Male Doctors Research Articles

Prescribing Patterns of Isotretinoin for Acne Among Dermatologists in Central Jordan.

Prescribing practices among dermatologists play a crucial role in managing acne, particularly concerning medications like isotretinoin. In Jordan's central region, encompassing the Governorates of Amman, Balqa, Zarqa, and Madaba, dermatologists in both public and private sectorsencounterdiverse cases of acne. Understanding their prescription patterns and awareness regarding isotretinoin usage is essential for optimizing acne treatment outcomes and minimizing potential risks. This study aimed to evaluate dermatologists' practices in prescribing isotretinoin for acne. It relied on the descriptive analytical approach, with the study population including all dermatologists working in the public and private sectors in the central region of Jordan. Simple random sampling was used to include 147 male and female doctors. An online questionnaire was adopted to collect data from the study sample, which was distributed through social media platforms and messaging platforms such as Facebook, WhatsApp, and Instagram to dermatologists working in the central region. In this study of 147 dermatologists, 58 (39.45%) prescribed isotretinoin primarily for severe acne, and 53(36.06%) prescribed isotretinoin to about 50-100 patients per year, with the initial dosage based on guidelines (n=102, 69.39%). The majority (n=115; 78.23%) refrained from prescribing if liver enzymes were elevated. Pregnancy tests were required by 42 (28.57%) in the first session, while 78 (53.07%) deemed it the patient's responsibility. Common precautions included sunscreen (n=77; 52.38%) and moisturizing cream (n=31, 21.09%).Only six of the dermatologists (4.08%) advised their patients not to use contact lenses, and only 17 (11.57%) prescribed moisturizing eye drops. This study's findings emphasize how crucial physicians' experience is when it comes to prescribing isotretinoin for severe acne. Continued educational initiatives are imperative to address gaps in patient information and safeguards in order to optimize treatment outcomes and ensure patient safety.

National and International Comparisons of Gynecological Research in Germany Based on a Bibliometric Analysis of Publications.

Recent years have seen a considerable shift from male doctors to female doctors in the field of gynecology. Female doctors are traditionally more involved with planning and maintaining their family. For gynecology, this could be associated with a risk that research activities will decrease, particularly if results are published in scientific journals. In view of this shift, a comparative observational study was carried for 2022 in which 1306 publications were matched to 1786 female and male doctors reported on the websites of the 44 locations of university gynecology departments in Germany. In addition, the volume of publications issued between 2014 and 2022 was compared for Germany, France, the United Kingdom, and the United States. In Germany, the volume of publications in Gynecology was additionally compared with the publication outputs of the specialties Urology and Trauma Surgery. Since 2014, the increase in the numbers of publications in the field of Gynecology in Germany was lower (225%) than that of the countries with which it was compared (238%/252%/260% for F/UK/USA). When Gynecology was compared with other medical specialties in Germany, the number of publications in Urology were found to have increased at a lower rate (196%) while the number of publications in the field of Trauma Surgery increased by more (286%) than that of Gynecology. At the start of 2023, the percentage of women who were working as doctors at the lowest hierarchical level (junior doctor) was 81%. The publication output per capita of female doctors working at lower levels in the medical hierarchy, i.e., working as junior doctors and senior physicians, was between 40% and 80% lower than that of male doctors working at the same level. However, female directors published as much as male directors did. In the lower hierarchy levels, men were up to 14% more likely to be without an academic title. Predictors for more extensive publication activities by young female and male doctors include the extent and quality of publications by doctors in senior positions, the presence of a comprehensive cancer center or an institute for human genetics at the location where the young doctors were working, and joint publications with foreign authors. For the German Society of Gynecology and Obstetrics, the results suggest a number of approaches to promote young researchers. The support provided to young female doctors is especially important as this should help to retain them as junior researchers over the long term.

