Background. Role models impact medical students' professional development. 1What is learned from medical students' discussions concerning physicians' derogatory comments about patients and other professionals? Design and Participants. This single-center, qualitative study explored how medical students interpret physicians' derogatory comments during clerkship rotations. Seven focus groups (one/core clerkship, 18-24 students/group) were recorded in December 2011, immediately after students completed the Learning Environment for Professionalism (LEP) survey at clerkship ending. Four faculty (unaffiliated with the clerkship department) facilitated with a common template and opening statement ("We are interested in. your thoughts when you were completing the LEP survey."). Faculty stated three areas of focus: 1) attendings/residents making derogatory comments about patients and families, 2) attendings/residents making derogatory comments about other providers, 3) whether derogatory comments were associated with fatigue. Facilitators convened subsequently to read transcripts aloud and uncover themes.
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