Mistreatment, discrimination and burn-out in Neurosurgery

Gadjradj, Pravesh S.; Ghobrial, Julian B.; Booi, Savina A.; Rooij, Judith D de; Harhangi, Biswadjiet S.

doi:10.1016/j.clineuro.2021.106517

Cited by 13 publications

(12 citation statements)

References 24 publications

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“…published that ethnic minorities presented a 3.8 times risk of being victims of discrimination (odds ratio [OR] 3.8, 95% confidence interval [CI] 2.3–6.2). [ 10 ] There is no previous report in Latin America about the subject.…”

Section: Wins Trainingmentioning

confidence: 99%

“…(OR 3.8, 95% CI 2.3–6.2). [ 10 ] In addition, they observed that victims of abuse presented approximately 2 times the risk of presenting burnout (OR 1.7, 95% CI 1.1–2.6). [ 10 ] We must emphasize that this was not a topic evaluated in our survey.…”

Section: Wins Trainingmentioning

confidence: 99%

“…Factors such as a paucity of women mentors in neurosurgery, lack of work-life balance, absence of support in academic fields, perception of a reduced access to professional opportunities due to gender, and a sense of having to work harder than men for the same prestige[ 7 , 8 ] coupled with the high rates of gender discrimination, abuse, and sexual harassment are some of the problems that have been detected in most of the responses obtained in the multiple surveys applied internationally. [ 7 , 8 , 10 , 11 , 18 ] This information has inspired the creation of several women’s advocacy associations, such as the Women’s Committee in AO Spine. [ 8 ] Although the organization WINS was established 30 years ago to promote the inclusion and advancement of women in the field, only in 2014 was it recognized as a joint chapter of the American Association of Neurological Surgeons and the CNS.…”

Section: Wins Trainingmentioning

confidence: 99%

“…Nevertheless, this study represents an initial assessment of the problem which requires a greater number of respondents to calculate the real impact in Mexico or even in Latin America. We did not evaluate the burden of discrimination on the burnout rates suffered by residents,[ 10 ] abuse, mistreatment, or sexual harassment. [ 10 ]…”

Section: Wins Trainingmentioning

confidence: 99%

“…Despite a legitimate effort to balance opportunities, gender discrimination rates suffered by women in neurosurgery (WINS) continue to be high with an estimation of 31–77% in published surveys. [ 7 , 10 , 11 , 18 ]…”

Section: Introductionmentioning

confidence: 99%

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Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

Sandoval-Bonilla

Cerda-Vargas

Stienen

et al. 2021

Surgical Neurology International

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Background: Recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents an important negative impact on global training of neurosurgery residents. Even before the pandemic, discrimination is a challenge that neurosurgical residents have consistently faced. In the present study, we evaluated discriminatory conditions experienced by residents during their neurosurgical training in Mexico before the SARS-CoV-2 pandemic. Methods: An electronic survey of 18 questions was sent among residents registered in the Mexican Society of Neurological Surgery (MSNS), between October 2019 and July 2020. Statistical analysis was made in IBM SPSS Statistics 25. The survey focused on demographic characteristics, discrimination, personal satisfaction, and expectations of residents. Results: A response rate of 50% (132 of 264 residents’ members of MSNS) was obtained and considered for analysis. Median age was 30.06 ± 2.48 years, 5.3% (n = 7) were female and 16.7% (n = 22) were foreigners undergoing neurosurgical training in Mexico. Approximately 27% of respondents suffered any form of discrimination, mainly by place of origin (9.1%), by gender (8.3%) or by physical appearance (6.1%). About 42.9% (n = 3) of female residents were discriminated by gender versus 6.4% (n = 8) of male residents (P = 0.001); while foreign residents mentioned having suffered 10 times more an event of discrimination by place of origin compared to native Mexican residents (36.4% vs. 3.6%, P < 0.001). Conclusion: This manuscript represents the first approximation to determine the impact of discrimination suffered by residents undergoing neurosurgical training in Mexico before the SARS-CoV-2 pandemic.

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Section: Wins Trainingmentioning

confidence: 99%

Section: Wins Trainingmentioning

confidence: 99%

Section: Wins Trainingmentioning

confidence: 99%

Section: Wins Trainingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

Sandoval-Bonilla

Cerda-Vargas

Stienen

et al. 2021

Surgical Neurology International

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How do spine surgeons cope with psychological distress: results of a cross-sectional study

et al. 2023

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Cross Sectional Study/Online Survey. In this study, we sought to assess stress, psychological distress, resilience, and coping strategies among spine surgeons in German-speaking countries. Recent studies have reported high rates of stress and burnout among surgeons. A survey via Survey Monkey™ was conducted among spine surgeons practicing in German-speaking countries using validated questionnaires for perceived stress, mental burden, resilience, and quality of life. Data on working situation and demographics were also collected. 582 surgeons responded to the survey, representing 15% of those surveyed. 79% of respondents were satisfied with their professional success. Mental burden was higher than in the general population, as was perceived stress. Chairpersons were exposed to the lowest levels of perceived stress and mental burden. Mental distress was high (GHQ ≥ 12) in 59% of residents and 27% chairpersons. Self-reported psychological resilience was higher than levels found in the general population and highest among chairpersons. Quality of life was comparable to levels reported in the general population. There were statistically significant correlations between perceived stress and mental burden scores (r s = 0.65, p < 0.001). Career level (senior physicians vs. residents, OR 0.26; 95% CI 0.10-0.66), perceived stress (OR 1.54; 95% CI 1.33-1.77), self-reported resilience (OR 0.53; 95% CI 0.33-0.84), and mental composite score (SOR 0.86; 95% CI 0.83-0.90) were predictors of high mental burden. There was no interaction between perceived stress and resilience on mental burden (p = 0.835). Spine surgeons are exposed to higher levels of stress than the general population, which are associated with higher mental distress. More professional experience and higher levels of psychological resilience are associated with lower levels of stress.

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Simulation to become a better neurosurgeon. An international prospective controlled trial: The Passion study

Fanizzi,

Carone,

Rocca

et al. 2024

Brain and Spine

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Mistreatment, discrimination and burn-out in Neurosurgery

Cited by 13 publications

References 24 publications

Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

How do spine surgeons cope with psychological distress: results of a cross-sectional study

Simulation to become a better neurosurgeon. An international prospective controlled trial: The Passion study

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