A Retrospective Cross-Sectional Study on the Effect of Socio-Cultural Factors and Edication in Early Detection of Breast Cancer

Backgrounds: The aim of this study is to investigate the preferences of female patients regarding the choice of surgeon for breast examination and the factors impacting this preference. Methods: A questionnaire was administered by interviewing 746 patients who applied to the General Surgery outpatient clinic with complaints of breast disease, and the results were analyzed statistically. The questionnaire form included the patient's age, marital status, hormonal status, history of delivery, complaints, factors that may impact the choice of physician, educational status, physical examination findings, and imaging results. Results: The study group included 746 patients aged between 14 and 76 years. While 284 (38%) of our patients applied to the outpatient clinic within 7 days of their first symptoms, 462 (62%) applied more than 7 days later. Due to late admission, advanced-stage breast cancer was detected in 2.8% of the patients. The most common reason for the delay in admission was the feeling of embarrassment in females of all age groups. Conclusion: Women with breast disease apply to the physician in the late period due to feeling embarrassed, religious beliefs, spouse pressure, and having a reservation for being examined by a male doctor. Breast diseases could be detected and treated in an earlier period, by enabling patients to apply to a physician earlier, with training, especially for women.

Hospital Environment, Mental Health and Turnover Intention among Doctors of Lahore

Objective: To assess the relationship between hospital environment, mental health and turnover intention among doctors. Study Design: Cross-sectional analytical study. Place and Duration of Study: Mayo Hospital Lahore and Jinnah Hospital, Lahore Pakistan, from Feb to July 2019. Methodology: Using convenient sampling, a sample of 100 doctors (males=50 and females=50) was recruited. This study did not include participants with less than one year of work experience. The hospital environment was examined using the Organizational Environment Scale. The mental health of doctors was assessed using the Mental Wellbeing Scale, and their turnover was measured through the Turnover Intention Scale. Results: Hospital environment and doctors’ mental health positively correlated (p<0.001). Doctors who perceived the hospital environment as good had good mental health and less intention to turnover their jobs (p<0.001). Furthermore, female doctors had poorer health and higher turnover intention than male doctors (p<0.001). Conclusion: The hospital environment affects doctors’ mental health. A good hospital environment significantly positively predicted good mental health.

Gender, flexibility and workforce in the NHS: A qualitative study.

Data from the General Medical Council show that the number of female doctors registered to practise in the UK continues to grow at a faster rate than the number of male doctors. Our research critically discusses the impact of this gender-based shift, considering how models of medical training are still ill-suited to supporting equity and inclusivity within the workforce, with particular impacts for women despite this gender shift. Drawing on data from our research project Mapping underdoctored areas: the impact of medical training pathways on NHS workforce distribution and health inequalities, this paper explores the experiences of doctors working in the NHS, considering how policies around workforce and beyond have impacted people's willingness and ability to continue in their chosen career path. There is clear evidence that women are underrepresented in some specialties such as surgery, and at different career stages including in senior leadership roles, and our research focuses on the structural factors that contribute to reinforcing these under-representations. Medical education and training are known to be formative points in doctors' lives, with long-lasting impacts for NHS service provision. By understanding in detail how these pathways inadvertently shape where doctors live and work, we will be able to consider how best to change existing systems to provide patients with timely and appropriate access to healthcare. We take a cross-disciplinary theoretical approach, bringing historical, spatiotemporal and sociological insights to healthcare problems. Here, we draw on our first 50 interviews with practising doctors employed in the NHS in areas that struggle to recruit and retain doctors, and explore the gendered nature of career biographies. We also pay attention to the ways in which doctors carve their own career pathways out of, or despite of, personal and professional disruptions.

Gender Biases Influencing Female Medical Students' Career Choice in Orthopaedics!

Madam, The choice of specialisation by medical students is influenced by a variety of factors, including the specialty's perceived credibility, parental influence, work-life balance, money, cultural background, rotations in the clinic, mentors' experiences, etc. In various medical professions gender disparity persists, in conventionally male-dominated specialties, despite rising numbers of women in medical schools and clinical practice regions globally. Inevitably, there were statistically substantial gender variations in the medical specialties chosen by male and female doctors, with the majority of men choosing surgery and orthopaedics.1

Removing Barriers to Entry in Medicine: Evidence from Pakistan

Abstract In 1992, Pakistan equalized admissions criteria for women and men applying to medical schools, causing a rapid increase in the female share of medical graduates. Using birth cohort variation, I find that equalizing admissions criteria increased employment among female doctors by 21 percentage points and among doctors overall by 9 percentage points, even though female doctors are less likely to be employed than male doctors. Earnings for male medical graduates increased as lower ability males were crowded out. The 1992 reform led to increased gender diversification in a wide range of medical specialties, but it also concentrated doctors in urban districts where women prefer to practice.

