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. 1991 Aug;155(2):140–145.

Student perceptions of mistreatment and harassment during medical school. A survey of ten United States schools.

D C Baldwin Jr 1, S R Daugherty 1, E J Eckenfels 1
PMCID: PMC1002944  PMID: 1926843

Abstract

Senior students at 10 medical schools in the United States responded to a questionnaire that asked how often, if ever, they perceived themselves being mistreated or harassed during the course of their medical education. Results show that perceived mistreatment most often took the form of public humiliation (86.7%), although someone else taking credit for one's work (53.5%), being threatened with unfair grades (34.8%), and threatened with physical harm (26.4%) were also reported. Students also reported high rates of sexual harassment (55%) and pervasive negative comments about entering a career in medicine (91%). Residents and attending physicians were cited most frequently as sources of this mistreatment. With the exception of more reports of sexual harassment from women students, perceived mistreatment did not differ significantly across variables such as age, sex, religion, marital status, or having a physician parent. Scores from the 10 schools also did not vary significantly, although the presence of a larger percentage of women in the class appeared to increase overall reports of mistreatment from both sexes.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baldwin D. C., Jr, Daugherty S. R., Eckenfels E. J., Leksas L. The experience of mistreatment and abuse among medical students. Res Med Educ. 1988;27:80–84. [PubMed] [Google Scholar]
  2. Clark D. C., Zeldow P. B. Vicissitudes of depressed mood during four years of medical school. JAMA. 1988 Nov 4;260(17):2521–2528. [PubMed] [Google Scholar]
  3. Conrad P. Learning to doctor: reflections on recent accounts of the medical school years. J Health Soc Behav. 1988 Dec;29(4):323–332. [PubMed] [Google Scholar]
  4. Gartrell N., Herman J., Olarte S., Localio R., Feldstein M. Psychiatric residents' sexual contact with educators and patients: results of a national survey. Am J Psychiatry. 1988 Jun;145(6):690–694. doi: 10.1176/ajp.145.6.690. [DOI] [PubMed] [Google Scholar]
  5. Linn B. S., Zeppa R. Does surgery attract students who are more resistant to stress? Ann Surg. 1984 Nov;200(5):638–643. doi: 10.1097/00000658-198411000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Notman M. T., Salt P., Nadelson C. C. Stress and adaptation in medical students: who is most vulnerable? Compr Psychiatry. 1984 May-Jun;25(3):355–366. doi: 10.1016/0010-440x(84)90068-3. [DOI] [PubMed] [Google Scholar]
  7. Pepitone-Arreola-Rockwell F., Rockwell D., Core N. Fifty-two medical student suicides. Am J Psychiatry. 1981 Feb;138(2):198–201. doi: 10.1176/ajp.138.2.198. [DOI] [PubMed] [Google Scholar]
  8. Pope K. S., Levenson H., Schover L. R. Sexual intimacy in psychology training: results and implications of a national survey. Am Psychol. 1979 Aug;34(8):682–689. doi: 10.1037//0003-066x.34.8.682. [DOI] [PubMed] [Google Scholar]
  9. Rosenberg D. A., Silver H. K. Medical student abuse. An unnecessary and preventable cause of stress. JAMA. 1984 Feb 10;251(6):739–742. doi: 10.1001/jama.251.6.739. [DOI] [PubMed] [Google Scholar]
  10. Sheehan K. H., Sheehan D. V., White K., Leibowitz A., Baldwin D. C., Jr A pilot study of medical student 'abuse'. Student perceptions of mistreatment and misconduct in medical school. JAMA. 1990 Jan 26;263(4):533–537. [PubMed] [Google Scholar]
  11. Silver H. K., Glicken A. D. Medical student abuse. Incidence, severity, and significance. JAMA. 1990 Jan 26;263(4):527–532. [PubMed] [Google Scholar]
  12. Silver H. K. Medical students and medical school. JAMA. 1982 Jan 15;247(3):309–310. [PubMed] [Google Scholar]
  13. Vitaliano P. P., Maiuro R. D., Mitchell E., Russo J. Perceived stress in medical school: resistors, persistors, adaptors and maladaptors. Soc Sci Med. 1989;28(12):1321–1329. doi: 10.1016/0277-9536(89)90351-1. [DOI] [PubMed] [Google Scholar]
  14. Vitaliano P. P., Maiuro R. D., Russo J., Mitchell E. S. Medical student distress. A longitudinal study. J Nerv Ment Dis. 1989 Feb;177(2):70–76. doi: 10.1097/00005053-198902000-00002. [DOI] [PubMed] [Google Scholar]
  15. Zoccolillo M., Murphy G. E., Wetzel R. D. Depression among medical students. J Affect Disord. 1986 Jul-Aug;11(1):91–96. doi: 10.1016/0165-0327(86)90065-0. [DOI] [PubMed] [Google Scholar]

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