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Colegio de Medicina Interna de México.

2024, Number 04

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Med Int Mex 2024; 40 (04)

Hierarchical power relations in medical education

Lugo MJA, Escobar MAL, Medina VE, García RPE

Language: Spanish
References: 37
Page: 264-270
PDF size: 344.89 Kb.


ABSTRACT

Background: Hierarchies are a form of organization, which stratifies individuals or groups based on hierarchical possession in a given environment. Medical education is a highly organized social context where work and learning depend on interaction and are therefore highly influenced by social power and hierarchy.
Objective: To provide a qualitative approach to the concept, history and aspects involved in the power relations of education in medical residencies.
Methodology: Retrospective study from non-systematic search of the literature was carried out in the databases of PubMed, Elsevier and Google Scholar without time restriction in the Spanish and English languages, selecting free materials and at the discretion of the authors for their objective, the combination of terms was: “Hierarchical relations of power and medical education”.
Results: About 23,000 writings were found, of which writings that the authors considered relevant for their analysis were chosen without selection criteria.
Conclusions: It is very necessary to move reflectively to a different concept that the one considered hierarchy and that this “hierarchy” to be impregnated with humanistic, ethical values and good social interaction skills, possibly better called “leadership”.


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