Submission ID 77605
| Code | OG-5-6 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Other |
| Presenter Other | Faculty |
| Title | Exploring Perceptions of Self-Disclosure in Medical Education |
| Background/Purpose | Despite the proliferation of initiatives to address wellbeing and reduce burnout, stigma of mental illness remains rooted within the structural power of medical education and the broader community. Given the paucity of literature on self-disclosure in medical learners, we sought to explore perceptions of self-disclosure in medical education. |
| Methods | In a mixed methods, convergent triangulation design, authors recruited medical learners across Canada in 2020-2021. Quantitative data included the Opening Minds Scale for Healthcare providers. Qualitative data were collected through semi-structured interviews and analyzed using a phenomenological approach. Qualitative data were collected simultaneously, analyzed separately, and triangulated with the quantitative data. Discrepancies were discussed until consensus was achieved. |
| Results | Overall, N= 125 medical learners (n= 67 medical students, n=58 resident physicians) responded to our survey, and N=13 participated in interviews (n = 10 medical students, n =3 resident physicians). Disclosure was a complex process that appeared to become more challenging over time due to the internalization of negative attitudes about mental illness. OMS-HC scores showed resident physicians had more negative attitudes towards mental illness and disclosure (47.7 vs. 44.3, p = 0.02). Self-disclosure was modulated by the degree of intersectional vulnerability of the learner's identity. Participants who identified as men had more negative attitudes than people who identified as women (17.8 vs 16.1, p = 0.01). Racialized learners scored higher on self-stigma. Interview data suggested that disclosure was fraught with tensions, but ultimately lead to positive outcomes. |
| Discussion | Understanding the complex and individual process of disclosure is not a one size fits all approach. Fear of disclosure is an important factor shaped by the learning environment. |
| Keyword 1 | mental illness |
| Keyword 2 | well-being |
| Keyword 3 | equity |
| Abstract content most relevant to: (check all that apply) | Continuing Professional Development (CPD) (faculty development, CME)
Residency Education Undergraduate Medical Education |
| Abstract Track - First Choice | Wellness and the culture of medicine |
| Authors | Javeed Sukhera Benedicta Antepim Aliya Kassam Benedicta Antepim |
