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英国医学院的性行为不端行为培训是否足够:横断面调查结果及改进机会

Is sexual misconduct training sufficient in the UK's medical schools: Results of a cross-sectional survey and opportunities for improvement.

作者信息

Dowling Tia, Steele Sarah

机构信息

Population Health Sciences Partnership, University of Cambridge, Cambridge, UK.

St Edmund's College, Cambridge, UK.

出版信息

JRSM Open. 2023 Sep 13;14(9):20542704231198732. doi: 10.1177/20542704231198732. eCollection 2023 Sep.

Abstract

OBJECTIVE

Sexual misconduct adversely affects the mental and physical health of millions of people each year and has been declared a global pandemic. Incidence in both educational and clinical settings remains high. In the last 5 years, the NHS spent over £4 million settling sexual misconduct-related claims. Effective prevention requires training across all stages of career, beginning in clinical school. Here, we explore training in the UK's medical schools to identify provision and areas for improvement.

DESIGN

Freedom of Information Act 2000 requests for data on training delivery and curricula content.

SETTING

34 public UK universities offering medical education.

PARTICIPANTS

not applicable.

MAIN OUTCOME MEASURES

Provision and delivery of training, mode of delivery, theme, and continuation of training.

RESULTS

All 34 universities responded. Twenty-two identified offering training. Seventeen made it compulsory. A review of curricula identified, however, only 18 did more just than mentioned sexual misconduct. Nine offered training more than once. Twelve did not offer training, of which three identified no plans to offer such training in the future. The most common delivery modes for training were workshops and lectures. The training was most often within the sexual health curriculum, disconnecting it from professionalism.

CONCLUSIONS

There is no standardisation of sexual harassment training across the UK's public medical schools. Many future doctors will not have received relevant education when they assume posts in the NHS. Considering the magnitude of this issue and its critical connection to professionalism and collegiality, universities and professional bodies urgently should address this deficiency.

摘要

目的

性不当行为每年对数百万人的身心健康产生不利影响,已被宣布为全球大流行病。在教育和临床环境中的发生率仍然很高。在过去5年中,英国国家医疗服务体系(NHS)花费了超过400万英镑来解决与性不当行为相关的索赔。有效的预防需要在职业生涯的各个阶段进行培训,从临床医学院开始。在此,我们探讨英国医学院校的培训情况,以确定培训提供情况和改进领域。

设计

根据《2000年信息自由法》要求获取有关培训实施和课程内容的数据。

背景

英国34所提供医学教育的公立大学。

参与者

不适用。

主要观察指标

培训的提供与实施、授课方式、主题以及培训的延续性。

结果

所有34所大学均做出回应。22所大学表示提供培训。17所大学将其设为必修课。然而,对课程的审查发现,只有18所大学不仅仅是提及了性不当行为。9所大学提供了不止一次培训。12所大学未提供培训,其中3所表示未来也没有提供此类培训的计划。最常见的培训授课方式是研讨会和讲座。培训大多包含在性健康课程中,使其与职业素养相脱节。

结论

英国公立医学院校的性骚扰培训没有标准化。许多未来的医生在进入NHS工作时将没有接受过相关教育。鉴于这个问题的严重性及其与职业素养和同事关系的关键联系,大学和专业机构应紧急解决这一缺陷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b19/10501073/5b7af7b125aa/10.1177_20542704231198732-fig1.jpg

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