Table 3.

Code Applications by Content Area, Number and Percent of Available Excerpts (n =179)

Theme	Subtheme	Number of Excerpts	Percent of All Excerpts	Representative Quotes
1. Occurrence		146	81.6
1a. Source of specialty disrespect		84	46.9
	Everyone	21	11.7	“every specialty has another specialty they bad mouth”
	Specialists	19	10.6	“specialists are disrespectful”
	Surgical specialties	19	10.6	“surgeons constantly criticize”
	General surgeons	16	8.9
	Internal medicine	10	5.1
	Primary care	6	3.4
	Family medicine	3	1.7
1b. Role of source of specialty disrespect		53	29.6
	Faculty/attending	35	19.6
	Residents	12	6.7
	Students	4	2.2
	Other	2	1.1
1c. Target of Specialty Disrespect		118	65.9
	Family medicine	57	31.8
	Primary care	23	12.8
	Obstetrics/gynecology	12	6.7
	Specialists	8	4.5
	General surgery	8	4.5
2. Content or nature of specialty disrespect		50	27.9
	Legitimacy	24	13.4	“Don’t you want to be a real doctor?” (in regard to choosing family med as a career)” “you could teach a monkey to do that”
	Intelligence	13	7.3	“you’re too smart”
	Finances	8	4.5	“get ready for food stamps,” “radiologists…only care about money;”
	Quality of life	8	4.5
	Undesirable environment	7	3.9	“Ob/Gyn is filled with people who are tough to get along with.”
3. Impact of Specialty Disrespect		73	40.8
	Emotion	35	19.6	“the disrespectful comments about my career path were very disheartening.” “disrespectful comments… made me resentful.” “self conscious” “ashamed.”
	Interest in target specialty	27	15.1	“I was thinking of going into Family Med but was discouraged by all the terrible comments” “I am still going to pick Fam Med, but it made me not want to” “Everyone knocks Ob/Gyn. But I still love it.”
	Interest in Source Specialty	11	6.1	“Surgeons being rude toward other specialties…made me not want to be a surgeon” “Family med hates on everyone else which made me actually dislike family medicine.”
4. Student response		47	27.4
4a. Accommodation		27	15.1
	Humor	11	6.1	“everybody jokes” “usually in good fun”
	Harmless	8	4.5	“harmless banter”
	Grain of salt	4	2.1	“grain of salt”
	True concern	2	1.1	“most I would not qualify as disrespectful just a real concern for [patient] safety/care” “self-flagellation by primary care MDs…not without some truth”
	Tradition	1	0.6
	Human nature	1	0.6
4b. Criticism		22	12.3	“I thought we were all adults”
	Systemic issue	12	6.7	“this needs to be addressed at every level” “This is disappointing…[and] sad given this is a ‘primary care’ school” “despite [the school]’s reputation as being a very strong school for primary care … the primary care specialties were still disrespected by many other specialties.” “we certainly need to work on improving respect … between dif [sic] specialties.”
	Individual issue	10	5.6	“very disappointing and reflects poorly on [the speaker]”