Student and clinician perceptions of medical student mistreatment: a cross-sectional vignette survey

ObjectivesThe mistreatment of medical students remains pervasive in medical education. Understanding the extent to which clinicians and students recognise mistreatment can assist in creating targeted interventions that reduce mistreatment. The objective of this study was to use clinical vignettes to...

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Bibliographic Details
Published in:BMJ open 2022-09, Vol.12 (9), p.e061253-e061253
Main Authors: Peckston, Dane Christopher, Urwin, Rachel, McMullan, Ryan, Westbrook, Johanna
Format: Article
Language:English
Subjects:
Age
Behavior
change management
Demographics
Education
Emotional abuse
Gender
health & safety
Learning
Mann-Whitney U test
medical education & training
Medical Education and Training
Medical research
Medical students
organisational development
Polls & surveys
Response rates
Sex discrimination
Sexual harassment
Teaching
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Summary:ObjectivesThe mistreatment of medical students remains pervasive in medical education. Understanding the extent to which clinicians and students recognise mistreatment can assist in creating targeted interventions that reduce mistreatment. The objective of this study was to use clinical vignettes to assess perceptions of medical student mistreatment among medical students and clinical faculty at an Australian university.Design, setting and participantsThis cross-sectional study used a survey of medical students and clinical faculty in a Doctor of Medicine (MD) programme at Macquarie University in Sydney, Australia. Data were collected via an online survey between 13 July and 27 July 2020.Outcome measuresFourteen clinical vignettes were developed based on commonly reported themes of mistreatment. An additional control vignette was also included, and these 15 vignettes were distributed via email to all 169 MD students and 42 teaching faculty at this teaching site. Participants were asked to rate whether the vignettes portrayed mistreatment on a 5-point Likert scale (strongly disagree to strongly agree).ResultsRespondents included 83 MD students and 34 clinical faculty. On average, students perceived mistreatment in 9 of 14 vignettes and faculty in 8 of 14 vignettes. Faculty and student perceptions aligned in themes of sexual abuse, physical abuse and in the control vignette depicting a constructive teaching style. Perceptions differed significantly between faculty and students (p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-061253