Health Sciences Education Symposium

First Author Information

Cyrus Massouleh, M.D., Department of Emergency Medicine, School of Medicine

Additional Author(s) Information

Nital Appelbaum, Ph.D., VCU School of Medicine

Harinder Dhindsa, M.D., MBA, Department of Emergency Medicine, VCU School of Medicine

Sally A. Santen, M.D., Ph.D., Department of Emergency Medicine, VCU School of Medicine

Joel Moll, M.D., Department of Emergency Medicine, VCU School of Medicine

Robin R Hemphill, M.D., MPH, Department of Emergency Medicine, VCU School of Medicine

Presentation Format


Type of Activity


Original Presentation Date


Date of Submission

March 2019

Abstract/Short Description

Background: •Mistreatment and disrespect of healthcare providers including verbal harassment, sexual harassment, and physical harassment is relatively commonplace in the clinical setting. •Per Bureau of Labor Statistics, healthcare professionals are at a 16x greater risk of violence than professionals in other service fields1. •Much of this mistreatment is from colleagues and superiors2, but a significant portion is from patients and their families with prior studies showing anywhere from 6-67% percent of the mistreatment done by patients or their families2,4,5,6. •Providers may feel that being mistreated is an expected part of the job7,8. •Many resources have been dedicated to understanding and decreasing mistreatment amongst colleagues9. •Studies suggest that mistreatment from patients and their families may be potentially more prevalent than mistreatment from coworkers in the emergency department (ED) setting4,10. •The objective of this study was to quantify better understand the types of mistreatment directed towards providers and to determine whether or not it was especially prevalent in the ED setting.


1.Elliott P. (1997). Violence in health care. What nurse managers need to know. Nursing Management, 28(12), 38-41. 2.Fried J, Vermillion M, Parker N, Uijtdehaage S. (2012). Eradicating Medical Student Mistreatment: A Longitudinal Study of One Institution’s Efforts. Academic Medicine, 87(9), 1191-1198. 3.Cook DJ, Liutkus JF, et al. (1996). Residents’ experiences of abuse, discrimination and sexual harassment during residency training. Can Med Assoc J, 154(11), 1657-1665. 4.Emam GH, Alimohammadi H, Sadrabad AZ, Hatamabadi H. (2018). Workplace Violence against Residents in Emergency Department and Reasons for not Reporting Them; a Cross Sectional Study. Emergency, 6(1). 5.Li P, et al. (2018). Psychological violence against general practitioners and nurses in Chinese township hospitals: incidence and implications. Health and Quality of Life Outcomes, 16(117). 6.Whitgob EE, Blankenburg RL, Bogetz AL. (2016). The Discriminatory Patient and Family: Strategies to Address Discrimination Towards Trainees. Academic Medicine, 91(11), 564-569. 7.Daugherty SR, Baldwin Jr DC, Rowley BD. (1998). Learning, Satisfaction, and Mistreatment During Medical Internship, A National Survey of Working Conditions. JAMA, 279(15), 1194-1199. 8.Urbach JR, Levenson JL, Harbison JW. (1989). Perceptions of housestaff stress and dysfunction within the academic medical center. Psychiatric Q, 60, 283-296. 9.Mavis B, Sousa A, Lipscomb W, Rappley MD. (2014). Learning About Medical Student Mistreatment From Responses to the Medical School Graduation Questionnaire. Academic Medicine, 89(5), 705-711. 10. Kwok S, Ostermeyer B, Coverdale J. (2012). A Systematic Review of the Prevalence of Patient Assaults Against Residents. Journal of Graduate Medical Education, Sep 2012, 296-300. 11.Bates CK, Jagsi R, et al. (2018). It is Time for Zero Tolerance for Sexual Harassment in Academic Medicine. Academic Medicine, 93(2), 163-165. 12.Binder R, Paul G, Johnson B, Fuentes-Afflick E. (2018). Sexual Harassment in Medical Schools: The Challenge of Covert Retaliation as a Barrier to Reporting. Academic Medicine, not yet in print. 13.Smith-Pittman MH, McKoy YD. (1999). Workplace Violence in Healthcare Environments. Nursing Forum, 34(3), 5-13. 14.Adams MA, Elmunzer BJ, Schieman JM. (2014). Effect of a Health System's Medical Error Disclosure Program on Gastroenterology-Related Claims Rates and Costs. American Journal of Gastroenterology, 109, 460-464. 15.Newman DH, Ackerman B, et al. (2015). Quantifying Patient-Physician Communication and Perceptions of Risk During Admissions for Possible Acute Coronary Syndromes. Annals of Emergency Medicine, 66(1), 13-18. 16.Bowling, N (2006). Workplace Harassment from the Victim’s Perspective: A Theoretical Model and Meta-Analysis. Journal of Applied Psychology, 91(5), 998-1012.


© The Author(s)

Is Part Of

VCU Medical Education Symposium