Bosk C L, Frader J E
University of Pennsylvania.
Milbank Q. 1990;68 Suppl 2:257-79.
AIDS, together with other institutional factors, is changing the "shop-floor" culture of house officers and students in urban, academic medical centers. These medical workers complained of powerlessness and exploitation prior to the epidemic, but they felt pride in scoring clinical coups and chagrin in their clinical defeats, characteristic of an adolescent sense of invulnerability. The HIV epidemic, dovetailing with the intensely competitive economic environment in medical settings, subjects house officers to increasingly demanding schedules, heightens their sense of powerlessness, and limits their sense of professional achievement. Fear of contagion, moreover, is erasing their perception of invulnerability.
艾滋病与其他制度因素一起，正在改变城市学术医疗中心住院医生和学生的“工作场所”文化。这些医务工作者在疫情爆发前抱怨自己无力且受到剥削，但他们为在临床中取得成功而感到自豪，为临床失败而懊恼，这是青少年那种无所不能感的特征。艾滋病疫情与医疗环境中竞争激烈的经济环境相契合，使住院医生面临越来越苛刻的日程安排，加剧了他们的无力感，并限制了他们的职业成就感。此外，对传染的恐惧正在消除他们的无所不能感。
