Bullying of trainee doctors is a patient safety issue

Paice, Elisabeth; Smith, Daniel

doi:10.1111/j.1743-498x.2008.00251.x

Cited by 96 publications

(89 citation statements)

References 8 publications

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“…GP educational processes now lead British medical education. 6,7 The RAGPs crossed organisational boundaries: four initiated GP university departments and seven led the RCGP as Chairs of Council. They produced the only GP president of the GMC.…”

Section: Gp Deaneriesmentioning

confidence: 99%

Academic general practice: a viewpoint on achievements and challenges

Gray

2015

Br J Gen Pract

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Section: Gp Deaneriesmentioning

confidence: 99%

Academic general practice: a viewpoint on achievements and challenges

Gray

2015

Br J Gen Pract

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“…5,6 Negative workplace behaviours encompass a broad spectrum and most of the research on negative communication between doctors has analysed bullying or undermining as a discrete subset. [7][8][9][10] However, relatively little work has been done to describe more widespread rude, dismissive and aggressive (RDA) communication between doctors that can also be defined as workplace incivility. 11 RDA communication is distinct from bullying which is a more persistent and powerbased form of abuse most commonly occurring within a department.…”

Section: Introductionmentioning

confidence: 99%

Sticks and stones: investigating rude, dismissive and aggressive communication between doctors

Bradley

Liddle

Shaw³

et al. 2015

Clinical Medicine

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Destructive communication is a problem within the NHS; however previous research has focused on bullying. Rude, dismissive and aggressive (RDA) communication between doctors is a more widespread problem and underinvestigated. We conducted a mixed method study combining a survey and focus groups to describe the extent of RDA communication between doctors, its context and subsequent impact. In total, 606 doctors were surveyed across three teaching hospitals in England. Two structured focus groups were held with doctors at one teaching hospital. 31% of doctors described being subject to RDA communication multiple times per week or more often, with junior and registrar doctors affected twice as often as consultants. Rudeness was more commonly experienced from specific specialties: radiology, general surgery, neurosurgery and cardiology. 40% of respondents described that RDA moderately or severely affected their working day. The context for RDA communication was described in five themes: workload, lack of support, patient safety, hierarchy and culture. Impact of RDA communication was described as personal, including emotional distress and substance abuse, and professional, including demotivation. RDA communication between doctors is a widespread and damaging behaviour, occurring in contexts common in healthcare. Recognition of the impact on doctors and potentially patients is key to change.

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“…If junior staff lack the courage to question a psychopathic line manager or senior, safety warnings can go unheeded. 15 Careers of individuals expressing disquiet or 'whistle-blowing' about conduct within a department are also at risk. A psychopathic individual who feels threatened will plan career destruction of the 'complainant' by starting false rumours or reporting fictitious errors.…”

Section: Description Of Psychopathymentioning

confidence: 99%