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How much should be competition among medical students?
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How much should be competition among medical students?
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I have personally seen in my college there is little cooperation among students. By contrast , envy and selfishness are the most common in classrooms. How valid is to forget that in the future we wil
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How much should be competition among medical students?

posted at 29/6/2011 3:03 AM BST on bmj.com
Posts: 9
First: 29/6/2011
Last: 5/8/2011
I have personally seen in my college there is little cooperation among students. By contrast, envy and selfishness are the most common in classrooms. How valid is to forget that in the future we will be co-workers?

Re: How much should be competition among medical students?

posted at 29/6/2011 4:05 AM BST on bmj.com
Posts: 279
First: 12/7/2010
Last: 19/4/2012
"You got a dream, you gotta protect it."    -Will Smith, Pursuit of 'Happyness'

I don't think "selfishness" will ever completely eradicate itself from a medic/doctor's system. It might perhaps evolve into an acceptably tamer motive over the years. Selfishness, means different things to different people. You need to be selfish, to a healthy extent (!) if you wish not to be stepped upon by other scheming medics. You need to put yourself first, if you wish to survive the jungle that has become of medical schools. Putting yourself first doesn't necessarily mean you only get to do it at the expense of others.

As for the workplace, I wonder if it is as fiercely competitive as a medical school arena? Clearly we are more mature by that time? I do think medical school personalities hold the potential to extrapolate into the workplace much like how school bullies mostly end up in the gangster department. If you were the quietly confident kid, you'll probably be the quietly confident doctor (or your choice of specialty might reflect that). If you were loud and extra friendly, you'd be that as a doctor. If you were a gunner, you might finally find your arch nemesis in the wards.

Competition is always good. Even better if it is healthy. However, you cannot control your environment but you can control how to react to it. Whatever tactic you used to get past them in medical school should be employed in the workplace if it gets you and those around you through with minimal bruises.

Laughing

Re: How much should be competition among medical students?

posted at 29/6/2011 10:51 AM BST on bmj.com
Posts: 4
First: 20/9/2010
Last: 29/6/2011
One of the most common manifestations I see of excessive competition is in the deliberate restriction of information sharing between students. This is most often seen when one student asks another what book/journal/resource they used to learn a particular topic. The other student may decline to fully divulge their resources etc. To me, this isn't good scientific practice and it surely cannot translate to good clinical practice.

Part of the problem in my school is the way we are scored in assessments, based on a year rank above all else. This changes the whole learning ethos and means students see their colleagues as direct competition. I feel a PASS/FAIL system coupled with excellent exam feedback would solve many of these problems.

Re: How much should be competition among medical students?

posted at 29/6/2011 3:51 PM BST on bmj.com
Posts: 9
First: 29/6/2011
Last: 5/8/2011
In Response to Re: How much should be competition among medical students?:
One of the most common manifestations I see of excessive competition is in the deliberate restriction of information sharing between students. This is most often seen when one student asks another what book/journal/resource they used to learn a particular topic. The other student may decline to fully divulge their resources etc. To me, this isn't good scientific practice and it surely cannot translate to good clinical practice. Part of the problem in my school is the way we are scored in assessments, based on a year rank above all else. This changes the whole learning ethos and means students see their colleagues as direct competition. I feel a PASS/FAIL system coupled with excellent exam feedback would solve many of these problems.
Posted by Xenzo


I agree that at the start of the career  I did not share pages or documents that could give me some advantage. But then I realized that the mainly competition is with oneself.

Re: How much should be competition among medical students?

posted at 29/6/2011 4:33 PM BST on bmj.com
Posts: 470
First: 12/7/2010
Last: 14/4/2012

One technique I use to extricate the source of information from those don’t want to share it is drawing them in an intellectual confrontation. If I think that they are reading something that the rest of the class is not, I call them out and say what ever they are saying is wrong, it’s not written in anything we have read and unless he/she can refer us to the source they are just telling non-sense. This I do in presence of others. Usually those who are overtly competitive also have a huge ego and they can’t tolerate being labeled wrong in front of others. They turn red, they shout and huff but usually reveal their sources to prove they are right and I am wrong in calling them out. Pretty cunning huh?

 

A true incident that happened in our college- Group A and Group B had their ortho rotation together, group A got a very popular Prof X, group B also wanted to attend the wards of Prof X but group A didn’t let group B attend saying Prof X is their scheduled teacher. Two months later, group A and group B had general surgery rotations together. Only this time group B got not one but two very popular Profs to teach them. Needless to say group A also wanted to attend. Net result – WAR!

 

ETA - spelling.

Re: How much should be competition among medical students?

posted at 29/6/2011 5:26 PM BST on bmj.com
Posts: 279
First: 12/7/2010
Last: 19/4/2012
In Response to Re: How much should be competition among medical students?:
  One technique I use to extricate the source of information from those don’t want to share it is drawing them in an intellectual confrontation. If I think that they are reading something that the rest of the class in not, I call them out and say what ever they are saying is wrong, it’s not written in anything we have read and unless he/she can refer us to the source they are just telling non-sense. This I do in presence of others. Usually those are overtly competitive also have a huge ego and they can’t tolerate being labeled wrong in front of others. They turn red, they shout and huff but usually reveal their sources to prove they are right and I am wrong in calling them out. Pretty cunning huh?   A true incident that happened in our college- Group A and Group B had their ortho rotation together, group A got a very popular Prof X, group B also wanted to attend the wards of Prof X but group A didn’t let group B attend saying Prof X is their scheduled teacher. Two months later, group A and group B had general surgery rotations together. Only this time group B got not one two very popular Profs to teach them. Needless to say group A also wanted to attend. Net result – WAR!  
Posted by Deb_D


