Conflicts of interest in neoliberal times

perspectives of Australian medical students

Christopher Mayes*, Ian Kerridge, Roojin Habibi, Wendy Lipworth

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In this paper we report on the findings from six focus groups conducted with Australian medical students. The focus groups discussed students' perceptions of conflicts of interest and the influence of commercial values in health care and medical education. Our research revealed that students were aware of a number of structural influences that affected the medical education they received and that had the potential to shape their attitudes and practices as they progressed in becoming a doctor. We found that the pressures of educational workload and anticipated career trajectories tended to have an individualising effect that limited the perceived possibility of collective action and response to structural influences. We interpreted these findings through the lens of neoliberal governmentality to articulate the way commercial interests are negotiated and normalised by medical students. Based on these findings, we suggest that medical education should not only explicitly alert students to effects of political and commercial influences on the healthcare system, but also encourage the collective agency of students and strategies that do not place unrealistic expectations on individuals to effect structural change.

Original languageEnglish
Pages (from-to)256-271
Number of pages16
JournalHealth Sociology Review
Volume25
Issue number3
DOIs
Publication statusPublished - Nov 2016
Externally publishedYes

Keywords

  • Neoliberalism
  • conflicts of interest
  • medical education
  • medical students
  • ethics

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