Following surveys concerning the abuse of power and sexual harassment in the daily work life of doctors, leading associations aim to implement improvements through a Round Table. Susanne Johna, chairperson of the Marburg Federal Association, described the issue as “structural,” stating in Berlin on Wednesday that power abuse can manifest as disrespectful or condescending communication, systematic humiliation, or public shaming. She noted that the spectrum is regrettably broad, encompassing gender-based discrimination and disadvantage in medical training.
The foundation for this Round Table is a shared document outlining a respectful working culture in hospitals, where all employees can address boundary violations without fear of professional detriment. This requires the establishment of confidential and independent advice and complaint centers that are well-known to everyone. Johna emphasized that these reporting channels must be easily accessible and the processes transparent.
When asked by the dts Nachrichtenagentur about the reasons for the systemic power abuse in clinics, Johna linked the problem significantly to hierarchical structures. Although ultimate decision-making is necessary, she noted that over the years, a “habitual silence” regarding such misconduct has developed, which can no longer be tolerated. She further added that selection processes for leadership positions must consider not only medical excellence but also the ability to practice sound personnel management.
Johna also suggested that power abuse can have indirect consequences for patients. Hospital staff must be willing to speak up if they observe something that could potentially lead to a medical error.
Christine Denk, CEO of the German Nursing Council, echoed this sentiment, stating that when a culture of fear and a significant, abusive hierarchy exist in a ward or working area, “it is palpable for all employees.” She warned that this can ultimately lead to poorer treatment and care for patients. Similarly, Gerald Gaß, Chairman of the German Hospital Association, highlighted that a “positive error culture” in daily hospital life directly impacts patient care.
