Discussion of: “PTSD and surgical residents: Everybody hurts … sometimes”

Jackson, Theresa; Provencio, Amanda; Bentley-Kumar, Karalyn; Pearcy, Chris; Cook, Taylor; McLean, Kevin; Morgan, Jake; Haque, Yoseful; Agrawal, Vaidehi; Bankhead‐Kendall, Brittany; Taubman, Kevin; Truitt, Michael S.

doi:10.1016/j.amjsurg.2017.10.014

Cited by 3 publications

(5 citation statements)

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“…Adverse psychological effects on healthcare providers are a well-documented phenomenon [23]. Substantial research has examined the role played by the work conditions of physicians, and specifically residents, in secondary trauma [4] [24] and burnout syndrome [25].…”

Section: Trauma Secondary Trauma and Burnout Among Healthcare Providersmentioning

confidence: 99%

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“There Are Many Cases That You Carry with You That Leave Scars”: Burnout and Secondary Trauma among Pediatric Residents in Routine and Covid Times

Kaplan¹,

Kaplan²,

Shalev³

et al. 2023

OJMP

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The current research joins previous studies in examining post-traumatic stress disorder (PTSD) and burnout among healthcare workers. The research focuses on the experiences of pediatric residents working in an emergency department both in normal times and during the Covid pandemic. Research conducted prior to and during the Covid pandemic outbreak shows negative psychological effects among healthcare workers. Most of that research was conducted within the positivistic-quantitative paradigm. The current study is qualitative and focuses on pediatric residents who provide medical services to a unique population in a peripheral region of Israel, namely the Bedouin-Arab population. The research questions are the following: What characterizes pediatric residents' work, in general and during the pandemic? Do they show signs of burnout and secondary trauma? How do they perceive their work with the Bedouin-Arab population, especially during the pandemic? The study, conducted within the phenomenological genre, included 14 pediatric residents in a large hospital in Israel's periphery. Semi-structured clinical interviews were employed, in addition to questionnaires that examined PTSD and burnout to enhance the reliability of the findings. The results show that all residents reported stressful incidents in which patients' physical integrity was threatened. The residents described the special nature of the medical cases they treated in routine times and during the pandemic outbreak, which stems mostly from the specific characteristics the population of Israel's periphery. While at the early stages of the pandemic, the residents experienced reduced work pressure, they reported substantial difficulties later in the crisis, which intensified their sense of physical and emotional stress. Most residents re-How to cite this paper:

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Section: Trauma Secondary Trauma and Burnout Among Healthcare Providersmentioning

confidence: 99%

“…Several studies have examined PTSD among residents in different specialties, such as surgery [24] or internal medicine [21]. A study by Kolehmainen et al included both qualitative and quantitative methods.…”

Section: Trauma Secondary Trauma and Burnout Among Healthcare Providersmentioning

confidence: 99%

“There Are Many Cases That You Carry with You That Leave Scars”: Burnout and Secondary Trauma among Pediatric Residents in Routine and Covid Times

Kaplan¹,

Kaplan²,

Shalev³

et al. 2023

OJMP

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show abstract

“…27 One study of surgical residents found that 22% screened positive for PTSD and another 35% screened in the "at-risk" range suggesting that residents as well as patients may benefit from a systematic response to the high prevalence of trauma. 27 Despite evidence that trauma-informed care (TIC) can benefit patients and providers, the integration of TIC training into the residency curricula has been slow. 28 OHSU used a novel, interdisciplinary, peer-to-peer training model to address to the prevalence of these types of trauma in medicine.…”

Section: Example 2: Oregon Health Science University (Ohsu) In Portland Oregonmentioning

confidence: 99%

“…Surgical residents are exposed to traumatic experiences and stressors throughout their residency. 27 One study of surgical residents found that 22% screened positive for PTSD and another 35% screened in the “at-risk” range suggesting that residents as well as patients may benefit from a systematic response to the high prevalence of trauma. 27 Despite evidence that trauma-informed care (TIC) can benefit patients and providers, the integration of TIC training into the residency curricula has been slow.…”

Section: Building a Trauma-informed Organizationmentioning

confidence: 99%

Trauma-informed care: recognizing and resisting re-traumatization in health care

Grossman

Cooper

Buxton

et al. 2021

Trauma Surg Acute Care Open

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Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

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“…And while most will recover from this trauma, they will forever remember. 15,16 Anecdotally, many surgeons, when asked about their training, readily admit about the "atrocities" of their training in residency. 15 Some will admit that they lived in fear during the 5 to 7 years of their life in misery, in sheer terror, feeling insecure,…”

mentioning

confidence: 99%

Addressing the Fears of a Surgical Resident

Khaitan

2022

Innovations�(Phila)

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Discussion of: “PTSD and surgical residents: Everybody hurts … sometimes”

Cited by 3 publications

References 0 publications

“There Are Many Cases That You Carry with You That Leave Scars”: Burnout and Secondary Trauma among Pediatric Residents in Routine and Covid Times

“There Are Many Cases That You Carry with You That Leave Scars”: Burnout and Secondary Trauma among Pediatric Residents in Routine and Covid Times

Trauma-informed care: recognizing and resisting re-traumatization in health care

Addressing the Fears of a Surgical Resident

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