Accepted Type
Oral
Code
OF2-1-2
Was this work accepted for CCME 2020?
yes
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Faculty
Affiliation
Considered for Poster
yes
Title
Medical Student Mistreatment and Reporting: A Journey
Length of Presentation
Background/Purpose
Over 50% of Canadian medical students report experiencing mistreatment, yet only
a small proportion of students report these concerns to school administration. It is unknown how medical students make sense of their experiences of mistreatment and come to decide whether to formally report these experiences. A better understanding of this phenomenon will facilitate changes by the medical school to better support students.
Methods
This Constructivist Grounded Theory study interviewed 19 current and former medical students from one institution about their experiences with mistreatment and reporting. Anonymized transcripts were reviewed, coded and theory was developed
Results
Students undergo a journey surrounding experiences of mistreatment in five phases: Situating, Experiencing and Appraising, Reacting, Deciding, and Moving Forward. Students move through these phases as they come to understand their position as
medical learners and their ability to trust and be safe within this institution. Each experience of mistreatment causes students to react to what has happened to them, and then decide if they will share their experiences and reach out for support. They
choose if they are going to report the mistreatment, at what cost and for what outcomes. Students continue through their training while incorporating their experiences into their understanding of the culture in which they are learning and continually resituating themselves within the institution.
Conclusion
This study revealed institutional mistrust from students especially as it related to reporting mistreatment. Interventions designed to support students and decrease exposure to mistreatment may be best focused on increasing organizational trust between students and medical school leadership. Students volunteered mechanisms to support them. Medical school administration should consider how they can increase trust with their learners while identifying areas of concern and
procedures for intervening and providing more transparent resolutions.
Keyword 1
medical student
Keyword 2
mistreatment
Keyword 3
reporting
Level of Training
CPD (faculty development, CME)
Abstract Themes
Physician & Medical Student Health and Well-being
Additional Theme (First choice)
Professionalism
Additional Theme (Second Choice)
Undergraduate
Additional Theme (Third Choice)
Student Affairs
Authors
Presenter
Amanda Bell
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
