Date of Award

1-1-2020

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Mayur Desai

Abstract

Importance

While prior studies have described mistreatment in an undergraduate medical setting by sex, sexual orientation, and race/ethnicity, no studies have examined the degree of mistreatment and symptoms of burnout experienced by students with multiple marginalized identities with national data.

Objective

To describe the association between mistreatment, burnout, and having multiple marginalized identities during undergraduate medical education.

Design

This cohort study utilized data from the Graduate Questionnaire administered annually by the Association of American Medical Colleges.

Setting

This study utilized student responses from the 140 U.S. medical schools accredited by the Association of American Medical Colleges’ Liaison Committee on Medical Education.

Participants

The participants were graduating medical students from 2016 and 2017.

Main Outcomes and Measures

Association between mistreatment and Multiple Marginalized Identity (MMI) index score. Association between burnout and MMI index score.

Results

Responses from 25,517 graduating medical students were analyzed. The sample was comprised of 12,363 (48.5%) female, 1,393 (5.5%) LGB, and 9,777 (38.3%) non-White students. There is a statistically significant difference in the degree of mistreatment experienced by MMI score such that those with an MMI score of zero (i.e. heterosexual, white males) have the highest percentage of respondents reporting never experiencing neither general (60.2%, p

Conclusions and Relevance

Marginalized students are exposed to a more harmful learning environment during undergraduate medical education. Actions must be taken at the institutional level to foster a more inclusive learning environment for students from diverse backgrounds.

Open Access

This Article is Open Access

Included in

Public Health Commons

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