Emotional distress in junior doctors

Abstract

immunisation. This difference was significant (p= <0 005, x2 analysis). While it is assumed that half of those women might have a live birth after numerous additional abortions, these abortions may be prevented by immunotherapy. Moreover, women who have had one spontaneous abortion who have their immune response altered by immunotherapy seem to have second subsequently successful pregnancies. (This has occurred in all five patients who have become pregnant a second time in our series.) Though such women have spontaneously successful pregnancies, however, they seem to revert to their tendency to abort afterwards. Nine patients in our series had two or more abortions after a spontaneously successful pregnancy. Only one patient had two subsequently successful pregnancies after one spontaneous abortion. We therefore consider immunotherapy to be a most effective form of treatment for women who have had missed abortions, and the results of Drs Vlaanderen and Treffers do not convince us other

Predictors of work satisfaction among SHOs during accident and emergency medicine training.

“…Both agreement (Dowling, 1987) and disagreement (Barry, 1987) with Firth-Cozens' contention that coping with stress in the clinical setting should be included in undergraduate medical education were expressed, as was disagreement that the first year after medical school was the most stressful (East, 1987). Changes in the work environment (Barry, 1987), particularly hours of work, were suggested, and programmes to help physicians cope with postgraduate training were described (Burns-Cox et al, 1987;Dowling, 1987). Despite concerns about the negative psychological effects of residency training in the United States, the view also has been expressed that while work-related stress is freqently considered undesirable, it is necessary for the acquisition of knowledge and skills and the development of desirable attitudes and behaviours (Resident Services Committee, 1988).…”