Iftikhar Rahila, Tawfiq Razaz, Barabie Salem
Department of Family and Community Medicine, King Abdul Aziz University, Jeddah, Saudi Arabia.
General Practice Department, King Abdul Aziz University, Jeddah, Saudi Arabia.
Adv Med Educ Pract. 2014 May 23;5:159-66. doi: 10.2147/AMEP.S62890. eCollection 2014.
Abuse occurs in all workplaces, including the medical field. The aim of this study was to determine the prevalence of perceived abuse among medical students, the types of abuse experienced during medical training, the source of abuse, and the perceived barriers to reporting abuse.
This cross-sectional survey was conducted between September 2013 and January 2014 among medical graduates of King Abdul Aziz University, Jeddah. The survey questionnaire was designed to gather information regarding the frequency with which participants perceived themselves to have experienced abuse, the type of abuse, the source of abuse, and the reasons for nonreporting of perceived abuse. Data were analyzed using the Statistical Package for the Social Sciences.
Of the 186 students enrolled in this study, 169 (90.9%) reported perceiving some form of abuse during medical school training. Perceived abuse was most often verbal (86.6%), although academic abuse (73.1%), sex discrimination (38.7%), racial or ethnic discrimination (29.0%), physical abuse (18.8%), religious discrimination (15.1%), and sexual harassment (8.6%) were also reported. Professors were most often cited as the sources of perceived abuse, followed by associate professors, demonstrators (or assistant teaching staff), and assistant professors. The Internal Medicine Department was the most frequently cited department where students perceived themselves to have experienced abuse. Only 14.8% of the students reported the abuse to a third party.
The self-reported prevalence of medical student abuse at King Abdul Aziz University is high. A proper system for reporting abuse and for supporting victims of abuse should be set up, to promote a good learning environment.
职场霸凌在包括医疗领域在内的所有工作场所都有发生。本研究旨在确定医学生中感知到的霸凌行为的发生率、医学培训期间所经历的霸凌类型、霸凌来源以及报告霸凌行为的感知障碍。
本横断面调查于2013年9月至2014年1月在吉达阿卜杜勒阿齐兹国王大学的医学毕业生中进行。调查问卷旨在收集有关参与者感知自己遭受霸凌的频率、霸凌类型、霸凌来源以及未报告感知到的霸凌行为的原因等信息。使用社会科学统计软件包对数据进行分析。
在参与本研究的186名学生中，169名（90.9%）报告在医学院培训期间感知到某种形式的霸凌。感知到的霸凌行为最常见的是言语霸凌（86.6%），不过也有学术霸凌（73.1%）、性别歧视（38.7%）、种族或民族歧视（29.0%）、身体霸凌（18.8%）、宗教歧视（15.1%）以及性骚扰（8.6%）的报告。教授最常被认为是霸凌来源，其次是副教授、示范教师（或助教）和助理教授。内科是学生感知自己遭受霸凌最频繁的科室。只有14.8%的学生向第三方报告了霸凌行为。
阿卜杜勒阿齐兹国王大学医学生自我报告的霸凌发生率很高。应建立一个适当的报告霸凌行为和支持霸凌受害者的系统，以促进良好的学习环境。
