Perceptions of Intimidation in the Psychiatric Educational Environment in Edmonton, Alberta

Tibbo, Philip G.; Gara, Christopher J. de; Blake, Treena; Steinberg, Carolyn; Stonehocker, Brian

doi:10.1177/070674370204700609

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…The main form of this intimidation and harassment was in inappropriate verbal comments (66%). These results seem quite different from a previous study of psychiatry residents in Edmonton, Alberta, which concluded that intimidation in the psychiatric educational environment was not a significant issue [23]. However, due to the setup of our study we did not choose to stratify results from individual programs and therefore cannot directly comment on the psychiatry residents results.…”

Section: Discussioncontrasting

confidence: 81%

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

2005

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Background: Despite the critical importance of well-being during residency training, only a few Canadian studies have examined stress in residency and none have examined well-being resources. No recent studies have reported any significant concerns with respect to perceived stress levels in residency. We investigated the level of perceived stress, mental health and understanding and need for well-being resources among resident physicians in training programs in Alberta, Canada.

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Section: Discussioncontrasting

confidence: 81%

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

2005

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“…Sizeable minorities of residents had reported being severely criticized or humiliated by an attending or had observed this happening to others [9] or had experienced bullying behaviors in the preceding year [33,34]. In the Canadian study, the perception of intimidating behaviors, including threats and the abuse of power, was generally low in the working environment [32].…”

Section: Mistreatment By Colleaguesmentioning

confidence: 88%

“…Information on mistreatment specific to psychiatric trainees is lacking, especially in American settings [31]. Four noteworthy studies of which we are aware, all of which are now dated, originate from Australia [9], Canada [32], UK [33], and Pakistan [34]. Sizeable minorities of residents had reported being severely criticized or humiliated by an attending or had observed this happening to others [9] or had experienced bullying behaviors in the preceding year [33,34].…”

Section: Mistreatment By Colleaguesmentioning

confidence: 99%

What Are Some Stressful Adversities in Psychiatry Residency Training, and How Should They Be Managed Professionally?

et al. 2019

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“…In seeking explanations, some students concluded that teachers use intimidation and humiliation because they do not have a reliable range of more effective teaching skills . Others concluded that these practices have become entrenched in the hierarchical culture of medicine over generations …”

Section: Discussionmentioning

confidence: 99%

Acknowledging medical students’ reports of intimidation and humiliation by their teachers in hospitals

Barrett

Scott

2017

J Paediatrics Child Health

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Aim: The continuing existence of 'teaching by humiliation' of medical students and junior doctors in Australia has recently been highlighted in a number of research publications and media reports. This study investigates medical students' experiences of being intimidated or humiliated during their clinical rotations in Australian hospitals in paediatrics and adult medicine. Methods: From factors identified in earlier research, a two-page survey was developed for administration at two Australian medical schools. Administered in Semester 2 of 2014, students were invited to add their own free-text comments at the conclusion of 17 closed questions. Using thematic analysis of the qualitative data, the researchers identified the common themes in the students' free-text comments, which are reported in this paper. Results: We found five main themes in the qualitative data: a spectrum of interpretations of and responses to 'teaching by humiliation', an accepted means of enculturating the young, teachers' techniques for asking questions, the victims and perpetrators of mistreatment and the variance of prevalence in different contexts. Conclusion: Research shows the persistence of 'teaching by humiliation', even in paediatrics, particularly when doctors are questioning students in ways that shame them for their lack of knowledge. Given the many personal and professional costs of these practices, this cycle of mistreatment needs to be brought to an end. There is a need for students' reports of intimidation and humiliation to be acknowledged; the offending practices need to be interrupted, and more effective and respectful approaches to teaching need to be adopted.

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Perceptions of Intimidation in the Psychiatric Educational Environment in Edmonton, Alberta

Abstract: Reported perceptions and personal experiences of intimidation within the psychiatric learning environment in Edmonton are low.

Cited by 7 publications

References 3 publications

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

What Are Some Stressful Adversities in Psychiatry Residency Training, and How Should They Be Managed Professionally?

Acknowledging medical students’ reports of intimidation and humiliation by their teachers in hospitals

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