“You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare

Abstract Background Stigmatising language is used commonly in healthcare, affecting healthcare providers’ perceptions of patients and care delivery. Using person-first language is best practice, however, it does not reflect reality. Method This study examined medical students’ perspectives on stigma...

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Main Authors: Saakshi Daswani, Elizabeth Gorecki, Lisa Mellon
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-025-06690-1
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author Saakshi Daswani
Elizabeth Gorecki
Lisa Mellon
author_facet Saakshi Daswani
Elizabeth Gorecki
Lisa Mellon
author_sort Saakshi Daswani
collection DOAJ
description Abstract Background Stigmatising language is used commonly in healthcare, affecting healthcare providers’ perceptions of patients and care delivery. Using person-first language is best practice, however, it does not reflect reality. Method This study examined medical students’ perspectives on stigmatising language in healthcare. Twenty-one medical students at the RCSI University of Medicine and Health Sciences participated in four focus group interviews; a thematic analysis of the data was conducted. Results Seven themes were identified: prevalence of stigmatising language, its impact on students and patients, being sensitive versus medically accurate, evolving nature of recommendations for language use, barriers to changing practice, power dynamics and cultural context influencing language use, stigmatising language being a societal issue. Participants provided recommendations for improving language use in healthcare: open discussions and student feedback on language in the learning environment, lecturers signposting person-first language, training workshops on person-first language for clinicians and lecturers, and social intelligence skills training. Conclusion Study findings highlight the impact of stigmatising language in healthcare. To address this issue and inform guidance for future generations of professionals, medical students recommended more open dialogue and improved social intelligence.
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spelling doaj-art-1af0cc6954f44650a462ac8cbb05b7a52025-01-26T12:38:51ZengBMCBMC Medical Education1472-69202025-01-012511710.1186/s12909-025-06690-1“You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcareSaakshi Daswani0Elizabeth Gorecki1Lisa Mellon2Graduate Entry Medical Programme, School of Medicine, RCSI University of Medicine and Health SciencesGraduate Entry Medical Programme, School of Medicine, RCSI University of Medicine and Health SciencesDepartment of Health Psychology, School of Population Health, RCSI University of MedicineAbstract Background Stigmatising language is used commonly in healthcare, affecting healthcare providers’ perceptions of patients and care delivery. Using person-first language is best practice, however, it does not reflect reality. Method This study examined medical students’ perspectives on stigmatising language in healthcare. Twenty-one medical students at the RCSI University of Medicine and Health Sciences participated in four focus group interviews; a thematic analysis of the data was conducted. Results Seven themes were identified: prevalence of stigmatising language, its impact on students and patients, being sensitive versus medically accurate, evolving nature of recommendations for language use, barriers to changing practice, power dynamics and cultural context influencing language use, stigmatising language being a societal issue. Participants provided recommendations for improving language use in healthcare: open discussions and student feedback on language in the learning environment, lecturers signposting person-first language, training workshops on person-first language for clinicians and lecturers, and social intelligence skills training. Conclusion Study findings highlight the impact of stigmatising language in healthcare. To address this issue and inform guidance for future generations of professionals, medical students recommended more open dialogue and improved social intelligence.https://doi.org/10.1186/s12909-025-06690-1LanguageInclusivityHealthcareStigmatising wordsStigma
spellingShingle Saakshi Daswani
Elizabeth Gorecki
Lisa Mellon
“You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
BMC Medical Education
Language
Inclusivity
Healthcare
Stigmatising words
Stigma
title “You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
title_full “You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
title_fullStr “You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
title_full_unstemmed “You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
title_short “You’re not taught to think about the words you use and then it just perpetuates”— a qualitative examination of medical students’ perspectives of stigmatising language in healthcare
title_sort you re not taught to think about the words you use and then it just perpetuates a qualitative examination of medical students perspectives of stigmatising language in healthcare
topic Language
Inclusivity
Healthcare
Stigmatising words
Stigma
url https://doi.org/10.1186/s12909-025-06690-1
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