000			05491nam a22006377a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a2574-3805
024			_a2818407 [pii]
024			_aPMC11079690 [pmc]
040			_aOvid MEDLINE(R)
099			_a38717770
245			_aSexual Harassment, Abuse, and Discrimination in Obstetrics and Gynecology: A Systematic Review.
251			_aJAMA Network Open. 7(5):e2410706, 2024 May 01.
252			_aJAMA netw. open. 7(5):e2410706, 2024 May 01.
253			_aJAMA network open
260			_c2024
260			_fFY2024
260			_p2024 May 01
265			_sepublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/05/08 11:34
520			_aConclusions and Relevance: This study found high rates of harassment behaviors within OB-GYN. Interventions to limit these behaviors were not adequately studied, were limited mostly to medical students, and typically did not specifically address sexual or other forms of harassment.
520			_aEvidence Review: A systematic search of PubMed, Embase, and ClinicalTrials.gov was conducted to identify studies published from inception through June 13, 2023.: For the prevalence of harassment, OB-GYN clinicians and trainees on OB-GYN rotations in all subspecialties in the US or Canada were included. Personal experiences of harassment (sexual harassment, bullying, abuse, and discrimination) by other health care personnel, event reporting, burnout and exit from medicine, fear of retaliation, and related outcomes were included. Interventions across all surgical specialties in any country to decrease incidence of harassment were also evaluated. Abstracts and potentially relevant full-text articles were double screened.: Eligible studies were extracted into standard forms. Risk of bias and certainty of evidence of included research were assessed. A meta-analysis was not performed owing to heterogeneity of outcomes.
520			_aFindings: A total of 10 eligible studies among 5852 participants addressed prevalence and 12 eligible studies among 2906 participants addressed interventions. The prevalence of sexual harassment (range, 250 of 907 physicians [27.6%] to 181 of 255 female gynecologic oncologists [70.9%]), workplace discrimination (range, 142 of 249 gynecologic oncologists [57.0%] to 354 of 527 gynecologic oncologists [67.2%] among women; 138 of 358 gynecologic oncologists among males [38.5%]), and bullying (131 of 248 female gynecologic oncologists [52.8%]) was frequent among OB-GYN respondents. OB-GYN trainees commonly experienced sexual harassment (253 of 366 respondents [69.1%]), which included gender harassment, unwanted sexual attention, and sexual coercion. The proportion of OB-GYN clinicians who reported their sexual harassment to anyone ranged from 21 of 250 AAGL (formerly, the American Association of Gynecologic Laparoscopists) members (8.4%) to 32 of 256 gynecologic oncologists (12.5%) compared with 32.6% of OB-GYN trainees. Mistreatment during their OB-GYN rotation was indicated by 168 of 668 medical students surveyed (25.1%). Perpetrators of harassment included physicians (30.1%), other trainees (13.1%), and operating room staff (7.7%). Various interventions were used and studied, which were associated with improved recognition of bias and reporting (eg, implementation of a video- and discussion-based mistreatment program during a surgery clerkship was associated with a decrease in medical student mistreatment reports from 14 reports in previous year to 9 reports in the first year and 4 in the second year after implementation). However, no significant decrease in the frequency of sexual harassment was found with any intervention.
520			_aImportance: Unlike other surgical specialties, obstetrics and gynecology (OB-GYN) has been predominantly female for the last decade. The association of this with gender bias and sexual harassment is not known.
520			_aObjective: To systematically review the prevalence of sexual harassment, bullying, abuse, and discrimination among OB-GYN clinicians and trainees and interventions aimed at reducing harassment in OB-GYN and other surgical specialties.
546			_aEnglish
650			_a*Gynecology
650			_a*Obstetrics
650			_a*Sexual Harassment
650			_aBullying/px [Psychology]
650			_aBullying/sn [Statistics & Numerical Data]
650			_aCanada
650			_aFemale
650			_aGynecology/ed [Education]
650			_aHumans
650			_aMale
650			_aObstetrics/sn [Statistics & Numerical Data]
650			_aPrevalence
650			_aSexism/px [Psychology]
650			_aSexism/sn [Statistics & Numerical Data]
650			_aSexual Harassment/px [Psychology]
650			_aSexual Harassment/sn [Statistics & Numerical Data]
650			_aUnited States
650			_zCurated
651			_aMedStar Washington Hospital Center
656			_aObstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
657			_aJournal Article
657			_aResearch Support, Non-U.S. Gov't
657			_aSystematic Review
700			_aIglesia, Cheryl B _bMWHC
790			_aGupta A, Thompson JC, Ringel NE, Kim-Fine S, Ferguson LA, Blank SV, Iglesia CB, Balk EM, Secord AA, Hines JF, Brown J, Grimes CL
856			_uhttps://dx.doi.org/10.1001/jamanetworkopen.2024.10706 _zhttps://dx.doi.org/10.1001/jamanetworkopen.2024.10706
942			_cART _dArticle
999			_c14569 _d14569