One in ten junior doctors trained to become cardiologists in the UK said they were being bullied and revealed the results of a survey published online in the journal. heart.
Women and those with medical qualifications outside the UK are most likely to report exposure to this behavior, the response shows.
Bullying Junior doctor Working in the UK and elsewhere is relatively common, and studies report an overall prevalence of about 40%.
It is associated with poor professional performance and mental health, as well as poor patient health. And bullying can also have a knock-on effect on those who are witnessing it.
It is not clear if it will worsen in a particular area of expertise, so to measure its prevalence in cardiology, researchers conducted the UK Junior Cardiology Association between 2017 and 2020. We used the answers to the annual survey of cardiology trainees.
Since 2017, respondents have been asked about their direct and indirect experiences of bullying and inappropriate language / behavior in the cardiology department over the past four weeks.
With a total of 2057 responses, 1358 professional trainees completed the survey completely.
Nearly three out of four respondents were men (73%). The average age was 33 years.Most (76%) were qualified in the UK Medical college I worked full time (96%).
More than half (59%) work at heart disease centers (tertiary referral centers) and most (94%) have national training numbers. Training program, Depends on performance.
According to the answers, 1 in 10 people (152; 11%) were bullied. This prevalence was about the same across all four survey years.
Also, one-third (431; 32%) said they witnessed bullying during heart disease rotation, more than twice as likely to witness bullying during advanced training.
Females were 55% more likely to report bullying than men, while qualified physicians outside the UK were even more likely to report this.
Those who qualified in European medical school could say they were twice as bullied as those who graduated from British medical school. And those who graduated from non-European medical schools were three times more likely to graduate.
There was a considerable difference in the rate of bullying between training areas (archpriests). The highest rates of bullying were in East Midlands South (22%) and Northern (21%). The three regions with the lowest bullying rates (all 4%) were Mercy, the Peninsula (Devon and Cornwall), and Yorkshire, North and East.
Women are also more likely to report exposure to sexist language than men (14% vs. 4%), and non-UK medical graduates are more likely to experience racist language. Was expensive. Other places 7%.
These numbers are compared to the prevalence of 1.5% after graduating from the UK School of Medicine.
At least one in three trainees in 2020 (33%) had at least one inadequacy, such as disregarded opinions and views (12%) and made them feel worthless / useless (9%). He said he was accepting good behavior. 8% say they were yelled at or targeted by spontaneous anger.
Senior physicians (consultants) in cardiology and other disciplines surveyed 82% of respondents in the 2019 and 2020 surveys, respectively, when asked to identify who the bully was. And was cited as a performer by 70%.
61% of respondents cited other medical staff and two-thirds cited non-medical staff.Trainees rarely experienced bullying by others Trainee..
In the free text, respondents explained the emotional effects of bullying. Some respondents said they wanted to stop bullying or were forced to change supervisors or placements.
Others talked about how bullying was normalized in their area of expertise. In many cases, it was explained that the behavior was okay, or that nothing changed when the problem was raised.
Researchers admit that the survey was only for members of the British Association of Junior Cardiologists and that not all of the same questions were asked each year.
Nevertheless, they write:
They point out that not many women specialize in heart disease in the first place, and women who specialize in heart disease are less likely to complete training than in other disciplines. Cardiology has a higher proportion of ethnic minority trainees than other disciplines, but there is evidence that they face systematic prejudices during training and exams.
“Workplace bullying in medicine is undoubtedly a problem in a discipline other than cardiology, and the prevalence reported here represents a particular problem to be resolved, or simply reflects general dissatisfaction. To some extent it can be considered an open issue, “they add.
“But the prevalence of bullying in our results is [General Medical Council] 2018 training survey (5.8%). “
And they conclude that: “… Trainee bullying needs to be a priority to ensure patient safety and reduce trainee decline during unprecedented workforce pressure.”
In a linked edit, Dr. Resham Baruah, a Chelsea cardiologist, the Westminster Healthcare NHS Trust in London, and independent professional coach Emma Sedgwick, the findings provide “a cool insight into current practices.” The culture of bullying is endemic. ” In many UK cardiology departments. “
They further state: “Bullying behavior towards people below the hierarchy can represent the increased pressure, burnout, loss of status, and maladapted reaction to monetary rewards experienced by consultants.” Not only normalizing behavior. , You can even promote them as favorable.
Promote better working conditions, Balance of work and life, And in addition to work satisfaction, training They suggest that it may be helpful as to how to recognize and manage stress.But that applies to everyone Cardiology They emphasize working together to bring about cultural change and eradicate bullying.
Bullying in British Cardiology: A Systemic Problem That Needs a Systemic Solution, heart (2021). DOI: 10.1136 / heartjnl-2021-319882
British Medical Journal
Quote: One in ten UK heart disease trainee doctors said they were bullied (December 6, 2021).
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