The Massachusetts Medical Society is committed to fostering collegial and respectful behavior by its members at all meetings, events, and activities. Please fill out the form below to alert us if you believe a member has engaged in demeaning behavior, which our policy defines as:
that which a reasonable person in the same or similar circumstances as the person being described would feel adversely affects their participation in the meeting, event, or activity. Such language and behavior include, but are not limited to epithets, slurs, or negative stereotyping; threatening, intimidating, or hostile acts; denigrating jokes; and written, electronic, or graphic material that denigrates or shows hostility or aversion toward an individual or group and that is visible during an MMS meeting, event, or activity.
Your name (if you wish to be anonymous, please put “anonymous”):
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Phone number (if you wish to be anonymous, please put “anonymous”):
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Email address (If you wish to remain anonymous, please put rbp@mms.org):
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Other contact details, including additional phone/email, best time to reach you, etc. (if you wish to be anonymous, please put “anonymous”):
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Event or activity (including online) at which the demeaning behavior took place. Please include as many details as possible, such as date, time, location:
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Name of person or people leading the event or activity (moderator, presenter, Chair, etc.):
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Staff supporting the event or activity, if known:
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Name of the member(s) who engaged in demeaning behavior:
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Target(s) of the demeaning behavior (e.g., name of individual(s), or description of group demeaned):
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Others who were present and might have been aware of the demeaning behavior:
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Description of the demeaning behavior:
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