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{
    "pk": 12880,
    "title": "Exploring Action Items to Address Resident Mistreatment through an Educational Workshop",
    "subtitle": null,
    "abstract": "Mistreatment of trainees is common in the clinical learning environment. Resident mistreatment is less frequently tracked than medical student mistreatment, but data suggest mistreatment remains prevalent at the resident level. To address resident mistreatment, the authors developedan Educational Advance to engage emergency medicine residents and faculty in understanding and improving their learning environment. The authors designed a small-group session with the following goals: 1) Develop a shared understanding of mistreatment and its magnitude; 2) Recognize the prevalence of resident mistreatment data and identify the most common types ofmistreatment; 3) Relate study findings to personal or institutional experiences; and 4) Generate strategies for combating mistreatment and strengthening the clinical learning environment attheir home institutions. Design was a combination of presentation, small group discussion, and facilitated discussion. Results were presented to participants from a previously administered surveyof resident mistreatment. Public humiliation and sexist remarks were the most commonly reported forms. Faculty were the most frequent perpetrators, followed by residents and nurses. A majority of respondents who experienced mistreatment did not report the incident. Session participants were then asked to brainstorm strategies to combat mistreatment. Participants rated the session as effective in raising awareness about resident mistreatment and helping departments develop methods to improve the learning environment. Action items proposed by the group included coaching residents about how to respond to mistreatment, displaying signage in support of a positive learning environment, zero tolerance for mistreatment, clear instructions for reporting, and intentionality training to improve behavior.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Medical Education"
        },
        {
            "word": "Mistreatment"
        },
        {
            "word": "Learning Environment"
        },
        {
            "word": "Resident wellness"
        }
    ],
    "section": "Educational Advances - Print",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5sc8v1hb",
    "frozenauthors": [
        {
            "first_name": "Max",
            "middle_name": "",
            "last_name": "Griffith",
            "name_suffix": "",
            "institution": "Michigan Medicine/St. Joseph Mercy Ann Arbor, Department of Emergency Medicine,\nAnn Arbor, Michigan",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "J.",
            "last_name": "Clery",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Grady Memorial Hospital, Department of\nEmergency Medicine, Atlanta, Georgia",
            "department": "None"
        },
        {
            "first_name": "Butch",
            "middle_name": "",
            "last_name": "Humbert",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine,\nIndianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "J.",
            "middle_name": "Michael",
            "last_name": "Joyce",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia",
            "department": "None"
        },
        {
            "first_name": "Marcia",
            "middle_name": "",
            "last_name": "Perry",
            "name_suffix": "",
            "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan",
            "department": "None"
        },
        {
            "first_name": "Robin",
            "middle_name": "R.",
            "last_name": "Hemphill",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia",
            "department": "None"
        },
        {
            "first_name": "Sally",
            "middle_name": "A.",
            "last_name": "Santen",
            "name_suffix": "",
            "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2019-06-26T19:23:53+03:00",
    "date_accepted": "2019-06-26T19:23:53+03:00",
    "date_published": "2019-12-10T01:39:23+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12880/galley/6772/download/"
        }
    ]
}