The Professionalization of Medical Students: Developing Competence And A Cloak of Competence*

Abstract

This paper describes how medical students in an innovative educational setting adopt a cloak of competence as a critical part of the professionalization process. Faced with inordinate and variable expectations to develop and display competence, students professionalize by distancing themselves from those they interact with and by adopting and manipulating the symbols of their new status. Students were observed to engage in impression management to convince others and themselves that they are competent and confident to face the immense responsibilities of their privileged role. The data were collected by means of participant observation and interviews.