Workplace Bullying in Surgery

Ling, Mary; Young, Christopher J.; Shepherd, Heather L.; Mak, Cindy; Saw, Robyn P.M.

doi:10.1007/s00268-016-3642-7

Cited by 69 publications

(78 citation statements)

References 27 publications

(37 reference statements)

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“…during training, which is similar to reported percentages among general surgery residents, nonsurgical medical trainees, and nonmedical professionals. [22][23][24][25] In a recent study by McKinley et al 11 that surveyed general surgery, medicine, and anesthesia residents across two institutions, rates of GBDB ranged from 30% to 36% across the three specialties, which is slightly lower than the 38% we found. In this manuscript, GBDB was the most commonly cited negative workplace experience among female integrated residents, and the perceived consequences were meaningful.…”

Section: Discussioncontrasting

confidence: 72%

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Wang

Tanious

et al. 2020

Journal of Vascular Surgery

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Objective: Trainee burnout is on the rise and negative training environments may contribute. In addition, as the proportion of women entering vascular surgery increases, identifying factors that challenge recruitment and retention is vital as we grow our workforce to meet demand. This study sought to characterize the learning environment of vascular residents and to determine how gender-based discrimination and bias (GBDB) affect the clinical experience.Methods: A survey was developed to evaluate the trainee experience; demographics and a two-item burnout index were also included. The instrument was sent electronically to all integrated (0 þ 5) vascular surgery residents in the United States. Univariate analyses were performed and predictors of burnout identified.Results: A total of 284 integrated vascular residents were invited to participate and 212 (75%) completed the survey. Participants were predominantly male (64%) and white (56%), with a median age of 30 years (interquartile range, 28-32 years). Seventy-nine percent of respondents endorsed some form of negative workplace experience and 30% met high-risk criteria for burnout. More than a third (38%) of residents endorsed personally experiencing GBDB, with a significant difference between men and women (14% vs 80%; P < .001). Women were more likely than men to report witnessing GBDB (76% vs 56%; P ¼ .003). Patients and nurses were the most frequently cited sources of GBDB (80% and 64%, respectively), with vascular surgery attendings cited by 41% of trainees. One in four female resident respondents indicated being sexually harassed during the course of training; this was significantly higher than for male residents (25% vs 1%; P < .001). Nearly half (46%) of trainees who witnessed or experienced GBDB thought that quality of patient care, job satisfaction, personal well-being, and personal risk of burnout were directly affected as a result of GBDB. GBDB was predictive of burnout (odds ratio, 1.9; 95% confidence interval, 1.1-3.5; P ¼ .04), as were longer work hours (>80 h/wk; odds ratio, 2.8; 95% confidence interval, 1.1-7.1; P ¼ .03).Conclusions: GBDB was experienced by 38% of integrated trainees, with women significantly more affected than men. GBDB is predictive of burnout, and this has significant implications for our specialty in the recruitment and retention of female physicians. Resources addressing these issues are needed to maintain a diverse workforce and to promote physician well-being. (J Vasc Surg 2020;71:220-7.)

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Section: Discussioncontrasting

confidence: 72%

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Wang

Tanious

et al. 2020

Journal of Vascular Surgery

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“…The finding that female residents experienced behaviors that might be interpreted by the receiver as aggression is consistent with the well-documented observation that women are at higher risk for workplace bullying than their male counterparts. [16][17][18] The finding that women more often felt devalued, expressed discomfort, felt pressure to accept unprofessional behaviors, and experienced task interference indicates that residents' reactions to certain experiences may provide insight into why gender is a risk factor for physician burnout. 19 These attitudes were also expressed specifically in women's statements about their professional self-worth.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of gender differences in the experiences of general surgery trainees

Myers

Hill

Nicholson

et al. 2018

Journal of Surgical Research

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“…Nevertheless, this is not a solely Australasian issue . While it is difficult to demonstrate that the campaign of the Royal Australasian College of Surgeons against this problem has had an impact on the prevalence of the behaviours, we feel the campaign has made a positive impact on the way that the majority of surgeons perceive their role and responsibility to others. As a profession, our focus has traditionally been caring for our patients.…”

mentioning

confidence: 88%

Surgical mentorship in a new landscape

Laurence

Hong

Storey

2019

ANZ Journal of Surgery

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Workplace Bullying in Surgery

Abstract: Despite increased awareness and interventions, workplace bullying remains a significant problem within General Surgery in Australia. The findings in this study serve as a baseline for future questionnaires to monitor the effectiveness of implemented anti-bullying interventions.

Cited by 69 publications

References 27 publications

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout

A qualitative study of gender differences in the experiences of general surgery trainees

Surgical mentorship in a new landscape

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