The World Medical Association (WMA) Statement on Bullying and Harassment within the Profession was adopted at the WMA’s 68th General Assembly.
Medical student mistreatment ranges from verbal harassment and public humiliation to threats of limiting future career opportunities. In a national survey conducted by the Association of Faculties of Medicine of Canada in 2017, 59.6% of medical students in their final year reported being personally mistreated. In 2016 the rate was 53%; in 2015 it was 50.6%. Of students reporting mistreatment, 89.6% report mistreatment by faculty and 34.1% by residents.
As evidenced in the WMA’s statement, mistreatment within the profession is also an issue internationally. Among US medical students, 42% reported having experienced harassment and 84% experienced belittlement during medical school. These students were significantly more likely to be stressed, depressed, and suicidal; to drink alcohol or binge drink; and were significantly less likely to be glad they trained to become a doctor.
Most Canadian medical students do not file a report when they experience instances of mistreatment. More than 80% of students who experienced mistreatment stated they had not reported it to their medical school or a designated faculty member. Only 35.9% of students were satisfied with the outcome of having reported instances of mistreatment.
Reasons cited by students for not reporting mistreatment included that “the incident did not seem important enough to report” (64.7%), “I did not think anything would be done about it” (47.1%), and “fear of reprisal” (35.3%).
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org