title: Between two worlds medical student perceptions of humor and slang in the hospital setting.
abstract: OBJECTIVE
  Residents frequently use humor and slang at the expense of patients on the clinical wards. We studied how medical students react to and interpret the "appropriateness" of derogatory and cynical humor and slang in a clinical setting.
  
  
  METHODS
  Semistructured, in-depth interviews.
  
  
  METHODS
  Informal meeting spaces.
  
  
  METHODS
  Thirty-three medical students.
  
  
  METHODS
  Qualitative content analysis of interview transcriptions.
  
  
  RESULTS
  Students' descriptions of the humorous stories and their responses reveal that students are able to take the perspective of both outsiders and insiders in the medical culture. Students' responses to these stories show that they can identify the outsider's perspective both by seeing themselves in the outsider's role and by identifying with patients. Students can also see the insider's perspective, in that they identify with residents' frustrations and disappointments and therefore try to explain why residents use this kind of humor. Their participation in the humor and slang--often with reservations--further reveals their ability to identify with the perspective of an insider.
  
  
  CONCLUSIONS
  Medical students describe a number of conflicting reactions to hospital humor that may enhance and exacerbate tensions that are already an inevitable part of training for many students. This phenomenon requires greater attention by medical educators.
authors.affiliation: Center for Bioethics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
authors.forename: G N
authors.initials: GN
authors.lastname: Parsons
authors.forename: S B
authors.initials: SB
authors.lastname: Kinsman
authors.forename: C L
authors.initials: CL
authors.lastname: Bosk
authors.forename: P
authors.initials: P
authors.lastname: Sankar
authors.forename: P A
authors.initials: PA
authors.lastname: Ubel
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004992:Ethics, Medical; D005260:Female; D006126:Group Processes; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic; D008297:Male; D013337:Students, Medical / Q000523:psychology*; D009626:Terminology as Topic; D014705:Verbal Behavior; D014925:Wit and Humor as Topic