ERASE: a New Framework for Faculty to Manage Patient Mistreatment of Trainees

  • Matthew N. GoldenbergEmail author
  • Kali D. Cyrus
  • Kirsten M. Wilkins
Feature: Educational Case Report

Mistreatment by Patients: an Increasingly Recognized Problem

In medical education, mistreatment is defined as behavior, intentional or unintentional, which “shows disrespect for the dignity of others and unreasonably interferes with the learning process.” [1] Medical educators and the Association of American Medical Colleges have long collected and monitored reports of mistreatment of medical students [2]. The literature is rife with studies on the prevalence and impact of bullying and harassment by supervisors in medicine [3]. Of growing concern, however, is mistreatment by those whom physicians are trained to serve: their patients [4]. Stories of discriminatory comments by patients toward physicians and other medical personnel abound and may be becoming more widespread in the current sociopolitical climate [5].

A large, recent survey found that nearly 60% of responding physicians had experienced biased comments from patients [6]. Physicians reported being subject to discriminatory...



The authors wish to thank the Departments of Psychiatry, Pediatrics and Internal Medicine and the Teaching and Learning Center at the Yale University School of Medicine.

Compliance with Ethical Standards

Ethical Approval

Exemption granted by the Yale University Institutional Review Board.


On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Academic Psychiatry 2018

Authors and Affiliations

  1. 1.Yale University School of MedicineNew HavenUSA
  2. 2.Johns Hopkins University School of MedicineBaltimoreUSA

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