The Kirby Institute, UNSW Sydney, Wallace Wurth Building, High Street, Kensington, NSW, 2052, Australia.
BMC Med Educ. 2020 Mar 24;20(1):86. doi: 10.1186/s12909-020-02001-y.
Media exposés and academic literature reveal high rates of bullying and harassment of medical students, most commonly by consultant physicians and/or surgeons. Recent reports reveal the medical profession to be characterised by hierarchy, with verbal abuse a 'rite of passage', as well as sexist and racist behaviours.
Semi-structured in-depth interviews were conducted with ten current or recently graduated medical students from Sydney-based medical schools. Interviews were audio-recorded, transcribed verbatim, and thematically analysed.
Hierarchy, and a culture of self-sacrifice, resilience and deference, were identified as problematic elements of the medical profession. In the minds of participants, these factors created barriers to reporting mistreatment, as participants felt reporting led to being labelled a 'troublemaker', affecting career progression. Additionally, participants stated that avenues of recourse were unclear and did not guarantee confidentiality or desired outcomes.
Mistreatment is continuing in clinical teaching and has negative consequences on medical students' mental health and learning. Structural change is needed to combat institutionalised mistreatment to ensure the wellbeing of future doctors and high quality patient care.
媒体曝光和学术文献揭示了医学生经常遭受欺凌和骚扰的现象，主要来自顾问医生和/或外科医生。最近的报告显示，医疗行业的特点是等级制度，口头辱骂是一种“必经之路”，同时存在性别歧视和种族主义行为。
对来自悉尼医学院的十名现任或最近毕业的医学生进行了半结构化深入访谈。访谈进行了录音，逐字转录，并进行了主题分析。
等级制度以及自我牺牲、适应力和顺从的文化被认为是医疗行业的问题所在。在参与者的心目中，这些因素成为报告虐待行为的障碍，因为参与者觉得报告会被贴上“麻烦制造者”的标签，影响职业发展。此外，参与者表示，补救途径不清楚，不能保证保密性或期望的结果。
在临床教学中，虐待行为仍在继续，对医学生的心理健康和学习产生负面影响。需要进行结构性变革，以打击制度化的虐待行为，确保未来医生的福祉和高质量的患者护理。
