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Published on: March 20, 2018
Welfare of Anaesthesia Trainees Survey 2019
Gregory B Downey1, Jane M McDonald1, Ryan G Downey2
1Department of Anaesthesia, Westmead Hospital, Westmead, Australia.
Many anaesthesia trainees experience significant psychological distress, bullying, and discrimination. A high percentage fear career repercussions for seeking mental health support, indicating a need for systemic changes in training environments.
Area of Science:
- Medical Education
- Psychiatry
- Occupational Health
Background:
- Anaesthesia trainees face unique stressors impacting mental well-being.
- The Australian and New Zealand College of Anaesthetists (ANZCA) training scheme is a critical environment for medical professionals.
- Mental health stigma and workplace issues can significantly affect healthcare professionals.
Purpose of the Study:
- To investigate psychological distress, stress factors, and workplace conditions in ANZCA trainees.
- To identify the prevalence of bullying, discrimination, and sexual harassment.
- To explore attitudes towards seeking mental health support and career implications.
Main Methods:
- An electronic survey was distributed to 1310 ANZCA registrars.
- The Kessler Psychological Distress Scale (K10) assessed psychological distress.
- Data collected included job satisfaction, stressors, working conditions, and workplace harassment.
Main Results:
- 31% of respondents reported high or very high psychological distress (K10 scores).
- 45% experienced bullying, 25% discrimination, and 7% sexual harassment.
- 42% would avoid seeking help for mental health issues, fearing career damage.
Conclusions:
- Anaesthesia trainees exhibit high rates of psychological distress, bullying, and discrimination.
- Workload, examinations, and fear of errors are major stressors.
- Addressing these issues requires improved education, assessment review, and mental health destigmatization.
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