ArticleBMC medical education2023
An exploratory university-based cross-sectional study of the prevalence and reporting of mistreatment and student-related factors among Thai medical students.
Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Workforce and system implications of unprofessional behavior: a nationwide mixed-methods study in Thai emergency medicine.BMC health services research · 2026Article
- Training under the threat in South Africa: bullying of medical students by clinicians-a scoping review protocol.BMJ public health · 2026Article
- Prevalence and determinants of academic bullying among medical and dental students in Jordan.Frontiers in health services · 2026Article
- Health professions education and unprofessional behaviour in the global south: a scoping review of conceptions, theoretical frameworks, and prevalence.BMC medical education · 2025Article
- Ignorance Is Not Bliss: A Systematic Review on the Impact of Ignoring UK Medical Students During Clinical Placements.Cureus · 2025Review
- Prevalence and impact of mistreatment on academic motivation among clinical year medical students in Thailand.Scientific reports · 2025Article
- Is There a Relationship Between Medical Student Mistreatment and Specialty Choice and Career Intentions? A Systematic Review.Medical science educator · 2025Review
- Natural Semantic Networks: The Concept of Mistreatment and Good Treatment in Students of Health Careers.Behavioral sciences (Basel, Switzerland) · 2024Article
- Gender Inequity in Clinical Clerkships and its Influence on Career Selection: A Cross-Sectional Survey.Journal of medical education and curricular developmentArticle
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMistreatment is a behavior that reflects disrespect for the dignity of others. Mistreatment can be intentional or unintentional, and can interfere with the process of learning and perceived well-being. This study explored the prevalence and characteristics of mistreatment, mistreatment reporting, student-related factors, and consequences among medical students in Thai context.
methodsWe first developed a Thai version of the Clinical Workplace Learning Negative Acts Questionnaire-Revised (NAQ-R) using a forward-back translation process with quality analysis. The design was a cross-sectional survey study, using the Thai Clinical Workplace Learning NAQ-R, Thai Maslach Burnout Inventory-Student Survey, Thai Patient Health Questionnaire (to assess depression risk), demographic information, mistreatment characteristics, mistreatment reports, related factors, and consequences. Descriptive and correlational analyses using multivariate analysis of variance were conducted.
resultsIn total, 681 medical students (52.4% female, 54.6% in the clinical years) completed the surveys (79.1% response rate). The reliability of the Thai Clinical Workplace Learning NAQ-R was high (Cronbach's alpha 0.922), with a high degree of agreement (83.9%). Most participants (n = 510, 74.5%) reported that they had experienced mistreatment. The most common type of mistreatment was workplace learning-related bullying (67.7%), and the most common source was attending staff or teachers (31.6%). People who mistreated preclinical medical students were most often senior students or peers (25.9%). People who mistreated clinical students were most commonly attending staff (57.5%). Only 56 students (8.2%) reported these instances of mistreatment to others. Students' academic year was significantly related to workplace learning-related bullying (r = 0.261, p < 0.001). Depression and burnout risk were significantly associated with person-related bullying (depression: r = 0.20, p < 0.001, burnout: r = 0.20, p = 0.012). Students who experienced person-related bullying were more often the subject of filed unprofessional behavior reports, concerning conflict or arguments with colleagues, being absent from class or work without reasonable cause, and mistreatment of others.
conclusionsMistreatment of medical students was evident in medical school and was related to the risk for depression and burnout, as well as the risk of unprofessional behavior.
trial registrationTCTR20230107006(07/01/2023).
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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.