Issue link: https://beckershealthcare.uberflip.com/i/1475102
28 PATIENT & CAREGIVER EXPERIENCE Mistreatment linked to medical school attrition By Kelly Gooch S tudents who reported mistreatment and discrimi- nation in the first two years of medical school were more likely to leave school, according to a study published May 31 in JAMA Pediatrics. The retrospective cohort study is based on a survey of 18,534 medical students. The 2014-2015 and 2015-2016 students each answered questions about discrimination and mistreatment as part of an Association of American Medical Colleges survey of second-year medical students. Information about attrition during or after the second year of medical school is based on data from the AAMC Student Records System, obtained in September 2020. For the purposes of the study, mistreatment included "be- ing publicly humiliated, physically harmed, or threatened with physical harm," and discrimination included "being denied opportunities, receiving lower grades or evalua- tions, or experiencing offensive remarks based on their gender or racial and ethnic identity." Researchers found that 5.6 percent of survey respondents reported isolated mistreatment, meaning one experience of mistreatment, and 2.3 percent reported recurrent mistreatment. Additionally, 7.5 percent and 8.7 percent of respondents reported isolated and recurrent discrimina- tion, respectively, according to the study. Among students who reported no mistreatment, the attri- tion rate was 1.2 percent. Among students who reported isolated or recurrent mistreatment, the attrition rates were 2.8 percent and 4.1 percent, respectively. The rate of attrition among students who reported recurrent discrimination was 1.9 percent compared to 1.5 percent among those who reported isolated discrim- ination and 1.3 percent among those who reported no discrimination. The authors noted their study may not account for some factors influencing attrition, including socioeconomic hardships. n 5 best health systems to grow your career: LinkedIn By Ayla Ellison F ive health systems made LinkedIn's list of the 25 best healthcare companies to grow your career in the industry. To compile the list, released June 22, LinkedIn exam- ined seven elements of career progression: • Ability to advance • Skills growth • Company stability • External opportunity • Company affinity • Gender diversity • Educational background Here are the health systems that made the list, accom- panied by their ranking: 1. Kaiser Permanente (Oakland, Calif.) 8. Johns Hopkins Medicine (Baltimore) 10. City of Hope (Duarte, Calif.) 18. UChicago Medicine 20. University of Maryland Medical Center (Baltimore) n 6 themes linked to physician suicides, study finds By Cailey Gleeson S ix overarching themes contributed to physician job stress and suicides, a study published June 29 in Suicide and Life-reat- ening Behavior found. Researchers used data from the National Violent Death Reporting System database between 2003 and 2018 to develop themes repre- senting death investigation narratives of 200 physician suicides with implicated job problems. "We oen overlook the physical health of our healthcare workers, but poor health can lead to difficulty performing tasks at work, which then leads to job stress and mental health issues," said Kristen Kim, MD, corresponding author and a resident physician in psychiatry at UC San Diego Health. e six themes identified by researchers were: • Incapacity to work due to deterioration of physical health • Substance use that was jeopardizing employment • Interaction between mental health and work-related issues • Relationship conflicts affecting work • Legal problems • Increased financial stress n