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Exploring Mistreatment of Medical Students by Patients: A Qualitative Study
Amanda Hu1, Graham MacDonald2, Neera R Jain3
1A. Hu is clinical associate professor, Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; ORCID: https://orcid.org/0000-0002-1292-1582 .
Summary
Medical students face patient mistreatment based on gender and race, often suppressing emotions due to professional duty. Institutions need better support systems for these experiences.
Area of Science:
- Medical Education
- Qualitative Research
- Social Determinants of Health
Background:
- Patient mistreatment of medical students is under-explored.
- Understanding the impact of such mistreatment is crucial for medical training.
Purpose of the Study:
- To qualitatively explore the impact and consequences of medical students' experiences with patient mistreatment.
- To develop a rich understanding of how students respond to and cope with mistreatment.
Main Methods:
- Exploratory descriptive qualitative study at a Canadian medical school.
- Semistructured interviews with 14 medical students.
- Thematic analysis with critical theory interpretation.
Main Results:
- 85.7% of participants experienced or witnessed patient mistreatment, often based on gender and race/ethnicity.
- No students filed official reports despite awareness of the mechanism.
- Students utilized social support systems and struggled with empathy and ethical engagement with discriminatory patients.
Conclusions:
- Medical schools require proactive, multifaceted support mechanisms for students experiencing patient mistreatment.
- Further research into this aspect of the hidden curriculum is needed to develop effective anti-racist and anti-sexist responses.
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