Seroprevalence of COVID antibodies in health-care population of tertiary care government hospital in South India

Background: The pandemic coronavirus disease 2019 (COVID-19) caused by the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in a worldwide abrupt and significant rise in admissions for pneumonia with multiorgan diseases. Aims and Objective: To determine the positive prevalence of SARS-CoV-2 antibodies in health-care professionals over 6 months. In addition, to make a subgroup analysis and estimate the age, gender, and workforce-based prevalence of SARS-CoV-2. Materials and Methods: An observational cross-sectional study was conducted on 200 healthcare professionals during 6 months. After taking proper informed consent, the study was started. We included subjects aged ≥18 years in this study. Not receiving any other vaccine during the study, suspected or confirmed immunosuppressive condition, imaging confirmed COVID-19 or recent blood transfusions were excluded from the study. Results: Most patients were 26–30 years old. Out of 200 patients, 116 (58%) were males, and 84 (42%) were females. The total positivity of the titers amounts was 57%. In addition, the males had higher mean titers than the females, with 24.186 versus 13.304. Of the 116 males, 68 were positive (58.6%), and of the 84 females, 46 were positive (54.7%). The age-wise positivity of the titers was high among the 26–30 years of age group, of which, in the 53 people, 33 were seropositive, which is 62.2% of this age group and lowest in the 51–55 years age group, of which in the 23 participants 9 were positive (39.31%), and 14 were negative (60.85%). Conclusion: We concluded that male doctors and adults had a greater seroprevalence of SARS-CoV-2 infection, suggesting that they are more susceptible to contracting COVID-19 through patient contact or surgical procedures.

Job burnout and its influencing factors among village doctors during the COVID-19 pandemic: a cross-sectional study.

The aim of this study is to understand the job burnout of village doctors during the COVID-19 epidemic and its influencing factors, and to provide a reference for effectively alleviating the job burnout of village doctors. A cross-sectional survey was conducted among village doctors in S province in December 2021. The survey included a general information questionnaire and the CMBI Burnout Scale. Epidata was used for dual input, and descriptive analysis, t-test, chi-square test, and binary Logistic regression for statistical analysis were used. A total of 993 village doctors participated in the survey. Most of them were male village doctors (62.84%), with an average age of 46.57 (SD = 7.50). Village doctors believed that the impact of the epidemic on work was serious, with a score of 3.87 ± 0.91. The economic support was small, with a score of 2.31 ± 0.99. The development space was low, with a score of 2.62 ± 0.98. The overall incidence of burnout was 53.47%. In the burnout group, 54.05% were mild, 33.14% were moderate, and 12.81% were severe. The high degree of difficulty in using WeChat (OR = 1.436, 95%CI: 1.229-1.679), high work pressure (OR = 1.857, 95%CI: 1.409-2.449), high risk of practice (OR = 1.138, 95%CI: 1.004-1.289), less economic support (OR = 0.825, 95%CI: 0.684-0.995), less technical support (OR = 0.696, 95%CI: 0.565-0.858), and poor emotional support (OR = 0.632, 95%CI: 0.513-0.780) were more likely to have job burnout. Burnout is a common phenomenon among village doctors during the COVID-19 pandemic, which needs to be prevented and alleviated by various measures.

Gender-Related Microaggressions in Orthopedic Surgery: A Comprehensive Survey of Women Orthopedists and Implications for Progress, Saudi Arabia.

