{"id":33919,"date":"2015-04-15T15:10:39","date_gmt":"2015-04-15T14:10:39","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33919"},"modified":"2015-04-15T15:10:39","modified_gmt":"2015-04-15T14:10:39","slug":"suzanne-gordon-pimping-has-no-place-in-medical-education","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/","title":{"rendered":"Suzanne Gordon: Pimping has no place in medical education"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33921\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg\" alt=\"suzanne_gordon\" width=\"150\" height=\"150\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg 150w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg 160w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>Until recently I thought I knew the meaning of the term \u201cpimp\u201d or \u201cpimping.&#8221; But a couple of weeks ago a friend who is a student in a physician\u2019s assistant program at a major medical school gave me new insight into the word when she told me how stressed she was because she was being \u201cpimped out\u201d by so many attending physicians during her training rotations. \u201cPimping out,\u201d I asked her, what is that? Surprised that someone who\u2019s written about medicine didn\u2019t know the term, she explained that \u201cpimping\u201d occurs when attending physicians deliberately ask trainees questions that the senior physician knows the trainees cannot possibly answer. When, as expected, trainees couldn\u2019t answer the unanswerable, they would be deliberately humiliated. \u201cIt\u2019s horrible,\u201d she said. \u201cThey roll their eyes, look at you like you\u2019re an idiot, and, make you feel like a piece of dirt. When this goes on during a procedure, it makes it really hard to concentrate.\u201d<!--more--><\/p>\n<p>My friend also described the advice students and trainees receive when they are \u201cpimped out.\u201d \u201cWe\u2019re told to respond with confidence and pretend we know stuff we don\u2019t know.\u201d<\/p>\n<p>I was surprised to learn about \u201cpimping\u201d not because I was unaware of the fact that medical training can be an exercise in humiliating and even abusive practices. What surprised me was that there was an actual term for this particular pedagogical practice as well as a \u201cscholarly\u201d literature extolling its virtues.<\/p>\n<p>In 1989, for example, <em>JAMA<\/em> published an article entitled, \u201c<a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=377862\">The Art of Pimping<\/a>,\u201d by Frederick L. Brancati. Today, as in centuries past, Brancati explains, attending physicians deliberately ask medical trainees a series of questions \u201cin rapid succession,\u201d which \u201cshould be essentially unanswerable.\u201d Humiliation averse students will try to \u201cbluff\u201d their way through the encounter but the skillful attending, aware of this tactic, will adopt clever practices to make sure to \u201cdisgrace\u201d the intern or resident who tries to avoid ignominy. The purpose of this exercise, as Brancati puts it is to infuse, \u201cthe intern with a profound and abiding respect for his attending physician while ridding the intern of needless self-esteem. Still, he (the trainee) enjoys the attention and comes to equate his initial anguish with the aches and pains an athlete suffers during a period of intense conditioning.\u201d<\/p>\n<p>Although Brancati wrote the article in a tongue in check manner, neither he nor most of the readers who responded to his article in <em>JAMA<\/em>\u2019s letters to the editor, were critical of pimping practices. One physician commented that \u201cpimping\u201d only served to instill in him and his fellow trainees a lack of curiosity and fear of questioning, but most of the other letters supported the practice. In his own response to these comments Brancati explained that he considers pimping, when correctly done, to be invaluable\u2014particularly because it instills a \u201cfeisty esprit de corps,\u201d in medicine, and can \u201centertain and teach at the same time.\u201d<\/p>\n<p>In 2009, another <em>JAMA<\/em> article by Allan S. Detsky updated Brancati\u2019s. This article appeared ten years after the <a href=\"https:\/\/www.iom.edu\/Reports\/1999\/To-Err-is-Human-Building-A-Safer-Health-System.aspx\">Institute of Medicine\u2019s highly publicized report <em>To Err Is Human<\/em><\/a>, which highlighted the pernicious impact of medicine\u2019s culture of shame and blame. Yet, a prominent physician and medical educator was unabashedly promoting a practice that could not be better designed to produce physicians who are terrified of admitting doubt, lack of knowledge, or asking for help. Detsky proudly proclaimed that \u201cpimping is indeed alive and well within academic medicine,\u201d and advises attending physicians that \u201cthe right balance between humiliating the student who gives incorrect answers, and boring the audience by simply providing the answers is a real skill.\u201d<\/p>\n<p>What does not concern either Desky or Brancati is how the \u201cart of pimping,\u201d impacts patient safety, interprofessional education and practice, and the patient-doctor relationship.<\/p>\n<p>Consider the impact of \u201cpimping\u201d on patient safety and interprofessional practice. We have known for decades that patient safety depends on professionals\u2019 willingness to admit to mistakes so they can,\u00a0and others can, learn from them. Patients will never be safe if physicians can\u2019t acknowledge what they don\u2019t know, ask for help when they need it, and to speak up when they see someone\u2014particularly a medical superior\u2014about to do something wrong, dangerous, or reckless. If a fundamental communications skill learned in medical training is to confidently communicate knowledge that one does not actually possess, never express doubt, and avoid at all cost embarrassing a medical superior then patient safety truly becomes a mission impossible. If physicians learn to revere the medical hierarchy, when they have attained seniority in it they may interpret genuine concerns expressed by other professionals as unacceptable challenges to their status and authority. After bluffing their way through their education, they will rebuff attempts at the kind of critical cross-monitoring that is essential to any kind of genuine teamwork.