Resident Physicians as Patients: Perceptions of Residents and Their Teaching Physicians

Pérez-Álvarez, Candela; Gallego-Royo, Alba; Marco-Gómez, Bárbara; Martínez-Boyero, Teresa; Altisent, Rogelio; Delgado-Marroquín, María-Teresa; Peña, María Pilar Astier

doi:10.1007/s40596-018-0981-8

Cited by 3 publications

(22 citation statements)

References 16 publications

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Section: Resultsmentioning

confidence: 99%

“…Twenty studies had risk of selection bias, including self-selecting samples and non-blinded recruitment 4 12 29–46. Fourteen studies had risk of recall bias, due to reliance on self-report retrospective data collection 4 12 30–32 37–43 45 46. Twelve studies had risk of measurement bias, using de novo surveys lacking validity and reliability, and qualitative methods lacking adequate description 4 12 32 36 37 39–45.…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies had risk of recall bias, due to reliance on self-report retrospective data collection 4 12 30–32 37–43 45 46. Twelve studies had risk of measurement bias, using de novo surveys lacking validity and reliability, and qualitative methods lacking adequate description 4 12 32 36 37 39–45. Thirteen studies showed risk of analysis bias due to either descriptive analysis or insufficient description of analyses 4 12 32 35 37 39 43–48.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies had risk of measurement bias, using de novo surveys lacking validity and reliability, and qualitative methods lacking adequate description 4 12 32 36 37 39–45. Thirteen studies showed risk of analysis bias due to either descriptive analysis or insufficient description of analyses 4 12 32 35 37 39 43–48. Only six studies demonstrated reflexivity on the role of the researchers, particularly regarding their relationships with participants 29–31 33 34 44.…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen studies found personal needs relating to WLB 4 12 30 32–35 37–39 41–46 49. Nine studies highlighted the need to consider career development, progression and drive in light of returning from absence, which can cause concern for returners 12 32–34 37–39 41 42. This need was more prominent in the findings of qualitative studies.…”

Section: Resultsmentioning

confidence: 99%

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Returning to clinical work and doctors’ personal, social and organisational needs: a systematic review

et al. 2022

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ObjectiveThis systematic review aims to synthesise existing evidence on doctors’ personal, social and organisational needs when returning to clinical work after an absence.DesignSystematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Data sourcesAMED, BNI, CINAHL, EMBASE, EMCARE, HMIC, Medline, PsycINFO and PubMed were searched up to 4 June 2020. Non-database searches included references and citations of identified articles and pages 1–10 of Google and Google Scholar.Eligibility criteriaIncluded studies presented quantitative or qualitative data collected from doctors returning to work, with findings relating to personal, social or organisational needs.Data extraction and synthesisData were extracted using a piloted template. Risk of bias assessment used the Medical Education Research Study Quality Instrument or Critical Appraisal Skills Programme Qualitative Checklist. Data were not suitable for meta-analyses and underwent narrative synthesis due to varied study designs and mixed methods.ResultsTwenty-four included studies (14 quantitative, 10 qualitative) presented data from 92 692 doctors in the UK (n=13), US (n=4), Norway (n=3), Japan (n=2), Spain (n=1), Canada (n=1). All studies identified personal needs, categorised as work–life balance, emotional regulation, self-perception and identity, and engagement with return process. Seventeen studies highlighted social needs relating to professional culture, personal and professional relationships, and illness stigma. Organisational needs found in 22 studies were flexibility and job control, work design, Occupational Health services and organisational culture. Emerging resources and recommendations were highlighted. Variable quality and high risk of biases in data collection and analysis suggest cautious interpretation.ConclusionsThis review posits a foundational framework of returning doctors’ needs, requiring further developed through methodologically robust studies that assess the impact of length and reason for absence, before developing and evaluating tailored interventions. Organisations, training programmes and professional bodies should refine support for returning doctors based on evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Returning to clinical work and doctors’ personal, social and organisational needs: a systematic review

et al. 2022

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Analysis of the Effect on Grouping Teaching at Different Levels in the Standardized Training of Residents

