Original scientific paper

Cultural Initiation of Medical Doctors

Zoltán Zsinkó-Szabó ; Semmelweis University, Institute of Behavioral Sciences, Department of Medical Anthropology, Budapest, Hungary
Imre Lázár ; Semmelweis University, Institute of Behavioral Sciences, Department of Medical Anthropology, Budapest, Hungary

Abstract

Eighteen years experience of teaching medical anthropology at a Hungarian medical school offers insight into the dy- namics of interference between the rationalist epistemological tradition of biomedicine as one of the central paradigms of modernism and the cultural relativism of medical anthropology, as cultural anthropology is considered to be one of the generators of postmodern thinking. Tracing back the informal »prehistory« of our Institute, we can reveal its psychoso- matic, humanistic commitment and critical basis as having represented a kind of counterculture compared with the tech- nocrats of state-socialist Hungary’s health ideology. The historical change and socio–cultural transition in Hungary af- ter 1989 was accompanied by changes in the medical system as well as in philosophy and in the structure of the teaching of social sciences. The developing pluralism in the medical system together with the pluralism of social ideologies al- lowed the substitution of the dogmatic Marxist-Leninist framework with the more pragmatic and empiricist behavioral sciences including medical sociology and medical anthropology. The conflict between the initiation function of the hard preclinical training of the first two years, and the reflective, relativistic and critical narrative on »biomedicine as culture bound entity« constructed by medical anthropology during the second year of medical training is discussed. We also sub- mit our fieldwork data gained as a result of a two year investigation period focusing on diverse initiation types of »would be« physicians. The main proportion of our data derives from individual semi structured deep interviews together with focus group interviews carried out with medical students of upper years. Finally, the role of medical anthropology in the »rite of passage« of becoming a medical doctor is summarized, paying attention to their field work reports and the risks and gains in this process.

Keywords

rites of passages; initiation of medical doctors; medical identity; modern versus postmodern; epistemological traditions; teaching medical anthropology; field work as initiation; emic; etic approach

Hrčak ID:

118336

URI

https://hrcak.srce.hr/118336

Publication date:

30.12.2013.

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