Exploring medical students' barriers to reporting mistreatment during clerkships: a qualitative study

Medical Education Online
Melody P ChungSebastian Uijtdehaage

Abstract

Despite widespread implementation of policies to address mistreatment, the proportion of medical students who experience mistreatment during clinical training is significantly higher than the proportion of students who report mistreatment. Understanding barriers to reporting mistreatment from students' perspectives is needed before effective interventions can be implemented to improve the clinical learning environment. We explored medical students' reasons for not reporting perceived mistreatment or abuse experienced during clinical clerkships at the David Geffen School of Medicine at UCLA (DGSOM). This was a sequential two-phase qualitative study. In the first phase, we analyzed institutional survey responses to an open-ended questionnaire administered to the DGSOM graduating classes of 2013-2015 asking why students who experienced mistreatment did not seek help or report incidents. In the second phase, we conducted focus group interviews with third- and fourth-year medical students to explore their reasons for not reporting mistreatment. In total, 30 of 362 eligible students participated in five focus groups. On the whole, 63% of focus group participants felt they had experienced mistreatment, of which over half chose not to ...Continue Reading

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Citations

Jun 21, 2019·Medical Education Online·Mohammed AllafHussein Elghazaly
Jul 28, 2019·Medical Teacher·Thripura Samyuktha Hariharan, Barbara Griffin
Nov 30, 2019·Singapore Medical Journal·Afra JiwaStavroula Stavropoulou-Tatla
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Jul 14, 2021·BMJ Open·Tauben AverbuchHarriette Gillian Christine Van Spall
Dec 4, 2021·Medical Teacher·Raquel Sofia SandovalAvik Chatterjee

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