University of Washington School of Medicine, Seattle, Washington, USA.
Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
BMC Med Educ. 2022 Nov 30;22(1):824. doi: 10.1186/s12909-022-03914-6.
There is little existing research investigating SH/SA specifically from patients to students. This study aims to assess the prevalence and impact of SH and SA from patient to medical student.
A cross-sectional survey study was administered via electronic email list to all current medical students at the University of Washington School of Medicine (n = 1183) over a two-week period in 2019. The survey questions addressed respondents' experiences with SH/SA from patients, frequency of reporting, and impact on feelings of burnout.
Three hundred eleven responses were received for a response rate of 26%; 268 complete responses were included in the final analysis. Overall, 56% of respondents reported ever experiencing SH from a patient. SH from a patient was reported by significantly more of those who identify as female compared to male (66% vs 31%; p < .001). Similar frequency of experiencing SH within the last year were reported by females and males (90% vs 88%; p = .96). Clinical students were more likely to have ever experienced SH compared to preclinical students (61% vs 39%; p < .001). The majority (86%) of respondents who experienced SH/SA did not report it in an official capacity. Those who identify as female were more likely to report that SH from a patient contributed to feelings of burnout (21% vs 5% for male; p = .02). Behaviors consistent with SA were experienced by 16% of respondents, with similar frequency between females and males.
This study demonstrates that patient to medical student SH/SA is a common occurrence, particularly among students identifying as female. It also highlights the significant impact of SH/SA incidents on feelings of burnout.
目前几乎没有研究专门从患者到医学生的角度来调查 SH/SA。本研究旨在评估 SH 和 SA 从患者到医学生的发生率和影响。
采用横断面调查研究，于 2019 年通过电子邮件向华盛顿大学医学院的所有当前医学生（n=1183）发放问卷，为期两周。调查问题涉及受访者从患者那里经历 SH/SA 的情况、报告频率以及对倦怠感的影响。
共收到 311 份回复，回复率为 26%；最终分析中包括 268 份完整回复。总体而言，56%的受访者报告曾从患者那里经历过 SH。与男性相比，女性报告从患者那里经历 SH 的比例明显更高（66%比 31%；p<0.001）。女性和男性在过去一年中经历 SH 的频率相似（90%比 88%；p=0.96）。临床学生比基础医学学生更有可能经历过 SH（61%比 39%；p<0.001）。大多数（86%）经历过 SH/SA 的受访者并未以正式身份报告这些情况。女性更有可能报告患者的 SH 导致倦怠感（21%比男性的 5%；p=0.02）。16%的受访者经历过与 SA 一致的行为，女性和男性的发生率相似。
本研究表明，患者到医学生的 SH/SA 是一种常见现象，特别是在女性学生中更为常见。它还强调了 SH/SA 事件对倦怠感的重大影响。
