Future doctors’ silence: An empirical study of declining speaking-up behavior among medical students
These findings suggest that clinical experience, gender, and scenario influence speaking-up behavior. While clinical skills improve with experience, heightened hierarchical awareness and professional relationships may increase hesitation. This implies the importance of structured policies, targeted training, and cultural transformation to foster a safe environment for speaking up. Future research should also examine psychological and organizational factors to better guide educational and systemic interventions.
Authors
- S. Barry Issenberg (ORCID: https://orcid.org/0000-0002-2524-4736)
- Hung‐Wei Tsai (ORCID: https://orcid.org/0000-0002-8417-2461)
- Jen‐Chieh Wu
- H. Chen (ORCID: https://orcid.org/0000-0001-9304-9396)
- Enoch Kang (ORCID: https://orcid.org/0000-0002-4903-942X)
- Yi‐Chun Chen (ORCID: https://orcid.org/0000-0001-5244-3282)
Institutions
- University of Miami (US)
- National Taiwan University (TW)
- National Taipei University of Nursing and Health Science (TW)
- Taipei Medical University Hospital (TW)
- Ministry of Health and Welfare (TW)
- National Taiwan University Hospital (TW)
- Wan Fang Hospital (TW)
- Taipei Medical University (TW)
- National Yunlin University of Science and Technology (TW)
- National Yang Ming Chiao Tung University (TW)
Publication Details
- Journal
- Medical Teacher
- Published
- 2025-11-13
- DOI
- https://doi.org/10.1080/0142159x.2025.2570818
- Primary Topic
- Innovations in Medical Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00