Publicado

2017-01-01

Spare the rod, spoil the child: Bullying during medical internship in three Peruvian hospitals

¿La letra con sangre entra? Maltrato en internos de Medicina en tres hospitales de Perú

Palabras clave:

Bullying, Medicine Students, Medical Education (en)
Maltrato, Estudiantes de medicina, Educación médica (es)

Autores/as

  • Miguel Achata-Espinoza Universidad de San Martín de Porres – Lima Campus – Faculty of Medicine - Chiclayo, Peru
  • Carmen Rosa Muñoz-Dueñas Universidad de San Martín de Porres – Lima Campus – Faculty of Medicine - Chiclayo, Peru
  • Sarai Cabrejos-Llontop Universidad de San Martín de Porres – Lima Campus – Faculty of Medicine - Chiclayo, Peru
  • Carlos Jesus Toro-Huamanchumo Trainee in the Association for the Study of Medical Education (TASME) - Edinburgh - Scotland.

Dear Editor,

Bullying has traditionally been considered normal during health professional training (1). However, it is now recognized as harmful to both academic traiwning and mental and emotional health, with negative consequences such as low career satisfaction, depression, burnout syndrome, and post-traumatic stress symptoms (2,3).

The hierarchy observed in the different stages of the medical career facilitates power abuse and makes medical students vulnerable. Likewise, frequently undervaluing abuse leads to less willingness to report bullying cases, and in the continuity of this behavior over time (1,4). During medical internships, students are also considered as workers, which increases the chances of being bullied; in addition, the training environment differs from what they experienced early in their career (3).

Dear Editor,

Bullying has traditionally been considered normal during health professional training (1). However, it is now recognized as harmful to both academic traiwning and mental and emotional health, with negative consequences such as low career satisfaction, depression, burnout syndrome, and post-traumatic stress symptoms (2,3).

The hierarchy observed in the different stages of the medical career facilitates power abuse and makes medical students vulnerable. Likewise, frequently undervaluing abuse leads to less willingness to report bullying cases, and in the continuity of this behavior over time (1,4). During medical internships, students are also considered as workers, which increases the chances of being bullied; in addition, the training environment differs from what they experienced early in their career (3).

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Citas

Munayco-Guillén F, Cámara-Reyes A, Muñoz-Tafur LJ, Arroyo-Hernández H, Mejia CR, Lem-Arce F, et al. Características del maltrato hacia estudiantes de medicina de una universidad pública del Perú. Rev Peru Med Exp Salud Publica. 2016;33(1):58-66.

http://doi.org/b56x.

Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014;89(5):749-54. http://doi.org/bbz6.

Maida SA, Herskovic MV, Pereira SA, Salinas-Fernández L, Esquivel CC. Percepción de conductas abusivas en estudiantes de medicina. Rev Med Chile. 2006;134(12):1516-23. http://doi.org/cpshcv.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Eradicating medical student mistreatment: a longitudinal study of one institution’s efforts. Acad Med. 2012;87(9):1191-8. http://doi.org/bbzx.

Bermeo JL, Castaño-Castrillón JJ, López-Román A, Téllez DC, Toro-Chica S. Abuso académico a estudiantes de pregrado por parte de docentes de los programas de Medicina de Manizales, Colombia. Rev. Fac. Med. 2016;64(1):9-19. http://doi.org/bjh3