strong professional closure, bureaucratisation of hiring procedures and hospital organisation and governmental influence. Identified patterns, however, are not unequivocal. First, immigrant physicians have a significantly higher chance of becoming specialists compared to majority physicians. Second, foreign-educated non-Western physicians have a significantly lower likelihood of specialising in surgery fields. The exception from the overall equality may result from exclusionary practices previously identified in surgery, but it could also result from differences in motivation.

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The public prestige of medical specialties: Overviews and undercurrents

Cited by 49 publications

References 15 publications

Social dominance theory and medical specialty choice

Social dominance theory and medical specialty choice

Maintaining Trust in the Surgeon-Patient Relationship

Stratification in the Medical profession: Non-Western Physicians in Norway

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