Literature DB >> 19022605

Resident experience of abuse and harassment in emergency medicine: ten years later.

Siu Fai Li1, Kelly Grant, Tanuja Bhoj, Gretchen Lent, Jocelyn Freeman Garrick, Peter Greenwald, Marc Haber, Malini Singh, Karla Prodany, Leon Sanchez, Eitan Dickman, James Spencer, Tom Perera, Ethan Cowan.   

Abstract

BACKGROUND: In 1995, a Society for Academic Emergency Medicine in-service survey reported high rates of verbal and physical abuse experienced by Emergency Medicine (EM) residents. We sought to determine the prevalence of abuse and harassment 10 years later to bring attention to these issues and determine if there has been a change in the prevalence of abuse over this time period.
OBJECTIVES: To determine the prevalence of abuse and harassment in a sample of EM residencies.
METHODS: We conducted a cross-section survey of EM residents from 10 residencies. EM residents were asked about their experience with verbal abuse, verbal threats, physical threats, physical attacks, sexual harassment, and racial harassment; and by whom. The primary outcome of the study was the prevalence of abuse and harassment as reported by EM residents.
RESULTS: There were 196 of 380 residents (52%) who completed the survey. The prevalence of any type of abuse experienced was 91%; 86% of residents experienced verbal abuse, 65% verbal threats, 50% physical threats, 26% physical attacks, 23% sexual harassment, and 26% racial harassment. Women were more likely than men to encounter sexual harassment (37% [38/102] vs. 8% [7/92]; p < 0.001). Racial harassment was not limited to minorities (23% [16/60] for Caucasians vs. 26% [29/126] for non-Caucasians; p = 0.59). Senior residents were more likely to have encountered verbal and physical abuse. Only 12% of residents formally reported the abuse they experienced.
CONCLUSION: Abuse and harassment during EM residency continues to be commonplace and is underreported. Copyright (c) 2010 Elsevier Inc. All rights reserved.

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Mesh:

Year:  2008        PMID: 19022605     DOI: 10.1016/j.jemermed.2008.05.005

Source DB:  PubMed          Journal:  J Emerg Med        ISSN: 0736-4679            Impact factor:   1.484


  14 in total

1.  A systematic review of the prevalence of patient assaults against residents.

Authors:  Stephanie Kwok; Britta Ostermeyer; John Coverdale
Journal:  J Grad Med Educ       Date:  2012-09

2.  Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout.

Authors:  Linda J Wang; Adam Tanious; Catherine Go; Dawn M Coleman; Sophia K McKinley; Matthew J Eagleton; W Darrin Clouse; Mark F Conrad
Journal:  J Vasc Surg       Date:  2019-06-18       Impact factor: 4.268

Review 3.  The Experience of Male Physicians with Sexual and Gender-Based Harassment: a Qualitative Study.

Authors:  Amy H Farkas; Cecilia Scholcoff; Julie L Machen; Cynthia Kay; Sarah Nickoloff; Kathlyn E Fletcher; Jeffrey L Jackson
Journal:  J Gen Intern Med       Date:  2020-02-19       Impact factor: 5.128

4.  Use of Simulated Patient Encounters to Teach Residents to Respond to Patients Who Discriminate Against Health Care Workers.

Authors:  Ellen H Eisenberg; Kelly A Kieffer
Journal:  J Gen Intern Med       Date:  2019-05       Impact factor: 5.128

Review 5.  Health equity research in obstetric anesthesia.

Authors:  Olubukola Toyobo; Jean Guglielminotti; Doerthe Adriana Andreae; Michael H Andreae
Journal:  Curr Opin Anaesthesiol       Date:  2022-06-01       Impact factor: 2.733

6.  The Frequency, Contributing and Preventive Factors of Harassment towards Health Professionals in Iran.

Authors:  Masoud Fallahi Khoshknab; Fatemeh Oskouie; Nahid Ghazanfari; Fereshteh Najafi; Zahra Tamizi; Shahla Afshani; Ghazal Azadi
Journal:  Int J Community Based Nurs Midwifery       Date:  2015-07

7.  Workplace violence by specialty among Peruvian medical residents.

Authors:  Wendy Nieto-Gutierrez; Carlos J Toro-Huamanchumo; Alvaro Taype-Rondan; Raúl Timaná-Ruiz; Carlos Alva Diaz; David Jumpa-Armas; Seimer Escobedo-Palza
Journal:  PLoS One       Date:  2018-11-29       Impact factor: 3.240

8.  -A cross-sectional study of clinical learning environments across four undergraduate programs using the undergraduate clinical education environment measure.

Authors:  Malin Sellberg; Per J Palmgren; Riitta Möller
Journal:  BMC Med Educ       Date:  2021-05-05       Impact factor: 2.463

Review 9.  Altering workplace attitudes for resident education (A.W.A.R.E.): discovering solutions for medical resident bullying through literature review.

Authors:  Heather B Leisy; Meleha Ahmad
Journal:  BMC Med Educ       Date:  2016-04-27       Impact factor: 2.463

10.  Academic Emergency Medicine Faculty Experiences with Racial and Sexual Orientation Discrimination.

Authors:  Dave W Lu; Ava Pierce; Joshua Jauregui; Sheryl Heron; Michelle D Lall; Jennifer Mitzman; Danielle M McCarthy; Nicholas D Hartman; Tania D Strout
Journal:  West J Emerg Med       Date:  2020-08-21
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