Microaggressions are subtle and often unintentional acts that can be verbal, nonverbal, or environmental, and they convey negative messages to individuals belonging to marginalized social groups. This study aims to determine the prevalence of microaggressions experienced by female Saudi orthopaedic surgeons. This cross-sectional study was conducted online and targeted female in orthopedic surgery across different regions of the Kingdom of Saudi Arabia. The survey was uploaded to Google Forms and distributed through social media platforms like Twitter, Instagram, and WhatsApp by well-trained data collectors. In this survey we included 96 female Saudi orthopedics. Their mean age was 27.46 ± 12.20 years. Most respondents were either residents (52.63%), or specialists (23.16%). Most participants (92.63%) were still in training or early in their careers, with the vast majority (93.68%) had their residency in Saudi Arabia. Nearly three-fifths (61.05%) have reported experiencing microaggressions as victims, 76.84%, did not see themselves as perpetrators of microaggressions, 23.16% acknowledged having engaged in such behavior. Patients or their families were reported to be involved in microaggressions in 43.16% of cases, while male surgeons and male support staff were implicated at 51.58% and 23.16%, respectively. Additionally, other male medical doctors participate in microaggressions in 33.68% of instances. Female surgeons were identified as being involved in 22.11% of microaggressions, whereas 29.47% involve female support staff. The study's outcomes can help inform strategies to promote a supportive and inclusive environment within the field of orthopaedic surgery, encouraging positive interactions and equitable opportunities for all practitioners.

KNOWLEDGE, ATITUDE AND PRACTICE AMONG DOCTORS REGARDING COVID-19 TRANSMISSION IN DHQ HOSPITAL, NAROWAL

KNOWLEDGE, ATITUDE AND PRACTICE AMONG DOCTORS REGARDING COVID-19 TRANSMISSION IN DHQ HOSPITAL, NAROWAL
 Muhammad Tariq1 
 1 District Health Officer, Narowal
 ABSTRACT
 BACKGROUND 
 Corona virus disease-19 (COVID-19) has highlighted vulnerability to pandemics with significant impact on various sectors. Health care workers (HCWs) are likely to become infected as a result of inadequate knowledge, incorrect attitudes and practices. Given the severity of the epidemic and the necessity of doctors battling COVID-19 with limited resources in Pakistan, it was necessary to examine their knowledge, attitude and practices.
 OBJECTIVE: 
 To determine knowledge, attitudes and practices (KAP) among doctors working in District Headquarter Hospital (DHQ) Hospital, Narowal regarding COVID-19 infection.
 METHODS:
 This descriptive cross-sectional survey was conducted in District Headquarters Hospital (DHQ) Narowal for a period of six months from 26th September 2021 to 26th February 2022. Questionnaire was divided into three components and gathered information about demographic data, knowledge of COVID-19 and their practice section that involves steps taken by the participant to prevent contracting the infection and data was analyzed.
 RESULTS: 
 In this study comprising of 382 doctors as participants, 351 (91.9%) participants were in 25–35 years age range while 21 (5.5%) participants were between 35-45 years and 10 (2.6%) were > 45 years of age. Out of 382 participants, 209 (54.75%) were males and 173 (45.3%) were females. 263 (68.8%) reside in rural areas while 119(31.3%) had urban dwelling. According to duration of service, 191 (50% ) respondents had service duration of 0-5 years, followed by 99 participants (25.9%) having service length of 6-10 years, while 51(13.5%) of 11-15 years, 23 (6.02%) of 16-20 years & 18 (4.71%) of > 20 years. 89.3% have monthly income less than 150,000/- Pakistani rupees while 10.7% receive monthly salary above 1.5 lac rupees. 100 (47.8%) male doctors and 80 (46.2%) female doctors stated that their major source of information regarding COVID-19 transmission and precautionary measures was television whereas 80 (38.3%) male doctors and 69 (39.9%) female doctors had internet as major source of information. Results showed that mean knowledge score of female doctors was higher as compared to male doctors (11.91±.718 vs.11.97±.184). 100% doctors had good knowledge and >9 5% doctors possess positive attitude and have adopted safety practices to protect themselves from COVID-19 infection. Results also showed that mean attitude score of female doctors was higher as compared to male doctors.
 CONCLUSION: 
 Participants indicated high level of awareness, optimistic attitude and appropriate practices observed during Covid-19 pandemic. Educated people are more likely to believe the scientific facts thus more compliance with preventive measures. Findings of this study might serve as baseline for planning campaigns at National level to create awareness among general masses which would help them in adopting preventive measures for better containment of Covid-19.
 KEY WORDS: 
 COVID-19, Pandemic, Awareness, Attitude, Practices, Healthcare providers, Narowal

