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Bullying in UK cardiology: a systemic problem requiring systemic solutions
Christian Fielder Camm1,2,3, Abhishek Joshi4, Abigail Moore5
1Keble College, Oxford University, Oxford, UK cfcamm@gmail.com.
Heart (British Cardiac Society)
|December 7, 2021
Summary
Bullying is common among cardiology trainees, disproportionately affecting women and international graduates. Consultants are the most frequent perpetrators, highlighting a need for intervention in medical training environments.
Area of Science:
- Medical Education
- Workplace Bullying
- Cardiology Training
Background:
- Bullying of trainee doctors negatively impacts doctors and patients.
- Limited data exists on bullying within specific medical specialties.
Purpose of the Study:
- To investigate the prevalence and nature of bullying among UK cardiology trainees.
- To identify demographic factors associated with experiencing bullying and inappropriate behavior.
Main Methods:
- Annual survey of UK cardiology trainees (2017-2020) via the British Junior Cardiologists' Association.
- Inquired about experiencing/witnessing bullying and exposure to inappropriate language/behavior.
- Statistical analysis included Fisher's exact tests and logistic regression.
Main Results:
- 11% of 1358 trainees reported bullying.
- Women (OR: 1.55) and non-UK medical school graduates (EEA OR: 2.22, non-EEA/UK OR: 3.16) had higher odds of being bullied.
- Sexist language affected women more (14% vs 4%); racist language affected non-UK graduates (6-7%).
- 33% reported inappropriate behavior; 8% experienced shouting/anger.
- Cardiology (82%) and other specialty consultants (70%) were most implicated.
Conclusions:
- Bullying and inappropriate language are prevalent in cardiology training.
- Women and international medical graduates are disproportionately affected.
- Consultants are the primary perpetrators, necessitating targeted interventions.
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