Robinson E, Singhal P, Loughborough W, Little D
Royal United Hospital Bath, Combe Park, Avon BA1 3NG, UK.
North Bristol NHS Trust, Southmead Road, Westbury-on-Trym Bristol, BS10 5NB, UK.
Clin Radiol. 2025 Jan;80:106717. doi: 10.1016/j.crad.2024.09.023. Epub 2024 Oct 9.
Sex discrimination and sexual misconduct are endemic issues within the National Health Service (NHS). The extent of the problem amongst radiology registrars across the UK is unknown. This national survey explores the experiences of radiology registrars in relation to sex discrimination, sexual harassment, and sexual assault during radiology training, in addition to the impact on wellbeing and barriers to reporting behaviours.
This observational study using qualitative data from distribution of a national survey with ethical approval.
122 responses were received. A significantly increased proportion of females have witnessed or experienced sex discrimination and sexual harassment compared to males (p < 0.05). A greater proportion of females also experienced sexual assault however the numbers are low and not statistically significant. The majority of perpetrators (58%) were senior colleagues both from within and outside of the radiology team (including radiology supervisors). 21% of perpetrators were patients. 72% of radiology registrars who experienced sex discrimination, harassment and/or assault were not happy with the way in which their situation was dealt with. 68% were not aware of a pathway in place for reporting such behaviours.
Sex discrimination and sexual harassment and assault have been experienced widely by radiology registrars, disproportionately affecting women. There are significant barriers to reporting these issues especially given most perpetrators are senior colleagues. We call upon responsible organisations to create a safe working environment for all, including implementing new pathways for reporting, developing training, and considering safety measures such as enhanced use of chaperones.
性别歧视和不当性行为是英国国家医疗服务体系(NHS)中普遍存在的问题。英国放射科住院医师中该问题的严重程度尚不清楚。这项全国性调查探讨了放射科住院医师在放射科培训期间遭受性别歧视、性骚扰和性侵犯的经历,以及这些经历对其幸福感的影响和举报此类行为的障碍。
本观察性研究采用经伦理批准的全国性调查所收集的定性数据。
共收到122份回复。与男性相比,目睹或经历过性别歧视和性骚扰的女性比例显著增加(p < 0.05)。经历过性侵犯的女性比例也更高,不过人数较少且无统计学意义。大多数肇事者(58%)是放射科团队内外的资深同事(包括放射科主管)。21%的肇事者是患者。经历过性别歧视、骚扰和/或侵犯的放射科住院医师中,72%对处理其情况的方式不满意。68%的人不知道有举报此类行为的途径。
放射科住院医师广泛经历过性别歧视、性骚扰和性侵犯,对女性的影响尤甚。举报这些问题存在重大障碍,特别是考虑到大多数肇事者是资深同事。我们呼吁责任组织为所有人营造一个安全的工作环境,包括实施新的举报途径、开展培训,并考虑采取安全措施,如增加使用陪诊人员。