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BMJ 2004;329 (2 October), doi:10.1136/bmj.329.7469.0
After recent reforms in medical school curriculums, attention should now focus on the hidden factors affecting students if the culture of undergraduate medical education is to change. Interviewing 36 undergraduate medical students, Lempp and Seale (p 770) found that students reported many examples of positive role models and effective, approachable teachers, but they also described a hierarchical and competitive atmosphere in the medical school, in which haphazard instruction and teaching by humiliation occur, especially during the clinical training years.
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Credit: PHOTOALTO/PHOTONICA
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