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Related Experiment Videos

House staff well-being.

L M Koran, I F Litt

    The Western Journal of Medicine
    |January 1, 1988
    PubMed
    Summary
    This summary is machine-generated.

    Nearly half of surveyed residents feared repercussions for discussing training issues, with significant numbers experiencing impaired performance due to anxiety or depression. Support systems and departmental factors influenced resident well-being.

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    Area of Science:

    • Medical Education
    • Psychiatry
    • Public Health

    Background:

    • Physician burnout is a significant concern in medical training.
    • Residency programs face challenges in supporting house staff well-being.
    • Understanding stressors impacting residents is crucial for improving healthcare.

    Purpose of the Study:

    • To assess the prevalence of distress and dysfunctional behaviors among house staff.
    • To identify factors influencing resident well-being, including support systems and departmental differences.
    • To provide recommendations for residency program directors to mitigate resident distress.

    Main Methods:

    • A survey was administered to 281 house-staff members at a university medical center.
    • Data collected included concerns about training, mental health, substance use, and support systems.

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  • Analysis compared stressors and behaviors across demographics and departments.

    • Main Results:

    • Nearly 50% feared complaining about training; many worried about partner relationships.
    • 40% reported anxiety/depression impairing performance for ≥1 month.
    • 12% increased illicit substance use; 7% increased prescription substance use. Women had weaker support systems; married staff had stronger support and less distress.
    • Significant departmental variations in morale, support, and dysfunctional behaviors were observed.

    Conclusions:

    • Residency programs must address significant resident distress, including fear of reprisal and mental health challenges.
    • Support systems, marital status, and departmental culture play key roles in resident well-being.
    • Program directors should proactively assess and reduce resident stress, enhance support, and improve coping mechanisms.