Getting rid of patients: contradictions in the socialisation of internists to the doctor-patient relationship

摘要: This article examines the impact of professional socialisation internists on doctor-patient relationship. Utilising observation and interviews, study found that world house staff (interns residents) was defined by a paradoxical perspective patients--characterised as "Get Rid patients' (GROP) orientation. shaped poor conditions public institutions, administrative mandates, demographic disease factors, narrow definition practice normative standards conduct. There active support reinforcement from colleagues for GROP behaviour; peers, rather than attending faculty became most important socialisers. To implement perspective, coping strategies emerged within house-staff culture. These included utilisation hierarchy techniques such negotiation, objectification, intimidation, omission avoidance. No time in their training identified right to acquire humanistic relationship skills. Contrarily, structure socialising institution organised into which obvious criterion consequence status autonomy over or removal establishment meaningful relationships.