Emergency Medicine in the #MeToo Era

Marco, Catherine A.; Geiderman, Joel M.; Schears, Raquel M.; Derse, Arthur R.

doi:10.1111/acem.13814

Cited by 8 publications

(5 citation statements)

References 22 publications

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“…There is currently little data examining gender discrimination and sexual harassment in academic emergency medicine (EM). 17,24,25 The objective of this study was to explore the perceptions of and experiences with gender-based discrimination and sexual harassment among academic EM faculty. We hypothesized that female emergency physicians would have greater perceptions of and more experiences with gender-based discrimination and sexual harassment compared to their male colleagues.…”

Section: Introductionmentioning

confidence: 99%

#MeToo in EM: A Multicenter Survey of Academic Emergency Medicine Faculty on Their Experiences with Gender Discrimination and Sexual Harassment

Lall

Mitzman

et al. 2020

WestJEM

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Introduction: Gender-based discrimination and sexual harassment of female physicians are well documented. The #MeToo movement has brought renewed attention to these problems. This study examined academic emergency physicians' experiences with workplace gender discrimination and sexual harassment. Methods: We conducted a cross-sectional survey of a convenience sample of emergency medicine (EM) faculty across six programs. Survey items included the following: the Overt Gender Discrimination at Work (OGDW) Scale; the frequency and source of experienced and observed discrimination; and whether subjects had encountered unwanted sexual behaviors by a work superior or colleague in their careers. For the latter question, we asked subjects to characterize the behaviors and whether those experiences had a negative effect on their self-confidence and career advancement. We made group comparisons using t-tests or chi-square analyses, and evaluated relationships between gender and physicians' experiences using correlation analyses. Results: A total of 141 out of 352 (40.1%) subjects completed at least a portion of the survey. Women reported higher mean OGDW scores than men (15.4 vs 10.2; 95% confidence interval [CI], 3.6-6.8). Female faculty were also more likely to report having experienced gender-based discriminatory treatment than male faculty (62.7% vs 12.5%; 95% CI, 35.1%-65.4%), although male and female faculty were equally likely to report having observed gender-based discriminatory treatment of another physician (64.7% vs 56.3%; 95% CI, 8.6%-25.5%). The three most frequent sources of experienced or observed gender-based discriminatory treatment were patients, consulting or admitting physicians, and nursing staff. The majority of women reported having encountered unwanted sexual behaviors in their careers, with a significantly greater proportion of women reporting them compared to men (52.9% vs 26.2%, 95% CI, 9.9%-43.4%). The majority of unwanted behaviors were sexist remarks and sexual advances. Of those respondents who encountered these unwanted behaviors, 22.9% and 12.5% reported at least somewhat negative effects on their self-confidence and career advancement. Conclusion: Female EM faculty perceived more gender-based discrimination in their workplaces than their male counterparts. The majority of female and approximately a quarter of male EM faculty encountered unwanted sexual behaviors in their careers. [

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Section: Introductionmentioning

confidence: 99%

#MeToo in EM: A Multicenter Survey of Academic Emergency Medicine Faculty on Their Experiences with Gender Discrimination and Sexual Harassment

Lall

Mitzman

et al. 2020

WestJEM

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“…Unfortunately, sexualized behavior may be one of many possible unprofessional behaviors leading to remediation ( 55 ). Although these concerns must be specifically addressed using appropriate institutional procedures and in a timely fashion ( 56 ), given the importance of these situations, fellowship program leaders should not endeavor to investigate or remediate these concerns alone; professionals in the field should be involved as soon as concerns come to light.…”

Section: Guidance On Remediation Strategies For Fellows With Specific...mentioning

confidence: 99%

Best Practices for Remediation in Pulmonary and Critical Care Medicine Fellowship Training

et al. 2022

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Background Remediation of struggling learners in pulmonary and critical care fellowship programs is a challenge, even for experienced medical educators. Objective This evidence-based narrative review provides a framework program leaders may use to address fellows having difficulty achieving competency during fellowship training. Methods The relevant evidence for approaches on the basis of each learner’s needs is reviewed and interpreted in the context of fellowship training in pulmonary medicine and critical care. Issues addressed include bias in fellow assessments and remediation, the impacts of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, the specific challenges of pulmonary and critical care fellowship programs, a brief review of relevant legal issues, guidance on building and leveraging program resources, and a discussion of learner outcomes. Results This results in a concise, evidence-based toolkit for program leaders based around four pillars: early identification, fellow assessment, collaborative intervention, and reassessment. Important concepts also include the need for documentation, clear and written communication, and fellow-directed approaches to the creation of achievable goals. Conclusion Evidence-based remediation helps struggling learners in pulmonary and critical care fellowship to improve their ability to meet Accreditation Council for Graduate Medical Education (ACGME) milestones.

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“…Leape and colleagues, however, observe that “medical students too often suffer demeaning experiences at the hands of supervising faculty and residents,” and they assert that this behavior must change ( 2012 ). A 2018 report by the National Academies of Science, Engineering and Medicine (NASEM) singled out Surgery and Emergency Medicine as problematic areas during residency with regard to harassment of women due to their “hierarchical and authoritative workplaces” (Johnson et al, 2018 ; Marco et al, 2019 ). Hafferty and Franks famously pointed out the inconsistency between moral principles presented in the formal medical school curriculum and morally problematic behaviors and attitudes toward patients and trainees that are condoned by the “hidden curriculum” of medical socialization ( 1994 ).…”

Section: Interactions With Traineesmentioning

confidence: 99%

Civility in Health Care: A Moral Imperative

et al. 2022

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Civility is an essential feature of health care, as it is in so many other areas of human interaction. The article examines the meaning of civility, reviews its origins, and provides reasons for its moral significance in health care. It describes common types of uncivil behavior by health care professionals, patients, and visitors in hospitals and other health care settings, and it suggests strategies to prevent and respond to uncivil behavior, including institutional codes of conduct and disciplinary procedures. The article concludes that uncivil behavior toward health care professionals, patients, and others subverts the moral goals of health care and is therefore unacceptable. Civility is a basic professional duty that health care professionals should embrace, model, and teach.

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Emergency Medicine in the #MeToo Era

Cited by 8 publications

References 22 publications

#MeToo in EM: A Multicenter Survey of Academic Emergency Medicine Faculty on Their Experiences with Gender Discrimination and Sexual Harassment

#MeToo in EM: A Multicenter Survey of Academic Emergency Medicine Faculty on Their Experiences with Gender Discrimination and Sexual Harassment

Best Practices for Remediation in Pulmonary and Critical Care Medicine Fellowship Training

Civility in Health Care: A Moral Imperative

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