2022

IJFS

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Purpose:Understand what kind of effect can be achieved by grouping teaching at different levels in the standardized training of residents. Method: A total of 96 residents who received standardized training at the First Affiliated Hospital of Nanjing Medical University from September 2016 to July 2022 were selected. They were divided into two groups. The test group (i.e. Group A) including 50 candidates who received teaching at different levels; and the control group (i.e., group B) had a total of 46 candidates who received traditional task-driven teaching. Three methods (questionnaires, theoretical tests and practical skills assessments) are used to assess the effectiveness of the two teaching methods described above. Results: (1) The questionnaire results showed that the performance of residents in Group A was significantly better than that of Group B in many aspects (Satisfaction with the profession(p<0.001), Interest in the course(p=0.001), Mastery of professional knowledge and skills(p<0.001), Heuristic thinking ability (p <0.001), The ability to conduct rigorous and thorough comprehensive analysis(p<0.001)). ( 2) The theoretical test results showed that Group A's performance was significantly better than that of Group B (p<0.001). ( 3) The results of the practical skills assessment showed that Group A's performance was significantly better than that of Group B (p<0.001). Conclusion: Positive effects (such as a significant increase in learning interest and learning ability) can be achieved by grouping teaching at different levels in the standardized training of resident physicians.

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Cardiovascular Disease and Stroke Risk Among Egyptian Resident Physicians: A Cross-Sectional Multicenter Study

Ramadan,

Soliman,

Hamad

et al. 2024

Cureus

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Background: Cardiovascular diseases (CVDs) are the leading cause of death worldwide and are considered silent killers that threaten different age groups. The stressful lifestyle of resident physicians might make them vulnerable to CVDs. Since 2021, Egypt has recently reported more frequent sudden deaths of junior physicians after long shifts. Many factors can be associated with this prevalence, such as diabetes mellitus, increased blood pressure, or a sedentary lifestyle. Therefore, this study aimed to estimate the risk of developing heart attack and stroke within 10 years among resident physicians in Egypt with the goal of informing health policymakers to improve the healthcare systems for Egyptian physicians.Methods: This cross-sectional study was conducted at six university teaching hospitals around Egypt: Cairo, Al-Azhar, Zagazig, Menoufia, South Valley, and Sohag. Data were collected on the ground using a questionnaire developed from a validated tool, the QRISK3 calculator, developed by the National Health Service, and used to measure the development of CVDs and stroke over the next 10 years.Results: Four hundred twenty-eight resident physicians filled out the study questionnaire, including 224 (52.3%) females. The mean age of the participants was 28.22 years (±2.54). The study revealed that 258 (60.3%), with a median (IQR) = 0.2% (0.1%-0.5%), of the resident physicians are at high risk of having a heart attack or stroke within 10 years. Migraine symptoms (n=65, 15.2%) and angina or heart attack in a firstdegree relative (n=26, 6.1%) were the most reported risk factors. The risk was variable among the six university hospitals, with a significant P-value <0.001, where Menoufia University hospitals ranked first, followed by Zagazig University hospitals. However, the percentage of each specialty differs from others. The highest risk was among anesthesiology and ICU residents (n=18, 78.3%), followed by surgery residents (n=44, 62.9%).Conclusion: About 258 (60.3%) of the resident physicians are at risk of having a heart attack or stroke within 10 years. There is an urgent need to increase resident physicians' awareness about their heart attack and stroke risks and for health policymakers to ensure a better lifestyle and friendly training environment for resident physicians in Egypt.

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Resident Physicians as Patients: Perceptions of Residents and Their Teaching Physicians

Cited by 3 publications

References 16 publications

Returning to clinical work and doctors’ personal, social and organisational needs: a systematic review

Returning to clinical work and doctors’ personal, social and organisational needs: a systematic review

Analysis of the Effect on Grouping Teaching at Different Levels in the Standardized Training of Residents

Cardiovascular Disease and Stroke Risk Among Egyptian Resident Physicians: A Cross-Sectional Multicenter Study

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