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Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees.

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Published programs addressing medical trainee mistreatment are scarce. This review highlights a significant gap in the literature and offers guidance for future reporting on interventions.

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Area of Science:

  • Medical Education
  • Healthcare Professional Development
  • Patient Safety

Background:

  • Mistreatment of medical students is a widespread issue with detrimental effects on their performance, well-being, and patient care.
  • Existing literature lacks comprehensive documentation of interventions designed to mitigate this problem.

Purpose of the Study:

  • To systematically document published programmatic and curricular initiatives aimed at reducing the incidence of medical trainee mistreatment.
  • To evaluate the characteristics and reported outcomes of these interventions.

Main Methods:

  • A systematic literature search was conducted across multiple databases (PubMed, Scopus, ERIC, Cochrane Library, PsycINFO, MedEdPORTAL) for peer-reviewed publications up to November 1, 2017.
  • Studies describing programs with evaluation data to decrease mistreatment were included; those lacking program descriptions or outcome data were excluded.
  • Data extraction focused on intervention types, study quality, and outcome measures, utilizing guidelines for Best Evidence in Medical Education.

Main Results:

  • Only 10 studies met the inclusion criteria, with programs implemented in academic medical centers across the US, Canada, UK, and Australia.
  • The most common intervention format involved lectures, workshops, and seminars; however, the overall methodological quality of the studies was low.
  • Outcome evaluations were predominantly based on participant surveys assessing satisfaction and perceived frequency of mistreatment, with limited objective data.

Conclusions:

  • There is a significant paucity of published, evaluated programs designed to address the mistreatment of medical trainees.
  • The current literature demonstrates a need for higher quality research and more robust outcome reporting for mistreatment interventions.
  • This review underscores a critical gap in evidence-based strategies for combating mistreatment in medical education.