Case 1 You are Jenna, a 3 rd year student on Attending Rounds on Pediatrics. The team includes another 3 rd year medical students, Rob, an intern, a senior resident, the charge nurse, and the attending physician, Dr. White. The team has just heard an update on the patient’s condition from Rob. Dr. White asks Rob for today’s serum ammonia results which he does not know.

Case 1 Rate Dr. White Dr. White says: “How is the serum ammonia level important in the analysis of this patient’s confusion?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 1 Rate Dr. White Dr. White says: “How is it that our other student, Jenna, always knows her patients’ test results and you don’t ?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 1 Rate Dr. White Dr. White says: “When I was your age, I knew all my patients’ lab results.” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 1 Rate Dr. White Dr. White says: “I thought all you People were intelligent.” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 1: “I thought you people were all intelligent.” What should you do? SELECT A RESPONSE 1.Nothing. 2.Nothing now. Talk to Dr. White after rounds. 3.Speak up now about the importance of a respectful learning environment. 4.After rounds advise Rob to file a Medical School Mistreatment/Harassment report. 5.File a Medical School Mistreatment and Harassment report on behalf of Rob.

Case 2 Ana is a 4th year medical student on a surgical teaching team. She wears a headscarf (hijab) for religious reasons. During rounds with a resident and a nurse at the bedside of a patient the attending physician, Dr. Brown, questions Ana.

Case 2 Rate Dr. Brown Dr. Brown says: “I want you to change this dressing in the morning. Do you know how to do that?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 2 Rate Dr. Brown Dr. Brown says: “It takes a lot of strength to move this patient. Most girls don’t have that strength. Do you?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 2 Rate Dr. Brown Dr. Brown says: “How do you people maintain proper hygiene for patients when you wear those headscarves?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 2 Rate Dr. Brown Dr. Brown shoves the dressing tray towards Ana saying: “Why do I always Have to be the one who changes the damn dressings?” SELECT A RESPONSE on ARS: Fair question, student should know answer Socratic method, not harassment Mildly intimidating but part of the culture of medicine Mild harassment Definite harassment or mistreatment

Case 2: “How do you people maintain proper hygiene for your patients when you wear those headscarves?” What should you do? SELECT A RESPONSE 1.Nothing. 2.Nothing now. Talk to Dr. Brown after rounds. 3.Speak up now about the importance of a respectful learning environment. 4.After rounds advise Ana to file a Medical School Mistreatment/Harassment report. 5.File a Medical School Mistreatment and Harassment report on behalf of Ana.