Back to Search
Start Over
Aligning perceptions of mistreatment among incoming medical trainees
- Source :
- The Journal of surgical research. 208
- Publication Year :
- 2016
-
Abstract
- Learner mistreatment has been a long-standing example of unprofessional behavior in medical training. Alignment of perceptions of professional behavior is a critical component of developing a defined organizational culture. Clinical vignettes addressing learner mistreatment can help to achieve this goal. Our aim was to determine whether using clinical vignettes to address learner mistreatment during onboarding can reduce variability in the perceptions of mistreatment.External experts in the field of labor and employment relations embedded in the clinical learning environment identified six thematic areas of potential mistreatment. Corresponding clinical case vignettes were developed and presented to incoming trainees during the onboarding process, followed by facilitated discussion. Perceptions of mistreatment before and after discussion were assessed on a Likert scale, with results compared using F-test and t-test.There were 145 participants. Most participants reported previously witnessing or experiencing episodes of mistreatment before matriculation (84%), with the majority reporting multiple events. The most common offenders were faculty (57%), residents/fellows (49%), and nurses (33%). Only 10% of incoming trainees reported a previous incident of mistreatment. Postintervention scores demonstrated decreased variability (P 0.05) in perceptions of mistreatment in all but one vignette (withholding learning opportunities). Two vignettes demonstrated higher perception of mistreatment after intervention (noneducational tasks and gender or racial discrimination, P 0.05).Mistreatment remains a prevalent phenomenon in medical training involving a wide cross-section of healthcare providers. Trainees arrive with discordant definitions of mistreatment. Alignment of individuals' definitions can be achieved through the use of carefully crafted clinical vignettes and facilitated discussion.
- Subjects :
- Adult
Male
Matriculation
Students, Medical
020205 medical informatics
Health Personnel
education
Organizational culture
02 engineering and technology
Likert scale
03 medical and health sciences
0302 clinical medicine
Nursing
0202 electrical engineering, electronic engineering, information engineering
Medicine
Humans
030212 general & internal medicine
Industrial relations
Patient Care Team
business.industry
Core competency
Internship and Residency
Onboarding
Test (assessment)
Professionalism
Hidden curriculum
Surgery
Female
business
Subjects
Details
- ISSN :
- 10958673
- Volume :
- 208
- Database :
- OpenAIRE
- Journal :
- The Journal of surgical research
- Accession number :
- edsair.doi.dedup.....bc5ab999b25659a127afc328f169b26f