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Part of the local hidden curriculum during clinical training of students in the University of Maiduguri medical college in Nigeria, metaphorically referred to as "toxic" practice by students, are situations where a teacher belittles and/or humiliates a student who has fallen short of expected performance, with the belief that such humiliation as part of feedback will lead to improvement in future performance. Through a framework of sociocultural perspective, this study gathered data to define the breadth and magnitude of this practice and identify risk and protective factors with the aim of assessing effectiveness of current intervention strategies.

advances in medical education and practice

Broadening conceptions of medical student mistreatment during clinical teaching: message from a study of &amp;ldquo;toxic&amp;rdquo; phenomenon during bedside teaching