Verbal Aggressiveness Among Physicians and Trainees

Objective To better understand verbal aggressiveness among physicians and trainees, including specialty-specific differences. Design and Participants The Infante Verbal Aggressiveness Scale (IVAS) was administered as part of a survey to 48 medical students, 24 residents, and 257 attending physicians...

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Veröffentlicht in:Journal of surgical education 2016-07, Vol.73 (4), p.756-760
Hauptverfasser: Lazarus, Jenny Lynn, MD, Hosseini, Motahar, MD, Kamangar, Farin, PhD, Levien, David H., MD, FACS, Rowland, Pamela A., PhD, Kowdley, Gopal C., MD, PhD, FACS, Cunningham, Steven C., MD, FACS
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container_end_page 760
container_issue 4
container_start_page 756
container_title Journal of surgical education
container_volume 73
creator Lazarus, Jenny Lynn, MD
Hosseini, Motahar, MD
Kamangar, Farin, PhD
Levien, David H., MD, FACS
Rowland, Pamela A., PhD
Kowdley, Gopal C., MD, PhD, FACS
Cunningham, Steven C., MD, FACS
description Objective To better understand verbal aggressiveness among physicians and trainees, including specialty-specific differences. Design and Participants The Infante Verbal Aggressiveness Scale (IVAS) was administered as part of a survey to 48 medical students, 24 residents, and 257 attending physicians. The 72 trainees received the IVAS and demographic questions, whereas the attending physicians received additional questions regarding type of practice, career satisfaction, litigation, and personality type. Results The IVAS scores showed high reliability (Cronbach α = 0.83). Among all trainees, 56% were female with mean age 28 years, whereas among attending physicians, 63% were male with mean age 50 years. Average scores of trainees were higher than attending physicians with corresponding averages of 1.88 and 1.68, respectively. Among trainees, higher IVAS scores were significantly associated with male sex, non-US birthplace, choice of surgery, and a history of bullying. Among attending physicians, higher IVAS scores were significantly associated with male sex, younger age, self-reported low-quality of patient-physician relationships, and low enjoyment talking to patients. General surgery and general internal medicine physicians were significantly associated with higher IVAS scores than other specialties. General practitioners (surgeons and medical physicians) had higher IVAS scores than the specialists in their corresponding fields. No significant correlation was found between IVAS scores and threats of legal action against attending physicians, or most personality traits. Additional findings regarding bullying in medical school, physician-patient interactions, and having a method to deal with inappropriate behavior at work were observed. Conclusions Individuals choosing general specialties display more aggressive verbal communication styles, general surgeons displaying the highest. The IVAS scoring system may identify subgroups of physicians with overly aggressive (problematic) communication skills and may provide a backdrop for educating physician communicators. The relationship between verbal aggressiveness and efficacy of clinical communication merits inquiry.
doi_str_mv 10.1016/j.jsurg.2016.03.005
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Design and Participants The Infante Verbal Aggressiveness Scale (IVAS) was administered as part of a survey to 48 medical students, 24 residents, and 257 attending physicians. The 72 trainees received the IVAS and demographic questions, whereas the attending physicians received additional questions regarding type of practice, career satisfaction, litigation, and personality type. Results The IVAS scores showed high reliability (Cronbach α = 0.83). Among all trainees, 56% were female with mean age 28 years, whereas among attending physicians, 63% were male with mean age 50 years. Average scores of trainees were higher than attending physicians with corresponding averages of 1.88 and 1.68, respectively. Among trainees, higher IVAS scores were significantly associated with male sex, non-US birthplace, choice of surgery, and a history of bullying. Among attending physicians, higher IVAS scores were significantly associated with male sex, younger age, self-reported low-quality of patient-physician relationships, and low enjoyment talking to patients. General surgery and general internal medicine physicians were significantly associated with higher IVAS scores than other specialties. General practitioners (surgeons and medical physicians) had higher IVAS scores than the specialists in their corresponding fields. No significant correlation was found between IVAS scores and threats of legal action against attending physicians, or most personality traits. Additional findings regarding bullying in medical school, physician-patient interactions, and having a method to deal with inappropriate behavior at work were observed. Conclusions Individuals choosing general specialties display more aggressive verbal communication styles, general surgeons displaying the highest. The IVAS scoring system may identify subgroups of physicians with overly aggressive (problematic) communication skills and may provide a backdrop for educating physician communicators. The relationship between verbal aggressiveness and efficacy of clinical communication merits inquiry.