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Medical student perceptions of a mistreatment program during the surgery clerkship

  • Brittany N. Hasty
    Correspondence
    Corresponding author. Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3658, MC 5655, Stanford, CA, 94305, USA.
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Goodman Surgical Education Center, Department of Surgery, Stanford, CA, USA
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  • Sarah E. Miller
    Affiliations
    Stanford University School of Medicine, Stanford, CA, USA

    Goodman Surgical Education Center, Department of Surgery, Stanford, CA, USA
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  • Sylvia Bereknyei Merrell
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Stanford University School of Medicine, Stanford, CA, USA

    Goodman Surgical Education Center, Department of Surgery, Stanford, CA, USA

    Stanford-Surgery Policy Improvement Research and Education Center, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
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  • Dana T. Lin
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Stanford University School of Medicine, Stanford, CA, USA

    Goodman Surgical Education Center, Department of Surgery, Stanford, CA, USA
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  • Edward S. Shipper
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
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  • James N. Lau
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Stanford University School of Medicine, Stanford, CA, USA

    Goodman Surgical Education Center, Department of Surgery, Stanford, CA, USA
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Published:January 03, 2018DOI:https://doi.org/10.1016/j.amjsurg.2018.01.001

      Abstract

      Background

      Medical student mistreatment remains a concern, particularly in the surgery clerkship. This is a single academic institution's report of medical student perceptions of a mistreatment program embedded in the surgery clerkship.

      Methods

      Students who completed the surgery clerkship and the mistreatment program volunteered to be interviewed individually or in focus groups. The interviews were transcribed and qualitatively analyzed.

      Results

      Twenty-four medical students were interviewed and nine transcripts were obtained. Codes were identified independently then nested into four codes: Student Growth, Faculty Champion and Team, Student Perspectives on Surgical Culture, and Program Methods. Rank orders were then calculated for each major code.

      Conclusion

      Our mistreatment program has shown that providing students with an opportunity to define mistreatment, a safe environment for them to debrief, and staff to support and advocate for them empowers them with the knowledge and skillset to confront what is too often considered part of the hidden curriculum.

      Keywords

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