CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2021; 30(03): e184-e188
DOI: 10.1055/s-0041-1735787
Original Articles | Artículos Originales
General urology / Urología General

Perception of Harrasment or Discrimination during Urology Residency in Colombia

Percepción de acoso o discriminación durante la residencia de urología en Colombia
1   Department of Urology, Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Santander, Colombia
Andres Felipe Quiñones Roa
1   Department of Urology, Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Santander, Colombia
Bernardo Santamaria Fuerte
1   Department of Urology, Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Santander, Colombia
2   Centro Urológico Foscal, Clínica FOSCAL, Floridablanca, Santander, Colombia
1   Department of Urology, Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Santander, Colombia
2   Centro Urológico Foscal, Clínica FOSCAL, Floridablanca, Santander, Colombia
› Author Affiliations
Funding The authors have no source of funding to declare.


Purpose Workplace bullying (harassment, abuse, or discrimination), practiced persistently against an individual, can generate a hostile workplace environment, consequently leading to exhaustion, with poor psychological outcomes, and the onset of symptoms such as loss of confidence, fatigue, depressive thoughts, desertion, and suicidal thoughts. There are no publications regarding this issue in Colombia.

Our objective is to describe the residents' perception of gender and workplace discrimination and verbal/sexual harassment during their urological training.

Methods Observational, descriptive, cross-sectional study with anonymous surveys. We evaluated the demographic characteristics and the residents' perception of harassment, the type of harassment, how it affected their performance during residency, and from whom it was perceived.

Results We were able to obtain answers from 82/115 residents (71.3%), most of them men (45 [56%]). In total, 66% (54) reported workplace harassment; and 35.4% (29) felt gender discrimination, most of them women (17; 58.6%). Verbal abuse was reported by 64.6% (53), and it affected the work of 92.5%. The parception of workplace harassment was similar among both men and women (32 [69.5%] men and 21 [61.1%] women). A total of 7(19%) women reported sexual abuse. Regarding the source of the abuse, 39 (65.8%) was by professors, 26 (45%), by other residents, and 17 (35.4%), by patients.

Conclusion The perception of harassment during urology residency in Colombia is real, and it affects the work of residents. This abuse is greater on the part of men, and is mainly perpetrated by professors. We consider our work the starting point to continue researching a topic of national and international importance.


Objetivos El maltrato laboral (acoso, abuso o discriminación) ejercido de manera persistente contra un individuo genera un ambiente de trabajo hostil y lleva a agotamiento, con un impacto psicológico importante y la posibilidad de aparición de síntomas depresivos. En Colombia, no contamos con publicaciones al respecto.

El objetivo de nuestro trabajo es conocer la percepción de los residentes de urología en cuanto a discriminación de género y acoso laboral, verbal y sexual durante su formación.

Metodos Estudio observacional, descriptivo, de corte transversal, por medio de encuestas anónimas. Evaluamos las características demográficas, la percepción de acoso, el tipo de acoso, si éste afectó el rendimiento laboral del residente, y por parte de quién lo percibió.

Resultados Obtuvimos respuestas de 82/115 (71,3%) residentes, en su mayoría hombres (45 [56%]). En total, 66% (54) reportaron haber experimentado acoso laboral; y 35,4% (29) reportaron haber experimentado discriminación de género, siendo más frecuente en las mujeres (17; 58,6%). El acoso verbal fue reportado por un 64,6% (53), y afectó el trabajo de un 92,5%. La percepción de acoso laboral fue similar entre hombres y mujeres (32 [69.5%] hombres y 21 [61.1%] mujeres). En total, 7 (19%) mujeres reportaron acoso sexual. Con respecto a la fuente de acoso, 39 (65,8%) fue por profesores, 26 (45%), por otros residentes, y 17 (35,4%), por pacientes.

Conclusión La percepción de acoso durante la residencia de urología en Colombia es real, y afecta el trabajo de los residentes. Este acoso es mayor por parte de los hombres, y es principalmente generado por profesores. Consideramos nuestro trabajo el punto de partida para continuar investigando un tema de importancia a nivel nacional y internacional.

Publication History

Received: 10 January 2021

Accepted: 02 July 2021

Article published online:
30 September 2021

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  • References

  • 1 Nagata-Kobayashi S, Maeno T, Yoshizu M, Shimbo T. Universal problems during residency: abuse and harassment. Med Educ 2009; 43 (07) 628-636
  • 2 Rodríguez-Socarrás M, Vasquez JL, Uvin P, Skjold-Kingo P, Gómez Rivas J. “Síndrome de agotamiento”: Estrés, Burnout y depresión en Urología. Arch Esp Urol 2018; 71 (01) 46-54
  • 3 Fnais N, Soobiah C, Chen MH. et al. Harassment and discrimination in medical training: a systematic review and meta-analysis. Acad Med 2014; 89 (05) 817-827
  • 4 Hu Y-Y, Ellis RJ, Hewitt DB. et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. N Engl J Med 2019; 381 (18) 1741-1752
  • 5 Fnais N, al-Nasser M, Zamakhshary M. et al. Prevalence of harassment and discrimination among residents in three training hospitals in Saudi Arabia. Ann Saudi Med 2013; 33 (02) 134-139
  • 6 Fitzgerald CA, Smith RN, Luo-Owen X. et al. Screening for harassment, abuse, and discrimination among surgery residents: An EAST multicenter trial. Am Surg 2019; 85 (05) 456-461
  • 7 Ortiz Zableh AM, Santamaría Fuerte B, Tobar Roa V. Situación actual de la mujer en Urología en Colombia. Arch Esp Urol 2021; 74 (02) 187-196
  • 8 Bates CK, Jagsi R, Gordon LK. et al. It Is Time for Zero Tolerance for Sexual Harassment in Academic Medicine. Acad Med 2018; 93 (02) 163-165
  • 9 Jagsi R, Griffith KA, Jones R, Perumalswami CR, Ubel P, Stewart A. Sexual harassment and discrimination experiences of academic medical faculty. JAMA 2016; 315 (19) 2120-2121