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Updated: Jun 2, 2025
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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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Get Over It: Surgical Residents' Responses to Simulated Harassment. A Multi Method Study.
Myriam Johnson1, Byunghoon Tony Ahn1, Keerat Grewal1
1Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, 3605 Rue de la Montagne, Montréal, QC, Canada, H3G 2M1.
Journal of Surgical Education
|January 16, 2025
Summary
Surgery residents often responded passively when witnessing harassment in simulations. Educational strategies are needed to encourage proactive bystander intervention and address power dynamics in clinical training.
Area of Science:
- Medical Education
- Surgical Training
- Harassment in Medicine
Background:
- Harassment is a significant issue in medical training environments.
- Understanding bystander responses is crucial for developing effective anti-harassment strategies.
- Surgery residents' bystander behaviors require examination within simulated clinical settings.
Purpose of the Study:
- To examine the bystander response strategies of Surgery residents during simulated harassment.
- To assess the alignment of resident responses with the bystander intervention model.
- To explore the motivations influencing residents' actions when witnessing harassment.
Main Methods:
- Surgery residents participated in a simulated clinical scenario after an educational video on harassment.
- Audio-video recordings of simulations were analyzed for verbal and nonverbal bystander responses.
- Deductive thematic analysis of debriefing recordings explored residents' motivations.
Main Results:
- Surgery residents predominantly exhibited passive bystander responses, delaying intervention.
- Residents were more likely to reassure the victim than confront the harasser.
- Motivations for inaction included discomfort with power dynamics and fear of repercussions.
Conclusions:
- Surgery residents tend towards passive bystander responses to harassment.
- Targeted educational strategies are necessary to improve proactive intervention.
- Further research should investigate these dynamics across diverse medical professionals.
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