From Midwife to Male Doctor: Witchcraft, Medical Technology and Patriarchal Hegemony in Sarah Daniels’s Byrthrite

From Midwife to Male Doctor: Witchcraft, Medical Technology and Patriarchal Hegemony in Sarah Daniels’s Byrthrite

Deconstructing the masculinized assumption of the medical profession: narratives of Japanese physician fathers

BackgroundGender studies in the medical profession have revealed gender biases associated with being a doctor, a profession often regarded as more suitable for men. The path to gender equality inevitably involves deconstructing this masculinized assumption. Despite the decades-long expectation that ikumen–men who actively participate in childcare in Japan–would contribute to a change toward gender equality, Japanese society is still male dominated, and women suffer from a large gender gap. With the aim of exploring implicit gendered assumptions concerning being a caregiver and a doctor, the authors focused on the experience of individuals juggling the binary roles of a professional and a caregiver.MethodsThe authors conducted subjectivist inductive research, recruited ten Japanese physician fathers through purposive sampling, and collected data through one-to-one semi-structured interviews between October 2017 and December 2018. The authors recorded and transcribed the narrative data, and extracted themes and representative narratives.ResultsThe study identified three themes about the reproduction and potential change of the gender gap: maintaining gendered assumptions of the medical profession without experiencing conflict, maintaining gendered assumptions of the medical profession while experiencing conflict, and deconstructing gendered assumptions of the medical profession through conflict. The authors found that these negotiations interplayed with the gendered division of labor between male doctors and their wives as well as the patriarchal family structure.ConclusionsThe study revealed how gendered assumptions of the medical profession, as well as gender stereotypes and gendered division of household labor, were reproduced in the course of male doctors’ negotiations when they became fathers. For male doctors to question their unconscious gender bias, the authors emphasize the importance of men gaining knowledge about gender stereotypes, and propose that educators create such opportunities. Moreover, the authors assert that increasing doctors’ awareness of how masculinized assumptions implicitly interact with ideas of being a doctor—an aspect rarely discussed among medical professionals—is crucial for deconstructing the gendered normativity in the medical field.

Gender Bias in Virtual Doctor Interactions: Gender Matching Effects of Chatbots and Users on Communication Satisfactions and Future Intentions to Use the Chatbot

A healthcare provider’s gender not only influences patients’ health-related behaviors but also the reliability of health information. Grounded in the Computers Are Social Actors (CASA) theory and prior health literature, the current study examines how healthcare chatbots’ gender cues and user gender affect intentions to use the chatbot and chatbot expertise perceptions. Using a 3 (Chatbot Gender Cues: Chatbot vs. Male Doctor vs. Female Doctor) X 2 (User Gender: Male vs. Female) between-subjects experiment, this study indicates that the female-doctor design cues led to significantly higher perceived warmth and communication satisfaction, which subsequently increased social presence and future intentions to use the chatbot. Results also indicated a significant gender congruence effect between female users and the female-doctor design cue chatbot to yield greater communication satisfaction. This study, however, did not find a significant difference in perceived expertise between male versus female doctor design cues. Theoretical and practical implications are discussed.

Attitudes of Non-psychiatric Doctors Toward the Management of Psychiatric Problems.

