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Bullying of vascular surgery trainees
Jon P Orlino1, Tej A Sura2, Kevin Y Pei3
1Division of Vascular and Endovascular Surgery, Department of Surgery, Saint Louis University, St Louis, Mo.
Journal of Vascular Surgery
|February 12, 2022
Summary
Bullying is prevalent among vascular surgery trainees, with nearly half witnessing or experiencing it. Key barriers to reporting include fear of career repercussions and lack of institutional policies.
Area of Science:
- Medical Education
- Surgical Training
- Workplace Bullying
Background:
- Bullying, defined as repeated negative actions causing distress, is a concern in professional environments.
- Vascular surgery training programs may present unique stressors contributing to bullying behaviors.
- Understanding the prevalence and predictors of bullying is crucial for trainee well-being.
Purpose of the Study:
- To investigate the prevalence of bullying among vascular surgery trainees in the United States.
- To identify factors associated with experiencing bullying in this population.
- To explore barriers encountered by trainees when reporting bullying incidents.
Main Methods:
- An anonymous electronic survey was distributed to vascular surgery trainees across the U.S.
- Validated scales for bullying (NAQ-R), social support, and grit were utilized.
- Respondents reporting bullying were compared to those who had not.
Main Results:
- 48% of respondents reported witnessing or experiencing bullying in the prior six months; 32% reported personal experience.
- No demographic factors, social support, or grit levels predicted bullying, though higher grit showed a trend toward lower perceived bullying.
- Common perpetrators included superior surgeons, co-residents, and patients; reporting barriers involved fear of career impact and lack of institutional policies.
Conclusions:
- Bullying is a significant issue affecting a substantial portion of vascular surgery trainees.
- Predictive factors for experiencing bullying were not clearly identified in this study.
- Further research is warranted to understand the impact of bullying and develop effective interventions.
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