The happy docs study: A Canadian Association of Internes and Residents well-being survey examining resident physician health and satisfaction within and outside of residency training in Canada

被引：41

作者：

Cohen J.S. ^{[1
]}

Leung Y. ^{[2
]}

Fahey M. ^{[3
]}

Hoyt L. ^{[4
]}

Sinha R. ^{[5
]}

Cailler L. ^{[6
]}

Ramchandar K. ^{[7
]}

Martin J. ^{[8
]}

Patten S. ^{[9
]}

机构：

[1] University of Calgary, Foothills Medical Center, Department of Psychiatry, Calgary, AB

[2] University of Calgary, Department of Gastroenterology, Calgary, AB

[3] University of Manitoba, Department of Obstetrics, Gynecology and Reproductive Sciences, Winnipeg, MB

[4] Dalhousie University, Department of Psychiatry, Halifax, NS

[5] University of Alberta, Department of Pediatrics, Edmonton, AB

[6] University of British Columbia, Department of Radiation Oncology, Vancouver, BC

[7] McMaster University, Department of Radiation Oncology, Hamilton, ON

[8] Memorial University, Epartment of Pediatrics, St. John's, NL

[9] University of Calgary Faculty of Medicine, Department of Community Health, Calgary, AB

来源：

BMC Research Notes | / 1卷 / 1期

关键词：

Mental Health; Mental Health Problem; Resident Physician; Career Counseling; Canadian Community Health Survey;

D O I：

10.1186/1756-0500-1-105

中图分类号：

学科分类号：

摘要：

Background. Few Canadian studies have examined stress in residency and none have included a large sample of resident physicians. Previous studies have also not examined well-being resources nor found significant concerns with perceived stress levels in residency. The goal of "The Happy Docs Study" was to increase knowledge of current stressors affecting the health of residents and to gather information regarding the well-being resources available to them. Findings. A questionnaire was distributed to all residents attending all medical schools in Canada outside of Quebec through the Canadian Association of Internes and Residents (CAIR) during the 2004-2005 academic years. In total 1999 resident physicians responded to the survey (35%, N = 5784 residents). One third of residents reported their life as "quite a bit" to "extremely" stressful (33%, N = 656). Time pressure was the most significant factor associated with stress (49%, N = 978). Intimidation and harassment was experienced by more than half of all residents (52%, N = 1050) with training status (30%, N = 599) and gender (18%, N = 364) being the main perceived sources. Eighteen percent of residents (N = 356) reported their mental health as either "fair" or "poor". The top two resources that residents wished to have available were career counseling (39%, N = 777) and financial counseling (37%, N = 741). Conclusion. Although many Canadian resident physicians have a positive outlook on their well-being, residents experience significant stressors during their training and a significant portion are at risk for emotional and mental health problems. This study can serve as a basis for future research, advocacy and resource application for overall improvements to well-being during residency. © 2008 Cohen et al; licensee BioMed Central Ltd.

引用

共 8 条

[1]

Tyssen R., Vaglum P., Grenvold N.T., Ekeberg O., The impact of job stress and working conditions of mental health problems among junior house officers. A nationwide Norwegian prospective cohort study, Medical Education, 34, pp. 374-384, (2000)

[2]

Masse R., Poulin C., Dassa C., Lambert J., Belair S., Battaglini M.A., Elaboration et validation d'un outil de mesure du bien-etre psychologique: L'EMMBEP, Can J Pub Hlth, 89, pp. 352-357, (2006)

[3]

Canada S., Canadian Community Health Survey, Mental Health and Well-being, (2002)

[4]

Hendrie H.C., Clair D.K., Brittain H.M., Fadul P.E., A study of anxiety/depressive symptoms of medical students, house staff, and their spouses/partners, J Nerv Ment Dis, 178, 3, pp. 204-207, (1990)

[5]

2004 National Physician Survey Response Rates and Comparability of Physician Demographic Distributions with Those of the Physician Population, (2005)

[6]

Martini S., Arfken C.L., Churchill A., Balon R., Burnout Comparison among Residents in Different Medical Specialties, Academic Psychiatry, 28, pp. 240-242, (2004)

[7]

Myers M.F., Commentary: On the importance of anonymity in surveying medical student depression, Academic Psychiatry, 27, 1, pp. 19-20, (2003)

[8]

Cohen J.S., Patten S., Well-being in residency training: A survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta, BMC Medical Education, 5, (2005)

← 1 →