The Perils and Triumphs of Night Surgical Residents Across South Australia

Nabi, Hajir; Harley, Simon; Murphy, Elizabeth

doi:10.1016/j.jsurg.2012.09.004

Cited by 12 publications

(13 citation statements)

References 12 publications

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“…Our results confirm the findings of decades of research with medical students, in which up to 95% reported having experiences of behaviour they associated with teaching by humiliation 2 , 3 , 6 , 7 , 14 , 17 , 19 . ‐ 22 Any suspicion that our findings reflect overreporting of teaching by humiliation by medical students is challenged by research that found senior staff underestimated the prevalence of this practice in the training of junior doctors 5 .…”

Section: Discussionsupporting

confidence: 86%

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“Teaching by humiliation” and mistreatment of medical students in clinical rotations: a pilot study

Scott

Caldwell

Barnes

et al. 2015

Medical Journal of Australia

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Objective: To generate a contemporary understanding of “teaching by humiliation” as experienced by medical students in Australia. Design, setting and participants: In this pilot study, we surveyed final‐stage medical students from two Australian medical schools about their experiences of teaching by humiliation during their adult and paediatric clinical rotations. The students were invited to complete the anonymous survey at the end of their paediatric rotation in Semester 2 of 2013. We used descriptive statistics to analyse quantitative data, and a grounded theory approach to analyse qualitative data. Main outcome measures: Student reports of experiencing or witnessing teaching by humiliation during their adult and paediatric clinical rotations. Results: Of 151 students invited to participate, 146 (96.7%) completed the survey. Most students reported experiencing (108; 74.0%) or witnessing (118; 83.1%) teaching by humiliation during adult clinical rotations. Smaller but still sizeable proportions had experienced (42; 28.8%) or witnessed (64; 45.1%) it during their paediatric clinical rotation. The humiliating and intimidating behaviours students experienced were mostly more subtle than overt and included aggressive and abusive questioning techniques. The students' responses to these practices ranged from disgust and regret about entering the medical profession to endorsement of teachers' public exposure of a student's poor knowledge. Conclusions: Practices associated with humiliating medical students persist in contemporary medical education. These practices need to be eradicated, given the evidence that they affect students' learning and mental health and are dissonant with formal professionalism curricula. Interventions are needed to interrupt the transgenerational legacy and culture in which teaching by humiliation is perpetuated.

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Section: Discussionsupporting

confidence: 86%

“…To identify the extent of this problem, the annual North American survey of medical graduates has since 1991 included questions about mistreatment 13 . There has been little research into the subject in Australia, although a South Australian study identified mistreatment of junior doctors by surgeons and emergency department staff 14 …”

mentioning

confidence: 99%

“Teaching by humiliation” and mistreatment of medical students in clinical rotations: a pilot study

Scott

Caldwell

Barnes

et al. 2015

Medical Journal of Australia

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“…). A summary of the key findings from each of the 32 included papers is shown in Table S1 (supporting information).…”

Section: Resultsmentioning

confidence: 99%

“…Countries of study origin included Australia, Canada, China, Greece, Italy, Japan, New Zealand, Nigeria, Pakistan, Ireland, South Korea, Sweden, Taiwan, the UK and the USA. The studies were published between 1996 and 2017 inclusive.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the prevalence, impact and mitigating strategies for bullying, undermining behaviour and harassment in the surgical workplace

Halim

Riding

2018

British Journal of Surgery

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“…Working only at night may limit opportunities for housestaff to attend traditional didactics or learn from attending physicians on rounds or at the bedside. In general, the literature supports this: housestaff identify limited educational value in night float rotations (Bricker & Markert 2010;Luks et al 2010;Nabi et al 2013). This is particularly relevant as learning and educational opportunities during training are among the most important factors to residents when selecting a residency training program (Ishida et al 2012).…”

Section: Introductionmentioning

confidence: 88%