Do attending physicians, nurses, residents, and medical students agree on what constitutes medical student abuse?

被引:39
作者
Ogden, PE [1 ]
Wu, EH [1 ]
Elnicki, MD [1 ]
Battistone, MJ [1 ]
Cleary, LM [1 ]
Fagan, MJ [1 ]
Friedman, E [1 ]
Gliatto, PM [1 ]
Harrell, HE [1 ]
Jennings, MS [1 ]
Ledford, CH [1 ]
Mechaber, AJ [1 ]
Mintz, M [1 ]
O'Brien, K [1 ]
Thomas, MR [1 ]
Wong, RY [1 ]
机构
[1] Texas A&M Univ, Temple, TX 76508 USA
关键词
D O I
10.1097/00001888-200510001-00022
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background Whether attending physicians, residents, nurses, and medical students agree on what constitutes medical student abuse, its severity, or influencing factors is unknown. Method We surveyed 237 internal medicine attending physicians, residents, medical students, and nurses at 13 medical schools after viewing five vignettes depicting potentially abusive behaviors. Results The majority of each group felt the belittlement, ethnic insensitivity, and sexual harassment scenarios represented abuse but that excluding a student from participating in a procedure did not. Only a majority of attending physicians considered the negative feedback scenario as abuse. Medical students rated abuse severity significantly lower than other groups in the belittlement scenario (p <.05). Respondents who felt abused as students were more likely to rate behaviors as abusive (p <.05). Conclusions The groups generally agree on what constitutes abuse, but attending physicians and those abused as students may perceive more behaviors as abusive.
引用
收藏
页码:S80 / S83
页数:4
相关论文
共 12 条
[1]   Learning, satisfaction, and mistreatment during medical internship - A national survey of working conditions [J].
Daugherty, SR ;
Baldwin, DC ;
Rowley, BD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (15) :1194-1199
[2]  
Eckenfels EJ, 1997, ANN BEHAV SCI MED ED, V4, P11
[3]   Medical students' perspectives on and responses to abuse during the internal medicine clerkship [J].
Elnicki, DM ;
Ogden, P ;
Curry, RH ;
Pangaro, L ;
Fagan, M ;
Papadakis, M ;
Friedman, E ;
Szauter, K ;
Jacobson, E ;
Wallach, P ;
Loftus, T ;
Linger, B .
TEACHING AND LEARNING IN MEDICINE, 2002, 14 (02) :92-97
[4]   Patterns of medical student abuse during the internal medicine clerkship: Perspectives of students at 11 medical schools [J].
Elnicki, DM ;
Linger, B ;
Asch, E ;
Curry, R ;
Fagan, M ;
Jacobson, F ;
Loftus, T ;
Ogden, P ;
Pangaro, L ;
Papadakis, M ;
Szauter, K ;
Wallach, P .
ACADEMIC MEDICINE, 1999, 74 (10) :S99-S101
[5]   Prevalence and correlates of harassment among US women physicians [J].
Frank, E ;
Brogan, D ;
Schiffman, M .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (04) :352-358
[6]   On the culture of student abuse in medical school [J].
Kassebaum, DG ;
Cutler, ER .
ACADEMIC MEDICINE, 1998, 73 (11) :1149-1158
[7]  
Lubitz R M, 1996, JAMA, V275, P414, DOI 10.1001/jama.275.5.414
[8]   Assessing medical students' perceptions of mistreatment in their second and third years [J].
Richardson, DA ;
Becker, M ;
Frank, RR ;
Sokol, RJ .
ACADEMIC MEDICINE, 1997, 72 (08) :728-730
[9]   MENTAL-HEALTH CONSEQUENCES AND CORRELATES OF REPORTED MEDICAL-STUDENT ABUSE [J].
RICHMAN, JA ;
FLAHERTY, JA ;
ROSPENDA, KM ;
CHRISTENSEN, ML .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (05) :692-694
[10]   The relationship between verbal abuse of medical students and their confidence in their clinical abilities [J].
Schuchert, MK .
ACADEMIC MEDICINE, 1998, 73 (08) :907-909