Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis

Background: The aim of this study was to establish the prevalence of intimidation, harassment, and discrimination (IHD) reported by resident physicians during their training, to identify factors associated with reported IHD, and to identify adverse sequalae associated with IHD. Methods: This rev...

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Autores principales:	Anees Bahji, Josephine Altomare
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2019
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b30ee36760e14e789670dc8edeab90ac
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spelling	oai:doaj.org-article:b30ee36760e14e789670dc8edeab90ac2021-12-01T22:41:39ZPrevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis10.36834/cmej.570191923-1202https://doaj.org/article/b30ee36760e14e789670dc8edeab90ac2019-12-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/57019https://doaj.org/toc/1923-1202 Background: The aim of this study was to establish the prevalence of intimidation, harassment, and discrimination (IHD) reported by resident physicians during their training, to identify factors associated with reported IHD, and to identify adverse sequalae associated with IHD. Methods: This review followed the PRISMA guidelines. Eight electronic databases were searched for cross-sectional studies reporting the prevalence of IHD among resident physicians. Prevalence estimates were pooled across studies using random-effects meta-analysis, with variance stabilization using Tukey double arcsine transformation. Heterogeneity was assessed with forest plots, the I2 statistic, subgroup analyses, and multivariate meta-regression. Results: 52 cross-sectional studies were included in the meta-analysis. The overall pooled prevalence of IHD was 64.1% (95% confidence interval [CI], 51.0-77.1). Verbal, physical, and sexual IHD were the most common forms of IHD reported by residents. Training status (55.5%), gender (41.7%), and ethnicity (20.6%) were the most commonly cited risk factors for IHD. The most common sources of IHD were relatives/friends of patients, nurses, and patients (cited by 50.7%, 47.8, and 41.7%, respectively). Conclusions: The prevalence of IHD among resident physicians is high and associated with multiple negative outcomes, including burnout. Despite the availability of multiple anti-IHD interventions, reports of IHD appear to be rising in many residency programs. Anees BahjiJosephine Altomare Canadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Anees Bahji Josephine Altomare Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
description	Background: The aim of this study was to establish the prevalence of intimidation, harassment, and discrimination (IHD) reported by resident physicians during their training, to identify factors associated with reported IHD, and to identify adverse sequalae associated with IHD. Methods: This review followed the PRISMA guidelines. Eight electronic databases were searched for cross-sectional studies reporting the prevalence of IHD among resident physicians. Prevalence estimates were pooled across studies using random-effects meta-analysis, with variance stabilization using Tukey double arcsine transformation. Heterogeneity was assessed with forest plots, the I2 statistic, subgroup analyses, and multivariate meta-regression. Results: 52 cross-sectional studies were included in the meta-analysis. The overall pooled prevalence of IHD was 64.1% (95% confidence interval [CI], 51.0-77.1). Verbal, physical, and sexual IHD were the most common forms of IHD reported by residents. Training status (55.5%), gender (41.7%), and ethnicity (20.6%) were the most commonly cited risk factors for IHD. The most common sources of IHD were relatives/friends of patients, nurses, and patients (cited by 50.7%, 47.8, and 41.7%, respectively). Conclusions: The prevalence of IHD among resident physicians is high and associated with multiple negative outcomes, including burnout. Despite the availability of multiple anti-IHD interventions, reports of IHD appear to be rising in many residency programs.
format	article
author	Anees Bahji Josephine Altomare
author_facet	Anees Bahji Josephine Altomare
author_sort	Anees Bahji
title	Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
title_short	Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
title_full	Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
title_fullStr	Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
title_full_unstemmed	Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
title_sort	prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis
publisher	Canadian Medical Education Journal
publishDate	2019
url	https://doaj.org/article/b30ee36760e14e789670dc8edeab90ac
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Prevalence of intimidation, harassment, and discrimination in resident physicians: a systematic review and meta-analysis

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