INTRODUCTION:An observatory of sexual harassment and psychological abuse was set up at one of France's largest schools of medicine to both quantify and reduce sexual harassment or psychological abuse of medical students.METHODS:Over a 2-year period, we described the evolution of sexual harassment and psychological abuse and explored for associated factors. Moreover, a qualitative analysis using an inductive approach was performed from students' verbatim.RESULTS:2795 responses were collected. Sexual harassment was reported in 7% and psychological abuse in 15%, at baseline, and decreased after the observatory was set up. Women had higher odds of being a victim of sexual harassment. Older students reported less often psychological abuse and being a witness of sexual harassment. Surgery departments were associated with up to 5.7-fold increased odds of sexual harassment. Surgery and pediatrics departments were associated with a 2-fold increased odds of psychological abuse. Qualitative analysis revealed four categories: humiliation, the feeling of inferiority, sexual harassment, and manifestations of violence.CONCLUSION:During clerkships, factors associated with higher odds of sexual harassment and psychological abuse were female gender, younger age, and departments of surgery. Setting up such an observatory may contribute to reduce this burden and provide a useful tool to raise awareness.

Mobile devices are ubiquitous worldwide, including in hospitals. Just in time learning provided by these devices is important for students. We investigated current use of, and learning with, smartphones and other mobile devices by medical students in Parisian hospitals. A survey with quantitative and qualitative items previously used with students from an Australian medical school was translated to French and adapted. The voluntary survey was delivered online to Universite Paris Descartes students. A total 854 medical students from across the final 5 years of the program completed the survey. The mean age was 22 years and 90% identified as French, matching the demographic pattern of the student body. Of 976 devices used by these students, 43% were iPhones and 32% another smartphone. Students accessed the Internet regularly or often, more for medically relevant than unrelated information49% versus 16.5%. Almost half of respondents reported never accessing social media during clinical placements. Students agreed they used mobile devices for improving learning, knowledge and skills, but less for timetabling and communication. Reactions of supervisors, patients and families were concerning. Only 3.3% of respondents did not use a mobile device in clinical settings. These findings have implications for Francophone and all health professional schools.