1. Learner Mistreatment and Climate at the UMMSM
MS 3 TOWN HALL
Learner Mistreatment and Climate at the UMMSM
Jan 2016

2. Goals Review data from mistreatment surveys
Review UMMSM’s mistreatment policies
Review reporting mechanisms
Update on school wide interventions
Open dialogue
Empower students to help change culture!

3. Survey Results
Are you aware that your school has policies regarding the mistreatment of medical students?
YES NO
GQ 2015
100% (95%)
0% (5.5%)
GQ 2014
98.2%
1.8%
GQ 2013
95.5%
4.5%
Jan 2016 (MS3)
93% 7%
Jan 2015 (MS3)
88%
11%
Jan 2014 (MS3)
90%
10%
GQ in 2012: 79% YES; 21% NO
Response rates: 2015 GQ: 84%; 2014 GQ 85%; 2013 GQ 64%; 2012 GQ 69%
Response rates (internal surveys): Jan 2016: 65%; Jan %; Jan %; Jan %
Response rates: 2015 GQ 84%; 2014 GQ 85%; 2013 GQ 64%
Response rates (internal surveys): Jan %; Jan %; Jan %

4. Survey Results
Do you know the procedures at your school for reporting the mistreatment of medical students?
YES NO
GQ 2015
94% (81%)
6% (19%)
GQ 2014
92% 8%
GQ 2013
88%
13%
Jan 2016 (MS3)
56%
44%
Jan 2015 (MS3)
48%
51%
Jan 2014 (MS3)
39%
61%
GQ 2012: YES 73%, NO 27%
Response rates: 2015 GQ 84%; 2014 GQ 85%; 2013 GQ 64%
Response rates (internal surveys): Jan %; Jan %; Jan %

5. Personal Experience with Behaviors by Faculty, Nurses, Residents/Interns, Staff, Students
Publicly humiliated (public embarrassment not included)
Never
Once
Occasionally
Frequently
GQ 2015
81%
10% 9%
0.7%
GQ 2014
64%
14%
21% 2%
Jan 2016 MS3
78%
11% 0%
Jan 2015 MS3
65%
17%
13%
Jan 2014 MS3
82% 8%
Threatened with physical harm
Never
Once
Occasionally
Frequently
GQ 2015
98% 2% 0%
GQ 2014
96% 3% 1%
Jan 2016 MS3
Jan 2015 MS3
Jan 2014 MS3
0.8%

6. Personal Experience with Behaviors by Faculty, Nurses, Residents/Interns, Staff, Students
Physically harmed
Never
Once
Occasionally
Frequently
GQ 2015
98% 2% 0%
GQ 2014 1%
Jan 2016 MS3
100%
Jan 2015 MS3
97%
Jan 2014 MS3
99%
0.8%
Required to perform personal services
Never
Once
Occasionally
Frequently
GQ 2015
87% 7% 5%
0.7%
GQ 2014
69%
12%
17% 3%
Jan 2016 MS3
77% 6% 0%
Jan 2015 MS3
64% 9%
18%
Jan 2014 MS3
73%
21%
0.8%

7. Personal Experience with Behaviors by Faculty, Nurses, Residents/Interns, Staff, Students
Subjected to offensive sexist remarks
Never
Once
Occasionally
Frequently
GQ 2015
79% 7%
13%
0.7%
GQ 2014
77% 9%
14% 0%
Jan 2016 MS3
82%
11% 6% 2%
Jan 2015 MS3
76% 5% 4%
Jan 2014 MS3 8%
10%
0.8%
Denied opportunities for training/rewards based solely on gender
Never
Once
Occasionally
Frequently
GQ 2015
91% 4% 5% 0%
GQ 2014
87% 9%
Jan 2016 MS3
89% 6% 2%
Jan 2015 MS3
Jan 2014 MS3

8. Personal Experience with Behaviors by Faculty, Nurses, Residents/Interns, Staff, Students
Received lower evaluations/grades solely because of gender
Never
Once
Occasionally
Frequently
GQ 2015
91% 5% 0%
GQ 2014
86% 3%
12%
Jan 2016 MS3 2%
Jan 2015 MS3
87% 4% 1%
Jan 2014 MS3
85% 7%
Subjected to unwanted sexual advances
Never
Once
Occasionally
Frequently
GQ 2015
95% 3% 0%
GQ 2014
94% 2% 5%
Jan 2016 MS3
96% 1%
Jan 2015 MS3
90% 4%
Jan 2014 MS3
1.5%

9. Personal Experience with Behaviors by Faculty, Nurses, Residents/Interns, Staff, Students
Asked to exchange sexual favors for grades/rewards
Never
Once
Occasionally
Frequently
GQ 2015
100% 0%
GQ 2014
99% 1%
Jan 2016 MS3
Jan 2015 MS3
Jan 2014 MS3

