Institutional-Level Tracking to Combat Mistreatment of Medical Students, Residents, and Fellows

Research output: Chapter in Book/Report/Conference proceedingChapter


Mistreatment is prevalent in academic medicine resulting in personal and professional harm to individuals. Medical trainees that experience mistreatment have higher rates of burnout, suicidal ideation, and attrition. Additionally, mistreatment has deleterious effects on clinical team function and patient care. It is essential that academic institutions track mistreatment, as well as take appropriate prevention and mitigation steps. The following chapter outlines the prevalence of mistreatment among medical trainees, types of mistreatment, and current tracking tools. A framework for determining the optimal intervention and entity best positioned to intervene based on the type of mistreatment is presented. The process of mapping measures of mistreatment to both type and level of intervention is necessary to create a more equitable training environment.

Original languageEnglish (US)
Title of host publicationIntegrity of Scientific Research
Subtitle of host publicationFraud, Misconduct and Fake News in the Academic, Medical and Social Environment
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783030996802
ISBN (Print)9783030996796
StatePublished - Jan 1 2022

Bibliographical note

Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.


  • Abuse
  • Discrimination
  • Learning environment
  • Mistreatment
  • Organizational justice
  • Well-being


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