Purpose: To
evaluate medical student mistreatment in obstetrics and gynecology rotations as
perceived by physicians and medical students using standardized video-taped
vignettes.
Background: Medical student mistreatment is pervasive and typically occurs during the
third year of medical school. While most
events are minor, the ramifications for the mistreated medical student are real
and include increased risk of anxiety, depression, substance use, suicidal
ideation, burnout, avoidance of the specialty where the mistreatment occurred
and leaving medicine entirely.
Methods: Three video vignettes were filmed portraying possible medical student
abuse in obstetrics/gynecology clinical settings. Attending physicians, resident physicians and
rotating medical students were asked about their personal experience with
mistreatment and then asked to view the three videos. After each video, participants were asked if
they believed the vignette represented medical student mistreatment and to rate
the level of severity.
Results: Eight attending physicians, ten resident physicians and ten medical
students participated in this study.
Fourteen participants (50%) reported previous mistreatment as a student,
all of which occurred during third year of medical school. Neither previously mistreated participants,
women participants nor ethnic minority participants were not more likely to
view the scenarios as abuse or rate the scenarios as more severe. Medical students were not more likely to view
the vignettes as mistreatment or more severe as compared to resident and
attending physicians.
Discussions: In our
small pilot study, medical students, resident physicians and attending
physicians generally agreed which video vignettes represented medical student
mistreatment and the level of severity of the abuse.
Topics: CREOG & APGO Annual Meeting, 2018, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Professionalism, Interpersonal & Communication Skills, UME, Assessment, Team-Based Learning, General Ob-Gyn,
Shelly Holmstrom, MD
