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A multi-institutional study of patient-derived gender-based discrimination experienced by resident physicians

Published:October 14, 2020DOI:https://doi.org/10.1016/j.amjsurg.2020.10.015

      Highlights

      • Patient-derived GBD is experienced by the majority of resident physicians.
      • Women physicians are ubiquitously affected by patient-derived GBD.
      • Women are more likely to experience personal and professional consequences of patient-derived GBD.
      • Current reporting mechanisms do not adequately capture or address patient-derived GBD.

      Abstract

      Background

      This study characterizes prevalence, frequency, and forms of patient-derived gender-based discrimination (GBD) experienced by resident physicians, as well as their experiences witnessing and reporting patient-derived GBD.

      Methods

      A web-based survey was sent to residents from 12 programs at three academic institutions.

      Results

      Response rate was 47.9% (309/645) with 55.0% of respondents identifying as women. Women were more likely than men to experience patient-derived GBD during residency (100% vs 68.8%, p < 0.001), including inappropriate physical contact, receiving less trust from patients, and being mistaken for a nurse (p < 0.001). While 85.9% of residents personally experienced and 95.0% of residents witnessed patient-derived GBD, only 3.4% of residents formally reported patient-derived GBD. Women were more likely to report negative personal and professional consequences of patient-derived GBD.

      Conclusions

      Patient-derived GBD is pervasive and disproportionately affects women residents. Current reporting mechanisms are not adequately capturing nor addressing patient-derived GBD.

      Keywords

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