Experiences of LGBTQ+ Residents in US General Surgery Training Programs
| Autor: | Dre Irizarry, Cary Jo R. Schlick, Jo Buyske, Julie Ann Sosa, Elaine O. Cheung, Karl Y. Bilimoria, Evan A. Heiderscheit, Ryan J. Ellis, Yue Yung Hu, David B. Hoyt, Thomas J. Nasca, Joshua Eng, Daniela Amortegui |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject education Psychological intervention Burnout Suicidal Ideation Sexual and Gender Minorities Physicians Surveys and Questionnaires Transgender medicine Humans Homosexuality Burnout Professional Original Investigation media_common Response rate (survey) business.industry General surgery Bullying Internship and Residency Peer group United States Sexual Harassment Education Medical Graduate General Surgery Surgery Job satisfaction Female Lesbian business Prejudice |
| Zdroj: | JAMA Surg |
| ISSN: | 2168-6262 |
| Popis: | IMPORTANCE: Previous studies have shown high rates of mistreatment among US general surgery residents, leading to poor well-being. Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) residents represent a high-risk group for mistreatment; however, their experience in general surgery programs is largely unexplored. OBJECTIVE: To determine the national prevalence of mistreatment and poor well-being for LGBTQ+ surgery residents compared with their non-LGBTQ+ peers. DESIGN, SETTING, AND PARTICIPANTS: A voluntary, anonymous survey adapting validated survey instruments was administered to all clinically active general surgery residents training in Accreditation Council for Graduate Medical Education–accredited general surgery programs following the 2019 American Board of Surgery In-Training Examination. MAIN OUTCOMES AND MEASURES: Self-reported mistreatment, sources of mistreatment, perceptions of learning environment, career satisfaction, burnout, thoughts of attrition, and suicidality. The associations between LGBTQ+ status and (1) mistreatment, (2) burnout, (3) thoughts of attrition, and (4) suicidality were examined using multivariable regression models, accounting for interactions between gender and LGBTQ+ identity. RESULTS: A total of 6956 clinically active residents completed the survey (85.6% response rate). Of 6381 respondents included in this analysis, 305 respondents (4.8%) identified as LGBTQ+ and 6076 (95.2%) as non-LGBTQ+. Discrimination was reported among 161 LGBTQ+ respondents (59.2%) vs 2187 non-LGBTQ+ respondents (42.3%; P |
| Databáze: | OpenAIRE |
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