Document Type : Original Article
Assistant Professor, Department of community Medicine, School of Medicine, Kerman University of Medical Sciences, Iran
General Practitioner, School of Medicine, Kerman University of Medical Sciences, Iran
Background & Objective: Studies indicated that medical student abuse is likely to have a considerable negative effect Compared to nonabused students abused students reported more anxiety depression difficulty with learning thoughts of dropping out and alcohol use problem Other studies showed that stress associated with being abused negatively impacted on career decisions Methods: This was a crosssectional study carried out by Medical Educational Development Office of Kerman University of Medical Sciences Kerman Iran All medical students in clinical course were selected through census method Students viewpoint towards treatment in clinical setting evaluated using a questionnaire The validity of the questionnaire confirmed by a number of experts and its reliability determined using a pilot study with Cronbachs alpha 067 Results: One hundred sixty eight questionnaires were completed Medical student abuse was reported by 93% of the respondents Verbal abuse was the most frequently experienced abuse followed by academic abuse gender discrimination and physical abuse Physicians residents were the most often reported as abusers The most frequent emotional response to abuse was sadness (97%) Conclusion: Experience of abuse in clinical setting is common among medical students To improve the learning environment medical educators need to take action to resolve this serious issue
- Heravi Karimoei M. Frequency of elder abuse within family in members of Senior Social Clubs in Tehran City. Iranian Journal of Ageing 2012; 6(22): 37-50. [In Persian]
- Borg MG. The extent and nature of bullying among primary and secondary schoolchildren. Educational Research 1999; 41(2):137-53.
- Richman JA, Rospenda KM, Nawyn SJ, et al. Sexual harassment and generalized workplace abuse among university employees: Prevalence and mental health correlates. American Journal of Public Health 1999; 89(3):358-63.
- Larsson C, Hensing G, Allbeck P. Sexual and gender-related harassment in medical education and research training: results from a Swedish survey. Medical Education 2003, 37(1):39-50.
- Maida AM, Vasquez A, Herskovic V, et al. A report on student abuse during medical training. Medical Teacher 2003; 25(5):497501.
- White GE. Sexual harassment during medical training: the perceptions of medical students at a university medical school in Australia. Medical Education 2000; 34(12):980-6.
- Silver HK. Medical students and medical school. The Journal of the American Medical Association 1982; 247(3):309-10.
- Rosenberg DA, Silver HK. Medical student abuse: An unnecessary and preventable cause of stress. The Journal of the American Medical Association 1984; 251(6):739-42.
- Arja Rautio, Sunnari V, Nuutinen M, et al. Mistreatment of university students most common during medical studies. BMC Medical Education 2005, 5:36
- Frank E, Carrera JS, Stratton T, et al. Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey. BMJ 2006; 333: 682.
- Baldwin DC, Daugherty SR, Eckenfels EJ. Student perceptions of mistreatment and harassment during medical school. A survey of ten United States schools. Western Journal Medicine 1991;155(2): 140–5.
- Lebenthal A, Kaiserman I, Lernau O. Student abuse in medical school: a comparison of students’ and faculty’s perceptions. Isr J Med Sci 1996; 32(3-4): 229–38 .
- Mangus RS, Hawkins CE, Miller MJ. Prevalence of harassment and discrimination among 1996 medical school graduates: a survey of eight US schools. The Journal of the American Medical Association1998; 280(9): 851–3.
- Uhari M, Kokkonen J, Nuutinen M, et al. Medical student abuse: an international phenomenon. The Journal of the American Medical Association 1994; 271(13): 1049–51.
- Nora LM, McLaughlin MA, Fosson SE, et al. Gender discrimination and sexual harassment in medical education: perspectives gained by a 14-school study. Academic Medicine 2002; 77(12): 1226–34.
- Shizuko Nagata-Kobayashi, Miho Sekimoto, Hiroshi Koyama, et al. Medical Student Abuse During Clinical Clerkships in Japan, Journal of General Internal Medicine 2006; 21(3):212–8.
- Sana Shoukat, Anis M, Danesh K, et al. Prevalence of Mistreatment or Belittlement among Medical Students – A Cross Sectional Survey at a Private Medical School in Karachi, Pakistan 2010 ;5(10):13429.
- Baldwin DC Jr, Daugherty SR, Eckenfels EJ, et al. The experience of mistreatment and abuse among medical students. Research Medical Education 1988; 27:80-4.
- Daugherty SR, Baldwin DC Jr, Rowley BD. Learning, satisfaction and mistreatment during medical internship: A national survey of working conditions. Survey of Anesthesiology 1998; 43(1):1194-9.
- Richman JA, Flaherty JA, Rospenda KM, et al. Mental health consequences and correlates of reported medical student abuse. The Journal of The American Medical Association 1992; 267(5):692-4.
- Sheehan KH, Sheehan DV, White K, et al. A pilot study of medical student "abuse". The Journal of The American Medical Association 1990; 263(4):533-7.
- Frank E, Dingle AD. Self-reported depression and suicide attempts among US women physicians. American Journal of Psychiatry 1999 156(12): 1887–94.
- Clark CM, Springer PJ. Thoughts on incivility: Student and faculty perceptions of uncivil behavior in nursing education. Nursing Education Perspectives 2007; 28 (2): 93–7 .
- Clark C. Student perspectives on faculty incivility in nursing education: An application of the concept of rankism. Nursing Outlook 2008; 56 (1): 4-8 .
- Sanagoo A, Joibari L, Mohammadi Z. A Glance at Students and Faculty Members Perceptions of Uncivil Behavior in Educational Settings. Strides In Development of Medical Education 2010; 7(2):127-33. [In Persian]
- Kluft RP. The physician as perpetrator of abuse. Primary Care 1993;20(2): 459–80.