Sheehan K H, Sheehan D V, White K, Leibowitz A, Baldwin D C
JAMA. 1990 Jan 26;263(4):533-7.
A pilot survey of one third-year medical school class was carried out to explore student perceptions of mistreatment and professional misconduct in medical school training. Students were asked to rate the frequency and cite sources of mistreatment and misconduct among classmates, faculty, residents, and interns. They were also asked to assess the effects of such episodes on their physical health, emotional well-being, social and family life, and attitudes toward becoming a physician. The results indicate that students perceive mistreatment (particularly verbal abuse and unfair tactics) to be pervasive and professional misconduct all too common. As many as three fourths of the students report having become more cynical about academic life and the medical profession as a result of these episodes. Two thirds feel they are worse off than their peers in other professions. More than a third have considered dropping out of medical school and one fourth report they would have chosen a different profession had they known in advance about the extent of mistreatment they would experience. Rather than dismiss these problems as isolated events, we need to examine this issue more closely.
对一所医学院校三年级的一个班级进行了一项试点调查，以探究学生对医学院校培训中虐待行为和职业不当行为的看法。学生们被要求对同学、教员、住院医师和实习生中虐待行为和不当行为的频率进行评分，并列举其来源。他们还被要求评估此类事件对其身体健康、情绪健康、社交和家庭生活以及对成为一名医生的态度的影响。结果表明，学生们认为虐待行为（尤其是言语虐待和不公平策略）普遍存在，职业不当行为也屡见不鲜。多达四分之三的学生报告称，由于这些事件，他们对学术生活和医学职业变得更加愤世嫉俗。三分之二的学生觉得自己比其他职业的同龄人情况更糟。超过三分之一的学生曾考虑从医学院退学，四分之一的学生报告称，如果他们事先知道自己将经历的虐待程度，他们会选择不同的职业。我们不应将这些问题视为孤立事件而不予理会，而需要更仔细地审视这个问题。
