Original Publication
Open Access

Is it Mistreatment? Mistreatment Education for Medical Students Entering Clinical Training

Published: October 3, 2013 | 10.15766/mep_2374-8265.9569

Included in this publication:

  • Instructor's Guide.pdf
  • MISTREAT pocket card.pdf
  • Mistreatment reference list.pdf
  • Scenario 1 script.pdf
  • Scenario 2 script.pdf
  • Scenario 3 script.pdf
  • Scenario 4 script.pdf
  • Scenario 5 script.pdf
  • Scenario number 1.pptx
  • Scenario number 2.ppt
  • Scenario number 3.pptx
  • Scenario number 4.ppt
  • Scenario number 5.pptx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Mistreatment in the learning environment is a topic of great concern for medical schools and medical students who wish to train in healthy learning environments. On the 2012 Association of American Medical Colleges Graduation Questionnaire, 47.1% of students responded that they had personally experienced some type of mistreatment. The most commonly reported forms of mistreatment included public humiliation, being subjected to offensive remarks, and being asked to perform personal service. Because the particular behaviors constituting these forms of mistreatment are not specified, educators have struggled to teach students how to interpret behaviors in the learning environment. This resource is an interactive workshop for rising clinical students on mistreatment education. The goal of this module is to provide students with a nuanced approach to mistreatment. We focus on the gray areas that often lead students to wonder, “Have I been mistreated?” The scenario scripts are designed to serve as triggers for discussion about mistreatment in clinical settings. The accompanying slide set is used with the scenario scripts to facilitate interaction. The pocket cards help students interpret common situations that may occur during clinical training. These scenario scripts, along with the accompanying slide set and pocket cards, are designed to help students work through the nuanced aspects of mistreatment. The slide set may also be used to raise awareness among residents and faculty about appropriate and inappropriate behaviors.

Educational Objectives

By participating in this workshop, students will be able to:

  1. Review common clinical scenarios that may occur during their training.
  2. Discuss the interaction in a scenario and whether or not it represents mistreatment.
  3. List examples of scenarios that represent mistreatment and similar scenarios that do not represent mistreatment.
  4. Identify institution-specific resources where they can report instances and issues of abuse.

Author Information

  • Shalini Reddy, MD: University of Chicago Division of the Biological Sciences The Pritzker School of Medicine
  • Paul Ogden: Texas A&M HSC College of Medicine
  • Vineet Arora: University of Chicago Division of the Biological Sciences The Pritzker School of Medicine
  • Michael Elnicki: University of Pittsburgh School of Medicine
  • Heather Harrell: University of Florida College of Medicine
  • Venkat Boddapati: University of Chicago
  • Cynthia Ledford: Ohio State University College of Medicine
  • Mark Fagan: Brown University Medical Center
  • Alex Mechaber: University of Miami Miller School of Medicine
  • May Jennings: University of Alabama School of Medicine

None to report.

None to report.


Reddy S, Ogden P, Arora V, et al. Is it mistreatment? Mistreatment education for medical students entering clinical training. MedEdPORTAL. 2013;9:9569. https://doi.org/10.15766/mep_2374-8265.9569