Between two worlds medical student perceptions of humor and slang in the hospital setting.

Journal Article (Journal Article)


Residents frequently use humor and slang at the expense of patients on the clinical wards. We studied how medical students react to and interpret the "appropriateness" of derogatory and cynical humor and slang in a clinical setting.


Semistructured, in-depth interviews.


Informal meeting spaces.


Thirty-three medical students.


Qualitative content analysis of interview transcriptions.

Main results

Students' descriptions of the humorous stories and their responses reveal that students are able to take the perspective of both outsiders and insiders in the medical culture. Students' responses to these stories show that they can identify the outsider's perspective both by seeing themselves in the outsider's role and by identifying with patients. Students can also see the insider's perspective, in that they identify with residents' frustrations and disappointments and therefore try to explain why residents use this kind of humor. Their participation in the humor and slang--often with reservations--further reveals their ability to identify with the perspective of an insider.


Medical students describe a number of conflicting reactions to hospital humor that may enhance and exacerbate tensions that are already an inevitable part of training for many students. This phenomenon requires greater attention by medical educators.

Full Text

Duke Authors

Cited Authors

  • Parsons, GN; Kinsman, SB; Bosk, CL; Sankar, P; Ubel, PA

Published Date

  • August 2001

Published In

Volume / Issue

  • 16 / 8

Start / End Page

  • 544 - 549

PubMed ID

  • 11556931

Pubmed Central ID

  • PMC1495252

Electronic International Standard Serial Number (EISSN)

  • 1525-1497

International Standard Serial Number (ISSN)

  • 0884-8734

Digital Object Identifier (DOI)

  • 10.1046/j.1525-1497.2001.016008544.x


  • eng