Medical school faculty have a nonnegotiable duty to report students whose professional behavior falls seriously short of the mark. If they refrain from fulfilling this duty for fear of retaliation, the antiharassment pendulum has truly swung too far.
The Boston Health Care for the Homeless Program (BHCHP) seeks to build trusting relationships with patients before addressing their medical needs and to take account of their surrounding environment in treatment.
AMA J Ethics. 2015;17(5):469-472. doi:
10.1001/journalofethics.2015.17.5.mnar2-1505.
If the American Society for Reproductive Medicine's recommendations for egg-donor compensation limits have been successful, they violate antitrust law. If they are ineffective, egg donors are not being sufficiently protected against coercion and commodification.
To be best able to respond if third parties in assisted reproduction contracts break their terms, physicians should familiarize themselves with the contracts, encourage all parties to self-disclose, and, failing that, disclose material information to the other party.
It is the clerkship director's role to advise students labeled gunners when their behavior becomes a problem, but changes in the larger system might help to prevent this behavior from occurring in the first place.
Role-playing exercises, which help participants understand the experience of being harassed, can be helpful in addressing mistreatment in medical education.
The David Geffen School of Medicine at UCLA formed the Gender and Power Abuse Committee in 1995 to address mistreatment of medical students, residents, and junior faculty.
The Association of American Medical Colleges has added and refined questions about mistreatment in medical education to its Graduation Questionnaire, increasing the amount and specificity of information about what kinds of incidents occur and how students feel about them.