Student Mistreatment in Medical School and Planning a Career in Academic Medicine

Haviland, Mark G.; Yamagata, Hisashi; Werner, Leonard S.; Zhang, Kehua; Dial, Thomas H.; Sonne, Janet L.

doi:10.1080/10401334.2011.586914

Cited by 44 publications

(33 citation statements)

References 21 publications

(21 reference statements)

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“…5,16,20 Our results brought to light that a high proportion of students have negative perceptions about the course, especially during the basic cycle, in which the figures were higher for all indicators except for considering dropping out of the course, which was seen more frequently during the clinical cycle. This may be a reflection of the cumulative dimension of this specific measurement, since we asked whether the students had ever considered dropping out the course.…”

Section: Consequences Of Mistreatment On the Way Students Perceive Mementioning

confidence: 80%

“…It should be noted that this is an opportune time to bring this discussion to the forefront in this country, because the new national curriculum guidelines that were recently approved state that medical schools should be able to provide training for doctors to practice "general, humanistic, critical, reflective and ethical medicine (…) with social responsibility and commitment to the defense of citizenship [and] human dignity". 37 Considering the negative impact of mistreatment on mental health and wellbeing, and the way in which students perceive their course and academic achievements, 5,7,12,[16][17][18][19][20] occurrences of mistreatment during medical training have high potential to compromise quality of care and the way in which students approach their patients and their suffering. Mistreatment represents an additional source of stress for medical students that should be seriously taken into consideration by medical schools.…”

Section: Consequences Of Mistreatment On the Way Students Perceive Mementioning

confidence: 99%

“…Although the effects on students' mental health, wellbeing and perceptions about medical education and academic achievements are well known, 5,7,12,[16][17][18][19][20] studies addressing the perceived severity and recurrence of mistreatment and the association with students' perceptions about their medical course are scarce. Most of the studies have been conducted in the US, and no data are available for Brazil.…”

Section: Introductionmentioning

confidence: 99%

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Mistreatment in an academic setting and medical students' perceptions about their course in São Paulo, Brazil: a cross-sectional study

et al. 2016

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Mistreatment in an academic setting and medical students' perceptions about their course in São Paulo, Brazil: a cross-sectional study Maus-tratos ABSTRACTCONTEXT AND OBJECTIVE: High prevalence of mistreatment among medical students has been described in the worldwide literature since the 1980s. However, studies addressing the severity and recurrence of victimization and its effects on students' perceptions of their medical course are scarce. This study had the aim of estimating the prevalence of exposure to mistreatment that was considered to be severe and recurrent and its association with medical students' perceptions about their medical course. METHODS: A cross-sectional study was conducted in a medical school in São Paulo, Brazil. Three hundred and seventeen students from the first to the sixth year answered the online questionnaire. RESULTS: High prevalence of mistreatment during the course was found. Two thirds of the students considered the episodes to be severe, and around one third reported experiencing recurrent victimization. Occurences of mistreatment that the students considered to be severe were correlated with feeling overloaded and wanting to abandon the medical course. CONCLUSIONS: Occurrences of mistreatment within the academic environment are frequent in Brazil.The results suggest that mistreatment that was considered to be severe might negatively affect students' perceptions about their course.RESUMO CONTEXTO E OBJETIVO: Altas prevalências de maus-tratos entre estudantes de medicina vêm sendo descritas na literatura internacional desde a década de 1980. Estudos sobre a gravidade e recorrência da vitimização e seus efeitos na percepção dos alunos sobre o curso médico são escassos. Este estudo tem por objetivo estimar a prevalência de exposição a maus-tratos considerados graves e recorrentes e sua associação com a percepção dos estudantes de medicina sobre o curso médico. MÉTODOS: Estudo transversal realizado em uma escola médica em São Paulo, Brasil. Trezentos e dezessete estudantes do primeiro ao sexto ano responderam ao questionário online. RESULTADOS: Foram encontradas altas prevalências de maus-tratos durante o curso. Dois terços dos estudantes consideraram os maus-tratos graves e cerca de um terço referiu vitimização recorrente. A ocorrência de maus-tratos considerados graves pelos estudantes esteve associada a sentimento de sobrecarga e desejo de abandonar o curso médico. CONCLUSÃO: A ocorrência de maus-tratos no ambiente acadêmico é frequente no Brasil. Os resultados sugerem que os maus-tratos percebidos como graves podem afetar negativamente a percepção dos estudantes sobre o curso.

