Purpose: Harassment and discrimination include a wide range of behaviors that medical trainees perceive as being humiliating, hostile, or abusive. To understand the significance of such mistreatment and to explore potential preventive strategies, the authors conducted a systematic review and meta-analysis to examine the prevalence, risk factors, and sources of harassment and discrimination among medical trainees.
Method: In 2011, the authors identified relevant studies by searching MEDLINE and EMBASE, scanning reference lists of relevant studies, and contacting experts. They included studies that reported the prevalence, risk factors, and sources of harassment and discrimination among medical trainees. Two reviewers independently screened all articles and abstracted study and participant characteristics and study results. The authors assessed the methodological quality in individual studies using the Newcastle-Ottawa Scale. They also conducted a meta-analysis.
Results: The authors included 57 cross-sectional and 2 cohort studies in their review. The meta-analysis of 51 studies demonstrated that 59.4% of medical trainees had experienced at least one form of harassment or discrimination during their training (95% confidence interval [CI]: 52.0%-66.7%). Verbal harassment was the most commonly cited form of harassment (prevalence: 63.0%; 95% CI: 54.8%-71.2%). Consultants were the most commonly cited source of harassment and discrimination, followed by patients or patients' families (34.4% and 21.9%, respectively).
Conclusions: This review demonstrates the surprisingly high prevalence of harassment and discrimination among medical trainees that has not declined over time. The authors recommend both drafting policies and promoting cultural change within academic institutions to prevent future abuse.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/ACM.0000000000000200 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Social life cycle assessment of industrial gold mining in Mali.
Integr Environ Assess Manag
January 2025
Department of Agriculture and Environmental Engineering, University of Ibadan, Ibadan, Nigeria.
Gold mining in Mali contributes significantly to the country's socio-economic growth, employing hundreds of people and generating considerable export revenues and income. At the same time, gold mining still has a bad reputation in public opinion due to the environmental and socio-economic challenges it poses. It is therefore important to integrate Mali's gold mining sector into a framework of social responsibility, using the Social Life Cycle Assessment (S-LCA) approach to identify and understand social opportunities and challenges.
View Article and Find Full Text PDFAttitudes and perceptions of undergraduate medical students about sexual harassment and gender discrimination: A survey-based study.
Indian J Med Ethics
January 2025
Research Associate, Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, INDIA.
Background: Sexual harassment (SH) and Gender discrimination (GD) faced by medical students have been neglected areas of study in India. Only a few recent studies could be found, despite frequent media reports on SH and GD. This study aimed to assess the attitudes and perceptions of sexual harassment and gender discrimination and evaluate the forms of SH and GD experienced by them.
View Article and Find Full Text PDFSociodemographic disparities in everyday discrimination among a national sample of adults in the United States, 2023.
Prev Med Rep
January 2025
Department of Communication, College of Arts and Sciences, University of Louisville, Louisville, KY, USA.
Objective: Discrimination is a social determinant contributing to health inequities in the United States (US). This study investigated the prevalence of, and sociodemographic disparities in, perceived everyday discrimination among a national sample of US adults.
Methods: We used data from the 2023 National Health Interview Survey ( = 27,538) and estimated the prevalence of three perceived everyday discrimination outcomes (1) any discrimination, (2) unique components of the discrimination experience, and (3) the Everyday Discrimination Scale (EDS) (range: 0-20) overall and by age, sex assigned at birth, race and ethnicity, sexual orientation, educational attainment, income-to-poverty ratio, and urban-rural status.
Sexual minority stressors and disordered eating behaviors in daily life: a daily diary study of sexual minority cisgender female couples.
Eat Disord
January 2025
Department of Psychology, Old Dominion University, Norfolk, Virginia, USA.
Young cisgender sexual minority women (e.g. lesbian, queer) in the U.
View Article and Find Full Text PDFExamining Discrimination as a Distal Moderator of the Proximal Association Between LGBQ+ College Students' Alcohol Use and Cyber Dating Abuse.
Violence Vict
January 2025
Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
Comprehensive and inclusive dating abuse prevention is hindered by a lack of research on proximal antecedents of cyber dating abuse (CDA) among lesbian, gay, bi-/pansexual, queer, and other nonheterosexual (LGBQ+) young adults. Guided by sexual minority stress and alcohol-related violence theories, we addressed this gap by examining whether (a) alcohol use preceded and was positively related to CDA perpetration and (b) more frequent LGBQ+-based discrimination strengthened this association. LGBQ+ college students ( = 41; 75.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!