A2 Refereed review article in a scientific journal
Surgeons with disabilities, they do exist
Authors: El Boghdady, Michael; Ewalds-Kvist, Béatrice Marianne
Publisher: Royal Society for Surgery
Publication year: 2024
Journal: Acta Chirurgica Belgica
Journal name in source: Acta chirurgica Belgica
Journal acronym: Acta Chir Belg
Volume: 124
Issue: 5
First page : 339
Last page: 348
ISSN: 1784-3421
eISSN: 2577-0160
DOI: https://doi.org/10.1080/00015458.2024.2369745
Web address : https://doi.org/10.1080/00015458.2024.2369745
Introduction
Doctors with disability are likely to face major life crises and distressing emotions from unforeseen circumstances that threaten their physical well-being. We aimed to review surgeons with disabilities to identify work-related risk factors that may cause surgeons pain and disability. Surgeons who were struck with unpredicted disasters leading to disabilities were also in focus of our interest.
Methods
We conducted a 10-year literature review. Citations about surgeons’ physical disabilities were complemented from gray literature with commentaries of disabled surgeons. The quantitative citations were quality assessed by MERSQI scores. For the qualitative study part, the severely traumatized surgeons were assessed by means of Cullberg’s crisis phases (CCP) and analysed from Tedeschi and Calhoun’s post-traumatic growth perspective (PTG).
Results
Altogether 3593 citations from PubMed were studied, and 10 citations met inclusion criteria with a total of 11591 participants. We included 6 surgeons subjected to highly traumatic events complicating their medical career. Our quantitative citations’ MERSQI mean score was 11.73 (SD .79). We found that our quantitative findings fell on Evidence grade II (moderate quality = 11.26 – 12.00 scores), Work-related pain including musculoskeletal pain and occupational injuries can lead to physical disabilities. The accidentally traumatized surgeons fought through the four CCP phases and reached the PTG stage.
Conclusions
The surgical workforce is at high risk of work-related musculoskeletal morbidity which can progress to chronic pain and disruption of surgeon’s career. Surgeons with disabilities faced serious barriers in their career. Institutions and healthcare systems must urgently develop support strategies for surgeons with disabilities.