{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:06:44Z","timestamp":1788847604116,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Workplace harassment in surgical settings is a critical issue affecting surgeon well\u2010being, workforce sustainability, and patient safety. However, nationwide data focusing on gastroenterological surgeons remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess prevalence and characteristics of workplace harassment among gastroenterological surgeons in Japan, examine its association with consideration of leaving surgical practice, and evaluate the need for institutional countermeasures by the Japanese Society of Gastroenterological Surgery (JSGS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide, cross\u2010sectional, anonymous web\u2010based survey was conducted among JSGS members between November 2024 and January 2025. The questionnaire assessed experiences and observations of five categories of harassment, power, sexual, maternity\/paternity, academic, and surgery\u2010related harassment during the preceding 10\u2009years. Associations with consideration of leaving the profession and opinions on JSGS\u2010led countermeasures were also evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1967 surgeons (response rate, 13.0%) participated. Overall, 66% reported experiencing at least one type of harassment, and 88% reported witnessing harassment in the workplace. Female surgeons reported higher exposure to all harassment types, particularly sexual harassment (55% vs. 8%) and maternity\/paternity harassment (24% vs. 4%). Among those who experienced harassment, 56% reported having considered leaving their profession. More than 70% of respondents expressed the need for institutional countermeasures by the JSGS to address all types of harassment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Workplace harassment is highly prevalent among gastroenterological surgeons in Japan and is associated with consideration of leaving the profession. These findings suggest that harassment represents not only an interpersonal issue but also a structural challenge that may influence the long\u2010term sustainability of the surgical workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.70274","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:07:02Z","timestamp":1788844022000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Workplace Harassment and Consideration of Leaving Surgical Practice: A Nationwide Survey by the Japanese Society of Gastroenterological Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5036-8554","authenticated-orcid":false,"given":"Keisuke","family":"Kurimoto","sequence":"first","affiliation":[{"name":"Department of Surgery Nagoya University Hospital  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0625-1911","authenticated-orcid":false,"given":"Tsutomu","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Shirai","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5856-9713","authenticated-orcid":false,"given":"Atsuro","family":"Fujinaga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Fukumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences Nagasaki University Hospital  Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonoko","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Surgery Kita\u2010Harima Medical Center  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koya","family":"Hida","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chie","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagoya University Hospital  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsunekazu","family":"Mizushima","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Dokkyo Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachiyo","family":"Nomura","sequence":"additional","affiliation":[{"name":"Clinical Pharmaceutical Sciences Hoshi University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7173-7945","authenticated-orcid":false,"given":"Ken","family":"Shirabe","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of General Surgical Science, Graduate School of Medicine Gunma University  Gunma Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"764","article-title":"Workplace Violence Pervasiveness in the Perioperative Environment: A Multiprofessional Survey","volume":"50","author":"Lin D. 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