Background: Institutions are increasingly aware of student-reported rates of mistreatment. In recent years, the GQ changed its questions to more accurately quantify the rates of mistreatment. The GQ rates of mistreatment at our institution are higher than the national average, while the internal survey given at the end of each clerkship demonstrates low rates of mistreatment.
Methods: Institution specific GQ data about student-reported mistreatment from 2000–2016, and post-clerkship surveys given to every student in clinical clerkships from 2011-2016 were eligible for analysis. Rates and classification of mistreatment were analyzed for each survey.
Results: GC data reported a mean (95% Confidence Interval) mistreatment rate of 23.39% ((-)4.30%-51.09%) from 2000-2016 and 39.25% (18.80%-59.70%) from 2011-2016. Rate of mistreatment on the internal survey from 2011-2016 was 2.15% (1.32%-2.98%). Classification of mistreatment was comparable, with “public belittlement or embarrassment” being the majority of reports for both surveys.
Discussions: Rates of reported mistreatment increased over the observation period and are higher for the GQ survey than our internal survey. The GQ does not use a gateway question to screen for mistreatment, but rather asks all students about types of behavior to determine an overall rate. Our internal survey has a gateway question, which may contribute to lower reporting rates. To better identify rates of mistreatment, it may be beneficial for our institution to remove its gateway question.
Keywords: Curriculum Development/Evaluation, Professionalism, Student Mistreatment
Topics: CREOG & APGO Annual Meeting, 2017, Student, Faculty, Clerkship Director, Professionalism, Interpersonal & Communication Skills, UME, Quality & Safety, Faculty Development,
Alexandra Schefter, Medical Student, University of Iowa Carver College of Medicine; Marygrace Elson, Vice Chair Education; Residency Director; Colleen Stockdale, Clerkship Director
