This is Our Lane: A Pilot Study Examining the Surgeon's Role in Social Justice Advocacy

Am J Surg. 2022 Jan;223(1):194-200. doi: 10.1016/j.amjsurg.2021.08.041. Epub 2021 Sep 23.

Abstract

Background: Despite the importance of social justice advocacy, surgeon attitudes toward individual involvement vary. We hypothesized that the majority of surgeons in this study, regardless of gender or training level, believe that surgeons should be involved in social justice movements.

Methods: A survey was distributed to surgical faculty and trainees at three academic tertiary care centers. Participation was anonymous with 123 respondents. Chi-square and Fisher's exact test were used for analysis with significance accepted when p < 0.05. Thematic analysis was performed on free responses.

Results: The response rate was 46%. Compared to men, women were more likely to state that surgeons should be involved (86% vs 64%, p = 0.01) and were personally involved in social justice advocacy (86% vs 51%, p = 0.0002). Social justice issues reported as most important to surgeons differed significantly by gender (p = 0.008). Generated themes for why certain types of advocacy involvement were inappropriate were personal choices, professionalism and relationships.

Conclusions: Social justice advocacy is important to most surgeons in this study, especially women. This emphasizes the need to incorporate advocacy into surgical practice.

Keywords: Advocacy; Human rights; Opinion; Social justice; Surgeons; Survey.

MeSH terms

  • Academic Medical Centers / statistics & numerical data
  • Adult
  • Aged
  • Attitude of Health Personnel
  • Consumer Advocacy / psychology*
  • Consumer Advocacy / statistics & numerical data
  • Faculty, Medical / psychology
  • Faculty, Medical / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Sex Factors
  • Social Justice / psychology*
  • Social Justice / statistics & numerical data
  • Surgeons / psychology*
  • Surgeons / statistics & numerical data
  • Surveys and Questionnaires / statistics & numerical data
  • Tertiary Care Centers / statistics & numerical data
  • Young Adult