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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.

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Summary
This summary is machine-generated.

Medical trainees face increasing patient harassment. Educators struggle to address this mistreatment and support staff and students, necessitating urgent discussion in medical education.

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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.