Sex discrimination, sexual harassment, and sexual assault in UK radiology training: a national survey

Sex discrimination and sexual misconduct are endemic issues within the National Health Service (NHS). The extent of the problem amongst radiology registrars across the UK is unknown. This national survey explores the experiences of radiology registrars in relation to sex discrimination, sexual harassment, and sexual assault during radiology training, in addition to the impact on wellbeing and barriers to reporting behaviours.

This observational study using qualitative data from distribution of a national survey with ethical approval.

122 responses were received. A significantly increased proportion of females have witnessed or experienced sex discrimination and sexual harassment compared to males (p < 0.05). A greater proportion of females also experienced sexual assault however the numbers are low and not statistically significant. The majority of perpetrators (58%) were senior colleagues both from within and outside of the radiology team (including radiology supervisors). 21% of perpetrators were patients. 72% of radiology registrars who experienced sex discrimination, harassment and/or assault were not happy with the way in which their situation was dealt with. 68% were not aware of a pathway in place for reporting such behaviours.

Sex discrimination and sexual harassment and assault have been experienced widely by radiology registrars, disproportionately affecting women. There are significant barriers to reporting these issues especially given most perpetrators are senior colleagues. We call upon responsible organisations to create a safe working environment for all, including implementing new pathways for reporting, developing training, and considering safety measures such as enhanced use of chaperones.