Resident and attending physician perception of maladaptive response to stress in residents

Abstract

BackgroundResidency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress.MethodsA 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys.ResultsAttending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p<0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p<0.0001.ConclusionOur data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.

An Educational Workshop to Improve Neurology Resident Understanding of Burnout, Substance Abuse, and Mood Disorders

“…In the 3-month delayed assessment, both cohorts viewed a previously published video created by Dr. Lee Ann Riesenberg and colleagues 19 that depicted a simulated stressed resident peer-to-peer interaction ( Appendix E ). The video featured a male actor portraying a resident “manifesting some maladaptive signs of stress, including being abrupt with a colleague, irritable, and having poor eye contact while communicating.” 19 The video was independently coded by two authors for behaviors common to those covered in both the online module and role-play vignettes.…”

“…The video featured a male actor portraying a resident "manifesting some maladaptive signs of stress, including being abrupt with a colleague, irritable, and having poor eye contact while communicating." 19 The video was independently coded by two authors for behaviors common to those covered in both the online module and role-play vignettes.…”

“…Prior studies have illustrated that resident physicians may lack insight into maladaptive responses to stress. 19 Residents score worse than attending cohorts in recognizing simulated maladaptive responses to occupational stress. 19 Thus, curricula to help increase this insight have been sought.…”

“… 19 Residents score worse than attending cohorts in recognizing simulated maladaptive responses to occupational stress. 19 Thus, curricula to help increase this insight have been sought. Curricula available in MedEdPORTAL have focused on activities that build resilience through group reflection, 20 use didactic teaching to build resilience skills, 21 or use peer mentorship to build resilience among junior trainees.…”

Caracterização do perfil de residentes no enfrentamento das incertezas clínicas relacionadas com o atendimento médico

“…Estudo do tipo descritivo, comparativo e transversal. Na literatura estas observações não estão possíveis devido ao hiato de tempo de prática pesquisado seja maior (Fox, 1957;Light, 1979;Atkinson, 1984) e escassez (Gerrity, 1995) (Ishak, 2009;Ludmerer, 2009;Nogueira, 2010;Tempski, 2010;Riesenberg, 2014).…”