本文以规培生为主要研究对象，基于对一内科病房的田野调查，讨论他们在成为合格医生之前这段过渡期的边缘身份，以及在此基础上的职业社会化过程。规培一旦具有过渡的性质，那么边缘就是规培生必然要经历的阶段；规培生边缘的、模糊的身份是他们职业互动的底色，也是互动中冲突的源头；边缘只是意味着规培生处境的尴尬和难以归类，并不表示他们地位的固化，边缘具有生成的意义，预示着职业地位即将转变。每一位合格医生的锻造过程既是制度和结构的再生产，也意味着不断的磨砺和转变。

Based on a field study of an internal medicine ward, this paper discusses the marginalized status of residents during the transitional period before they become qualified physicians and their professional socialization process. Once the nature of residency training is transitional, the margin is the stage that residents are bound to go through; the marginal, ambiguous identity of residents is the undertone of their professional interactions and the source of conflict in the interactions; the margin only implies the awkwardness of their situation and the difficulty of categorization, not the solidification of their status; the margin has a generative meaning and foreshadows the imminent transformation of professional status. The forging process of every qualified physician is both institutional and structural reproduction, and implies constant sharpening and transformation.

余成普、宗铮

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