Background: Mistreatment is a topic of increasing study and
importance, as rates of medical student-reported mistreatment have escalated in
recent years. Historically, Ob/Gyn is known to have high rates of mistreatment,
second only to General Surgery. Our goal was to determine how an intervention
to increase awareness would impact the rates of reported mistreatment, and more
specifically address institution-specific shortcomings.
Methods: Presentations about mistreatment were given by the
Associate Dean for Student Affairs and Curriculum to students beginning
clinical clerkships, and also to the Department of Ob/Gyn starting January
2016. Required electronic post-clerkship evaluations given to every student
following clinical clerkships before and after this presentation were eligible
for analysis (2011-2016). Rates and classification of student-reported
mistreatment were analyzed.
Results: Of the completed surveys,148 of 7332 (2.0%) students
reported mistreatment before the presentation was given versus 45 of 1583
(2.76%) students reporting mistreatment after the presentation, p < 0.046.
Thirteen total incidents of mistreatment in the Ob/Gyn department were
reported. The majority (56%) of reported mistreatment was classified as “public
belittlement or humiliation”
Discussions: It appears the dean increased awareness with students,
resulting in a significantly increased rate of reported mistreatment. There
were too few incidents in the department of Ob/Gyn to note whether the
presentation to the members of the department had a positive or negative impact
on the rate of mistreatment.
Keywords: Communication Skills, Faculty Development, Student