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Institutional Responses to Harassment and Discrimination in Obstetrics and Gynecology

Eichelberger, Kacey Y., MD; Chescheir, Nancy C., MD; Riley, Laura E., MD

doi: 10.1097/AOG.0000000000002867
Clinical Practice: Current Commentary: PDF Only

Institutional harassment and discrimination are prevalent in the field of medicine and are detrimental to the well-being of individuals, teams, and the work environment. The familiar framework of an obstetric safety bundle is used here to propose 11 practical steps a health care team or institution may take to prepare for and respond to workplace harassment and discrimination in a systematic fashion.

Institutions should prepare for harassment and discrimination events as they would other serious adverse events; we propose a harassment safety bundle as a helpful tool.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of South Carolina School of Medicine Greenville/Greenville Health System, Greenville, South Carolina; the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of North Carolina, Chapel Hill School of Medicine, Chapel Hill, North Carolina; and the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Corresponding author: Kacey Y. Eichelberger, MD, 890 West Faris Road, Suite 470, Greenville, SC 29605; email: keichelberger2@ghs.org.

Financial Disclosure The authors did not report any potential conflicts of interest.

Nancy C. Chescheir, Editor-in-Chief of Obstetrics & Gynecology, was not involved in the review or decision to publish this article.

Each author has indicated that she has met the journal's requirements for authorship.

Received May 04, 2018

Received in revised form June 29, 2018

Accepted July 12, 2018

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.