This research explores non-psychiatric doctors'attitudes toward managing psychiatric problems, recognizing the critical intersection between physical and emotional health. The study aims to understand the barriers and facilitators in addressing these challenges within a tertiary care hospital in Hyderabad, India. The prevalence of psychiatric disorders among general hospital inpatients and outpatients underscores the need for comprehensive care. However, various obstacles hinder effective management. The objectives are to describe and understand these attitudes and to investigate the reasons for non-referral in cases involving psychiatric concerns. A cross-sectional study was conducted from April to May 2023, involving 178 doctors from various specialties directly engaged in patient care. Participants completed a modified Doctors Attitudes Toward Collaborative Care for Mental Health (DACC-MH) questionnaire. This tool assessed their attitudes towardpsychosocial and psychiatric problems, including their willingness to take responsibility for assessments and referrals. Data analysis utilized the IBM Statistical Package for the Social Sciences (SPSS) Version 22(IBM Corp., Armonk, NY). Descriptive statistics and chi-square tests were used to assess differences in attitudes based on demographics and specialties. The study revealed predominantly positive attitudes among non-psychiatric doctors. Most acknowledged the importance of addressing patients' emotional problems (97.8%) and recognizing psychological factors' role in physical illnesses (96.1%). However, variations existed in the willingness to take responsibility for psychological assessments, especially in outpatient settings. Attitudes towardpsychiatric referrals were generally positive, though differences were noted based on gender and specialization. Female doctors were more inclined toward emotional care, while male doctors were more willing to prescribe psychotropic drugs (p < 0.0001) and refer patients to psychiatrists. Physicians were more favorable towardemotional care, shared responsibility for emotional difficulties, and routine assessment of psychological and social factors. In contrast, surgical specialists restricted themselves to physical assessments (p < 0.0001). This research underscores the need for targeted educational initiatives and awareness campaigns to address the challenges in integrating mental healthcare into general healthcare contexts. Tailored programs, interprofessional collaborations, and efforts to reduce stigma are essential for improving doctors' attitudes and practices in managing psychiatric problems. Enhancing the integration of mental health care can lead to better patient outcomes and overall healthcare quality. Healthcare institutions can strive for more comprehensive, patient-centered care by understanding and addressing these attitudes.

Medical ethics and compliance amongst physician groups: a self-assessed survey in a hospital in Southeast Nigeria.

Being a doctor remains a moral enterprise as he is expected to make some medical decisions based on ethical principles during encounter with patients. The objective of this study was to investigate the knowledge and application of medical ethical principles amongst physician groups in a Hospital in Enugu, Nigeria. This was a cross-sectional self-assessed study conducted amongst medical doctors in five specialty groups in a teaching hospital in Enugu, Nigeria.Descriptive and inferential statistics were used to summarize the items and determine whether significant differences on knowledge and application of medical ethics existed amongst the physician groups in the treatment of patients. Observance and compliance with medical ethical conduct was highest among doctors that were aged 55 years and above. In sex, male doctors had higher ethical conduct compliance than female doctors. Comparing the doctors by rank, medical officers, consultants and senior registrars respectively had the highest ethical conduct. Knowledge and practice of medical ethics were mostly deficient among younger Nigerian and female doctors. Remedying the situation will require better curricula both at the undergraduate and post-graduate medical school programmes for doctor trainees. Requiring certification in bioethics for license renewal will also help in resolving and improving the knowledge gap.

Gender-based differences in the job titles and lifestyles in the cataract and refractive surgery society in Japan.

To investigate sex differences in the titles and lifestyles of Japanese ophthalmologists, we evaluated work places and private lives. Retrospective cross-sectional study. The study included 1721 members (1344 males and 377 females) of the Japanese Society of Cataract and Refractive Surgery. An online, anonymized questionnaire was distributed to the society members. The questionnaire included 40 questions to collect data on profiles, lifestyles, job title, families, spouses, children, household chores, child-rearing, and work satisfaction. In total, 219 members (144 males and 75 females; 53.4 ± 1.0 and 51.3 ± 9.9 years old, respectively) completed the questionnaire. The job title, working time, annual income, marriage rate, and the number of children significantly differed between male and female respondents. Female respondents had greater responsibilities toward house chores, child care, and nursing, whereas several male doctors had spouses who did not work or worked for shorter times, earned a lower income, and contributed greater toward family responsibilities. Female respondents changed their job titles after having children more frequently than male respondents. Both males and females had limited time available for community activities and volunteer work. There were no significant differences in daily sleep duration. Both sexes were equally satisfied with their career choice of ophthalmology; however, fewer females recommended ophthalmology as a career for students and children compared to males. There are significant sex differences among ophthalmologists in Japan in terms of family responsibilities; this topic has received insufficient attention.

