Evidence map›Paper›PMID 37697690›Full record

Observational studyThe British journal of surgery2023

Sexual harassment, sexual assault and rape by colleagues in the surgical workforce, and how women and men are living different realities: observational study using NHS population-derived weights.

Christopher T Begeny, Homa Arshad, Tamzin Cuming, Daljit K Dhariwal, Rebecca A Fisher, Marieta D Franklin, Philippa M Jackson, Greta M McLachlan, Rosalind H Searle, Carrie Newlands

Erratum issuedOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
36.0field-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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. A review of sexual misconduct in dentistry.British dental journal · 2025
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Re-educating the surgical culture, is it possible?Canadian medical education journal · 2026
    Article
  8. Article
  9. Sex- and gender-based harassment: the toxic substrate of medical professional culture.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Interest in cardiothoracic surgery: are women more interested today?Indian journal of thoracic and cardiovascular surgery · 2026
    Review
  14. Article
  15. Article
  16. Us too: sexual harassment of female doctors in Sri Lanka.The Lancet regional health. Southeast Asia · 2025
    Article
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 1 country.

Christopher T BegenyFaculty of Health and Life Sciences, Department of Psychology, University of Exeter, Exeter, UK.ORCID 0000-0003-4734-8840
Homa ArshadBarts Bone and Joint Health, Barts NHS Trust, Royal London Hospital, London, UK.
Tamzin CumingDepartment of Surgery, Homerton University Hospital, London, UK.
Daljit K DhariwalOxford University Hospitals NHS Foundation Trust, Nuffield Department of Surgical Sciences, University of Oxford, John Radcliffe Hospital, Oxford, UK.
Rebecca A FisherSchool of Medical Sciences, Division of Medical Education, University of Manchester, Manchester, UK.
Marieta D FranklinDepartment of Trauma and Orthopedics, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Philippa M JacksonDepartment of Surgery, North Bristol NHS Trust, Bristol, UK.
Greta M McLachlanDepartment of Surgery, Frimley Health Foundation Trust, Frimley, UK.
Rosalind H SearleAdam Smith Business School, University of Glasgow, Glasgow, UK.
Carrie NewlandsSchool of Biosciences and Medicine, University of Surrey, Guildford, UK.
Adam Smith Institute · GBBarts Health NHS Trust · GBFrimley Health NHS Foundation Trust · GBHomerton University Hospital · GBJohn Radcliffe Hospital · GBNorth Bristol NHS Trust · GBUniversity of Exeter · GBUniversity of Liverpool · GBUniversity of Manchester · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis observational study, paired with National Health Service (NHS) workforce population data, examined gender differences in surgical workforce members' experiences with sexual misconduct (sexual harassment, sexual assault, rape) among colleagues in the past 5 years, and their views of the adequacy of accountable organizations in dealing with this issue.

methodsThis was a survey of UK surgical workforce members, recruited via surgical organizations.

resultsSome 1704 individuals participated, with 1434 (51.5 per cent women) eligible for primary unweighted analyses. Weighted analyses, grounded in NHS England surgical workforce population data, used 756 NHS England participants. Weighted and unweighted analyses showed that, compared with men, women were significantly more likely to report witnessing, and be a target of, sexual misconduct. Among women, 63.3 per cent reported being the target of sexual harassment versus 23.7 per cent of men (89.5 per cent witnessing versus 81.0 per cent of men). Additionally, 29.9 per cent of women had been sexually assaulted versus 6.9 per cent of men (35.9 per cent witnessing versus 17.1 per cent of men), with 10.9 per cent of women experiencing forced physical contact for career opportunities (a form of sexual assault) versus 0.7 per cent of men. Being raped by a colleague was reported by 0.8 per cent of women versus 0.1 per cent of men (1.9 per cent witnessing versus 0.6 per cent of men). Evaluations of organizations' adequacy in handling sexual misconduct were significantly lower among women than men, ranging from a low of 15.1 per cent for the General Medical Council to a high of 31.1 per cent for the Royal Colleges (men's evaluations: 48.6 and 60.2 per cent respectively).

conclusionSexual misconduct in the past 5 years has been experienced widely, with women affected disproportionately. Accountable organizations are not regarded as dealing adequately with this issue.

Indexed as

RapeSex OffensesSexual HarassmentFemaleHumansMaleState MedicineSurveys and Questionnaires

Identifiers

PMID37697690
PMCPMC10564399
OpenAlexW4386624425

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.