Dokter Blog: from the desk of Rahajeng Tunjungputri

Medicine et cetera by @ajengmd

Teachers can bully students too: are you part of the problem?

Teaching is what most doctors do during the period of their training or throughout their career as they encounter medical students or even patients. In fact, the origin of the word doctor, came from the word docere, which means “to teach”.

With regards to a post by Wids about teaching, I was prompt to think about other things that may happen in teaching. Regardless of the teaching and learning environment, in whatever context and level of education, bullying can happen; and the worse part is that the teacher can be the bully. Bullying by teacher happen at the lowest level of primary school education up to the university level.

I have no expertise in discussing the matter. However, I’d still like to point out some important resources about bullying by teachers.

WebMD gives an overview about teachers who bully in http://www.webmd.com/parenting/features/teachers-who-bully while another document by Allan McEvoy provides a more comprehensive information at the site ‘Stop Bullying Now’.

According to McEvoy,

bullying by teachers (or other staff, including coaches,

who have supervisory control over students) is defined as

a pattern of conduct, rooted in a power differential,

that threatens, harms, humiliates, induces fear, or

causes students substantial emotional distress.

Regarding the nature of bullying, the author stated the following:

it is an abuse of power that tends to be chronic

and often is expressed in a public manner.

It is a form of humiliation that generates attention

while it degrades a student in front of others.

In effect, the bullying can be a public degradation ceremony

in which the victim’s capabilities are debased

and his or her identity is ridiculed.

This explanation implies that regardless of the chosen method of bullying or intimidation, the effect on the students is what shows that certain behaviour of a teacher as an act of bullying.

Bullying is not a part of proper teaching. 

Let me repeat this: bullying is not a part of proper teaching.

A set of references about bullying in medicine is provided by Wikipedia here. An anonymous site even regularly posts about academic bullying.

Professional attention bring light to the matter. The British Medical Association (BMA) has a complete guidance for medical students on harassment, intimidation and bullying which aims to provide help when students face bullying by peers or teachers. The British Medical Journal (BMJ) published an article by Tim Field entitled “Those who can, do; those who can’t bully”.

Teaching and learning, as any other aspect of culture, can vary between different settings and countries. Most of the time, in a culture where hierarchy is rigidly maintained, students have to accept bullying without ever having the chance to fight it, or even to consider that they shouldn’t accept such treatment by their teacher. Most will never even realize that they are victims of bullying which may lead them to think that intimidation and humiliation is an acceptable form of teaching and academic life. Well, they are not:  bullying is not a part of proper teaching.

The act of bullying can be continuously practiced freely in academics, and so many are unaware that they themselves are part of the problem. In university, even, there are situations that keep alive the vicious cycle of bullying: when there is no knowledge by the staff and students about bullying; when there is no stance against bullying; when acts of bullying are culturally accepted as normal; when acts of bullying are considered as a part of a teacher’s personality and habit instead of abusive behavior towards students; when acts of bullying are considered as part of educating and teaching professionally; when as a teacher you see fellow teacher who bully students but do nothing to stop it; when the students themselves, not being able to fight back anyway, refuse to see intimidation and verbal abuse as form of bullying by teacher.

Perhaps the first step to prevent bullying by teachers is to be willing to admit that there are teachers who bully their students. Perhaps the first step is to understand that students should not accept the unacceptable behaviour of their teachers towards them: students have to be aware that as long as they respect teachers, they also deserve respect from their teachers.

When this is a matter involving power differential, as stated by McEvoy, then students generally will not have the power, authority nor capacity to fight back on their own. The BMA in United Kingdom for example, has acknowledged the issue of bullying in medical teaching, and has a list of counselors and help line that students can contact to seek help when they experience bullying.

Unfortunately, such help is an unobtainable privilege for most students in other countries. The act of bullying is dismissively considered “normal” and “educative”. The perpetrator keep doing it, and the students are intimidated to accept it.

I will end this by asking some questions I don’t have answers to. To what extent can we apply a universal definition of bullying? Does culture play a prominent role in determining whether a teacher’s actions (and verbal statements) are a form of bullying students? Are certain actions and words by teachers seen as bullying by a certain culture (or country), while being perceived as a normal thing by (students and teachers of) other cultures/countries? To what extent students have the right to be respected by the teachers, and to what extent the teachers acknowledge their obligation to respect students?

