The prevalence of medical student mistreatment and its association with burnout.
Citation: Acad Med. 89(5):749-54, 2014 May.Academic Medicine. 89(5):749-54, 2014 May.PMID: 24667503Institution: MedStar Franklin Square Medical CenterDepartment: Internal MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, N.I.H., Extramural | Research Support, Non-U.S. Gov'tSubject headings: *Burnout, Professional/ep [Epidemiology] | *Clinical Clerkship/mt [Methods] | *Clinical Clerkship/og [Organization & Administration] | *Interprofessional Relations | *Professional Misconduct/sn [Statistics & Numerical Data] | *Students, Medical/px [Psychology] | *Students, Medical/sn [Statistics & Numerical Data] | Clinical Clerkship/td [Trends] | Cross-Sectional Studies | Education, Medical, Undergraduate/st [Standards] | Education, Medical, Undergraduate/td [Trends] | Faculty, Medical | Female | Humans | Male | Needs Assessment | Prevalence | Schools, Medical/st [Standards] | Schools, Medical/td [Trends] | Social Behavior | Surveys and Questionnaires | United States | Young AdultYear: 2014Local holdings: Available online from MWHC library: 2000 - present, Available in print through MWHC library: 1997 - 2006ISSN:- 1040-2446
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 24667503 | Available | 24667503 |
Available online from MWHC library: 2000 - present, Available in print through MWHC library: 1997 - 2006
CONCLUSIONS: Medical student mistreatment remains prevalent. Recurrent mistreatment by faculty and residents is associated with medical student burnout. Although further investigation is needed to assess causality, these data provide impetus for medical schools to address student mistreatment to mitigate its adverse consequences.
METHOD: In 2011, the authors surveyed a nation ally representative sample of third-year medical students. Students reported the frequency of experiencing mistreatment by attending faculty and residents since the beginning of their clinical rotations. Burnout was measured using a validated two-item version of the Maslach Burnout Inventory.
PURPOSE: Medical student mistreatment has been recognized for decades and is known to adversely impact students personally and professionally. Similarly, burnout has been shown to negatively impact students. This study assesses the prevalence of student mistreatment across multiple medical schools and characterizes the association between mistreatment and burnout.
RESULTS: Of 960 potential respondents from 24 different medical schools, 605 (63%) completed the survey, but 41 were excluded because they were not currently in their third year of medical school. Of the eligible students, the majority reported experiencing at least one incident of mistreatment by faculty (64% [361/562]) and by residents (76% [426/562]). A minority of students reported experiencing recurrent mistreatment, defined as occurring "several" or "numerous" times: 10% [59/562] by faculty and 13% [71/562] by residents. Recurrent mistreatment (compared with no or infrequent mistreatment) was associated with high burnout: 57% versus 33% (P < .01) for recurrent mistreatment by faculty and 49% versus 32% (P < .01) for recurrent mistreatment by residents.
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