B Azam, A Bakhiet, W Moussa, M A Sajid, M K Qureshi, A Kumar, U A Halim
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引用次数: 0
Abstract
Background: Microaggressions are being increasingly documented within the medical community. With their rising prevalence, there is concern that microaggressions can lead to suboptimal working environments, victim burnout, and compromised patient safety. Orthopaedics, known for macroaggressions like bullying and sexual discrimination, remains the least diverse specialty, potentially predisposing its staff to microaggressions. The aim of this paper was to determine the prevalence of microaggressions within Trauma and Orthopaedics, and ascertain the impact they have within the specialty.
Methods: A systematic review was carried out using PRISMA guidelines. Publications pertaining to microaggressions in orthopaedics in the English language were included, with no restrictions relating to study location, date of publication or the victims of microaggressions.
Results: 29 papers were included in this systematic review, of which 10 papers were eligible for inclusion. The prevalence of microaggressions in orthopaedics based on gender was discussed in 5 papers, whilst microaggressions relating to race/ethnicity were discussed in 2 papers. A further 2 papers discussed microaggressions relating to both race and gender. All were published in the United States of America (USA). It was found that microaggressions are common in orthopaedics, with 80 % of respondents across 3 cross sectional surveys experiencing some form of microaggression.
Conclusion: Microaggressions are a significant problem within the American orthopaedic community. They affect surgeons of all grades, and deter medical students from pursuing orthopaedics as a career. It is important to develop mitigating strategies to tackle this behaviour, in the hope that working environments and patient safety improve in orthopaedic departments.
期刊介绍：
Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field.
Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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