Lebenthal A, Kaiserman I, Lernau O
Department of Surgery, Hadassah University Hospital, Jerusalem, Israel.
Isr J Med Sci. 1996 Mar-Apr;32(3-4):229-38.
A perceived abuse or mistreatment has been identified in the United States as a major source of stress for undergraduate medical students. The objective of this paper is to explore whether medical students in Israel have similar complaints, and if so, whether medical faculty members are aware of students' perceptions of mistreatment. Third and fifth year medical students of the 6 year undergraduate program of the Hebrew University-Hadassah Medical School were asked to respond to a self-administered questionnaire similar to those used in previous studies in the USA. An additional questionnaire was developed for faculty members. Response rates were 75% for students and 39% for faculty members. Analysis of the responses indicated that similar to the results of American studies, the number and severity of all forms of perceived incidents of abuse increased from the third (pre-clinical) to the fifth (clinical) year. Verbal abuse was the most frequently reported form of mistreatment. The most frequently identified abusers were nurses, followed by clinical faculty members, and general surgery was reported as the most abusive clinical department. Students' complaints of denial of basic privileges were more common than those reported in the USA, while verbal abuse and physical threats were more frequently reported by American medical students. Analysis of the responses of faculty members indicated that clinical faculty, residents and interns were unaware of the extent of these students' perceptions, while pre-clinical faculty overestimated the extent of verbal and psychological abuse. We conclude that the perception of abuse or mistreatment among Israeli medical students is more prevalent than either students or faculty believe.
在美国，感知到的虐待或不当对待已被认定为本科医学生压力的主要来源。本文的目的是探讨以色列的医学生是否有类似的抱怨，如果有，医学院教师是否了解学生对不当对待的看法。希伯来大学-哈达萨医学院6年制本科项目的三年级和五年级医学生被要求回答一份与美国以往研究中使用的问卷类似的自填式问卷。还为教师设计了一份额外的问卷。学生的回复率为75%，教师的回复率为39%。对回复的分析表明，与美国研究结果类似，从三年级（临床前）到五年级（临床），所有形式的感知到的虐待事件的数量和严重程度都有所增加。言语虐待是最常被报告的不当对待形式。最常被指认的施虐者是护士，其次是临床教师，普通外科被报告为最具虐待性的临床科室。学生关于被剥夺基本特权的抱怨比美国报告的更为常见，而美国医学生更频繁地报告言语虐待和身体威胁。对教师回复的分析表明，临床教师、住院医师和实习生并未意识到这些学生看法的程度，而临床前教师高估了言语和心理虐待的程度。我们得出结论，以色列医学生中对虐待或不当对待的感知比学生或教师所认为的更为普遍。
