Department of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.
UVCM (Visceral Medicine and Surgery), Inselspital Bern, Bern, Switzerland.
BJS Open. 2021 May 7;5(3). doi: 10.1093/bjsopen/zrab050.
Negative workplace experiences (NWPEs), such as gender discrimination, bullying, sexual harassment and ethnic discrimination, are concerns in today's surgical society. These negative experiences potentially impair surgeons' performance and might impact patient care or outcomes negatively. This study aimed to assess the experience of NWPEs across the European surgical workforce.
A prospective online 34-point questionnaire was designed using a combination of Likert scale, multiple-choice and short-answer questions. Invitations were distributed through surgical associations via email/social media between 1 September and 15 November 2019. Data were analysed using non-parametric methods.
Some 840 complete responses were included in the analysis. The distribution across genders and stage of surgical training was even. Of the respondents, 20 per cent (168 respondents) considered quitting their job, 4.5 per cent (38) took time off and 0.5% (4) left surgery due to NWPEs; 12.9 per cent of females and 4.4 per cent of males experienced some form of physical harassment. Females and those in training were significantly more likely to experience or witness gender discrimination and sexual harassment. Just over half of the respondents (448) did not report negative experiences, with most of these (375 respondents) being unaware of whom to report to. Nearly a fifth of respondents felt that NWPEs influenced patient care or outcomes negatively.
NWPEs were frequent, especially among females and those in training. While a substantial proportion of respondents experienced physical harassment, many individuals were unaware of how to raise concerns. Adverse effects on patient outcomes, surgical training and workforce retention indicate a need for urgent action.
负面工作经历（NWPEs），如性别歧视、欺凌、性骚扰和种族歧视，是当今外科领域关注的问题。这些负面经历可能会影响外科医生的表现，并可能对患者的护理或结果产生负面影响。本研究旨在评估欧洲外科劳动力中 NWPEs 的经历。
使用 Likert 量表、多项选择和简答题的组合，设计了一份前瞻性在线 34 点问卷。邀请通过电子邮件/社交媒体在 2019 年 9 月 1 日至 11 月 15 日期间通过外科协会分发。使用非参数方法分析数据。
共纳入 840 份完整回复进行分析。性别和外科培训阶段的分布均匀。在受访者中，20%（168 人）考虑辞职，4.5%（38 人）休假，0.5%（4 人）因 NWPEs 离开外科；12.9%的女性和 4.4%的男性经历过某种形式的身体骚扰。女性和受训者更有可能经历或目睹性别歧视和性骚扰。超过一半的受访者（448 人）没有报告负面经历，其中大多数（375 人）不知道向谁报告。近五分之一的受访者认为 NWPEs 对患者护理或结果产生负面影响。
NWPEs 很常见，尤其是在女性和受训者中。虽然相当一部分受访者经历了身体骚扰，但许多人不知道如何提出担忧。对患者结果、外科培训和劳动力保留的不利影响表明需要采取紧急行动。
