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I completely agree with this. Offensive and belittling language would definitely be malignant. Education by intimidation was the norm 20-30 years ago and I think some of it perpetuates but I am hopeful that as time/generations pass this will disappear. That being said. Every resident in an OMS training program can make an anonymous report to the hospital or institution about faculty/staff behavior. Sadly, we know these reports are not an anonymous as promised. That is where I see the issue. The programs are so small there is very little anonymity within them. So, yup, I agree with this for sure.I knew of an attending that many would consider “malignant “
This person belittled residents to their face and used offensive language toward the residents. this person would also routinely threaten to fire/terminate residents that made mistakes. Working with this person gave residents a sense of “our presence is an inconvenience and annoyance” as opposed to “this attending wants us here because they enjoy teaching”.
I don’t know much about your residency program but hopefully for the residents sake this type individual does not exist at your residency.
I’m sure there are many forms of being “malignant” but this is the best I can come up with.
There is no adequate system for reporting these behaviors in my opinion. Any resident can make a report to CODA (anonymously) but if the behavior does not violate CODA standards they cannot do anything so it comes down to institutions which depending on faculty evaluations, tenure, status, etc. Reporting can be very hard. Has anyone ever heard of or used a good reporting system.
I want to hear other examples of malignant behavior. I am an ally here when it comes to trying to find a way to make malignant programs/people go away. But it is very tough. Its changing culture. And as someone stated above a lot of it is learned and then propagated during residency.
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