NDLI: Perception of Shame in Otolaryngology-Head and Neck Surgery Training.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	McMains, Kevin Christopher Peel, Jennifer Weitzel, Erik K. Der-Torossian, Hirak Couch, Marion
Spatial Coverage	United States
Description	Country affiliation: United States Author Affiliation: McMains KC ( Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA kevin.mcmains@va.gov.); Peel J ( University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.); Weitzel EK ( Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.); Der-Torossian H ( University of Vermont College of Medicine, Burlington, Vermont, USA.); Couch M ( Department of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.)
Abstract	OBJECTIVE: This survey was developed to assess the prevalence and effects of the perception of shame in otolaryngology-head and neck surgery residency training in the United States. STUDY DESIGN: Survey. SETTING: US otolaryngology training programs. SUBJECTS: Faculty and trainees in US otolaryngology training programs. METHODS: A 14-item survey to assess the prevalence of the experience of shame and the attitudes toward use of shame in otolaryngology residency training was sent to all otolaryngology-head and neck surgery program directors for distribution among their respective faculty and resident cohorts. RESULTS: A total of 267 responses were received (women, 24.7%; men, 75.3%): 42.7% of respondents were trainees; 7.0% of trainees thought that shame was a necessary/effective tool, compared with 11.4% of faculty; 50% of respondents felt that they had been personally shamed during residency; and 69.9% of respondents had witnessed another trainee being shamed during residency training. Trainees were most commonly shamed in the operating room (78.4%). Otolaryngology faculty members did the shaming 95.1% of the time. Although shaming prompted internal reflection/self-improvement in 57.4% of trainees, it also caused loss of self-confidence in 52.5%. Trainees who had been shamed were more likely to view shame as an appropriate educational tool (P < .05). CONCLUSION: Half of respondents have felt shamed during their residency training, and a majority has witnessed a colleague being shamed. Understanding the negative impact that shaming behaviors have on the learning environment and on the performance of the individual within it is an important first step in creating an environment maximally conducive to learning, professional development, and patient safety.
File Format	HTM / HTML
ISSN	01945998
Issue Number	5
Volume Number	153
e-ISSN	10976817
Journal	Otolaryngology -- Head and Neck Surgery
Language	English
Publisher	SAGE Publications
Publisher Date	2015-11-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Clinical Competence Internship And Residency United States Shame Psychology Humans Middle Aged Discipline Otolaryngology Otolaryngology Male Students, Medical Journal Article Education, Medical, Graduate Education Questionnaires Perception Adult Female Physiology Aged Methods
Content Type	Text
Resource Type	Article
Subject	Otorhinolaryngology Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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