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Summary
This summary is machine-generated.

Female clinicians in urology experience significantly higher rates of patient-perpetrated sexual harassment compared to their male colleagues. This study highlights the urgent need for institutional policies and advocacy to protect the urological workforce.

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Area of Science:

  • Urology
  • Medical Education
  • Healthcare Professionals

Background:

  • Patient-perpetrated sexual harassment is a recognized issue within the medical field.
  • Female clinicians and trainees in urology may face increased risk due to the nature of the specialty and potential sex discordance with patients.

Purpose of the Study:

  • To determine the prevalence of experiencing and witnessing patient-perpetrated sexual harassment among urology clinicians.
  • To identify where these incidents occur and assess awareness of reporting processes.
  • To analyze differences in experiences based on clinician sex and role.

Main Methods:

  • A cohort study utilizing a survey administered as part of the 2023 American Urological Association Annual Census.
  • Survey participants included practicing urologists, advanced practice providers (APPs), and trainees (residents and fellows).
  • Data collected from April 28 to September 30, 2023, included self-reported experiences of harassment, locations, and knowledge of reporting procedures.

Main Results:

  • Out of 1467 clinicians surveyed, 17.9% reported experiencing and 29.6% witnessing patient-perpetrated sexual harassment.
  • Female clinicians (41.8%) were significantly more likely to experience harassment than male clinicians (6.3%) (P < .001).
  • While clinician role was not associated with higher odds, most harassment occurred in clinics (85.5%), and awareness of reporting processes was moderate (67.3%).

Conclusions:

  • Clinician sex, specifically being female, is a significant risk factor for experiencing patient-perpetrated sexual harassment in urology.
  • The findings underscore the necessity for robust institutional policies and national advocacy to safeguard urology healthcare professionals.
  • Further research may explore patient awareness of reporting mechanisms and tailored prevention strategies.