But one thing we should know. Bullying is not a part of proper teaching. 

23 June 2011.

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Investing in young Indonesian Researchers

Last week the article I submitted for The Jakarta Post was published on 22 August 2010. The issue was something dear to my life and work: that we need more young Indonesian researchers; and to accomplish that we need to invest in them.

The article was inspired by my experience with a mentor. He has always taken the time and energy to foster new generations of clinician-scientists. I recently realized, that to “produce” excellent scientists in Indonesia, a senior researcher has to be willing to make an investment. The mentor will have to invest his or her time, energy, patience and guidance, for years, in his or her students. There is no instant process of turning an average student into a leading scientist. Everyone must take part in investing in Indonesian young researchers.

http://www.thejakartapost.com/news/2010/08/22/investing-young-indonesian-researchers.html

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I’m now blogging on doc2doc.bmj.com

I have been writing since 2005, so 5 years until now. I started with a variety of topics, and now I mostly blog about medicine. And I think by now I know that my writing can reach more audience, more than just my local peers or medical students. It’s a good time to “go international“.

And I was recently accepted and published as a blogger on a British Medical Journal (BMJ) group website, doc2doc, http://doc2doc.bmj.com/blogslist.html (as AjengMD).

For my first post, click here http://bit.ly/bgU1YL

Doc2doc is an international online community for doctors worldwide. And from the website, “doc2doc is a free of charge service offered by the BMJ Group. The BMJ Group is a trusted global medical publisher that provides a wide range of products and services to improve the decisions doctors make every day. On a day to day basis, doc2doc is run by its community manager, community clinical editor, and the editor of bmj.com, all of whom are based at BMJ Group’s London office.”

Doc2doc.bmj.com does not offer blog hosting. Interested blogging doctors/students have to apply with our own ideas and writings in order to blog there, and new bloggers will be reviewed based on the content of their blog posts. I don’t have my own URL on doc2doc, so my writing are published on doc2doc blog page. I was so excited that when I was accepted, it wasn’t just doc2doc who twittered me, but also BMJ Group.

This is the frontpage of the bloglist.

Another look on the summaries,


And, I’m really excited about this one:

So, maybe it’s time to take the blogging one step higher.

–Rahajeng

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Twittering medicine and science

My relationship with twitter has not been the most mutual, but when I got to the ground zero of boredom I came back to do some twittering around (by now if you haven’t realized what twitter is, you should just let Uncle Google explain). Anyway, due to my enormous capacity and stamina to read and surf the net, I found so many new science writers and medical writers on twitter. OK reading journal articles are exhausting after a while, but pop science is always somewhat lighter and more fun to read (and good to share with students in the class). So I started going through the tweets, and found interesting articles whether in journals (my fave: Nature and NEJM) or on science blogs (I always love to see how these science writers look like: a nerdy nerd/mad scientist or a hippie in the mad world of science).

I’m sorry, but I belong in this universe where scientific advances are entertainment, writers are celebrities, scientists are even more famous celebrities, and science writers are rock-stars (and this last category includes scientists who write as well). Seriously.

Just the other day, I read this article on Nature, http://bit.ly/aa72f4 and decided to follow the respected writer, Erika Check Hayden on twitter. I loved the Mandelbrot set analogy she used. I followed her, tweet her, and nearly fainted of excitement when she responded back to my tweet. I. Am. Such. A. Nerd. (Please refer back to my previous statement: science writers are rockstars!). And afterwards I followed several other science writers/bloggers and always being amused of how you can have mutual contact via twitter when it comes to pop science and writing (also, thanks to Dr.Isis the Domestic and Laboratory Godess).

I think sometimes I just get tired of the intensity and seriousness of medical blogging and reading, and these pop culture in science and medicine give me new light on staying informed in a fun and relaxing way.

So thank you all twittering science writers!

* Rahajeng

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Disclaimer

Medicine is a growing field, and information presented here is reflective of the time of posting. Please refer to your physician for direct medical consultation. My views do not reflect those of my employers. --
Regards, Rahajeng

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