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When I say… sexual misconduct
Gabrielle M Finn1,2, Michael Page3, Aaron Drovandi1
1University of Northumbria at Newcastle, Newcastle-upon-Tyne, UK.
Medical Education
|July 30, 2026
Summary
This article calls for a paradigm shift in health professions education regarding sexual misconduct. Recognizing its systemic nature and impact requires a broader, justice-oriented approach beyond individual incidents.
Area of Science:
- Medical Education
- Social Sciences
- Public Health
Background:
- Sexual misconduct is a pervasive issue within health professions education.
- Current understanding often narrowly defines misconduct, obscuring its systemic roots.
- Existing responses are frequently individualized and insufficient to address the problem's scope.
Purpose of the Study:
- To advocate for a conceptual shift in understanding and responding to sexual misconduct in health professions education.
- To highlight the limitations of current, narrow definitions and individualized responses.
- To propose a broader, justice-oriented paradigm for addressing sexual misconduct.
Main Methods:
- Conceptual analysis drawing on theories of power, knowledge, and institutional culture.
- Critique of existing frameworks for understanding sexual misconduct in educational settings.
- Argumentation for a paradigm shift based on systemic analysis.
Main Results:
- Sexual misconduct is frequently misunderstood due to narrow definitions and downplaying of its systemic nature.
- Individualized responses fail to address the prevalence and impact of misconduct effectively.
- A justice-oriented paradigm is necessary to incorporate everyday experiences, relational harm, and structural conditions.
Conclusions:
- Health professions education must move beyond individualistic views of sexual misconduct.
- Adopting a broader, justice-oriented framework is crucial for accurate understanding and meaningful action.
- Addressing systemic factors is essential to combat sexual misconduct effectively in educational environments.
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