Download A Heart for the Work: Journeys through an African Medical by Claire L. Wendland PDF

By Claire L. Wendland

ISBN-10: 0226893251

ISBN-13: 9780226893259

Burnout is usual between medical professionals within the West, so one may suppose scientific profession in Malawi, one of many poorest nations on the earth, may position a long way higher pressure at the idealism that drives many medical professionals. yet, as A middle for the Work makes transparent, Malawian scientific scholars learn how to confront poverty creatively, experiencing fatigue and frustration but in addition pleasure and dedication on their method to changing into physicians. the 1st ethnography of clinical education within the worldwide South, Claire L. Wendland’s ebook is a relocating and perceptive examine medication in an international the place the transnational circulate of individuals and ideas creates either devastation and possibility.

Wendland, a doctor anthropologist, carried out broad interviews and labored in wards, clinics, and working theaters along the coed medical professionals whose tales she relates. From the relative calm of Malawi’s collage of drugs to the turbulence of educating at hospitals with gravely in poor health sufferers and dramatically insufficient offers, employees, and expertise, Wendland’s paintings finds the way in which those younger medical professionals interact the contradictions in their situations, laying off new gentle on debates in regards to the results of scientific education, the impression of conventional therapeutic, and the needs of medicine.

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There is a curious paradox to this individualism, however. As many critics have pointed out, in medical diagnosis and therapy— and perhaps especially in medical research—the vagaries of real individuals (whether patients or research subjects) are steadily stripped away (see, for example, Fox and Swazey 1984; Good and Good 1993; Gordon 1988). The social connections, community commitments, cultural constraints, and resources that make a person who she is are irrelevant to the work of medicine, which treats her as an autonomous—yet universalized—individual.

34 Empirical research describes students as both fearing and welcoming some of this homogenization, as a sign that they are becoming real doctors. First-person accounts often depict it as a destructive process of personal dissolution: an oft-quoted lament from one memoir calls medical training “that hamburger machine that chops up nice kids and turns them into the doctors I know” (LeBaron 1981:58). A substantial and high-quality body of research on the process of medical socialization, then, seems to argue strongly for the existence—and persistence—of a durable moral order in medicine.

His seriousness (and his habit of wearing a suit and tie to class) made him the occasional butt of classmates’ joking. Five years later, as he neared graduation, he had become a student respected for his hard work and scholarship. He retained a quiet, wide-eyed, and serious demeanor, and he still wore a tie under his white coat. Mkume had grown up in one of Malawi’s largest cities and spent much of his childhood in the staff housing compound of a big central hospital. His parents were both part-time missionaries who also held down other jobs.

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