ERASE: a New Framework for Faculty to Manage Patient Mistreatment of Trainees
Mistreatment by Patients: an Increasingly Recognized Problem
In medical education, mistreatment is defined as behavior, intentional or unintentional, which “shows disrespect for the dignity of others and unreasonably interferes with the learning process.”  Medical educators and the Association of American Medical Colleges have long collected and monitored reports of mistreatment of medical students . The literature is rife with studies on the prevalence and impact of bullying and harassment by supervisors in medicine . Of growing concern, however, is mistreatment by those whom physicians are trained to serve: their patients . Stories of discriminatory comments by patients toward physicians and other medical personnel abound and may be becoming more widespread in the current sociopolitical climate .
A large, recent survey found that nearly 60% of responding physicians had experienced biased comments from patients . Physicians reported being subject to discriminatory...
The authors wish to thank the Departments of Psychiatry, Pediatrics and Internal Medicine and the Teaching and Learning Center at the Yale University School of Medicine.
Compliance with Ethical Standards
Exemption granted by the Yale University Institutional Review Board.
On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 2.Association of American Medical Colleges. Graduation questionnaire. 2017; https://www.aamc.org/download/476728/data/gqsurvey.pdf. Accessed May 9, 2018.
- 4.Cyrus KD, Angoff NR, Illuzzi JL, Schwartz ML, Wilkins KM. When patients hurt us. Med Teach. 2018:1–2.Google Scholar
- 5.Reddy S. How doctors deal with racist patients. Wall Street Journal: January 22, 2018, 2018.Google Scholar
- 6.Watson S. Credentials don’t shield doctors, nurses from bias. 2017; https://www.webmd.com/a-to-z-guides/news/20171018/survey-patient-bias-toward-doctors-nurses. Accessed May 9, 2018.