Burnout is common among doctors in the West, so one might assume
that a medical career in Malawi, one of the poorest countries in
the world, would place far greater strain on the idealism that
drives many doctors. But, as "A Heart for the Work" makes clear,
Malawian medical students learn to confront poverty creatively,
experiencing fatigue and frustration but also joy and commitment on
their way to becoming physicians. The first ethnography of medical
training in the global South, Claire L. Wendland's book is a moving
and perceptive look at medicine in a world where the transnational
movement of people and ideas creates both devastation and
possibility.
Wendland, a physician anthropologist, conducted extensive
interviews and worked in wards, clinics, and operating theaters
alongside the student doctors whose stories she relates. From the
relative calm of Malawi's College of Medicine to the turbulence of
training at hospitals with gravely ill patients and dramatically
inadequate supplies, staff, and technology, Wendland's work reveals
the way these young doctors engage the contradictions of their
circumstances, shedding new light on debates about the effects of
medical training, the impact of traditional healing, and the
purposes of medicine.
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