Waiting our turn

Hope in a connected world

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  • Published 20170502
  • ISBN: 9781925498356
  • Extent: 264pp
  • Paperback (234 x 153mm), eBook

GENERATIONALISM IS A complex phenomenon. The concept of a generation is obvious: the social and economic contexts for a group of people born around the same time are going to be somewhat similar. But in addressing lived experience, a number of factors highlight how arbitrary such categorisation is: place, culture, socio-economic standing. In Generation Less: How Australia is Cheating the Young (Black Inc., 2016), Jennifer Rayner identifies this apparent contradiction as the difference between ‘cohort’ and ‘life cycle’ effects – that is, between the standard conception of generations as age groups, and the non age-specific commonalities that such designations cannot adequately address.

In the 1920s, sociologist Karl Mannheim identified ‘the problem of generations’ as central to understanding ‘the accelerated pace of social change characteristic of our times’.[i] Almost a century later, that accelerated pace is also characterising generation Y (the millennial generation; roughly, those born between 1980 and the mid-1990s) – though dictated by the digital revolution rather than the aftermath of the First World War.

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Healthcare is other people

‘I see a lot of junior doctors suspend what I think of as their natural self during training,’ Bravery tells me – the self that is patient-centred and came to the profession because they wanted to help people. ‘They think that once they get far enough along the training pathway then their natural self will just come rushing back. But often it doesn’t.’ With this observation, Bravery identifies what is known in the broader education context as the ‘hidden curriculum’, the unwritten and untaught – and generally negative – behaviours that we see in those around us and learn to emulate to assimilate and excel. In the medical context this usually means a retreat from patient-centredness, a harried and sometimes imperious air, and a concern for money and distinction. Medical students are told about patient-centred care… We labour over weekly theoretical case studies during our pre-clinical (that is, classroom) years to the constant refrain from tutors to think of the patient’s experience and social circumstances.

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