Manuel Castillo-Angeles1, Ammara A Watkins2, Danilo Acosta3, Julia L Frydman4, Lydia Flier5, Alejandro Garces-Descovich6, Michael J Cahalane7, Sidharta P Gangadharan8, Katharyn M Atkins9, Tara S Kent10. 1. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: macastil@bidmc.harvard.edu. 2. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: aawatkin@bidmc.harvard.edu. 3. Department of Obstetrics & Gynecology, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219, USA. Electronic address: daniloe25@gmail.com. 4. Department of Internal Medicine, New York University School of Medicine, 550 First Ave, New York, NY 10016, USA. Electronic address: frydman.julia@gmail.com. 5. Department of Internal Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Deaconess Building, Suite 306, Boston, MA 02215, USA. Electronic address: lydia.flier@gmail.com. 6. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: agarces@bidmc.harvard.edu. 7. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: mcahalan@bidmc.harvard.edu. 8. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: sgangadh@bidmc.harvard.edu. 9. Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA. Electronic address: katkins@bidmc.harvard.edu. 10. Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Lowry Medical Office Building, Boston, MA 02215, USA. Electronic address: tkent@bidmc.harvard.edu.
Abstract
BACKGROUND: Mistreatment has potential downstream effects on students. General surgery rotations tend to have a higher incidence of mistreatment reports. This study was undertaken to identify dominant themes contributing to a negative learning environment. METHODS: A qualitative study was performed using Delphi consensus technique to develop a discussion guide. Four focus groups were performed (n = 30 participants) with medical students, residents, nurses, and attending surgeons. Participants were selected using purposive-stratified criterion-based sampling. RESULTS: Multiple themes emerged: 1) unclear expectations for medical students; 2) passive mistreatment (neglect); 3) failure to integrate students into surgical team; 4) witnessed or experienced active mistreatment, 5) negative attitude of residents towards medical students' lack of knowledge. CONCLUSIONS: Medical student mistreatment persists and is a threat to the learning environment and individual learning process. Passive mistreatment (neglect) represents the most distressing component of mistreatment. These findings suggest a need for education aimed at surgical residents and others in the learning environment.
BACKGROUND: Mistreatment has potential downstream effects on students. General surgery rotations tend to have a higher incidence of mistreatment reports. This study was undertaken to identify dominant themes contributing to a negative learning environment. METHODS: A qualitative study was performed using Delphi consensus technique to develop a discussion guide. Four focus groups were performed (n = 30 participants) with medical students, residents, nurses, and attending surgeons. Participants were selected using purposive-stratified criterion-based sampling. RESULTS: Multiple themes emerged: 1) unclear expectations for medical students; 2) passive mistreatment (neglect); 3) failure to integrate students into surgical team; 4) witnessed or experienced active mistreatment, 5) negative attitude of residents towards medical students' lack of knowledge. CONCLUSIONS: Medical student mistreatment persists and is a threat to the learning environment and individual learning process. Passive mistreatment (neglect) represents the most distressing component of mistreatment. These findings suggest a need for education aimed at surgical residents and others in the learning environment.
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Authors: Patricia Costa Mincoff Barbanti; Sérgio Ricardo Lopes de Oliveira; Aline Edlaine de Medeiros; Mariá Românio Bitencourt; Silvia Veridiana Zamparoni Victorino; Marcos Rogério Bitencourt; Ana Carolina Jacinto Alarcão; Paulo Acácio Egger; Fernando Castilho Pelloso; Deise Helena Pelloso Borghesan; Makcileni Paranho de Souza; Vlaudimir Dias Marques; Sandra Marisa Pelloso; Maria Dalva de Barros Carvalho Journal: Int J Environ Res Public Health Date: 2022-09-13 Impact factor: 4.614
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