ReviewBMC medical education2016
Altering workplace attitudes for resident education (A.W.A.R.E.): discovering solutions for medical resident bullying through literature review.
Review in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Bullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review.World journal of surgery · 2022Pooled it
- Discrimination, Bullying and Harassment in Surgery: A Systematic Review and Meta-analysis.World journal of surgery · 2018Pooled it
- Impact of mistreatment on the learning of novice medical students: An experimental study.Medical education · 2026Trial
- Exploring Mistreatment of Obstetrics and Gynecology Residents in the Clinical Learning Environment.O&G open · 2026Article
- Violence in emergency services and preventative measures: results from an online survey from Germany.Internal and emergency medicine · 2026Article
- Bullying among medical residents in a large public hospital: a cross-sectional study.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Female-to-female aggression in the workplace.Pediatric radiology · 2025Article
- Navigating patient bias and mistreatment: a cross-sectional study of a workshop and coaching series for internal medicine residents.BMC medical education · 2025Article
- Bridging the Gaps: Allied Health Practitioners, Clinical Educators, and Peers Perspectives on Resident Performance Assessments.Journal of advances in medical education & professionalism · 2025Article
- Gender bias faced by medical students during undergraduate medical education in Urban Private medical colleges in Pakistan.BMC medical education · 2025Article
- Prevalence and Determinants of Academic Bullying Among Junior Doctors in Sierra Leone: Cross-Sectional Study.JMIRx med · 2025Article
- Prevalence of mistreatment in veterinary medical education; a survey of 3rd year veterinary students at a single university.BMC medical education · 2025Article
- Factors influencing quality of professional life and perceived bullying among medical residents in Iran.BMC medical education · 2025Article
- The Hidden Curriculum in Which Medical Students Learn to Understand and Manage Unprofessional Behaviour: A Qualitative Interview Study.Medical science educator · 2025Article
- Moral harassment and mental health in medical residents: a longitudinal study.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025Article
- [How to best address the challenges of mental health in medical education?]Revista colombiana de obstetricia y ginecologia · 2024Article
- "I never wanted to burn any bridges": discerning between pushing too hard and not enough in trainees' acts of professional resistance.Advances in health sciences education : theory and practice · 2024Article
- Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers.Advances in medical education and practice · 2024Article
- [Mistreatment of Paraguayan medical residents in 2022: a multicenter study]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2023Article
- Medical student perceptions and experiences of incivility: a qualitative study.BMC medical education · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysicians-in-training are challenged every day with grueling academic requirements, job strain, and patient safety concerns. Residency shapes the skills and values that will percolate to patient care and professional character. Unfortunately, impediments to the educational process due to medical resident mistreatment by bullying remain highly prevalent in training today.
methodsA PubMed literature review was undertaken using key terms to help define resident mistreatment by bullying, determine its prevalence, identify its potential causes and sequelae, and find suggestions for changing this detrimental culture of medical training.
resultsWe identified 62 relevant articles. The most frequently noted form of mistreatment was verbal abuse, with the most common perpetrators being fellow physicians of higher hierarchical power. Mistreatment exists due to its cyclical nature and the existing culture of medical training. These disruptive behaviors affect the wellbeing of both medical residents and patients.
conclusionsThis article highlights the importance of creating systems that educate physicians-in-training about professional mistreatment by bullying and the imperative in recognizing and correcting these abuses. Resident bullying leads to increased resident stress, decreased resident wellbeing as well as risks to patient safety and increased healthcare costs. Solutions include education of healthcare team members, committee creation, regulation of feedback, and creation of a zero-tolerance policy focused on the health of both patients and residents. Altering workplace attitudes will diminish the detrimental effects that bullying has on resident training.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.