Threats to the Learning Environment Mistreatment: this is behavior that is directed at a medical student. Examples: Public Humiliation Threat of or actual physical harm Being required to perform services unrelated to patient care Being subjected to unwanted sexual advances Being subjected to offensive remarks Receiving lower grades or evaluations based on gender, race, ethnicity or sexual orientation Hostile Learning Environment: this is behavior directed at others, including patients, staff and fellow students. Examples: Witnessing disparaging speech and/or nonverbal communication about an individual. This includes humor that belittles or demeans an individual or group. Witnessing shouting or displays of temper. Unsafe Patient Care Practices: these are behaviors that put patients safety at risk. Examples: Witnessing errors that result in injury. Witnessing behavior directed at healthcare providers which affect the quality of patient care. *These are meant to be examples and not an all-inclusive list. If you aren’t sure, it’s better to confidentially report possible threats than to keep it to yourself.