Medical school and residency training programs are intended to provide positive educational and mentorship experiences and to inculcate a culture of professionalism and collegiality. Academic psychiatrists often contribute greatly to these positive efforts, given the emphasis in their work on psychotherapeutic and interpersonal skills and their attentiveness to conflict prevention and resolution. It is very reasonable to expect, therefore, that occasions of verbal abuse or bullying of trainees would be very low in prevalence in psychiatric settings. Is this a realistic expectation or merely a statement of what we would like to believe about our profession? In their cross-sectional survey study of 71% of all trainees in psychiatry registered with the College of Physicians and Surgeons in Pakistan, Ahmer and colleagues (1) demonstrated that disrespectful interactions may be the rule rather than the exception in psychiatric residents educational experience. Fully 80% of the psychiatry trainees in this study (60 respondents, response rate 71%) had been the victim of at least one bullying behavior in the preceding 12 months. The most commonly encountered behaviors were persistent attempts to belittle and undermine the work of the trainee or to humiliate the trainee in front of colleagues. The greatest source of
Mistreatment of Trainees: Verbal Abuse and Other Bullying Behaviors
Abstract
Medical school and residency training programs are intended to provide positive educational and mentorship experiences and to inculcate a culture of professionalism and collegiality. Academic psychiatrists often contribute greatly to these positive efforts, given the emphasis in their work on psychotherapeutic and interpersonal skills and their attentiveness to conflict prevention and resolution. It is very reasonable to expect, therefore, that occasions of verbal abuse or bullying of trainees would be very low in prevalence in psychiatric settings. Is this a realistic expectation or merely a statement of what we would like to believe about our profession? In their cross-sectional survey study of 71% of all trainees in psychiatry registered with the College of Physicians and Surgeons in Pakistan, Ahmer and colleagues (1) demonstrated that disrespectful interactions may be the rule rather than the exception in psychiatric residents educational experience. Fully 80% of the psychiatry trainees in this study (60 respondents, response rate 71%) had been the victim of at least one bullying behavior in the preceding 12 months. The most commonly encountered behaviors were persistent attempts to belittle and undermine the work of the trainee or to humiliate the trainee in front of colleagues. The greatest source of
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Mistreatment of Trainees: Verbal Abuse and Other Bullying Behaviors
Coverdale, John H.; Balon, Richard; Roberts, Laura Weiss
Follow Academic Psychiatry
, Volume 33 (4): 269
American Psychiatric Publishing, Inc (Journal) – Jul 1, 2009
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