Protest and trainees in the health professions: Exploring the global landscape of recent protest action
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Le résumé fourni par la source
The use of protest as a form of professional resistance by trainees in the health professions has gained public attention in recent years. However, scholarship on the drivers and dynamics of protest by health professions' trainees remains limited, undertheorized and largely focused on high-income countries. Our goal in this paper is to provide the first known global landscape of protests by trainees in the health professions and to explore what protest demands by these trainees reveal about their structural position, agency and power, their professional identities and the implications for future health policy. We used a sequential explanatory mixed method design. First, we quantitatively analysed protest event data from the Armed Conflict Location and Event Data (ACLED) project focusing on January 2021 to April 2024. Next, we analysed textual information on each protest event and inductively developed an index of protest demands. Finally, we selected five illustrative clusters of protest demands and employed qualitative case study methodology drawing on publicly available data to examine protest actors, dynamics and outcomes. Drawing on our analysis of these data, we highlight the crucial perspective of trainees, who, by virtue of their status as 'interstitial' workers, occupy a liminal status as both students and workers-as such, they are able to provide an important lens through which to view and critique the health system. Navigating cultures of silence, obsequence and sometimes oppression enabled by the hidden curriculum in health professions' education (particularly medicine), trainees utilise protest as a means to visibilize their discontent. However, their discontent does not fit clear binaries, with motivations across a spectrum of professional self-interest and the public good. Structural challenges in health professions' education as expressed by protestors, compensation, working and living conditions, violence, harassment and abuse, poor management and other challenges, suggest major lacunae in prioritization and resourcing of health professions' education, particularly in Global South contexts.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Protest and trainees in the health professions: Exploring the global landscape of recent protest action
- Date Crossref
- 01/10/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The George Institute for Global Health pays non établi dans la noticeStructure de recherche
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Columbia University Irving Medical Center pays non établi dans la noticeÉtablissement de santé
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Columbia University pays non établi dans la noticeUniversité ou école supérieure
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Henry M. Jackson Foundation pays non établi dans la noticeOrganisation à but non lucratif
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Uniformed Services University of the Health Sciences Center for Health Professions Education pays non établi dans la noticeUniversité ou école supérieure
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School of Population and Public Health pays non établi dans la noticeUniversité ou école supérieure
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School of Population Health The George Institute for Global Health pays non établi dans la noticeUniversité ou école supérieure
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Mailman School of Public Health Department of Health Policy and Management pays non établi dans la noticeUniversité ou école supérieure
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School of Public Policy and Global Affairs pays non établi dans la noticeUniversité ou école supérieure
The George Institute for Global Health, Columbia University Irving Medical Center et Columbia University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.