Fatigue and training of obstetrics and gynaecology trainees in Australia and New Zealand

Tucker, Paige E.; Cohen, Paul A.; Bulsara, Max; Acton, Jade

doi:10.1111/ajo.12604

Cited by 12 publications

(11 citation statements)

References 23 publications

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“…For instance, various studies before the emergence of COVID-19 have shown that fatigued doctors are at high risk of having commuting accidents [ 14 ], contracting needlestick injury [ 15 ], making diagnostic, medical and clinical errors [ 16 , 17 ], and experiencing poor recovery [ 10 ]. Fatigue among doctors is also associated with less enjoyment in work [ 18 ] and high turnover intention [ 19 ]. Other consequences include adverse health and wellbeing, work-life dissatisfaction, low quality of life, job dissatisfaction, and poor skill performance [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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The COVID-19 pandemic potentially increases doctors’ work demands and limits their recovery opportunity; this consequently puts them at a high risk of adverse mental health impacts. This study aims to estimate the level of doctors’ fatigue, recovery, depression, anxiety, and stress, and exploring their association with work demands and recovery experiences. This was a cross-sectional study among all medical doctors working at all government health facilities in Selangor, Malaysia. Data were collected in May 2020 immediately following the COVID-19 contagion peak in Malaysia by using self-reported questionnaires through an online medium. The total participants were 1050 doctors. The majority of participants were non-resident non-specialist medical officers (55.7%) and work in the hospital setting (76.3%). The highest magnitude of work demands was mental demand (M = 7.54, SD = 1.998) while the lowest magnitude of recovery experiences was detachment (M = 9.22, SD = 5.043). Participants reported a higher acute fatigue level (M = 63.33, SD = 19.025) than chronic fatigue (M = 49.37, SD = 24.473) and intershift recovery (M = 49.97, SD = 19.480). The majority of them had no depression (69.0%), no anxiety (70.3%), and no stress (76.5%). Higher work demands and lower recovery experiences were generally associated with adverse mental health. For instance, emotional demands were positively associated with acute fatigue (adj. b = 2.73), chronic fatigue (adj. b = 3.64), depression (adj. b = 0.57), anxiety (adj. b = 0.47), and stress (adj. b = 0.64), while relaxation experiences were negatively associated with acute fatigue (adj. b = −0.53), chronic fatigue (adj. b = −0.53), depression (adj. b = −0.14), anxiety (adj. b = −0.11), and stress (adj. b = −0.15). However, higher detachment experience was associated with multiple mental health parameters in the opposite of the expected direction such as higher level of chronic fatigue (adj. b = 0.74), depression (adj. b = 0.15), anxiety (adj. b = 0.11), and stress (adj. b = 0.11), and lower level of intershift recovery (adj. b = −0.21). In conclusion, work demands generally worsen, while recovery experiences protect mental health during the COVID-19 pandemic with the caveat of the role of detachment experiences.

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Section: Introductionmentioning

confidence: 99%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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“…No fatigue, no dozing and no regrets; still doing around 50 h per week at age 72 years. I cannot support the ideas projected by the four authors …”

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confidence: 85%

“…Although the principle is under challenge, the broad tenet does explain why any one person can only properly master one, or at best a few related activities in their lifetime. With this in mind I was bemused by the recent articles in the October issue of ANZJOG dealing with the working hours of trainees in obstetrics and gynaecology where a 53.1 h working week was projected as dangerous for both patients and doctors.…”

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confidence: 99%

Working hours of obstetrics and gynaecology trainees in Australia and New Zealand

Yovich

2018

Aust NZ J Obst Gynaeco

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“…Irregular working hours with associated fatigue, high patient expectations, management of life‐threatening emergencies and litigation threats have been identified as causing moderate to very high stress in trainees . Furthermore, sleep deprivation and significant workload are common, with 72.9% of RANZCOG trainees feeling regularly or always fatigued; with an association observed between level of reported fatigue and the number of hours worked per week . The average working hours for RANZCOG trainees is 53.1 h/week .…”

Section: Introductionmentioning

confidence: 99%

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

Ryder

Kearney²,

Weaver

2019

Aust NZ J Obst Gynaeco

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Results: Two-hundred and thirty-one (36%) valid responses were received. The mean resilience score was moderate (mean = 77; SD = 11). Resilience was significantly associated with general health (F = 7.5, P = 0.007), depression in the last two weeks (F = 4.4, P = 0.013) and seriously considering leaving the program at some point (F = 15.4, P < 0.001). Most participants (204; 88%) stated improvements could be made to the level of trainee support; with over half identifying the support they received from RANZCOG to be low or very low (132; 57%). One-third of participants (76; 33%) rated the support from their direct supervisor as low to very low. Over half of all participants identified high to very high responses to: burnout (127; 55%); personal stress (134; 58%); workplace stress (143; 62%) and depression (103; 45%).Conclusion: RANZCOG trainees exhibit moderate resilience levels, yet they report high levels of perceived stress, depression and burnout and low-level support from direct supervisors. This may highlight the need for enhanced support and working conditions to allow trainees to remain resilient and thrive in their careers.

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Fatigue and training of obstetrics and gynaecology trainees in Australia and New Zealand

Cited by 12 publications

References 23 publications

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Working hours of obstetrics and gynaecology trainees in Australia and New Zealand

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

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