title: Pimping: perspectives of 4th year medical students.
abstract: BACKGROUND
  A well-known phenomenon among U.S. medical students known as pimping, or the pedagogical device of questioning students in the clinical setting, receives virtually no attention in medical literature.
  
  
  OBJECTIVE
  Identifying 4th-year medical students' relevant knowledge and attitudes about pimping may help educators understand the range of beliefs about pimping and the role it plays in the socialization process into the medical community.
  
  
  METHODS
  Over a 2-month period, 11 fourth-year medical students at a Midwest medical school were asked 6 open-ended questions focusing on pimping as understood and experienced in the clinical setting. Investigators individually analyzed the interview data using qualitative methods to characterize students' experiences and recurring ideas and concepts.
  
  
  RESULTS
  All students noted the hierarchical nature of pimping, viewing it as a tool for attendings or residents to assess students' levels of knowledge. Although some students experienced malignant pimping, humiliated by incessant questioning or questions inappropriate to their level of training, all the students in the sample were positive about pimping and its effectiveness as a pedagogical tool. Investigators found that location within the clinical setting determines how students define and understand the motives for pimping.
  
  
  CONCLUSIONS
  Understanding how students define and experience the pimping phenomenon prepares medical educators to scrutinize pimping as a pedagogical tool and to provide the most effective and encouraging environment for students.
authors.affiliation: Department of Behavioral Sciences, Northeastern Ohio Universities, College of Medicine, Rootstown, Ohio 44272, USA. dw@neoucom.edu
authors.forename: Delese
authors.initials: D
authors.lastname: Wear
authors.forename: Margarita
authors.initials: M
authors.lastname: Kokinova
authors.forename: Cynthia
authors.initials: C
authors.lastname: Keck-McNulty
authors.forename: Julie
authors.initials: J
authors.lastname: Aultman
mesh_terms: D002982:Clinical Clerkship; D002983:Clinical Competence; D004504:Education, Medical, Undergraduate; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency; D007400:Interprofessional Relations; D013337:Students, Medical; D014481:United States