In 2010, the Stanford School of Medicine leadership was concerned that the rate of mistreatment reported by our graduating medical students on the annual AAMC GQ had increased over prior years.  It was decided to redouble efforts to improve the learning climate for students, underscoring our school’s zero tolerance for inappropriate treatment of learners.


What Constitutes Mistreatment?

The Association of American Medical Colleges (AAMC) lists these behaviors as mistreatment on the annual Graduation Questionnaire that is sent to each student in the nation who is graduating from medical school:

  • Publicly humiliated
  • Required to perform personal services
  • Physically harmed or threatened with physical harm
  • Subjected to unwanted sexual advances
  • Asked to exchange sexual favors for grades or other rewards
  • Denied opportunities for training or rewards based solely on gender, race or ethnicity, or sexual orientation
  • Received lower evaluations or grades solely because of gender, race or ethnicity, or sexual orientation
  • Subjected to offensive remarks because of gender, race or ethnicity, or sexual orientation

Respectful Environment and Mistreatment Committee (REMC)

The Respectful Environment and Mistreatment Committee (REMC) was created to educate and raise awareness of our standards for respectful educator conduct, to enable a procedure by which students can report concerns of student mistreatment without fear of retaliation and to address solutions of these concerns. Click here to view the Respectful Environment and Mistreatment Policy. If you have any questions or concerns, please contact the Office of Medical Student Wellness at somwellness@stanford.edu. 


How REMC Responds to Mistreatment

When a student expresses a concern of mistreatment, it is brought to REMC in a blinded fashion so that the student (and educator, if named) remains anonymous

 REMC’s response depends on whether the source of the mistreatment is named and the severity of the mistreatment

 If the source is named, action is taken according to the Mistreatment Response Pyramid. If the source is not named, the Clerkship Director informs the department about the reported mistreatment and initiates learning climate improvements

 Levels 2, 3 and 4 of the pyramid apply when an educator has been named more than one time


Team of Coaches

Report an Issue

If you experience or witness mistreatment, we encourage you to report it through one of the options.

  1. Contact the Office of Medical Student Wellness directly by email
  2. Report incidents via MedHub (Stanford.medhub.com)
    Students can report on the end-of-course or clerkship evaluation through MedHub.OMSW receives the report. Egregious incidents are addressed promptly.
  3. Report incidents (including by patient) directly in Qualtrics
    Students can report can report at the time of the incident instead of end-of-course or clerkship evaluations. OMSW receives the report. Egregious incidents are addressed promptly. Qualtrics links: pre-clerkship, clerkship, and mistreatment by patient incidents.
  4. Complete a SAFE report through the hospital SAFE reporting system
    Reports referencing student mistreatment are sent directly to OMSW. They are kept confidential and addressed quickly. 
  5. Clinical students can submit delayed paper reports during RCM.

For More Information