Institutional-Level Tracking to Combat Mistreatment of Medical Students, Residents, and Fellows

Abstract

AbstractMistreatment is prevalent in academic medicine resulting in personal and professional harm to individuals. Medical trainees that experience mistreatment have higher rates of burnout, suicidal ideation, and attrition. Additionally, mistreatment has deleterious effects on clinical team function and patient care. It is essential that academic institutions track mistreatment, as well as take appropriate prevention and mitigation steps. The following chapter outlines the prevalence of mistreatment among medical trainees, types of mistreatment, and current tracking tools. A framework for determining the optimal intervention and entity best positioned to intervene based on the type of mistreatment is presented. The process of mapping measures of mistreatment to both type and level of intervention is necessary to create a more equitable training environment.KeywordsAbuseMistreatmentDiscriminationLearning environmentWell-beingOrganizational justice