Taylor-Robinson Simon D, De Sousa Lopes Paulo A, Zdravkov Jey, Harrison Rachel
Department of Surgery and Cancer, Imperial College London, London, UK.
Department of Medicine, UAI Universidad Abierta Interamericana, Buenos Aires, Argentina.
Adv Med Educ Pract. 2021 Feb 10;12:141-145. doi: 10.2147/AMEP.S297835. eCollection 2021.
Bullying of whatever form should have no place in the Medical Profession. Reforms to junior doctor training and reduction in working hours have helped to control most of the individual bullying which may have existed in the past. However, the complexities of institutional bullying still exist. In the United Kingdom, centralised monitoring systems, such as Athena SWAN, are designed to reward academic and medical institutions for positive steps to introduce equality and mitigate bullying. However, the reality is that such processes may be conducted in healthcare or educational establishments that have little intention to address the problem thoroughly. We report the personal experience of both individual and institutional bullying in the medical career of a medically-qualified interviewee and reflect on ways to mitigate the problem. We also consider whether unconscious bias affects our relationships with patients. In a caring medical profession, there should be no room for intolerance, unconscious bias or bullying.
任何形式的欺凌在医疗行业都不应存在。初级医生培训改革和工作时间的减少有助于控制过去可能存在的大多数个人欺凌行为。然而，机构欺凌的复杂性仍然存在。在英国，诸如雅典娜天鹅奖（Athena SWAN）这样的集中监测系统旨在奖励学术和医疗机构在采取积极措施引入平等和减轻欺凌方面所取得的进展。然而，现实情况是，这些过程可能在那些无意彻底解决问题的医疗保健或教育机构中进行。我们报告了一位具有医学资质的受访者在其医疗职业生涯中遭受个人和机构欺凌的亲身经历，并思考减轻这一问题的方法。我们还考虑了无意识偏见是否会影响我们与患者的关系。在一个充满关怀的医疗行业中，不容忍、无意识偏见或欺凌都不应有存在的空间。
