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 |
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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. 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.</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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