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- Abuse mattersReply to "How the Medical Culture Contributes to Coworker-Perpetrated Harassment and Abuse of Family Physicians" Maria M Hubinette and Erica Frank. This study explores the aspects of medical culture that may contribute to abuse. Medical training has been described as a "process of moral enculturation" and medical schools as "moral communities" (Hafferty, 1998). But which morals? One large (16 medical school) recent study (Frank...Show MoreCompeting Interests: None declared.
- Author response to Dr. Herbert commentsShow More
Dear Dr. Herbert: Thank you for your comments regarding our article. You stated that our findings and conclusions are based on a (too) small percentage of the survey participants and we feel the need to respond to your concerns. We have the sense that our qualitative study is being viewed through a quantitative research analysis lens. This paper is entirely based on the 47 qualitative interviews with participants who...
Competing Interests: None declared. - You Needed a study to figure this out?Show More
Medical school and residency is not for the feint of heart. The goal of training should be to produce a competent physician that is capable of making life and death decisions, sometimes in a split second. Feelings, emotions, self esteem have nothing to do with it. I am a Family Physician (Board Certified since 1988). I trained at Baylor Medical center. The Family Physicians were always looked down upon as inferior. Res...
Competing Interests: None declared. - Re:How the Medical Culture Contributes to Coworker-Perpetrated Harassment and Abuse of Family PhysiciansShow More
These are interesting findings but the central issue of horizontal violence in family practice remains unclear. Most of the quotations refer to non-family practice settings. How the issues raised manifest themselves in the less-hierarchical structure of family practice and how modelling behaviour in other settings impacts upon behaviour in family practice are important issues that aren't fleshed out by the findings in the...
Competing Interests: None declared. - Overgeneralizing from limited data?Show More
The authors are to be commended for investigating the issue of abuse of physicians by co-workers. The application of 'broken windows' theory is interesting. However, I do have some concerns about findings based on a 20% response rate to the original survey and a subsequent small number of interviews, amounting to 0.1% of the total survey sample. While the authors point out the limitation that those who consented to be...
Competing Interests: None declared.