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Revista Brasileira de Educação Médica

Print version ISSN 0100-5502On-line version ISSN 1981-5271

Abstract

BARBANTI, Patricia Costa Mincoff; OLIVEIRA, Sergio Ricardo Lopes de; PELLOSO, Sandra Marisa  and  CARVALHO, Maria Dalva de Barros. Effects of mistreatment in medical schools: how to evaluate? A brief review. Rev. Bras. Educ. Med. [online]. 2021, vol.45, n.3, e138.  Epub June 18, 2021. ISSN 1981-5271.  https://doi.org/10.1590/1981-5271v45.3-20210054.ing.

Introduction:

The occurrence of abuse, harassment and mistreatment of medical students is a widespread phenomenon and not a problem limited to certain countries or particular schools. Such behavior during medical training creates hostile learning environments, induces stress, depressive symptoms, may impair performance and patient care.

Objective:

To analyze the methodology used in recent studies to describe the consequences of mistreatment on medical student’s life and academic performance.

Method:

A brief review of the literature indexed in 6 international databases was carried out (PubMed, Scopus, Web of Science, SciELO, PsycINFO and Cochrane Library). The descriptors were categorized into two groups, one containing different types of violence and the other contemplating the studied population.

Results:

A total of 20 articles were selected for this study and all of them based their research methodology on the use of questionnaires, scales and/or interviews. The strengths and weaknesses of these methodologies were discussed, and the use of simulation was suggested as a new methodological alternative.

Conclusion:

This review reinforces that mistreatment of medical students has remained frequent over time and it is closely related to the students’ mental health and performance impairment. The authors recommend a new methodological approach to collect data related to the effects arising from a hostile learning environment.

Keywords : Medical Education; Harassment; Depressive Symptoms; Academic Performance.

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