Department of Neurosurgery, Leiden University Medical Center, University Neurosurgical Center Holland (UNCH), Leiden, the Netherlands.
Department of Neurosurgery, Leiden University Medical Center, University Neurosurgical Center Holland (UNCH), Leiden, the Netherlands.
Clin Neurol Neurosurg. 2021 Mar;202:106517. doi: 10.1016/j.clineuro.2021.106517. Epub 2021 Jan 25.
Issues concerning harassment, bullying and discrimination are not unknown to medical specialties and are likely to be present in neurosurgery as well. The aim of this study was to estimate the extent to which neurosurgeons are faced with issues pertaining to this mistreatment.
A survey consisting of fourteen questions was distributed among members of the Congress of Neurological Surgeons (CNS). The survey consisted of three parts: 1) demographics; 2) exposure to mistreatment; 3) experienced burnout symptoms.
In total 503 out of the 5665 approached CNS members filled in a survey (response rate 8.9 %). Respondents consisted for 85.9 % out of neurosurgeons and for 13.9 % out of residents. Overall, 61.4 % of the respondents was a victim of form of abusive behavior, while 47.9 % was a victim of at least one form of discrimination. Most reported sources of these mistreatments were other neurosurgeons or (family of) patients. Overall, 49.9 % of the respondents experienced burnout symptoms. Multivariable logistic regression analysis showed that female respondents had higher odds of being a victim of abuse (OR 2.5, 95 % CI 1.4-4.6). Female respondents (OR 19.8, 95 % CI 8.9-43.9) and ethnic minorities (OR 3.8, 95 % CI 2.3-6.2) had higher odds of being a victim of discrimination. Furthermore, victims of abuse were at higher odds (OR 1.7, 95 % CI 1.1-2.6) of having burnout symptoms.
Mistreatment and experiencing burnout symptoms frequently occurs among neurosurgeons and residents.
骚扰、欺凌和歧视问题在医学专业中并不鲜见，神经外科也可能存在这些问题。本研究旨在评估神经外科医生所面临的此类不当待遇问题的严重程度。
一项包含 14 个问题的调查在神经外科医生协会（CNS）成员中进行。该调查由三个部分组成：1）人口统计学；2）遭受虐待的情况；3）经历倦怠症状。
共有 5665 名 CNS 成员中的 503 名填写了调查问卷（应答率为 8.9%）。应答者中 85.9%为神经外科医生，13.9%为住院医师。总体而言，61.4%的应答者曾遭受过某种形式的虐待行为，而 47.9%的应答者曾遭受过至少一种形式的歧视。大多数报告的这些虐待行为的来源是其他神经外科医生或（患者的）家属。总体而言，49.9%的应答者经历了倦怠症状。多变量逻辑回归分析表明，女性应答者遭受虐待的可能性更高（OR 2.5，95%CI 1.4-4.6）。女性应答者（OR 19.8，95%CI 8.9-43.9）和少数民族（OR 3.8，95%CI 2.3-6.2）遭受歧视的可能性更高。此外，遭受虐待的人更有可能出现倦怠症状（OR 1.7，95%CI 1.1-2.6）。
神经外科医生和住院医师经常遭受虐待和经历倦怠症状。
