A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group

Objective Surgery remains an inherently male-dominated profession. The aim of this study was to survey women working within the discipline, to understand their current perceptions, providing insight into their practical day-to-day lives, supporting an action-oriented change.Design and setting The li...

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Main Authors: Maria Irene Bellini, Yitka Graham, Catherine Hayes, Roxanna Zakeri, Rowan Parks, Vassilios Papalois
Format: Article
Language:English
Published: BMJ Publishing Group 2019-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/1/e024349.full
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author Maria Irene Bellini
Yitka Graham
Catherine Hayes
Roxanna Zakeri
Rowan Parks
Vassilios Papalois
author_facet Maria Irene Bellini
Yitka Graham
Catherine Hayes
Roxanna Zakeri
Rowan Parks
Vassilios Papalois
author_sort Maria Irene Bellini
collection DOAJ
description Objective Surgery remains an inherently male-dominated profession. The aim of this study was to survey women working within the discipline, to understand their current perceptions, providing insight into their practical day-to-day lives, supporting an action-oriented change.Design and setting The link to a confidential, online survey was distributed through the Association of Surgeons of Great Britain and Ireland (ASGBI) social media platforms on Facebook and Twitter over a 2-week period in October 2017.Participants Women working in surgical specialties and actively responding to the link shared through the ASGBI social media platforms. No patients were involved in the study.Primary and secondary outcome measures Data were analysed through a mixed-methods approach. The quantitative data were analysed through descriptive statistics and qualitative analysis was undertaken using a constant comparative analysis of the participants’ comments, to identify salient patterns (themes).Results A total of 81 female participants replied (42% response rate based on the Facebook group members), with 88% (n=71) perceiving surgery as a male-dominated field. Over half had experienced discrimination (59%, n=47), while 22% (n=18) perceived a ‘glass ceiling’ in surgical training. Orthopaedics was reported as the most sexist surgical specialty by 53% (n=43). Accounts of gendered language in the workplace were reported by 59% (n=47), with 32% (n=25) of surveys participants having used it. Overall, a lack of formal mentorship, inflexibility towards part-time careers, gender stereotypes and poor work–life balance were the main perceived barriers for women in surgical careers.Conclusion These findings highlight the implicit nature of the perceived discrimination that women report in their surgical careers. The ASGBI acknowledges these perceptual issues and relative implications as the first of many steps to create an action-oriented change by allowing all staff, regardless of gender, to reflect on their own behaviour, perceptions and the culture in which they work.
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spelling doaj-art-2f6c384e3cc741cdad82d18a2d36c8ce2025-02-11T20:35:10ZengBMJ Publishing GroupBMJ Open2044-60552019-01-019110.1136/bmjopen-2018-024349A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working groupMaria Irene Bellini0Yitka Graham1Catherine Hayes2Roxanna Zakeri3Rowan Parks4Vassilios Papalois51 Renal Transplant Directorate, Imperial College Healthcare NHS Trust, London, UKFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK6 Public Health and Primary Care, University of Dublin Trinity College, Dublin, IrelandDepartment of Upper GI, Bariatric and Metabolic Surgery, North Bristol NHS Trust, Westbury on Trym, UK5 Directorate of General Surgery, Hepatobiliary-Pancreatic Surgical Services Royal Infirmary of Edinburgh, Edinburgh, UK8Imperial College London, London, UKObjective Surgery remains an inherently male-dominated profession. The aim of this study was to survey women working within the discipline, to understand their current perceptions, providing insight into their practical day-to-day lives, supporting an action-oriented change.Design and setting The link to a confidential, online survey was distributed through the Association of Surgeons of Great Britain and Ireland (ASGBI) social media platforms on Facebook and Twitter over a 2-week period in October 2017.Participants Women working in surgical specialties and actively responding to the link shared through the ASGBI social media platforms. No patients were involved in the study.Primary and secondary outcome measures Data were analysed through a mixed-methods approach. The quantitative data were analysed through descriptive statistics and qualitative analysis was undertaken using a constant comparative analysis of the participants’ comments, to identify salient patterns (themes).Results A total of 81 female participants replied (42% response rate based on the Facebook group members), with 88% (n=71) perceiving surgery as a male-dominated field. Over half had experienced discrimination (59%, n=47), while 22% (n=18) perceived a ‘glass ceiling’ in surgical training. Orthopaedics was reported as the most sexist surgical specialty by 53% (n=43). Accounts of gendered language in the workplace were reported by 59% (n=47), with 32% (n=25) of surveys participants having used it. Overall, a lack of formal mentorship, inflexibility towards part-time careers, gender stereotypes and poor work–life balance were the main perceived barriers for women in surgical careers.Conclusion These findings highlight the implicit nature of the perceived discrimination that women report in their surgical careers. The ASGBI acknowledges these perceptual issues and relative implications as the first of many steps to create an action-oriented change by allowing all staff, regardless of gender, to reflect on their own behaviour, perceptions and the culture in which they work.https://bmjopen.bmj.com/content/9/1/e024349.full
spellingShingle Maria Irene Bellini
Yitka Graham
Catherine Hayes
Roxanna Zakeri
Rowan Parks
Vassilios Papalois
A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
BMJ Open
title A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
title_full A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
title_fullStr A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
title_full_unstemmed A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
title_short A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group
title_sort woman s place is in theatre women s perceptions and experiences of working in surgery from the association of surgeons of great britain and ireland women in surgery working group
url https://bmjopen.bmj.com/content/9/1/e024349.full
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