K Karisa Walker, Srijaya K Reddy, Nina Deutsch, Rita Agarwal, Nancy L Glass, Franklyn P Cladis
{"title":"Harassment and Burnout in Academic Pediatric Anesthesiology.","authors":"K Karisa Walker, Srijaya K Reddy, Nina Deutsch, Rita Agarwal, Nancy L Glass, Franklyn P Cladis","doi":"10.1111/pan.70044","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>High-profile cases of sexual harassment (SH) have drawn attention to SH in the workplace via the #MeToo movement. Many studies demonstrate SH occurring in medical training and practice. Experiencing SH correlates with long-term personal and professional detrimental effects.</p><p><strong>Aims: </strong>We sought to identify the prevalence of SH among pediatric anesthesiology fellowship program directors (PDs), associate PDs (APDs), and fellows. For comparison, we collected data about exposure to nonsexual harassment (NSH). We assessed the relationship between SH and burnout, characteristics of which overlap with documented ramifications of SH. We hypothesized our participants would report a high rate of SH, which would in turn correlate with higher levels of burnout.</p><p><strong>Methods: </strong>The Maslach Burnout Toolkit (MBT) and a sexual harassment survey were sent to PDs (n = 60) of pediatric anesthesiology fellowships to complete and distribute to APDs and fellows (~221). Results were analyzed using descriptive statistics, Chi-square test, and Fisher's exact test.</p><p><strong>Results: </strong>One hundred and sixty-three physicians completed the surveys: 41 PDs, 13 APDs, and 109 fellows. Twenty-two percent of respondents had experienced SH, 28% had witnessed SH, and 42% had experienced NSH. PDs were more likely to have experienced or witnessed SH or NSH than fellows (p < 0.05). Women were more likely to experience or witness SH. Those who experienced SH were more likely to report depersonalization (p < 0.05). Those who experienced or witnessed NSH were more likely to report emotional exhaustion and depersonalization (p < 0.05). Perpetrators of harassment were reported most commonly to be male surgical attendings.</p><p><strong>Conclusion: </strong>Harassment at work is common and may contribute to burnout among pediatric anesthesiologists. Lower incidence of SH among fellows suggests the work environment may be improving with time, but there is still work to do to ensure a safe environment for pediatric anesthesiologists.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"946-952"},"PeriodicalIF":1.7000,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Anesthesia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/pan.70044","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: High-profile cases of sexual harassment (SH) have drawn attention to SH in the workplace via the #MeToo movement. Many studies demonstrate SH occurring in medical training and practice. Experiencing SH correlates with long-term personal and professional detrimental effects.
Aims: We sought to identify the prevalence of SH among pediatric anesthesiology fellowship program directors (PDs), associate PDs (APDs), and fellows. For comparison, we collected data about exposure to nonsexual harassment (NSH). We assessed the relationship between SH and burnout, characteristics of which overlap with documented ramifications of SH. We hypothesized our participants would report a high rate of SH, which would in turn correlate with higher levels of burnout.
Methods: The Maslach Burnout Toolkit (MBT) and a sexual harassment survey were sent to PDs (n = 60) of pediatric anesthesiology fellowships to complete and distribute to APDs and fellows (~221). Results were analyzed using descriptive statistics, Chi-square test, and Fisher's exact test.
Results: One hundred and sixty-three physicians completed the surveys: 41 PDs, 13 APDs, and 109 fellows. Twenty-two percent of respondents had experienced SH, 28% had witnessed SH, and 42% had experienced NSH. PDs were more likely to have experienced or witnessed SH or NSH than fellows (p < 0.05). Women were more likely to experience or witness SH. Those who experienced SH were more likely to report depersonalization (p < 0.05). Those who experienced or witnessed NSH were more likely to report emotional exhaustion and depersonalization (p < 0.05). Perpetrators of harassment were reported most commonly to be male surgical attendings.
Conclusion: Harassment at work is common and may contribute to burnout among pediatric anesthesiologists. Lower incidence of SH among fellows suggests the work environment may be improving with time, but there is still work to do to ensure a safe environment for pediatric anesthesiologists.
期刊介绍：
Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.
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