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When patients hurt us
Kali D Cyrus1, Nancy R Angoff2, Jessica L Illuzzi3
1a Department of Psychiatry Director of the Standardized Patient Program , Yale School of Medicine, The Teaching & Learning Center (TLC) , New Haven , CT , USA.
Medical Teacher
|January 30, 2018
Summary
Medical trainees face increasing patient harassment. Educators struggle to address this mistreatment and support staff and students, necessitating urgent discussion in medical education.
Area of Science:
- Medical Education
- Healthcare Professional Well-being
- Patient-Provider Interactions
Background:
- Growing reports indicate medical trainees experience harassment and mistreatment from patients.
- Existing literature on this specific issue is limited, highlighting a knowledge gap.
- Medical educators across different career stages are increasingly encountering this problem.
Purpose of the Study:
- To explore the phenomenon of patient-to-trainee mistreatment in medical settings.
- To examine the challenges faced by medical educators in addressing and managing such incidents.
- To advocate for a broader dialogue within the medical education community on this critical issue.
Main Methods:
- Qualitative reflection and discussion by medical educators (residents, mid-career clinician-educators, deans).
- Review of existing literature on trainee mistreatment by patients.
- Description of institutional experiences in collecting data on patient-to-trainee mistreatment.
Main Results:
- Medical educators universally find it challenging to effectively address patient mistreatment of trainees.
- Support for both faculty and trainees in these situations presents a significant hurdle.
- The need for institutional and community-level strategies is evident.
Conclusions:
- Urgent attention is required to address patient mistreatment of medical trainees.
- Medical institutions must develop robust strategies to support trainees and faculty.
- Open dialogue and collaborative action within medical education are essential.
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