COVID-19’s Impact on Medical Staff Wellbeing: Investigating Trauma and Resilience in a Longitudinal Study—Are Doctors Truly Less Vulnerable Than Nurses?

This study examines the psychological repercussions of the COVID-19 pandemic on a medical team in an Israeli general hospital. The research explores the professional quality of life, burnout symptoms, secondary traumatic stress, and mindfulness among team members across three distinct phases of the pandemic. Analysis was conducted for different subgroups based on job roles and seniority, allowing for an evaluation of the phase-specific effects on ProQOL (Professional Quality of Life) and mindfulness. Results align with established crisis trajectories: honeymoon/heroic phases, inventory, disillusionment, and recovery. As a result of the prolonged pandemic and the need to change shifts and recruit staff to deal with the affected patients, it is an accumulative study not following the same person but the same ward and the same hospital. The findings suggest a negative correlation between compassion satisfaction and burnout, as well as between mindfulness and burnout/secondary traumatic stress. Unlike most studies, healthcare workers (HCWs) were less affected than doctors in all measures. This study highlights doctors’ vulnerability and underscores hospital management’s key role in promoting effective support for professional quality of life. This is especially important for male doctors facing distinct well-being challenges.

871 Audit on Compliance and Documentation of GMC Guidelines Regarding the Use of Chaperone During the Intimate Examination

Abstract Aim To assess the compliance of GMC guidelines with respect to chaperones during intimate examination and their appropriate documentation. Method Analysis of patient notes documented by members of the general surgery department in the surgical assessment unit, or ED, for the month of October 2022. We checked the patient notes for the following dataset: Chaperone - offered/not offered, name and position of chaperone and signature of chaperone.Area examined – Perineum, Abdomen, Breast or perineum and abdomenGender of patient, doctor and chaperone.Time of the day and place of examination The data was analyzed (results below). As part of the audit cycle, the results were shared with the department, and education on the seriousness of this issue was discussed. Stickers for chaperones with their name, position, and gender will be attached to the patient notes. Results 168 patients were reviewed totally. 9/168 (5.3%) – documentation present, 1/9 (11%) had complete documentation. 23 patients had perianal examination – 1 (4.3%) had documentation 141 patients had abdomen examination – 8 (5.6%) had documentation 9/9 (100%) documentation done by male doctors for female patients Conclusions We found a lack of adequate documentation for chaperone presence during the examination. It was agreed that chaperone presence was always adhered to, but documentation was lacking. Necessary changes have been initiated, and we are collecting prospective data after the intervention.

1091 Trends in Exception Reporting (ER): Medicine vs Surgery

Abstract Aim ER was introduced with the new junior doctor contract in 2016. This was a mechanism to ensure compensation for all work performed and to uphold all educational opportunities. Literature regarding ER is limited and focuses on barriers to reporting. The aim of this study was to assess how ER practices have changed over 5 years and to highlight differences between grade and speciality. Method A retrospective cohort study was carried out. 5 years of reports from 1/1/2017 to 31/12/2021 were downloaded from Medic Online, Allocate Software. Quantitative and qualitative data were analysed in Microsoft Excel. Results 125 doctors submitted 549 reports. The number of reports submitted per year have decreased over time whilst the number of doctors submitting at least one report has increased. The number of male doctors submitting reports has not changed in contrast to female doctors which has increased with a correlation of 0.76. Overall, there is no difference in number of reports submitted by sex (p = 0.1). F1s are more likely to report than any other grade (p&amp;lt;0.001) and are most likely to report for hours worked rather than educational opportunity lost. ER in medicine has remained constant whilst it has declined within surgery. Conclusions Numbers of reports are declining but more doctors, especially females, are prepared to report. This suggests working conditions are improving and suggested barriers to ER are being broken down. Hospital specialties should learn from each other’s ER data to improve patient care as well as working conditions and educational opportunities for junior doctors.