<\/p>\n<p>Finally, consider the impact of pimping on the doctor patient relationship. In my decades long journey as a patient and professional observer of doctor-patient encounters, I have seen and personally experienced how some physicians\u2014too many in fact\u2014respond to even the hint of a challenging question or comment. As a patient, I\u2019ve watched residents who were taking care of me be humiliated by a senior physician and wondered what would happen to me if I dared to displease my physician. I have also longed for a physician to simply say, &#8220;I don\u2019t know what\u2019s wrong, but we will figure this out together,\u201d or to apologize if a mistake was made. Given their socialization, what\u2019s surprising is that some\u2014although not enough\u2014actually respond in this way. Nor is it surprising that some don\u2019t only pimp out trainees but actually pimp out their patients.<\/p>\n<p>Fortunately, the issue\u00a0of the toll that harassment and humiliation takes on medical trainees is starting to be discussed. The other day, for example, I was presenting at a medical conference and shared a luncheon table with a patient safety physician and an internist who is a proponent of a more humane medical system. Both work in large teaching hospitals. We got into a discussion of pimping and the internist commented that she could not imagine teaching residents without occasionally \u201cpimping them out.\u201d Given her reputation, I couldn\u2019t imagine that she was actually serious, and asked her if she was being sarcastic. No, she said brusquely, I think it\u2019s a useful strategy. The patient safety physician sitting next to her didn\u2019t skip a beat and adamantly interjected, \u201cNo,\u201d he said, \u201cthere is no excuse for humiliating students or trainees. Ever.\u201d<\/p>\n<p><em><strong>Suzanne Gordon<\/strong> is a healthcare journalist and co-editor of <\/em>The Culture and Politics of Healthcare Work Series<em> at Cornell University Press. Her latest book is <\/em>Collaborative Caring: Stories and Reflections on Teamwork in Healthcare<em>, which she co-edited and she is co-author of Beyond the Checklist: What Else Healthcare Can Learn from Aviation Teamwork and Safety. Most importantly she is a patient.<\/em><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Until recently I thought I knew the meaning of the term \u201cpimp\u201d or \u201cpimping.&#8221; But a couple of weeks ago a friend who is a student in a physician\u2019s assistant [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-33919","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Suzanne Gordon: Pimping has no place in medical education - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suzanne Gordon: Pimping has no place in medical education - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Until recently I thought I knew the meaning of the term \u201cpimp\u201d or \u201cpimping.&#8221; But a couple of weeks ago a friend who is a student in a physician\u2019s assistant [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-04-15T14:10:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Suzanne Gordon: Pimping has no place in medical education\",\"datePublished\":\"2015-04-15T14:10:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/\"},\"wordCount\":1176,\"commentCount\":9,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon-150x150.jpg\",\"articleSection\":[\"Guest writers\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/\",\"name\":\"Suzanne Gordon: Pimping has no place in medical education - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon-150x150.jpg\",\"datePublished\":\"2015-04-15T14:10:39+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon.jpg\",\"width\":160,\"height\":160},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/15\\\/suzanne-gordon-pimping-has-no-place-in-medical-education\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Suzanne Gordon: Pimping has no place in medical education\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Suzanne Gordon: Pimping has no place in medical education - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/","og_locale":"en_US","og_type":"article","og_title":"Suzanne Gordon: Pimping has no place in medical education - The BMJ","og_description":"Until recently I thought I knew the meaning of the term \u201cpimp\u201d or \u201cpimping.&#8221; But a couple of weeks ago a friend who is a student in a physician\u2019s assistant [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2015-04-15T14:10:39+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Suzanne Gordon: Pimping has no place in medical education","datePublished":"2015-04-15T14:10:39+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/"},"wordCount":1176,"commentCount":9,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","articleSection":["Guest writers"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/","url":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/","name":"Suzanne Gordon: Pimping has no place in medical education - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","datePublished":"2015-04-15T14:10:39+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg","width":160,"height":160},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/15\/suzanne-gordon-pimping-has-no-place-in-medical-education\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Suzanne Gordon: Pimping has no place in medical education"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=33919"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33919\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=33919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=33919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=33919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}