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.
Recommended Citation
Teshome, Bethelehem Getachew, "Medical Student Mistreatment And Burnout: An Intersectional Approach" (2020). Public Health Theses. 2001.
https://elischolar.library.yale.edu/ysphtdl/2001