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2016.03.005</identifier><identifier>PMID: 27137669</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aggression ; communication ; core competencies ; Education, Medical, Graduate ; Female ; Humans ; infante score ; Internship and Residency ; Interpersonal and Communication Skills ; Male ; Medical Staff, Hospital ; Middle Aged ; Patient Care ; Professionalism ; Reproducibility of Results ; specialty ; surgeon ; Surgery ; verbal aggression ; Verbal Behavior</subject><ispartof>Journal of surgical education, 2016-07, Vol.73 (4), p.756-760</ispartof><rights>Association of Program Directors in Surgery</rights><rights>2016 Association of Program Directors in Surgery</rights><rights>Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-393c8d7e768d3d8ef7a277fd756ba153e3a1d0c181e2dfc7ba4bf0fb3efca0903</citedby><cites>FETCH-LOGICAL-c414t-393c8d7e768d3d8ef7a277fd756ba153e3a1d0c181e2dfc7ba4bf0fb3efca0903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2016.03.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27137669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lazarus, Jenny Lynn, MD</creatorcontrib><creatorcontrib>Hosseini, Motahar, MD</creatorcontrib><creatorcontrib>Kamangar, Farin, PhD</creatorcontrib><creatorcontrib>Levien, David H., MD, FACS</creatorcontrib><creatorcontrib>Rowland, Pamela A., PhD</creatorcontrib><creatorcontrib>Kowdley, Gopal C., MD, PhD, FACS</creatorcontrib><creatorcontrib>Cunningham, Steven C., MD, FACS</creatorcontrib><title>Verbal Aggressiveness Among Physicians and Trainees</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>Objective To better understand verbal aggressiveness among physicians and trainees, including specialty-specific differences. Design and Participants The Infante Verbal Aggressiveness Scale (IVAS) was administered as part of a survey to 48 medical students, 24 residents, and 257 attending physicians. The 72 trainees received the IVAS and demographic questions, whereas the attending physicians received additional questions regarding type of practice, career satisfaction, litigation, and personality type. Results The IVAS scores showed high reliability (Cronbach α = 0.83). Among all trainees, 56% were female with mean age 28 years, whereas among attending physicians, 63% were male with mean age 50 years. Average scores of trainees were higher than attending physicians with corresponding averages of 1.88 and 1.68, respectively. Among trainees, higher IVAS scores were significantly associated with male sex, non-US birthplace, choice of surgery, and a history of bullying. Among attending physicians, higher IVAS scores were significantly associated with male sex, younger age, self-reported low-quality of patient-physician relationships, and low enjoyment talking to patients. General surgery and general internal medicine physicians were significantly associated with higher IVAS scores than other specialties. General practitioners (surgeons and medical physicians) had higher IVAS scores than the specialists in their corresponding fields. No significant correlation was found between IVAS scores and threats of legal action against attending physicians, or most personality traits. Additional findings regarding bullying in medical school, physician-patient interactions, and having a method to deal with inappropriate behavior at work were observed. Conclusions Individuals choosing general specialties display more aggressive verbal communication styles, general surgeons displaying the highest. The IVAS scoring system may identify subgroups of physicians with overly aggressive (problematic) communication skills and may provide a backdrop for educating physician communicators. The relationship between verbal aggressiveness and efficacy of clinical communication merits inquiry.