Löyttyniemi V
School of Public Health, University of Tampere, Finland.
Soc Sci Med. 2001 Jan;52(2):227-37. doi: 10.1016/s0277-9536(00)00223-9.
In the early 1990s unemployment among physicians was experienced, though transiently, in Finland for the first time. The situation was new both for the entire profession and for professionals, especially for young doctors and medical students who were given pessimistic prospects for the future. In this paper I analyze the life stories told by these young doctors and ask how this period of unemployment and insecurity can be explained and experienced in a way that is compatible with the professional identity of a good, valuable young physician. First, however, I look back to the context of unemployment and the public debate among the medical profession. I point to the collision between what seemed to be the best way for the profession to react and what it could mean for a young doctor actually threatened by unemployment. The results show that it was a question of retaining autonomy and drifting but these words gain different meanings depending on who is defining them.
20世纪90年代初，芬兰首次出现了医生失业的情况，尽管只是短暂的。这种情况对整个医学界以及专业人士来说都是全新的，尤其是对那些未来前景被看淡的年轻医生和医学生而言。在本文中，我分析了这些年轻医生讲述的人生故事，并探讨如何以一种与优秀、有价值的年轻医生的职业身份相符的方式来解释和体验这段失业与不安的时期。然而，首先，我回顾一下失业的背景以及医学界内部的公开辩论。我指出了医学界看似最佳的应对方式与失业实际威胁下年轻医生所面临的状况之间的冲突。结果表明，这涉及到保持自主性和随波逐流的问题，但这些表述根据定义者的不同而具有不同的含义。
