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As a nurse and as a faculty instructor I have often asked the same
question. In our first clinical year (the third year), the enthusiasm,
compassion, sensitivity and idealism of these future doctors leaves the
observer touched and optimistic. Somewhere between this third year and the
residency post graduate time, a discontent creeps into the picture. No
doubt the stressors that accompany increased responsibility and the
extended hours contribute but the change is so dramatic, one wonders what
else is going on. Even the third years comment on the cynicism of their
What effect does negative role-modeling have? We have tried to
incorporate all of the qualities of a "good doctor" into our curriculum,
but much learning happens outside of the classroom which apparently
counterbalances that within.