Show simple item record

dc.contributor.authorBroad, J
dc.contributor.authorMatheson, M
dc.contributor.authorVerrall, F
dc.contributor.authorTaylor, AK
dc.contributor.authorZahra, Daniel
dc.contributor.authorAlldridge, L
dc.contributor.authorFeder, G
dc.date.accessioned2018-09-10T08:25:20Z
dc.date.available2018-09-10T08:25:20Z
dc.date.issued2018-04
dc.identifier.issn0308-0110
dc.identifier.issn1365-2923
dc.identifier.urihttp://hdl.handle.net/10026.1/12265
dc.description.abstract

CONTEXT: Discrimination and harassment create a hostile environment with deleterious effects on student well-being and education. In this study, we aimed to: (i) measure prevalences and types of discrimination and harassment in one UK medical school, and (ii) understand how and why students report them. METHODS: The study used a mixed-methods design. A medical school population survey of 1318 students was carried out in March 2014. Students were asked whether they had experienced, witnessed or reported discrimination or harassment and were given space for free-text comments. Two focus group sessions were conducted to elicit information on types of harassment and the factors that influenced reporting. Proportions were analysed using the Wilson score method and associations tested using chi-squared and regression analyses. Qualitative data were subjected to framework analysis. Degrees of convergence between data were analysed. RESULTS: A total of 259 (19.7%) students responded to the survey. Most participants had experienced (63.3%, 95% confidence interval [CI]: 57.3-69.0) or witnessed (56.4%, 95% CI: 50.3-62.3) at least one type of discrimination or harassment. Stereotyping was the form most commonly witnessed (43.2%, 95% CI: 37.4-49.3). In the qualitative data, reports of inappropriate joking and invasion of personal space were common. Black and minority ethnic students had witnessed and religious students had experienced a greater lack of provision (χ2  = 4.73, p = 0.03 and χ2  = 4.38, p = 0.04, respectively). Non-heterosexual students had experienced greater joking (χ2  = 3.99, p = 0.04). Students with disabilities had experienced more stereotyping (χ2  = 13.5, p < 0.01). Female students and students in clinical years had 2.6 (95% CI: 1.3-5.3) and 3.6 (95% CI: 1.9-7.0) greater odds, respectively, of experiencing or witnessing any type of discrimination or harassment. Seven of 140 survey respondents had reported incidents (5.0%, 95% CI: 2.4-10.0). Reporting was perceived as ineffective and as potentially victimising of the reporter. CONCLUSIONS: Harassment and discrimination are prevalent in this sample and associated with gender, ethnicity, sexuality, disability and year group. Reporting is rare and perceived as ineffective. These findings have informed local developments, future strategies and the development of a national prevention policy.

dc.format.extent414-426
dc.format.mediumPrint
dc.languageen
dc.language.isoen
dc.publisherWiley
dc.subjectEducation, Medical, Undergraduate
dc.subjectEthnicity
dc.subjectFemale
dc.subjectHarassment, Non-Sexual
dc.subjectHumans
dc.subjectMale
dc.subjectMinority Groups
dc.subjectPrevalence
dc.subjectResearch Report
dc.subjectSex Factors
dc.subjectSocial Discrimination
dc.subjectStereotyping
dc.subjectStudents, Medical
dc.subjectSurveys and Questionnaires
dc.subjectUnited Kingdom
dc.titleDiscrimination, harassment and non-reporting in UK medical education
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000428452400010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue4
plymouth.volume52
plymouth.publication-statusPublished
plymouth.journalMedical Education
dc.identifier.doi10.1111/medu.13529
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2017-12-21
dc.rights.embargodate2019-3-25
dc.identifier.eissn1365-2923
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/medu.13529
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-04
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV