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Medical student abuse: perceptions and experience

J A Bourgeois1, J Kay, J R Rudisill

  • 1Department of Psychiatry, Wright State University School of Medicine, Dayton, Ohio 45435.

Medical Education
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

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Fourth-year medical students experience more abusive educational situations than first-year students, though perceptions of abusiveness and attitudes toward such behavior remain similar. This highlights a need to address student mistreatment in medical education.

Area of Science:

  • Medical Education
  • Student Well-being
  • Clinical Pedagogy

Background:

  • Abusive behaviors in medical education can negatively impact student learning and well-being.
  • Understanding the experiences and perceptions of medical students across different training years is crucial for identifying systemic issues.

Purpose of the Study:

  • To compare the perceptions and experiences of first- and fourth-year medical students regarding abusive clinical educational situations.
  • To assess attitudes towards abusive behavior among medical students at different training stages.

Main Methods:

  • A questionnaire assessing perceptions of 18 clinical vignettes and a 10-item attitude scale were administered to first- and fourth-year medical students.
  • Statistical analysis was used to compare responses between the two student groups.

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Main Results:

  • No significant differences were found in the perceived abusiveness of most vignettes between first- and fourth-year students.
  • Fourth-year students reported experiencing these abusive situations more frequently than first-year students.
  • Attitudes towards abusive behavior did not differ significantly between the groups.

Conclusions:

  • While perceptions and attitudes may not change drastically, the increased frequency of experiencing abusive situations for senior students warrants attention.
  • Distinguishing between educationally useful and abusive teaching interactions is important for improving the medical learning environment.
  • Findings suggest potential interventions are needed to mitigate abusive behaviors in clinical education.