“Spare the rod and spoil the child”: mistreatment in medical education
Published
Feb 5, 2010
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Abstract
Although it is well known that an atmosphere of respect and confidence favors learning, mistreatment continues being a frequent behavior in the medical schools. This conduct is usually accepted and justified at all the levels of medical practice, and it is considered an inherent behavior in the hospital culture.
This article reviews mistreatment in medical education and puts in evidence the lack of professor’s education in pedagogy and didactics as well as the characteristics of the clinical setting as two possible causes of its perpetuation.
Keywords
Educación médica, maltrato, aprendizaje, contexto hospitalario, formación docente, Medical education, mistreatment, learning, clinical setting, professor’s education,
References
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students most common during medical studies. BMC Med Educ. 2005;5:36-47.
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2007;34:3-5.
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6. Daugherty SR, Baldwin DC, Rowley BD. Learning, satisfaction and mistreatment during medical internship. A national survey of working conditions. JAMA. 1998;279:1194-9.
7. Myers MF. Abuse of residents: it’s time to take action. Can Med Assoc J.
1996;154:1705-8.
8. Musselman LJ, MacRae HM, Reznick RK, Lingard LA. “You learn better under the gun”: intimidation and harassment in surgical education. Med Educ. 2005;39:926-34.
9. Hand H. Promoting effective teaching and learning in the clinical setting.
Nursing Standard. 2006;20:55-63. 10. Bligh J. Learning from uncertainty: a
change of culture. Med Educ. 2001; 35:2-3.
11. Díaz A. La investigación en el campo de la didáctica. Modelos históricos. Perfiles Educativos. 1998;20:5-29.
12. Koens F, Mann KV, Custers EJFM, Cate OTJT. Analysing the concept of context in medical education. Med Educ. 2005;39:1243-9.
13. Gordon F, Hazlett C, Cate O, Mann K, Kilminster S, Prince K, et al. Strategic planning in medical education: enhancing the learning environment for students in clinical settings. Med Educ. 2000;34:841-50.
14. Spencer J. Learning and teaching in the clinical environment. BMJ. 2003; 326:591-4.
15. Brooks N, Moriarty A. Development of a practice learning team in the clinical setting. Nursing Standard. 2006; 20:41-4.
16. West R. Teaching in the clinical setting. Psychiatry. 2007;70:218-20
ISSN 1579-735X. 2004; 17.
2. Mejía R, Diego A, Alemán M, Maliandi M, Lasala F. Percepción de maltrato durante la capacitación de médicos residentes. Medicina (Buenos Aires).
2005;65:366-8.
3. Rautio A, Sunnari V, Nuutinen M, Laitala M. Mistreatment of university
students most common during medical studies. BMC Med Educ. 2005;5:36-47.
4. Fred HL. These are the days. The internship revisited. Tex Heart Inst J.
2007;34:3-5.
5. Cook DJ, Liutkus JF, Risdon CL, Griffith LE, Guyatt GH, Walter SD. Residents’ experiences of abuse discrimination and sexual harassment during residency training. Can Med Assoc J. 1996;154:1657-65.
6. Daugherty SR, Baldwin DC, Rowley BD. Learning, satisfaction and mistreatment during medical internship. A national survey of working conditions. JAMA. 1998;279:1194-9.
7. Myers MF. Abuse of residents: it’s time to take action. Can Med Assoc J.
1996;154:1705-8.
8. Musselman LJ, MacRae HM, Reznick RK, Lingard LA. “You learn better under the gun”: intimidation and harassment in surgical education. Med Educ. 2005;39:926-34.
9. Hand H. Promoting effective teaching and learning in the clinical setting.
Nursing Standard. 2006;20:55-63. 10. Bligh J. Learning from uncertainty: a
change of culture. Med Educ. 2001; 35:2-3.
11. Díaz A. La investigación en el campo de la didáctica. Modelos históricos. Perfiles Educativos. 1998;20:5-29.
12. Koens F, Mann KV, Custers EJFM, Cate OTJT. Analysing the concept of context in medical education. Med Educ. 2005;39:1243-9.
13. Gordon F, Hazlett C, Cate O, Mann K, Kilminster S, Prince K, et al. Strategic planning in medical education: enhancing the learning environment for students in clinical settings. Med Educ. 2000;34:841-50.
14. Spencer J. Learning and teaching in the clinical environment. BMJ. 2003; 326:591-4.
15. Brooks N, Moriarty A. Development of a practice learning team in the clinical setting. Nursing Standard. 2006; 20:41-4.
16. West R. Teaching in the clinical setting. Psychiatry. 2007;70:218-20
How to Cite
Cortés Barré, M. (2010). “Spare the rod and spoil the child”: mistreatment in medical education. Universitas Medica, 51(1), 43–48. https://doi.org/10.11144/Javeriana.umed51-1.lsem
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Reflection Articles