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Girls in scrubs: An ethnographic exploration of the clinical learning environment.

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Title: Girls in scrubs: An ethnographic exploration of the clinical learning environment.
Authors: Gupta, Shalini, Howden, Stella, Moffat, Mandy, Pope, Lindsey, Kennedy, Cate
Source: Medical Education. Oct2024, Vol. 58 Issue 10, p1224-1234. 11p.
Subjects: Clinical medicine, School environment, Sexism, Social capital, Women, Diversity & inclusion policies, Interprofessional relations, Research funding, Work environment, Ethnology research, Statistical sampling, Interviewing, Scientific observation, Sex discrimination, Physicians' attitudes, Judgment sampling, Medical students, Experience, Students, Gender inequality, Thematic analysis, Urban hospitals, Student attitudes
Geographic Terms: Scotland
Abstract: Background: Gender bias is an enduring issue in the medical profession despite women being more represented within medical schools and the health care workforce in numerous countries across the world. There have been frequent calls for further exploration of gender‐based discriminations within medical education, owing to its lasting impact on student's professional development and career trajectories. This paper presents an ethnographic exploration of the experiences of female medical students and doctors in the clinical learning environment (CLE), aiming to disrupt the cycle of gender inequity in the clinical workplace. Methods: Our research field involved two teaching wards in a Scottish urban hospital, where 120 h of non‐participant observations were conducted over 10 months. Combining purposive and convenience sampling, we conducted 36 individual interviews with key informants, which included medical students, foundation doctors, postgraduate trainees, consultant supervisors, and other health care professionals such as nurses and pharmacists. Data was thematically analysed using Bourdieu's theory of social power reproduction. The research team brought diverse professional backgrounds and perspectives to the exploration of data on gendered encounters. Results: Combining the observational and interview data, five themes were generated, which suggested gender‐related differentials in social and cultural capital that the participants acquired in the CLE. Experiences of discriminatory behaviour and stereotypical thought processes impacted the female students' engagement and drive towards learning, implying an adverse influence on habitus. In contrast, the valuable influence of gendered role‐models in building confidence and self‐efficacy signified a positive transformation of habitus. The research participants displayed considerable internalisation of the gendered processes in the CLE that appeared to be linked to the transient nature of clinical placements. Conclusions: This research reveals that despite constituting the majority demographic of medical school, female students struggle to gain social and cultural capital. Gendered hierarchies that structure clinical workplaces disadvantage female students and doctors, and the differential experiences transform their habitus. Based on our theoretically informed investigation, we advocate for role‐models given their positive impact on students' and doctors' habitus. Additionally, medical educators may consider extended clinical placements that provide opportunities for female students and early‐career doctors to secure social and cultural capital through integrating better in health care teams and building meaningful interprofessional relationships. This ethnography reveals how gendered hierarchies disadvantage female students & doctors, impacting professional growth. Role models & extended placements are recommended to help women gain social and cultural capital. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Girls in scrubs: An ethnographic exploration of the clinical learning environment.
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  Data: Background: Gender bias is an enduring issue in the medical profession despite women being more represented within medical schools and the health care workforce in numerous countries across the world. There have been frequent calls for further exploration of gender‐based discriminations within medical education, owing to its lasting impact on student's professional development and career trajectories. This paper presents an ethnographic exploration of the experiences of female medical students and doctors in the clinical learning environment (CLE), aiming to disrupt the cycle of gender inequity in the clinical workplace. Methods: Our research field involved two teaching wards in a Scottish urban hospital, where 120 h of non‐participant observations were conducted over 10 months. Combining purposive and convenience sampling, we conducted 36 individual interviews with key informants, which included medical students, foundation doctors, postgraduate trainees, consultant supervisors, and other health care professionals such as nurses and pharmacists. Data was thematically analysed using Bourdieu's theory of social power reproduction. The research team brought diverse professional backgrounds and perspectives to the exploration of data on gendered encounters. Results: Combining the observational and interview data, five themes were generated, which suggested gender‐related differentials in social and cultural capital that the participants acquired in the CLE. Experiences of discriminatory behaviour and stereotypical thought processes impacted the female students' engagement and drive towards learning, implying an adverse influence on habitus. In contrast, the valuable influence of gendered role‐models in building confidence and self‐efficacy signified a positive transformation of habitus. The research participants displayed considerable internalisation of the gendered processes in the CLE that appeared to be linked to the transient nature of clinical placements. Conclusions: This research reveals that despite constituting the majority demographic of medical school, female students struggle to gain social and cultural capital. Gendered hierarchies that structure clinical workplaces disadvantage female students and doctors, and the differential experiences transform their habitus. Based on our theoretically informed investigation, we advocate for role‐models given their positive impact on students' and doctors' habitus. Additionally, medical educators may consider extended clinical placements that provide opportunities for female students and early‐career doctors to secure social and cultural capital through integrating better in health care teams and building meaningful interprofessional relationships. This ethnography reveals how gendered hierarchies disadvantage female students & doctors, impacting professional growth. Role models & extended placements are recommended to help women gain social and cultural capital. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.15379
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        Text: English
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      – SubjectFull: Sexism
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      – SubjectFull: Women
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