10. Personal Experience with Behaviors Race/Ethnicity
Denied opportunities for training/rewards
Never
Once
Occasionally
Frequently
GQ 2015
95% 2% 1%
GQ 2014
94% 4%
Jan 2016 MS3 0%
Jan 2015 MS3 3%
Jan 2014 MS3
Subjected to racially or ethnically offensive remarks
Never
Once
Occasionally
Frequently
GQ 2015
90% 7% 3% 0%
GQ 2014
83% 9% 1%
Jan 2016 MS3 5% 4% 2%
Jan 2015 MS3
11%
Jan 2014 MS3
87%
8.5%
0.8%

11. Personal Experience with Behaviors Race/Ethnicity
Received lower evals/grades solely because of race/ethnicity
Never
Once
Occasionally
Frequently
GQ 2015
97% 3% 0%
GQ 2014
90% 4% 5% 2%
Jan 2016 MS3
94% 1%
Jan 2015 MS3
Jan 2014 MS3

12. Personal Experience with Behaviors Sexual Orientation
Denied opportunities for training/rewards
Never
Once
Occasionally
Frequently
GQ 2015
99% 0%
0.7%
GQ 2014
96% 1% 2%
Jan 2016 MS3
Jan 2015 MS3
Jan 2014 MS3
100%
Subjected to offensive remarks/names
Never
Once
Occasionally
Frequently
GQ 2015
96% 2% 1%
0.7%
GQ 2014 0% 3%
Jan 2016 MS3
Jan 2015 MS3
95% 4%
Jan 2014 MS3
98%
1.5%
0.8%

13. Personal Experience with Behaviors Sexual Orientation
Received lower evals/grades
Never
Once
Occasionally
Frequently
GQ 2015
99% 0%
0.7%
GQ 2014
98% 1%
Jan 2016 MS3
Jan 2015 MS3
Jan 2014 MS3
100%

14. Overall Mistreatment Survey Results
Have you personally experienced any of those behaviors?
YES NO
GQ 2015
46.6%
53.4%
GQ 2014
65.8%
34%
GQ 2013
57.5%
42.5%
Jan 2016 MS3
25%
75%
Jan 2015 MS3
33%
67%
Jan 2014 MS3
31.5%
68.5%
Jan 2013
49.5%
50.5%

15. Overall Mistreatment Survey Results
Have you witnessed any other student subjected to those behaviors?
YES NO
GQ 2015
31%
69%
GQ 2014
37%
63%
GQ 2013
23%
77%
Jan 2016 MS3
28%
72%
Jan 2015 MS3
34%
66%
Jan 2014 MS3
Jan 2013
41%
59%

16. Reporting Mistreatment
Did you report behaviors you personally experienced?
YES NO
GQ 2015
19%
81%
GQ 2014
18%
82%
Jan 2016 MS3 6%
94%
Jan 2015 MS3 9%
91%
Jan 2014 MS3 3%
97%
Did you report witnessed behaviors?
YES NO
GQ 2015
18%
82%
GQ 2014
10%
90%
Jan 2016 MS3 2%
98%
Jan 2015 MS3 3%
97%
Jan 2014 MS3
---
42%

17. Reporting Mistreatment
Satisfaction with outcome of having reported the behavior(s)?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
GQ 2015
23%
31% 8%
15%
GQ 2014
42% 0%
50%
GQ 2013
20%
30%
10%
Jan 2016 MS3 6%
88%
Jan 2015 MS3 4%
13%
78%
Jan 2014 MS3

18. Reporting Mistreatment
Primary reasons for not reporting:
Incident not important enough to report
GQ 2015: 67%; GQ 2014: 69% GQ 2013: 48%
Jan 2016 MS3: 41%; Jan 2015 MS3: 42% Jan 2014 MS3: 38%
Didn’t think anything would be done about it
GQ 2015: 45%; GQ 2014: 48% GQ 2013: 42%
Jan 2016 MS3: 21%; Jan 2015 MS3: 18% Jan 2014 MS3: 21%
Clerkships with highest mistreatment reported:
Surgery (MS : 65%; MS : 50%; MS3 2014: 58%)
OB/GYN (MS : 19%; MS : 28%; MS3 2014: 27%)

19. UMMSM Mistreatment Policies
Student mistreatment policies and grievance procedures are delineated in the Student Handbook of Rights and Responsibilities

20. Reporting Mechanisms Online Physicianship Incident Reporting system
How PIRs are handled
24-hour Mistreatment Reporting Hotline
from a campus phone

26. Who you can contact Medical Education deans at main campus and RMC
Dr. Laurence Gardner, executive dean for education and policy
Medical School Ombudsman: Dr. Norman Altman
Clerkship directors
Other key faculty

27. Changing the Culture

30. Building a Better at Miller
All departments charged with creating individual learner mistreatment plans that include:
Policies/procedures for handling incidents
Formation of committee comprised of faculty, residents and staff
Ongoing faculty and resident development sessions

31. Take Home Points UMMSM’s mistreatment policies Reporting mechanisms
Reporting Systems and People to Contact
Feel empowered to help change culture!