From the Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH (Dr. Balch Samora), Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN (Dr. Van Heest), Vice-Chair of Faculty Affairs, Department of Orthopaedics, Perelman Center for Advanced Medicine, Philadelphia, PA (Dr. Weber), South Central Kentucky Orthopedics, Glasgow, Kentucky (Dr. Ross), St. Francis Orthopaedic Institute, Columbus, GA (Dr. Huff), and Department of Orthopedics, NYU-Langone Medical Center, New York, NY (Dr. Carter).
J Am Acad Orthop Surg. 2020 Dec 15;28(24):e1097-e1104. doi: 10.5435/JAAOS-D-19-00822.
The presence of discrimination, bullying, sexual harassment, and harassment (DBSH) in the healthcare workplace negatively affects the health and well-being of providers and is associated with poor mental health, low self-esteem, high levels of absenteeism, and low levels of productivity.
The American Academy of Orthopaedic Surgeons (AAOS) developed and distributed a survey to a subset of AAOS members to assess the climate of workplace safety and overall workplace culture. Women and underrepresented minority (URM) AAOS members and an equal number of randomly selected non-URM men were invited to participate in the survey.
Nine hundred twenty-seven of 5,638 (16.4%) members responded to the survey. Sixty-six percent of respondents reported experiencing DBSH behavior with specific exposures to DBSH of 79%, 55%, 47%, and 40%, respectively. Women (81%) were more likely than men (35%) to have experienced these behaviors. Fifty-eight percent of respondents reported that their workplaces were equipped to deal effectively with DBSH behaviors.
DBSH behaviors occur in the orthopaedic workplace. More attention to these issues is necessary to ensure that all orthopaedic surgeons in training and in practice have a safe work environment that is inclusive, equitable, and health-promoting.
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医疗保健工作场所中存在歧视、欺凌、性骚扰和骚扰（DBSH）会对医护人员的健康和福祉产生负面影响，并与心理健康状况不佳、自尊心低、旷工率高和生产力水平低有关。
美国矫形外科医师学会（AAOS）开发并向 AAOS 成员的一个子集分发了一项调查，以评估工作场所安全和整体工作环境的氛围。邀请女性和代表性不足的少数族裔（URM）AAOS 成员以及数量相等的随机选择的非 URM 男性参与调查。
在 5638 名成员中，有 927 名（16.4%）对调查做出了回应。66%的受访者报告称经历过 DBSH 行为，具体的 DBSH 暴露率分别为 79%、55%、47%和 40%。女性（81%）比男性（35%）更有可能经历过这些行为。58%的受访者表示，他们的工作场所具备有效应对 DBSH 行为的能力。
DBSH 行为发生在矫形外科工作场所。需要更加关注这些问题，以确保所有接受培训和实践的矫形外科医生都有一个安全、包容、公平和促进健康的工作环境。
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