Evidence map›Paper›PMID 30617103›Full record

ArticleBMJ open2019

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.

Maria Irene Bellini, Yitka Graham, Catherine Hayes, Roxanna Zakeri, Rowan Parks, Vassilios Papalois

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
28.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. The impact of mentoring in trauma and orthopaedic training: a systematic review.Annals of the Royal College of Surgeons of England · 2022
    Pooled it
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  10. Women in cardiac surgery: a global workforce analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Maria Irene BelliniRenal Transplant Directorate, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0003-0730-4923
Yitka GrahamScience Complex, Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, Sunderland, UK.
Catherine HayesScience Complex, Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, Sunderland, UK.
Roxanna ZakeriDepartment of General Surgery, University College London Hospital NHS Foundation Trust, London, UK.
Rowan ParksDirectorate of General Surgery, Hepatobiliary-Pancreatic Surgical Services Royal Infirmary of Edinburgh, Edinburgh, UK.
Vassilios PapaloisRenal Transplant Directorate, Imperial College Healthcare NHS Trust, London, UK.
Imperial College Healthcare NHS Trust · GBDirectorate of Health · ISEdinburgh Royal Infirmary · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Sunderland · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSurgery 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

settingThe 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.

participantsWomen 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).

resultsA 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.

conclusionThese 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.

Indexed as

MentorsPhysicians, WomenSpecialties, SurgicalSurgeonsAdultCareer ChoiceFemaleHumansIrelandSexismSurveys and QuestionnairesUnited Kingdomgender equitystemsurgerysurgical career

Identifiers

PMID30617103
PMCPMC6326292
OpenAlexW2908753230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.