Analysis of Current Medical Student Mistreatment on the Obstetrics and Gynecology Clerkship [ID: 1342315

Abstract

INTRODUCTION: At our institution, there are a high proportion of mistreatment reports by medical students stemming from interactions with residents during their obstetrics and gynecology training. There is minimal published data on this issue. This project reviewed and categorized mistreatment reports from medical students during their obstetrics and gynecology rotations to identify factors contributing to medical student mistreatment in this setting and establish a basis for targeted interventions. METHODS: After receiving IRB approval, student responses from post-rotation surveys were compiled from the three most recent academic years. The responses were de-identified and compiled into a database encompassing all student responses to mistreatment questions. The study authors used an existing taxonomy for unprofessional behavior, established by Cullen et al, to classify responses in the database into categories. Up to three categories could be selected per response. RESULTS: 9.2% (34/369) of students documented some form of mistreatment while on their obstetrics and gynecology rotation. Of the responses evaluating individual residents, 2.0% (86/4248) reported mistreatment. Of responses where mistreatment was reported, 48.33% were categorized as “Ineffective or negligent teaching/mentoring,” 25.00% as “Indirect abuse, aggression, or disrespect,” and 21.67% as “Ineffective or incomplete communication.” All of the remaining categories comprised less than 15% of the total. Category proportions were similar when looking at responses related to individual residents and to the rotation overall. CONCLUSION: Most concerns stemmed from perceived neglect from residents and staff, rather than overt bad-acting. Interventions to reduce this type of perceived mistreatment should focus on enhancing student engagement and interaction, effective teaching, and clear communication between students, residents, and staff.