Prevalence of bullying, discrimination and sexual harassment in surgery in Australasia

Abstract

Background: The topic of discrimination, bullying and sexual harassment in surgery was raised in the Australian media earlier in 2015. This led the Royal Australasian College of Surgeons (RACS) to commission an Expert Advisory Group to investigate and advise the College on their prevalence in surgery in Australia and New Zealand. This paper reports the findings with respect to prevalence of these inappropriate behaviours. Methods: The data in this paper were drawn from the published results of two quantitative surveys. One was an online survey sent to all RACS members. The other was an invited survey of hospitals, medical institutions and other related professional organizations including surgical societies. Results: The prevalence survey achieved a 47.8% response rate, representing 3516 individuals. Almost half of the respondents 1516 (49.2%) indicated that they had experienced one or more of the behaviours. This proportion was consistent across every specialty. Male surgical consultants were identified as the most likely perpetrators. More than 70% of the hospitals reported that they had instances in their organization of discrimination, bullying or sexual harassment by a surgeon within the last 5 years. Surgical directors or surgical consultants were by far the most frequently reported perpetrators (in 50% of hospitals). Conclusions: Discrimination, bullying and sexual harassment are common in surgical practice and training in Australia and New Zealand. RACS needs to urgently address these behaviours in surgery. This will involve a change in culture, more education for fellows and trainees, and better processes around complaints including support for those who have suffered.

Gender differences in Australasian ophthalmologists' experiences of the workplace

“…Female nurses and female administrative staff were more likely to be recorded as bullying female ophthalmologists than male ophthalmologists, as has been reported previously in a study of general surgical residents . In this study, the overall rates of reported bullying, discrimination and sexual harassment (34%, 14% and 7%, respectively), were similar to those found in the RACS survey (49% overall, 39%, 18% and 7%, respectively) and that of other surgical specialties …”

“…Recognizing a lack of diversity as contributing to gender‐based discrimination, RANZCO aims to achieve a 35% participation rate in College leadership positions, in contrast to the 2016 female representation rate of 20% . In the current study, there was evidence of existing support systems, with women being more likely (86%) to agree that ophthalmology in their workplace was supportive of female trainees and surgeons than in the RACS survey (67%) …”

Inappropriate behaviours experienced by doctors while undertaking specialty training

“…In fact, up to 60% of Australian medical trainees report feeling there are inappropriate structures in place to allow safe reporting without recrimination,4–7 15 and of those who have made complaints, up to 33% reported that the inappropriate behaviour continued 15. Additionally, 30% of Australian medical administrators feel they are only partly equipped to respond to an allegation 20.…”

Surgical mentorship in a new landscape

“…The Royal Australasian College of Surgeons is a leader internationally in its recognition of and response to issues of work‐place bullying and harassment in surgery . Nevertheless, this is not a solely Australasian issue .…”