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打破医学学术界中教师对教师欺凌的现象:一项创新研讨会。

Disrupting Faculty-on-Faculty Bullying in Academic Medicine: An Innovative Workshop.

机构信息

Associate Professor of Pediatrics, Assistant Dean for Clinical Track Faculty, Director of Emergency Medicine Faculty Development, and Associate Director of Women in Medicine and Science, Nationwide Children's Hospital and The Ohio State University College of Medicine.

Senior Research Scientist in Education, Department of Emergency Medicine, The Ohio State University College of Medicine.

出版信息

MedEdPORTAL. 2023 Oct 3;19:11352. doi: 10.15766/mep_2374-8265.11352. eCollection 2023.

DOI:10.15766/mep_2374-8265.11352
PMID:37795259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10545817/
Abstract

INTRODUCTION

Bullying, a severe form of mistreatment, occurs when an individual in an authority position intentionally imposes negative persistent behaviors on a target. In academic medicine, bullying is used to impede the target's professional growth. While there is abundant literature on how to disrupt other forms of mistreatment, the literature related to bullying among academic medical faculty members is scarce.

METHODS

We developed an interactive workshop on disrupting faculty-on-faculty bullying in academic medicine, with a focus on gender-based bullying, following Kern's model of curriculum development. The workshop consisted of three didactics on the scope of bullying in academic medicine: identifying bullying behaviors, learning strategies to mitigate bullying, and understanding what constitutes comprehensive antibullying policies. The workshop also included three small-group activities to reinforce learned concepts.

RESULTS

Eighty-seven faculty attended one of three workshops held over a 6-month period. We received 24 completed evaluations for a 28% rate of return. Most participants rated workshop activities as being well taught and of great value. Many respondents commented that after participating in the workshop, they realized they had likely experienced or witnessed bullying in their careers and that mitigating bullying required effort at multiple levels (individual, institutional, national).

DISCUSSION

This workshop fills a need in academic medicine through addressing how faculty members and institutions can help themselves and others to disrupt bullying. We will continue to disseminate this workshop at national conferences and at individual institutions. This resource will allow other educators to offer the workshop at their home institutions.

摘要

简介

欺凌是一种严重的虐待形式,当处于权威地位的个体故意对目标施加消极的持续行为时,就会发生欺凌。在学术医学中,欺凌被用来阻碍目标的职业发展。虽然有大量关于如何破坏其他形式的虐待的文献,但关于学术医学教职员工之间欺凌的文献却很少。

方法

我们遵循 Kern 的课程开发模式,开发了一个关于在学术医学中破坏教师间欺凌的互动研讨会,重点是基于性别的欺凌。该研讨会包括三个关于学术医学中欺凌范围的教学内容:识别欺凌行为、学习减轻欺凌的策略以及了解全面的反欺凌政策的构成。该研讨会还包括三个小组活动,以加强所学概念。

结果

87 名教师参加了在 6 个月内举办的三个研讨会之一。我们收到了 24 份完整的评估,回复率为 28%。大多数参与者认为研讨会活动的教学效果很好,非常有价值。许多受访者表示,参加研讨会后,他们意识到自己在职业生涯中可能经历过或目睹过欺凌,而减轻欺凌需要在个人、机构和国家多个层面上付出努力。

讨论

本研讨会通过探讨教职员工和机构如何帮助自己和他人破坏欺凌,满足了学术医学领域的需求。我们将继续在全国会议和个别机构中推广这个研讨会。这个资源将允许其他教育工作者在自己的机构提供这个研讨会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc50/10545817/c9d230216fcd/mep_2374-8265.11346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc50/10545817/c9d230216fcd/mep_2374-8265.11346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc50/10545817/c9d230216fcd/mep_2374-8265.11346-g001.jpg

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本文引用的文献

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Development and Evaluation of a Workplace Bullying Cognitive Rehearsal-Based Nursing Simulation Education Program: A Mixed-Methods Study.发展和评估基于工作场所欺凌认知排练的护理模拟教育计划:混合方法研究。
Int J Environ Res Public Health. 2023 Mar 11;20(6):4974. doi: 10.3390/ijerph20064974.
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Bullying in Academic Medicine: Experiences of Women Physician Leaders.学术医学领域中的欺凌行为:女性医师领导者的经历
Acad Med. 2023 Feb 1;98(2):255-263. doi: 10.1097/ACM.0000000000005003. Epub 2023 Jan 20.
3
Why Gender-Based Bullying Is Normalized in Academic Medicine: Experiences and Perspectives of Women Physician Leaders.
为什么基于性别的欺凌在学术医学中被视为正常化:女性医师领导者的经验和观点。
J Womens Health (Larchmt). 2023 Mar;32(3):347-355. doi: 10.1089/jwh.2022.0290. Epub 2022 Nov 28.
4
Presence and Comprehensiveness of Antibullying Policies for Faculty at US Medical Schools.美国医学院校教师反欺凌政策的存在和全面性。
JAMA Netw Open. 2022 Aug 1;5(8):e2228673. doi: 10.1001/jamanetworkopen.2022.28673.
5
Improving the Obstetrics and Gynecology Learning Environment Through Faculty Development.通过教师发展改善妇产科学习环境。
MedEdPORTAL. 2022 May 3;18:11246. doi: 10.15766/mep_2374-8265.11246. eCollection 2022.
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Systematic review of academic bullying in medical settings: dynamics and consequences.医学环境中学术霸凌的系统评价:动态与后果。
BMJ Open. 2021 Jul 12;11(7):e043256. doi: 10.1136/bmjopen-2020-043256.
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MedEdPORTAL. 2021 Feb 11;17:11096. doi: 10.15766/mep_2374-8265.11096.
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Nevertheless, They Persisted: How Women Experience Gender-Based Discrimination During Postgraduate Surgical Training.尽管如此,她们仍坚持不懈:女性在研究生外科培训期间如何经历基于性别的歧视。
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