Bellodi Patrícia Lacerda
Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Rev Hosp Clin Fac Med Sao Paulo. 2004 Jan;59(1):15-24. doi: 10.1590/s0041-87812004000100004. Epub 2004 Mar 15.
To investigate and characterize the professional stereotypes associated with general medicine and surgery among Brazilian medical residents.
A randomized sample of residents of the General Medicine and Surgery Residence Programs were interviewed and their perceptions and views of general and surgical doctors were compared.
The general practitioner was characterized by the residents in general to be principally a sensitive and concerned doctor with a close relationship with the patient; (45%); calm, tranquil, and balanced (27%); with intellectual skills (25%); meticulous and attentive to details (23%); slow to resolve problems and make decisions (22%); and working more with probabilities and hypotheses (20%). The surgeon was considered to be practical and objective (40%); quickly resolving problems (35%); technical with manual skills (23%); omnipotent, arrogant, and domineering (23%); anxious, stressed, nervous, and temperamental (23%); and more decided, secure, and courageous (20%). Only the residents of general medicine attributed the surgeon with less knowledge of medicine and only the surgeons attributed gender characteristics to their own specialty.
There was considerable similarity in the description of a typical general practitioner and surgeon among the residents in general, regardless of the specialty they had chosen. It was interesting to observe that these stereotypes persist despite the transformations in the history of medicine, i.e. the first physicians (especially regarding the valorization of knowledge) and the first surgeons, so-called "barber surgeons" in Brazil (associated with less knowledge and the performance of high-risk procedures).
调查并描述巴西住院医师中与普通内科和外科相关的职业刻板印象。
对普通内科和外科住院医师培训项目的住院医师进行随机抽样访谈,并比较他们对普通科医生和外科医生的看法。
总体而言,住院医师认为全科医生主要是一位敏感且关心病人、与病人关系密切的医生(45%);冷静、沉着且平衡(27%);具备智力技能(25%);细致且注重细节(23%);解决问题和做决定较慢(22%);更多地运用概率和假设(20%)。外科医生被认为是实际且客观的(40%);能快速解决问题(35%);有技术且具备动手能力(23%);全能、傲慢且专横(23%);焦虑、有压力、紧张且喜怒无常(23%);更果断、自信且勇敢(20%)。只有普通内科住院医师认为外科医生医学知识较少,只有外科医生将性别特征归因于自己的专业。
总体而言,住院医师对典型全科医生和外科医生的描述存在相当大的相似性,无论他们选择的专业是什么。有趣的是,尽管医学史上发生了变革,即最初的内科医生(尤其是在知识的重视方面)和最初的外科医生,在巴西被称为“理发师外科医生”(与知识较少和进行高风险手术相关),但这些刻板印象仍然存在。