Re: Exploring the experiences and implementing strategies for physical therapy students who perceive they have been bullied or harassed on clinical placements: participatory action research

The article “Exploring the experiences and implementing strategies for physical therapy students who perceive they have been bullied or harassed on clinical placements: participatory action research” by Thomson et al. (March 2017, Vol. 103, pp. 73–80) was of great interest to me, both on a personal and professional level. As a future Physical Therapist (PT), I will be starting my clinical rotations shortly and as such need to be aware of the social dynamics between student and clinical instructor.

It should be noted that “criticisms from outsiders provoke high levels of defensiveness” [1]. The students described in the article felt that they were victims of bullying from their educators and this could be due to the students feeling that the educator was an “outgroup member” [1]. An outgroup member is an individual who does not fit into the same social group as the individual examined. “It is possible that, rather than promoting change, outgroup criticisms might actually inhibit change” [1]. Thus, the students could have been incapable of taking the educator’s criticism constructively and perceived it as bullying, which raises questions regarding the ability of the students to effectively cope with life situations.

It is also important to consider the personality traits of Physical Therapists as professionals. “PT’s see themselves as well organized and thorough” as well as generally assertive [2]. PT’s are also described as “secure and hardy” [3]. As compared to other medical professions, PT’s are seen as being less open and agreeable [2]. Therefore, it must be considered in the evaluation of the alleged bullying that a PT is generally not open and is very earnest with their work. Assertiveness and constructive criticism do not equate to bullying but it may certainly be perceived as such if students are unable to use negative appraisal as an opportunity for self-assessment and development.

The students developed the feeling that their sentiments were not being taken into consideration which may be due a lack of coping skills, and the students inability to properly deal with criticism which makes “them get defensive and want to quit” [4]. Being able to use criticism in a constructive manner, is a valuable skill and learning opportunity that many individuals are never able to acquire throughout their lives. Physiotherapy students who are able to utilise constructive criticism may be better placed to cope with situations encountered in the workplace. Conflict of interest: None declared.