How the medical culture contributes to coworker-perpetrated harassment and abuse of family physicians
B Miedema, L MacIntyre, S Tatemichi… - The Annals of Family …, 2012 - Annals Family Med
The Annals of Family Medicine, 2012•Annals Family Med
PURPOSE Harassment and abuse in the workplace of family physicians has been
associated with higher levels of stress, increased consumption of alcohol, and higher risk for
developing mental health problems. Few studies have examined issues contributing to
abusive encounters in the workplace of family physicians. METHODS For the overall study
we used a mixed methods design, which included a cross-sectional survey of a randomly
selected sample of active family physicians from the database of the College of Family …
associated with higher levels of stress, increased consumption of alcohol, and higher risk for
developing mental health problems. Few studies have examined issues contributing to
abusive encounters in the workplace of family physicians. METHODS For the overall study
we used a mixed methods design, which included a cross-sectional survey of a randomly
selected sample of active family physicians from the database of the College of Family …
PURPOSE
Harassment and abuse in the workplace of family physicians has been associated with higher levels of stress, increased consumption of alcohol, and higher risk for developing mental health problems. Few studies have examined issues contributing to abusive encounters in the workplace of family physicians.
METHODS
For the overall study we used a mixed methods design, which included a cross-sectional survey of a randomly selected sample of active family physicians from the database of the College of Family Physicians of Canada and telephone interviews with those who reported experiencing work related harassment and abuse in the last year. The data presented here arise from the qualitative interviews of the study, which were analyzed thematically.
RESULTS
The interview arm of the study included 23 female and 14 male participants. The major themes that emerged from the study were (1) modeling of abusive behaviors, (2) status hierarchy among various medical disciplines, (3) shortage of physicians, and (4) lack of transparent policies and follow-up procedures after abusive encounters. The results are discussed using the broken window theory.
CONCLUSION
Many family physicians experience harassing and abusive encounters during their training or in the workplace. The current medical culture appears to contribute to harassment and abuse in the workplace of family physicians in Canada. We described the components that intentionally or unintentionally facilitate abusive behavior in the medical culture.
Annals Family Med
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