Addressing medical resident mistreatment
A resident-centred approach
Bibliographic Data
| ID | 21448918 |
|---|---|
| Authors | Qëndresa Sahiti (0000-0003-3754-0900, Dalhousie University, corresponding author), Cindy Shearer (Dalhousie University), Carolyn Thomson (Dalhousie University), Lisa Sutherland (Dalhousie University), David Bowes (0000-0002-9932-7067, Dalhousie University) |
| Year | 2024 |
| Volume | 46 |
| Issue | 6 |
| Pages | 769-775 |
| Publication date | 2024-06-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Teacher (JOURNAL) |
| Journal identifiers | ISSN: 0142-159X • E-ISSN: 1466-187X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0142159x.2023.2279903 |
| PMID | 37972586 |
| OpenAlex | W4388735512 |
| Language | EN |
| References cited | 20 |
Introduction Mistreatment negatively impacts the wellbeing of medical learners and is related to worse patient outcomes and team functioning. Resident perspectives on improving mistreatment reporting structures and investigations have not been explored. We aimed to understand residents’ views on safe reporting structures, investigations, and resolution processes.Method We conducted an exploratory sequential mixed method study beginning with a series of qualitative interviews to inform an anonymous online survey to all Dalhousie University residents (N = 645).Results When interviewed, residents (N = 10) discussed personal experiences with mistreatment, barriers to reporting, and how these processes could better serve them. Themes from the interviews were imbedded in an anonymous online survey to explore their prevalence among a larger group. Residents (N = 120; 19%) completed the online survey and revealed that mistreatment was very common yet underreported. Barriers to reporting included confidentiality concerns, perceptions that reporting would not change anything, and fear of retaliation. Desired outcomes for perpetrators depended on the perpetrator’s position and incident severity, and most prefer a remedial approach.Conclusion Resident mistreatment remains prevalent and current processes of dealing with reports may be inadequate. Residents have thoughtful insights for improving institutional policies and procedures and should be meaningfully engaged
Medical education · MEDLINE · Political science · Diversity and Career in Medicine · Medical Malpractice and Liability Issues · Medicine · Nursing · Psychology · Workplace Violence and Bullying
| Citation velocity | historical |
|---|---|
| Highly cited | No |