The study revealed diverse attitudes with some embracing the ethical standards of a high calling that whilst others were concerned that too much was expected, that they had a right to break free and be themselves as long as they did not transgress too far from their expected roles. There were two distinct groups both concerned with 'how' they 'carried themselves about' but this meant different things to each dependent on which of the two perspectives they embraced. As a whole, the study revealed an ongoing conflict of value systems with concern for patient welfare just remaining uppermost. Insights: As The University of the West Indies has now stepped into the field of medical professionalism actively it would hope to support students in resolving their conflicts more consciously in response to the range of philosophical stances which currently present themselves.
This chapter argues that slavery in the Greater Caribbean region played a crucial part in shaping the region’s institutions and political culture; it then explores that impact, before and more briefly after abolition, in the British and French Caribbean. Both British and French institutions and practices are described. Slavery is shown to have been associated with formal and informal limits on the political rights not just of slaves but also of free people of color and free blacks. There were nonetheless some opportunities that people of color and black people, free and enslaved, could exploit, notably petitioning and associating, even when other openings were restricted. They exploited these opportunities increasingly vigorously even before emancipation; new political avenues opened that were subsequently sometimes re-narrowed. Some talk about democracy, inflected by American, French, and British usages, can be found in the early black newspaper press.
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