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Section: Consequences Of Mistreatment On the Way Students Perceive Mementioning

confidence: 80%

Section: Consequences Of Mistreatment On the Way Students Perceive Mementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mistreatment in an academic setting and medical students' perceptions about their course in São Paulo, Brazil: a cross-sectional study

et al. 2016

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“…23 For example, according to one study, mistreated students are less likely to plan careers in academic medicine. 24 Some medical students may demonstrate symptoms of post-traumatic stress disorder following mistreatment. 25 In sum, mistreatment may have potentially serious and long-lasting consequences.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Medical Student Mistreatment and Its Association With Burnout

et al. 2014

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Purpose Medical student mistreatment has been recognized for decades and is known to adversely impact students both personally and professionally. Similarly, burnout has been shown to negatively impact students. This study assesses the prevalence of student mistreatment across multiple medical schools and characterizes the association between mistreatment and burnout. Method In 2011, the authors surveyed a nationally representative sample of third-year medical students. Students reported the frequency of mistreatment by attending faculty and residents since the beginning of their clinical rotations. Burnout was measured using a validated two-item version of the Maslach Burnout Inventory. Results Of 919 eligible students from 24 different medical schools, 564 (61%) completed the survey. The majority reported at least one incident of mistreatment by faculty (64% [361/562]) and by residents (75.5% [426/562]). Notable minorities experienced recurrent mistreatment, defined as mistreatment categorized as “several” or “numerous” times by student self-report (10.7% [59/562] by faculty and 12.6% [71/562] by residents). Recurrent mistreatment was associated with high burnout (57.4% vs. 31.5%; p<0.01 for recurrent mistreatment by faculty; 49.1% vs. 32.1%; p<0.01 for recurrent mistreatment by residents). Conclusions Medical student mistreatment remains prevalent. Recurrent mistreatment by faculty and residents is associated with medical student burnout. Although further investigation is needed to assess causality, these data provide additional impetus for medical schools to address student mistreatment to mitigate its adverse consequences on their personal and professional well-being.

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“…[8] There have also been studies documenting that minority faculty in academia are more frequently unhappy in their position than non-minorities, and consider it substantially more difficult to advance [9, 10]. However, it is during residency or fellowship where most physicians decide their ultimate career path – whether it be private practice, academia, or some combination of the two.…”

Section: Introductionmentioning

confidence: 99%

Minority Underrepresentation in Academia: Factors Impacting Careers of Surgery Residents

Julien

Lang

Brown

et al. 2014

J. Racial and Ethnic Health Disparities

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Background Underrepresentation of minorities within academic surgery is an ever present problem with a profound impact on healthcare. The factors influencing surgery residents to pursue an academic career have yet to be formally investigated. We sought to elucidate these factors, with a focus on minority status. Methods A web-based questionnaire was sent to all administered to all ACGME-accredited general surgery programs in the United States. The main outcome was the decision to pursue a fully academic versus non-academic career. Multivariable logistic regression was used to identify characteristics impacting career choice. Results Of the 3,726 residents who received the survey, a total of 1,217 residents completed it – a response rate of 33%. Forty-seven percent planned to pursue non-academic careers, 35% academic careers, and 18% were undecided. There was no association between underrepresented minority status and academic career choice (Odds Ratio = 1.0, 95% Confidence Interval 0.6 – 1.6). Among all residents, research during training (OR=4.0, 95% CI 2.7-5.9), mentorship (OR=2.1, 95% CI 1.6-2.9), and attending a residency program requiring research (OR=2.3, 95% CI 1.5-3.4) were factors associated with choosing an academic career. When the analysis was performed among only senior residents (i.e., 4th and 5th year residents), a debt burden >$150,000 was associated with choosing a non-academic career (OR=0.4, 95% CI 0.1-0.9). Conclusions Underrepresented minority status is not associated with career choice. Intentional recruitment of minorities into research-oriented training programs, increased mentorship and research support among current minority residents, and improved financial options for minorities may increase the number choosing an academic surgical career.

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Student Mistreatment in Medical School and Planning a Career in Academic Medicine

Abstract: A perception of having been mistreated in medical school is related to students' career choices, a finding that may be useful to medical school administrators/faculty and students as mistreatment is addressed in program planning, counseling, and faculty recruitment.

Cited by 44 publications

References 21 publications

Mistreatment in an academic setting and medical students' perceptions about their course in São Paulo, Brazil: a cross-sectional study

Mistreatment in an academic setting and medical students' perceptions about their course in São Paulo, Brazil: a cross-sectional study

The Prevalence of Medical Student Mistreatment and Its Association With Burnout

Minority Underrepresentation in Academia: Factors Impacting Careers of Surgery Residents

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