Health and wellness in residents who matriculate into physician training programs

Job strain and heart rate variability in resident physicians within a general hospital

“…We expect to find a much lower percentage of resident physicians in the active category, due to a high work load combining extensive training and patient treatment activities [Michie and Sandhu, 1994;Butterfield, 1998]. In Mexico, first year residents have little decision-making latitude; they basically carry out medical procedures ordered by more advanced residents and staff physicians.Studies of resident physicians have evaluated sleeping hours and their consequences in car accidents, resident physician's satisfaction [Perry and Osborne, 2003] and contrasting the quality of life between resident physicians and staff physicians, including depression, drug abuse, loneliness, marriage breakdown and cognitive damage [Sargent et al, 2004]. But there are no studies regarding resident physicians' stress using the demand-control model and HRV.…”

Well-Being in Residency: A Systematic Review

“…The intensity of training also is associated with significant reduction in wellbeing markers in residents, including sleep, exercise, family interactions, religious activity, and an increase in missing significant events. 2 Well-being deficits that develop during residency also are present in practicing physicians. Satisfaction with work-life balance declined (48.5% versus 40.9%, P , .001) and burnout increased in physicians between 2011 and 2014.…”

Healing Medicine's Future: Prioritizing Physician Trainee Mental Health

“…The negative impacts of this psychological distress are exacerbated during residency by long hours [25], overnight shifts [26], debt [27], dissatisfaction with lifestyle [28] and with job [29], and lack of autonomy [29]. Furthermore, there is little time to develop aspects of identity unrelated to medicine that could contribute to a solidly grounded sense of self [30], and the quality of relationships that might provide a secure base of social support often suffer [31]. …”