Evidence map›Paper›PMID 42234424›Full record

ArticleJAMA network open2026

Self-Reported Patient-Perpetrated Sexual Harassment Among the US Urological Workforce.

Catherine S Nam, Helen A Gambrah, Lisa M Meeks, Andrea L Oliverio, Priyanka Gupta, Kathleen T Lee, Meidee Goh, Anne P Cameron, Elizabeth M Viglianti

Abstract read
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Catherine S NamDepartment of Urology, University of Michigan, Ann Arbor.
Helen A GambrahDepartment of Urology, University of Michigan, Ann Arbor.
Lisa M MeeksDepartment of Learning Health Sciences, University of Illinois at Chicago, Chicago.
Andrea L OliverioDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor.
Priyanka GuptaDepartment of Urology, University of Michigan, Ann Arbor.
Kathleen T LeeDivision of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan, Ann Arbor.
Meidee GohDepartment of Urology, University of Michigan, Ann Arbor.
Anne P CameronDepartment of Urology, University of Michigan, Ann Arbor.
Elizabeth M VigliantiInstitute of Healthcare Policy and Innovation, University of Michigan, Ann Arbor.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Patient-perpetrated sexual harassment is commonly experienced in medicine. Female clinicians and trainees in urology are hypothesized to be at higher risk of experiencing patient-perpetrated sexual harassment because of the sensitive topics managed and the sex discordance between female clinicians and male patients. Objective: To assess the prevalence of experiencing and witnessing patient-perpetrated sexual harassment, where it occurs, and the reporting processes and whether they differ by clinician sex and role. Design, Setting, and Participants: In this cohort study, practicing urologists, advanced practice providers (APPs), urology residents, and fellows (trainees) who participated in the 2023 American Urological Association Annual Census were eligible. A multiple-choice survey administered as part of the annual census (from April 28 to September 30, 2023) asked about patient-perpetrated sexual harassment. Data were analyzed from June 20, 2024, to April 10, 2026. Main Outcomes and Measures: Self-reported (1) experiencing and witnessing of patient-perpetrated sexual harassment, (2) where it occurred, and (3) knowledge of formal reporting processes by clinician sex and role. Results: A total of 1467 clinicians completed the survey, including 950 practicing urologists, 285 trainees, and 232 APPs. Participants were predominantly male clinicians (67.4% [n = 989]); 17.9% (n = 262) and 29.6% (n = 434) of clinicians reported experiencing and witnessing any patient-perpetrated sexual harassment, respectively. When stratified by sex, 41.8% (n = 200) of female clinicians and 6.3% (n = 62) of male clinicians experienced any patient-perpetrated sexual harassment (P < .001). When stratified by clinician role, 21.4% of trainees (n = 61; P = .02), 24.1% of APPs (n = 56; P = .002) compared with 15.3% (n = 145) of practicing urologists reported experiencing any patient-perpetrated sexual harassment. After adjustment for participant demographic characteristics, trainees (adjusted odds ratio, 0.51; 95% CI, 0.31-0.83) and APPs (adjusted odds ratio, 0.34; 95% CI, 0.22-0.53) had lower odds of experiencing harassment compared with practicing urologists. Clinicians reported that most forms of patient-perpetrated sexual harassment were experienced in clinics (85.5% [n = 147]); 67.3% (n = 987) of clinicians reported being aware of formal reporting processes, but 60.9% (n = 601) were unaware if patients were notified about the report. Conclusions and Relevance: In this cross-sectional cohort study, we found that clinician role was not associated with higher odds of experiencing patient-perpetrated sexual harassment but being a female clinician was. Our findings are a call for action to have institutional policies and national advocacy to protect the urological workforce from patient-perpetrated sexual harassment.

Indexed as

Physician-Patient RelationsSexual HarassmentUrologistsUrologyAdultCohort StudiesFemaleHumansMaleMiddle AgedPhysicians, WomenPrevalenceSelf ReportSurveys and QuestionnairesUnited States

Identifiers

PMID42234424
PMCPMC13234689

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.