TY - JOUR PY - 2016// TI - Prevalence of bullying, discrimination and sexual harassment among trainees and Fellows of the College of Intensive Care Medicine of Australia and New Zealand JO - Critical care and resuscitation A1 - Venkatesh, Bala A1 - Corke, Charlie A1 - Raper, Raymond A1 - Pinder, Mary A1 - Stephens, Dianne A1 - Joynt, Gavin A1 - Morley, Peter A1 - Bellomo, Rinaldo A1 - Bevan, Rob A1 - Freebairn, Ross A1 - Varghese, Benoj A1 - Ashbolt, Michael A1 - Hawker, Felicity A1 - Jacobe, Stephen A1 - Yong, Sarah SP - 230 EP - 234 VL - 18 IS - 4 N2 - BACKGROUND: Anecdotal reports about bullying behaviour in intensive care emerged during College of Intensive Care Medicine (CICM) hospital accreditation visits. Bullying, discrimination and sexual harassment (BDSH) in the medical profession, particularly in surgery, were widely reported in the media recently. This prompted the College to formally survey its Fellows and trainees to identify the prevalence of these behaviours in the intensive care workplace.

METHODS: An online survey of all trainees (n = 951) and Fellows (n = 970) of the CICM.

RESULTS: The survey response rate was 51% (Fellows, 60%; trainees, 41%). The overall prevalences of bullying, discrimination and sexual harassment were 32%, 12% and 3%, respectively. The proportions of Fellows and trainees who reported being bullied and discriminated against were similar across all age groups. Women reported a greater prevalence of sexual harassment (odds ratio [OR], 2.97 [95% CI, 1.35-6.51]; P = 0.006) and discrimination (OR, 2.10 [95% CI, 1.39-3.17]; P = 0.0004) than men. Respondents who obtained their primary medical qualification in Asia or Africa appeared to have been at increased risk of discrimination (OR, 1.88 [95% CI, 1.15-3.05]; P = 0.03). Respondents who obtained their degree in Australia, New Zealand or Hong Kong may have been at increased risk of being bullied. In all three domains of unprofessional behaviour, the perpetrators were predominantly consultants (70% overall), and the highest proportion of these was ICU consultants.

CONCLUSIONS: The occurrence of BDSH appears to be common in the intensive care environment in Australia and New Zealand.

Language: en

LA - en SN - 1441-2772 UR - http://dx.doi.org/ ID - ref1 ER -