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Comment & Response
June 1, 2020

Combating Discrimination in Medical Education—Reply

Author Affiliations
  • 1Yale School of Medicine, New Haven, Connecticut
  • 2Section of General Internal Medicine, Yale School of Medicine, New Haven, Connecticut
  • 3Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
JAMA Intern Med. Published online June 1, 2020. doi:10.1001/jamainternmed.2020.1590

In Reply In their comments on our article,1 Salazar and Rho raise important concerns about determining the source of medical student mistreatment. This information will be essential in the development of interventions to support an inclusive and equitable learning environment. While more research into who commits acts of mistreatment is needed, a meta-analysis conducted by Fnais et al2 found that faculty were the most commonly cited perpetrators. This finding is concerning because, as noted by Salazar and Rho, mistreatment by faculty may also limit future student–faculty interactions, resulting in mistreated medical students being less prepared for independent practice. Additionally, faculty serve as important role models and have a substantial effect on what behaviors and attitudes medical students consider acceptable as they go forward into their careers.

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