</description><subject>Aggression</subject><subject>communication</subject><subject>core competencies</subject><subject>Education, Medical, Graduate</subject><subject>Female</subject><subject>Humans</subject><subject>infante score</subject><subject>Internship and Residency</subject><subject>Interpersonal and Communication Skills</subject><subject>Male</subject><subject>Medical Staff, Hospital</subject><subject>Middle Aged</subject><subject>Patient Care</subject><subject>Professionalism</subject><subject>Reproducibility of Results</subject><subject>specialty</subject><subject>surgeon</subject><subject>Surgery</subject><subject>verbal aggression</subject><subject>Verbal Behavior</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1LxDAURYMojl-_QJAu3bQmTdu0C4Vh8AsEBUe3IU1ex9ROqnlTYf69qaMu3Lh6CZybR84l5JjRhFFWnLVJi4NfJGm4JJQnlOZbZI-VooxFlqfb4VxxFouUZhOyj9gGIKvSapdMUsG4KIpqj_Bn8LXqouli4QHRfoALI5oue7eIHl7WaLVVDiPlTDT3yjoAPCQ7jeoQjr7nAXm6upzPbuK7--vb2fQu1hnLVjGvuC6NAFGUhpsSGqFSIRoj8qJWLOfAFTNUs5JBahotapXVDW1qDo1WtKL8gJxu3n3z_fsAuJJLixq6TjnoB5RMVDxgeZEFlG9Q7XtED41883ap_FoyKkdbspVftuRoS1Iug4yQOvleMNRLML-ZHz0BON8AEL75YcFL1BacBmM96JU0vf1nwcWfvO6ss1p1r7AGbPvBu2BQMomppPJxLGzsixV0LCvjn_JjkTg</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Lazarus, Jenny Lynn, MD</creator><creator>Hosseini, Motahar, MD</creator><creator>Kamangar, Farin, PhD</creator><creator>Levien, David H., MD, FACS</creator><creator>Rowland, Pamela A., PhD</creator><creator>Kowdley, Gopal C., MD, PhD, FACS</creator><creator>Cunningham, Steven C., MD, FACS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Verbal Aggressiveness Among Physicians and Trainees</title><author>Lazarus, Jenny Lynn, MD ; Hosseini, Motahar, MD ; Kamangar, Farin, PhD ; Levien, David H., MD, FACS ; Rowland, Pamela A., PhD ; Kowdley, Gopal C., MD, PhD, FACS ; Cunningham, Steven C., MD, FACS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-393c8d7e768d3d8ef7a277fd756ba153e3a1d0c181e2dfc7ba4bf0fb3efca0903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aggression</topic><topic>communication</topic><topic>core competencies</topic><topic>Education, Medical, Graduate</topic><topic>Female</topic><topic>Humans</topic><topic>infante score</topic><topic>Internship and Residency</topic><topic>Interpersonal and Communication Skills</topic><topic>Male</topic><topic>Medical Staff, Hospital</topic><topic>Middle Aged</topic><topic>Patient Care</topic><topic>Professionalism</topic><topic>Reproducibility of Results</topic><topic>specialty</topic><topic>surgeon</topic><topic>Surgery</topic><topic>verbal aggression</topic><topic>Verbal Behavior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lazarus, Jenny Lynn, MD</creatorcontrib><creatorcontrib>Hosseini, Motahar, MD</creatorcontrib><creatorcontrib>Kamangar, Farin, PhD</creatorcontrib><creatorcontrib>Levien, David H., MD, FACS</creatorcontrib><creatorcontrib>Rowland, Pamela A., PhD</creatorcontrib><creatorcontrib>Kowdley, Gopal C., MD, PhD, FACS</creatorcontrib><creatorcontrib>Cunningham, Steven C., MD, FACS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lazarus, Jenny Lynn, MD</au><au>Hosseini, Motahar, MD</au><au>Kamangar, Farin, PhD</au><au>Levien, David H., MD, FACS</au><au>Rowland, Pamela A., PhD</au><au>Kowdley, Gopal C., MD, PhD, FACS</au><au>Cunningham, Steven C., MD, FACS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Verbal Aggressiveness Among Physicians and Trainees</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>73</volume><issue>4</issue><spage>756</spage><epage>760</epage><pages>756-760</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><abstract>Objective To better understand verbal aggressiveness among physicians and trainees, including specialty-specific differences. 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Among attending physicians, higher IVAS scores were significantly associated with male sex, younger age, self-reported low-quality of patient-physician relationships, and low enjoyment talking to patients. General surgery and general internal medicine physicians were significantly associated with higher IVAS scores than other specialties. General practitioners (surgeons and medical physicians) had higher IVAS scores than the specialists in their corresponding fields. No significant correlation was found between IVAS scores and threats of legal action against attending physicians, or most personality traits. Additional findings regarding bullying in medical school, physician-patient interactions, and having a method to deal with inappropriate behavior at work were observed. Conclusions Individuals choosing general specialties display more aggressive verbal communication styles, general surgeons displaying the highest. The IVAS scoring system may identify subgroups of physicians with overly aggressive (problematic) communication skills and may provide a backdrop for educating physician communicators. The relationship between verbal aggressiveness and efficacy of clinical communication merits inquiry.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27137669</pmid><doi>10.1016/j.jsurg.2016.03.005</doi><tpages>5</tpages></addata></record>
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subjects Aggression
communication
core competencies
Education, Medical, Graduate
Female
Humans
infante score
Internship and Residency
Interpersonal and Communication Skills
Male
Medical Staff, Hospital
Middle Aged
Patient Care
Professionalism
Reproducibility of Results
specialty
surgeon
Surgery
verbal aggression
Verbal Behavior
title Verbal Aggressiveness Among Physicians and Trainees
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