ArticleBMC medical education2023
Embedding interpersonal stigma resistance into the medical curriculum: a focus group study of 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 4 papers.
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Who cites it
4 citing papers in PubMed.
- Mentoring in Hospital Settings: A Systematic Review of Guidance, Care, and Professional Development.Healthcare (Basel, Switzerland) · 2026Review
- Voices for change: inclusion of lived experience self-injury research, practice, education, and advocacy.Australian journal of psychology · 2025Article
- Stigmatising Attitudes Towards Mental Health Conditions Among Medical Students In Five South-Eastern European Countries.Zdravstveno varstvo · 2024Article
- Addressing Weight Stigma in Medical Education: Insights and Strategies From a Nutrition Curriculum Review.Journal of medical education and curricular developmentArticle
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Authors and funding
7 authors.
Funding
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Abstract
backgroundMental-health-related stigma among physicians towards people with mental illnesses remains a barrier to quality care, yet few curricula provide training with a proactive focus to reduce the potential negative impacts of stigma. The aim of our study was to explore medical students' perspectives on what areas of learning should be targeted (where stigma presents) and how they could be supported to prevent the formation of negative attitudes.
methodsSix focus group discussions were conducted with second, third, and fourth-year postgraduate medical students (n = 34) enrolled at The University of Melbourne Medical School in September - October 2021. Transcripts were analysed using inductive thematic analysis.
resultsIn terms of where stigma presents, three main themes emerged - (1) through unpreparedness in dealing with patients with mental health conditions, (2) noticing mentors expressing stigma and (3) through the culture of medicine. The primary theme related to 'how best to support students to prevent negative attitudes from forming' was building stigma resistance to reduce the likelihood of perpetuating stigma towards patients with mental health conditions and therefore enhance patient care. The participants suggest six primary techniques to build stigma resistance, including (1) reflection, (2) skills building, (3) patient experiences, (4) examples and exemplars, (5) clinical application and (6) transforming structural barriers. We suggest these techniques combine to form the ReSPECT model for stigma resistance in the curriculum.
conclusionsThe ReSPECT model derived from our research could provide a blueprint for medical educators to integrate stigma resistance throughout the curriculum from year one to better equip medical students with the potential to reduce interpersonal stigma and perhaps self-stigma. Ultimately, building stigma resistance could enhance care towards patients with mental health conditions and hopefully improve patient outcomes.
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