PDF(Pubmed)
Abstract：
Despite the societal progress made in recent years, gender discrimination is still common in healthcare, especially in some surgical specialties such as orthopaedics. In Brazil, where the participation of women in the medical profession has been increasing, little is known about women\'s perceptions on the issue of gender discrimination. This study aims to examine women orthopaedic surgeons\' experiences in dealing with conflict in the workplace and contextualize the impact that gender discrimination has had or currently has on their careers and well-being. As a secondary objective, the work seeks to understand whether there are differences in the perception of the issue among practicing women orthopaedic surgeons and those in training. For a cross-sectional qualitative study, a survey was distributed exclusively to 300 practicing orthopaedic surgeons and orthopaedists in training (residents and fellows). A total of 99 women participated in the survey, of whom 66 were practicing orthopaedic surgeons and 33 were orthopaedists in training. The study showed that women orthopaedic surgeons in training in Brazil have a lower number of publications and a moderate level of involvement in academic society activity. In addition, orthopaedic surgeons in training experience a statistically significantly higher number of conflicts in the workplace. The comments from the questionnaires highlighted the physical and psychological consequences arising from these situations of professional conflict, most frequently occurring with orthopaedic surgeons who are men. Our findings indicate that respondents expressed a feeling of inequality towards women in the workplace, ultimately reducing the level of job satisfaction among female orthopaedic surgeons, which may contribute to disinterest and abandonment of the specialty. The results of this work support recent evidence that there is an implicit and often overlooked bias against the participation of women and ethnic minorities in the orthopaedic community in Brazil.
摘要：
尽管近年来取得了社会进步，性别歧视在医疗保健中仍然很普遍，特别是在一些外科专业，如骨科。在巴西,妇女在医学界的参与一直在增加，对女性在性别歧视问题上的看法知之甚少。这项研究旨在研究女性骨科医生在处理工作场所冲突方面的经验，并将性别歧视已经或目前已经对她们的职业和福祉产生的影响置于情境中。作为次要目标，这项工作旨在了解执业女性骨科医生和接受培训的女性对这一问题的看法是否存在差异。对于横断面定性研究，一项调查专门分发给300名正在接受培训的骨科医师和骨科医师(住院医师和研究员)。共有99名妇女参与调查,其中66名是骨科医师，33名是接受培训的骨科医师。研究表明，在巴西接受培训的女性整形外科医生的出版物数量较少，参与学术活动的程度中等。此外,整形外科医生在培训中经历的工作场所冲突数量在统计上明显更高。问卷的评论强调了这些职业冲突情况造成的身体和心理后果，最常见的是男性整形外科医生。我们的研究结果表明，受访者对工作场所的女性表现出不平等的感觉，最终降低女性骨科医生的工作满意度，这可能会导致对专业的不感兴趣和放弃。这项工作的结果支持了最近的证据，即在巴西的骨科社区中，妇女和少数民族的参与存在隐含且经常被忽视的偏见。
