The relationship between verbal abuse of medical students and their confidence in their clinical abilities

Schuchert, M K

doi:10.1097/00001888-199808000-00018

Cited by 52 publications

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“…Until now no quantitative data charting UK medical students’ experiences of bullying has been published although valuable qualitative studies have highlighted problematic aspects of students’ socialisation into medicine and revealed the ‘hidden curriculum’,8–10 which Hafferty describes as ‘a set of influences that function at the level of organisational structure and culture’ 11. Elsewhere research has revealed the professionalism dilemmas for students that result from poor role-modelling,12 13 and the negative impact on students’ confidence in clinical skills 14. International research confirms this rather bleak picture 15 16…”

Section: Introductionmentioning

confidence: 99%

‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

Timm

2014

BMJ Open

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ObjectivesTo determine the extent to which undergraduate medical students experience (and/or witness) bullying and harassment during their first year on full-time placements and to compare with new General Medical Council (GMC) evidence on bullying and harassment of doctors in training.SettingA UK university offering medical and nursing undergraduate programmes.Participants309 medical and nursing undergraduate students with 30–33 weeks’ placement experience (123 medical students and 186 nursing students); overall response rate: 47%.Primary and secondary outcome measures(A) students’ experience of bullying and harassment; (B) witnessing bullying and harassment; (C) actions taken by students; (D) comparison of medical and nursing students’ data.ResultsWithin 8 months of starting clinical placements, a fifth of medical and a quarter of nursing students reported experiencing bullying and harassment. Cohorts differ in the type of exposure reported and in their responses. Whereas some nursing students follow incidences with query and challenge, most medical students acquiesce.ConclusionsBullying and harassment of medical (and nursing) students—as well as witnessing of such incidents—occurs as soon as students enter the clinical environment. This augments evidence published by the GMC in its first report on undermining of doctors in training (December 2013). The data suggest differences between nursing and medical students in how they respond to such incidents.

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Section: Introductionmentioning

confidence: 99%

‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

Timm

2014

BMJ Open

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“…It also degrades the way they are portrayed in the literature and media as “scut puppies” who are supposed to follow the whims of the master in order to avoid compromising their career and repute 7. Besides, student abuse and maltreatment result in less effective development of students, both personally and professionally, such that they are less likely to ask for advice or help when needed 9. Verbal abuse causes even the most resilient of students to lose self-confidence 10,11…”

Section: Introductionmentioning

confidence: 99%

Interns’ perceived abuse during their undergraduate training at King Abdul Aziz University

Iftikhar¹,

Tawfiq²,

Barabie³

2014

AMEP

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Background and objectivesAbuse occurs in all workplaces, including the medical field. The aim of this study was to determine the prevalence of perceived abuse among medical students, the types of abuse experienced during medical training, the source of abuse, and the perceived barriers to reporting abuse.MethodThis cross-sectional survey was conducted between September 2013 and January 2014 among medical graduates of King Abdul Aziz University, Jeddah. The survey questionnaire was designed to gather information regarding the frequency with which participants perceived themselves to have experienced abuse, the type of abuse, the source of abuse, and the reasons for nonreporting of perceived abuse. Data were analyzed using the Statistical Package for the Social Sciences.ResultOf the 186 students enrolled in this study, 169 (90.9%) reported perceiving some form of abuse during medical school training. Perceived abuse was most often verbal (86.6%), although academic abuse (73.1%), sex discrimination (38.7%), racial or ethnic discrimination (29.0%), physical abuse (18.8%), religious discrimination (15.1%), and sexual harassment (8.6%) were also reported. Professors were most often cited as the sources of perceived abuse, followed by associate professors, demonstrators (or assistant teaching staff), and assistant professors. The Internal Medicine Department was the most frequently cited department where students perceived themselves to have experienced abuse. Only 14.8% of the students reported the abuse to a third party.ConclusionThe self-reported prevalence of medical student abuse at King Abdul Aziz University is high. A proper system for reporting abuse and for supporting victims of abuse should be set up, to promote a good learning environment.

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“…3 Furthermore, verbal mistreatment affects students’ confidence in their clinical abilities and their ability to succeed in residency. 4,5 …”

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confidence: 99%

Eradicating Medical Student Mistreatment

et al. 2012

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Purpose Since 1995, the David Geffen School of Medicine at UCLA (DGSOM) has created policies to prevent medical student mistreatment, instituted safe mechanisms for reporting mistreatment, provided resources for discussion and resolution, and educated faculty and residents. In this study, the authors examined the incidence, severity, and sources of perceived mistreatment over the 13-year period during which these measures were implemented. Method From 1996 to 2008, medical students at DGSOM completed an anonymous survey after their third-year clerkships and reported how often they experienced physical, verbal, sexual harassment, ethnic, and power mistreatment, and who committed it. The authors analyzed these data using descriptive statistics and the students’ descriptions of these incidents qualitatively, categorizing them as “mild,” “moderate,” or “severe.” They compared the data across four periods, delineated by milestone institutional measures to eradicate mistreatment. Results Of 2,151 eligible students, 1,946 (90%) completed the survey. More than half (1,166/1,946) experienced some form of mistreatment. Verbal and power mistreatment were most common, but 5% of students (104/1,930) reported physical mistreatment. The pattern of incidents categorized as “mild,” “moderate,” or “severe” remained across the four study periods. Students most frequently identified residents and clinical faculty as the sources of mistreatment. Conclusions Despite a multipronged approach at DGSOM across a 13-year period to eradicate medical student mistreatment, it persists. Aspects of the hidden curriculum may be undermining these efforts. Thus, eliminating mistreatment requires an aggressive approach both locally at the institution level and nationally across institutions.

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The relationship between verbal abuse of medical students and their confidence in their clinical abilities

Abstract: Medical schools must understand that verbal abuse correlates with students' confidence, regardless of their sex, race, age, or levels of ability and assuredness. School policies must address the problem of verbal abuse of students to avoid lowering students' self-confidence.

Cited by 52 publications

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‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

Interns’ perceived abuse during their undergraduate training at King Abdul Aziz University

Eradicating Medical Student Mistreatment

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The relationship between verbal abuse of medical students and their confidence in their clinical abilities

Abstract: Medical schools must understand that verbal abuse correlates with students' confidence, regardless of their sex, race, age, or levels of ability and assuredness. School policies must address the problem of verbal abuse of students to avoid lowering students' self-confidence.

Cited by 52 publications

References 0 publications

‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

‘It would not be tolerated in any other profession except medicine’: survey reporting on undergraduates’ exposure to bullying and harassment in their first placement year

Interns&rsquo; perceived abuse during their undergraduate training at King Abdul Aziz University

Eradicating Medical Student Mistreatment

Contact Info

Product

Resources

About

Interns’ perceived abuse during their undergraduate training at King Abdul Aziz University