Bullying among doctors in training: cross sectional questionnaire survey
http://www.100md.com
《英国医生杂志》
1 London Deanery, London WC1N 1DZ
Correspondence to: E Paice epaice@londondeanery.ac.uk
Introduction
We found the prevalence of bullying to be lower than previously reported, but the question we used was framed to include only behaviours that were persistent, had a negative effect on respondents, and had occurred in the current post. London has a higher concentration of teaching hospital trusts than other areas of the country, but as we found no correlation between type of trust and the prevalence of bullying, these results are likely to be representative. Most of the negative behaviours were perpetrated by other doctors, in a pecking order of seniority, although nurses and midwives were an important source for junior grades. For bullying to be tackled, trainees need a safe means of complaining. They also need to be made aware of the impact that their own behaviour may have on colleagues. It should be recognised that some of the behaviours that erode trainees' professional confidence or self esteem may be attempts by trainers to improve their performance.5 An educational rather than a punitive approach is needed to help trainers develop effective ways of encouraging better performance without becoming a source of distress to junior colleagues.
Five tables of further data about the respondents and their responses are on bmj.com
This article was posted on bmj.com on 15 July 2004: http://bmj.com/cgi/doi/10.1136/bmj.38133.502569.AE
We thank Ray Flux of CivilEyes, who conducted the survey.
Contributors: EP planned the study, analysed the results, and drafted the paper; she is also the guarantor. MA managed the survey and collected the results. AH and JF-C commented on the plans and helped with the final draft.
Funding: No external funding.
Competing interests: The London Deanery is reponsible for quality assurance of training in the area concerned.
Ethical approval: Not required.
References
Firth-Cozens J. Interventions to improve physicians' well-being and patient care. Soc Sci Med 2001; 215-22.
Hicks B. Time to stop bullying and intimidation. Hospital Medicine 2000;61: 428-31.
Quine L. Workplace bullying in junior doctors: questionnaire survey. BMJ 2002;324: 878-9.
Paice E, Aitken M, Cowan G, Heard S. Trainee satisfaction before and after the Calman reforms of specialist training: questionnaire survey. BMJ 2000;320: 832-6.
Paice E, Firth-Cozens J. Who's a bully then? BMJ 2003;326(suppl):S127. http://careerfocus.bmjjournals.com/cgi/content/full/326/7393/S127(Elisabeth Paice, dean dir)
Correspondence to: E Paice epaice@londondeanery.ac.uk
Introduction
We found the prevalence of bullying to be lower than previously reported, but the question we used was framed to include only behaviours that were persistent, had a negative effect on respondents, and had occurred in the current post. London has a higher concentration of teaching hospital trusts than other areas of the country, but as we found no correlation between type of trust and the prevalence of bullying, these results are likely to be representative. Most of the negative behaviours were perpetrated by other doctors, in a pecking order of seniority, although nurses and midwives were an important source for junior grades. For bullying to be tackled, trainees need a safe means of complaining. They also need to be made aware of the impact that their own behaviour may have on colleagues. It should be recognised that some of the behaviours that erode trainees' professional confidence or self esteem may be attempts by trainers to improve their performance.5 An educational rather than a punitive approach is needed to help trainers develop effective ways of encouraging better performance without becoming a source of distress to junior colleagues.
Five tables of further data about the respondents and their responses are on bmj.com
This article was posted on bmj.com on 15 July 2004: http://bmj.com/cgi/doi/10.1136/bmj.38133.502569.AE
We thank Ray Flux of CivilEyes, who conducted the survey.
Contributors: EP planned the study, analysed the results, and drafted the paper; she is also the guarantor. MA managed the survey and collected the results. AH and JF-C commented on the plans and helped with the final draft.
Funding: No external funding.
Competing interests: The London Deanery is reponsible for quality assurance of training in the area concerned.
Ethical approval: Not required.
References
Firth-Cozens J. Interventions to improve physicians' well-being and patient care. Soc Sci Med 2001; 215-22.
Hicks B. Time to stop bullying and intimidation. Hospital Medicine 2000;61: 428-31.
Quine L. Workplace bullying in junior doctors: questionnaire survey. BMJ 2002;324: 878-9.
Paice E, Aitken M, Cowan G, Heard S. Trainee satisfaction before and after the Calman reforms of specialist training: questionnaire survey. BMJ 2000;320: 832-6.
Paice E, Firth-Cozens J. Who's a bully then? BMJ 2003;326(suppl):S127. http://careerfocus.bmjjournals.com/cgi/content/full/326/7393/S127(Elisabeth Paice, dean dir)