BMS, RCOG, RCGP, FSRH, FOM and FPH Position Statement in response to the BMA report ‘Challenging the culture on menopause for doctors’ – August 2020

Hamoda, Haitham; Morris, Edward; Marshall, Martin; Kasliwal, Asha; Bono, Anne de; Rae, Maggie

doi:10.1177/2053369120985319

Cited by 4 publications

(5 citation statements)

References 1 publication

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“… 23 Medical gaslighting is a term used increasingly in Western medicine by those experiencing invalidation, dismissive, and unsatisfactory care. 24 …”

Section: Discussionmentioning

confidence: 99%

“…23 Medical gaslighting is a term used increasingly in Western medicine by those experiencing invalidation, dismissive, and unsatisfactory care. 24 In 2020, an American study exploring important gaps across various medical disciplines found that only 12 of 177 medical trainees felt suitably equipped to manage those undergoing menopause. 25 Another American study stated the lack of menopause education for medical students and trialled a 2-year menopause curriculum.…”

Section: Gp Educationmentioning

confidence: 99%

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An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause

Harper

Phillips

Biswakarma

et al. 2022

Womens Health (Lond Engl)

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Introduction: Women are not usually taught about the menopause formally, and many general practitioners have relatively little training. The aim of this study was to explore perimenopausal women’s attitudes and knowledge of the menopause. Method: An online survey was designed to evaluate attitudes and knowledge of the menopause in women older than 40 years. The survey was generated with Qualtrics XM® and promoted via social media. In all, 3150 women started the survey. In this study, data from 947 perimenopausal women were analysed. Results: Regarding women’s attitudes to the menopause, 38.8% were accepting of it but more than 30% were dreading it. The women had experienced a number of menopause symptoms including mood swings (68.9%), brain fog (68.3%), and fatigue (66.8%). More than 90% of women had never been taught about the menopause at school, and more than 60% did not feel informed at all about the menopause. School was thought to be the best place for menopause education to start (83.6%). In all, 68.2% of women had only looked for information about the menopause as their symptoms started and they had talked to friends and used a variety of websites to look for information. When asked for their free-text views on the menopause, thematic analysis produced four themes: the overarching knowledge gap, the onset and impact of symptoms, perimenopause: the hidden phenomenon, and managing symptoms: differing schools of thought. Conclusion: Lack of education for women and their general practitioners is causing perimenopausal women to go through this important stage in their lives with a lack of knowledge and appropriate medical care. It is essential that women are taught about the menopause, from school onwards and that we offer health professionals appropriate training starting from the medical school curriculum.

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“… 23 Medical gaslighting is a term used increasingly in Western medicine by those experiencing invalidation, dismissive, and unsatisfactory care. 24 …”

Section: Discussionmentioning

confidence: 99%

Section: Gp Educationmentioning

confidence: 99%

An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause

Harper

Phillips

Biswakarma

et al. 2022

Womens Health (Lond Engl)

View full text Add to dashboard Cite

show abstract

“…Menopause is an important issue in the NHS as 77% of staff are women [19]. There are 30,000 doctors on the GMC register aged between 45 y and 55 y [20].…”

Section: Menopause and Medicinementioning

confidence: 99%

“…In response to this survey, the British Menopause Society, Royal College of Obstetricians and Gynaecologists, Royal College of General Practitioners, Faculty of Sexual and Reproductive Healthcare, Faculty of Occupational Medicine of the Royal College of Physicians and Faculty of Public Health released a joint position statement [20]. They fully supported the recommendations made in the BMA report and believe there is an urgent need to raise menopause awareness among all mangers and staff and this can be done by: ▶Ensuring policies are in place to help employees experiencing menopause symptoms and support them during this transition. ▶Ensuring women are made aware of guidelines and available resources. ▶Encouraging women to seek help for managing their menopause symptoms. ▶Ensuring employers have defined pathways in place such as online training for employers and educational webinars on the menopause.…”

Section: Menopause and Medicinementioning

confidence: 99%

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Davies

Clyburn

Barker³

et al. 2022

Anaesthesia

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There is clear evidence of a growing workforce gap and this is compounded by demographic data that show the current workforce is ageing. Within the current workforce, more doctors are taking voluntary early retirement and the loss of these experienced clinicians from departments can have wide-ranging effects. Older doctors are at risk of age-related health problems (e.g. sight, musculoskeletal, menopause) and are more susceptible to the effects of fatigue, which may increase the risk of error and or complaint. The purpose of this working party and advocacy campaign was to address concerns over the number of consultants retiring at the earliest opportunity and whether a different approach could extend the working career of consultant anaesthetists and SAS doctors. This could be viewed as `pacing your career´. The earlier this is considered in a clinician's career the greater the potential mitigation on individuals.

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“…With the advent of menopause as a more common topic of conversation in public life, the taboos surrounding menopause in the workplace are also being addressed, albeit very slowly. 1 Academic research into menopause experiences in workplaces has focused on three key means of support: menopause policies or guidelines, training and awareness raising (especially for managers) 2,3 and the (re-)institution of Menopause Cliniques as a way to provide patient care outside of the workplace. 4 This paper focused on the first of these and questions whether there are alternatives to the recommendation 5 to introduce a menopause policy or menopause guidelines as effective ways to support those experiencing menopause transitions in the workplace.…”

Section: Introductionmentioning

confidence: 99%

Menopause as a well-being strategy: Organizational effectiveness, gendered ageism and racism

Targett

Beck

2021

Post Reprod Health

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Objective This study considers the example of one council who deliberately implemented menopause considerations into their well-being strategy instead of instituting a menopause policy. This example is used to explore whether such a strategy is a more viable and effective alternative. Study Design An online survey was distributed amongst council workers and completed by 189 individuals. The questions covered respondents’ own experiences of menopause transition at work (where applicable) and the availability of information and support for menopause at work, as well as a range of contextual factors. Main outcome measures Experiences of workplace environments and relationships by those experiencing menopause. Results Results on menopause experiences in this council are comparable to those in organizations who have implemented menopause policies or guidelines. Contextual factors, including gendered vertical segregation and racism, are highlighted as important factors influencing the experience of menopause transition in the workplace. Conclusions Early indications suggest that integrating menopause support into a health and well-being strategy helps mainstream menopause issues amongst staff. Long-term assessment is required to consider whether it is more effective than introducing a menopause policy or guidelines.

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BMS, RCOG, RCGP, FSRH, FOM and FPH Position Statement in response to the BMA report ‘Challenging the culture on menopause for doctors’ – August 2020

Cited by 4 publications

References 1 publication

An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause

An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Menopause as a well-being strategy: Organizational effectiveness, gendered ageism and racism

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