Whoa! How very machiavellian of you Deb_D! I must say, I am very impressed. I am going to try this for sure! I haven't socially experimented on people in a while......*rubs palms with glee*

I have to say though, I do get really annoyed when students from different groups barge into ours just because we got lucky and secured the better doctor. Although I am sure I may have picked up some bad habits from medical school (esp. dorm life!), the thought of actively steering competitive traffic away never occured to me! That people would actually do that is just plain evil Frown

Re: How much should be competition among medical students?

posted at 29/6/2011 9:47 PM BST on bmj.com
Posts: 279
First: 12/7/2010
Last: 19/4/2012
In Response to Re: How much should be competition among medical students?:
I feel a PASS/FAIL system coupled with excellent exam feedback would solve many of these problems.
Posted by Xenzo


Hmm, that would be ideal. It would definitely take care of the obvious issues but I wonder whether it would level the playing field a bit and prevent medics from reaching their full potential?

I completely agree with the exam feedback bit; for some reason most clinical doctors are reluctant (and often "too busy" eugh!) to sit down with a student and have an honest chat about a paper!
Undecided

Re: How much should be competition among medical students?

posted at 29/6/2011 10:43 PM BST on bmj.com
Posts: 4
First: 20/9/2010
Last: 29/6/2011
In Response to Re: How much should be competition among medical students?:
In Response to Re: How much should be competition among medical students? : Hmm, that would be ideal. It would definitely take care of the obvious issues but I wonder whether it would level the playing field a bit and prevent medics from reaching their full potential? I completely agree with the exam feedback bit; for some reason most clinical doctors are reluctant (and often "too busy" eugh!) to sit down with a student and have an honest chat about a paper!
Posted by KK Muneer


Fortunately our school gives us 1 on 1 feedback after every paper. Interesting point about leveling the playing field. But I feel it is the responsibility of the admissions team in the school to ensure that self-motivated students are enrolled on the programme.

Re: How much should be competition among medical students?

posted at 30/6/2011 5:45 AM BST on bmj.com
Posts: 279
First: 12/7/2010
Last: 19/4/2012
In Response to Re: How much should be competition among medical students?:
But I feel it is the responsibility of the admissions team in the school to ensure that self-motivated students are enrolled on the programme.
Posted by Xenzo


WORD.Wink

Re: How much should be competition among medical students?

posted at 1/7/2011 5:39 PM BST on bmj.com
Posts: 9
First: 20/5/2011
Last: 21/7/2011

Hi everyone,


I am actually really happy that someone started this thread. This is a topic that I am really worried and annoyed about. I am half way through my medical degree at the moment and I have witnessed many students become more and more selfish and arrogant!! I personally think that arrogance is a horrible colour for anyone to wear. However, some will argue that selfishness and arrogance can be good in medical school, as it drives students to learn and "better" themselves. Perhaps you can argue it has worked for decades, why stop now. I am going to give my own (perhaps biased view) on this, though I have found quite a few other students that feel the same. I myself have plenty of motivation, and I don't feel the need to step on other people's toes and "look" the best in front of a doctor or fellow students. I personally think if you got into medical school you should have quite a bit of self-motivation anyway. If I can see myself progressing and able to answer those difficult questions that are thrown my way I feel I am doing a good job. Of course I feel a bit down when I don't know an answer, but then I go and look it up and will possibly never forget it again (due to the feeling bad part). I have tried working with other students and passing on information that I have found, but I feel that the motion has not been reciprocated.


Regarding what KK Muneer said about "selfishness", I think he made a very good philosophical debate regarding the subject. But look up the definition of selfishness: “devoted to or caring only for oneself; concerned primarily with one's own interests, benefits, welfare, etc., regardless of others”. I think this is the definition I and many others would use. Of course, don't let other students walk all over you by not looking out for yourself.


Perhaps some of you have heard the term "gunner". I think it was originally an american term, but I think it beautifully describes the "gunning down" of other students by the arrogant "gunner" student. I have actually mentioned to a few doctors running my medical school about running some team working skills sessions, and they thought it was a good idea. I was actually very interested in planning and helping out with such sessions. I have done a few of these in a previous life (yes, I am a grad student) and my father has told me about some good ones he has done in his company. Now of course these can be boring, especially if just lecture based. However, if you make them interactive, with team working on manual tasks, like "bridge building" or project building, etc, these can be actually lots of fun and really good in building team working skills. However, the powers that be at the top decided that this cannot be fitted into the curriculum time table. I personally think that team working skills should be part of the "Duties of a Doctor 2009" guidelines (GMC). Perhaps it is, I have not read it in full. If it actually is why is it not part of our and other med school's curriculums, and if it is not, why is it not!!!


I have actually witnessed first hand a few times now what happens to medical students who are arrogant and selfish when they become doctors. Other doctors, and especially the nurses, just cannot stand them and the foremost mentioned doctor finds it very hard to get any cooperation.


In the end, we will have to work together as doctors, so why not instil it into med students early, so that we can help each other out during the tough years of medical school, form some close relationships, and be ready to hit the ground running when we start out together as real doctors.


Just a thought


M.A.B.

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