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The prevalence of medical student mistreatment and its association with burnout.

Publication ,  Journal Article
Cook, AF; Arora, VM; Rasinski, KA; Curlin, FA; Yoon, JD
Published in: Acad Med
May 2014

PURPOSE: Medical student mistreatment has been recognized for decades and is known to adversely impact students personally and professionally. Similarly, burnout has been shown to negatively impact students. This study assesses the prevalence of student mistreatment across multiple medical schools and characterizes the association between mistreatment and burnout. METHOD: In 2011, the authors surveyed a nation ally representative sample of third-year medical students. Students reported the frequency of experiencing mistreatment by attending faculty and residents since the beginning of their clinical rotations. Burnout was measured using a validated two-item version of the Maslach Burnout Inventory. RESULTS: Of 960 potential respondents from 24 different medical schools, 605 (63%) completed the survey, but 41 were excluded because they were not currently in their third year of medical school. Of the eligible students, the majority reported experiencing at least one incident of mistreatment by faculty (64% [361/562]) and by residents (76% [426/562]). A minority of students reported experiencing recurrent mistreatment, defined as occurring "several" or "numerous" times: 10% [59/562] by faculty and 13% [71/562] by residents. Recurrent mistreatment (compared with no or infrequent mistreatment) was associated with high burnout: 57% versus 33% (P < .01) for recurrent mistreatment by faculty and 49% versus 32% (P < .01) for recurrent mistreatment by residents. CONCLUSIONS: Medical student mistreatment remains prevalent. Recurrent mistreatment by faculty and residents is associated with medical student burnout. Although further investigation is needed to assess causality, these data provide impetus for medical schools to address student mistreatment to mitigate its adverse consequences.

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Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

May 2014

Volume

89

Issue

5

Start / End Page

749 / 754

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Surveys and Questionnaires
  • Students, Medical
  • Social Behavior
  • Schools, Medical
  • Professional Misconduct
  • Prevalence
  • Needs Assessment
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Cook, A. F., Arora, V. M., Rasinski, K. A., Curlin, F. A., & Yoon, J. D. (2014). The prevalence of medical student mistreatment and its association with burnout. Acad Med, 89(5), 749–754. https://doi.org/10.1097/ACM.0000000000000204
Cook, Alyssa F., Vineet M. Arora, Kenneth A. Rasinski, Farr A. Curlin, and John D. Yoon. “The prevalence of medical student mistreatment and its association with burnout.Acad Med 89, no. 5 (May 2014): 749–54. https://doi.org/10.1097/ACM.0000000000000204.
Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014 May;89(5):749–54.
Cook, Alyssa F., et al. “The prevalence of medical student mistreatment and its association with burnout.Acad Med, vol. 89, no. 5, May 2014, pp. 749–54. Pubmed, doi:10.1097/ACM.0000000000000204.
Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014 May;89(5):749–754.

Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

May 2014

Volume

89

Issue

5

Start / End Page

749 / 754

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Surveys and Questionnaires
  • Students, Medical
  • Social Behavior
  • Schools, Medical
  • Professional Misconduct
  • Prevalence
  • Needs Assessment
  • Male