The stresses of the surgical residency

Bunch, Wilton H.; Dvonch, Victoria; Storr, Carla L.; Baldwin, DeWitt C.; Hughes, Patrick H.

doi:10.1016/0022-4804(92)90046-3

Cited by 34 publications

(11 citation statements)

References 5 publications

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“…17 Surgical staff have more stressful conditions to bear throughout the residency training. 13 18 We have also found that levels of anger-out and trait anger significantly differed in relation with the discipline and seniority. None the less, multiple comparisons 16 failed to show significantly differences among the scores of anger-out that reflect the degree of anger directed towards objects encountered in the outer world or to human beings.…”

Section: Discussionmentioning

confidence: 60%

An investigation of the anger levels of residents: medical compared with surgical disciplines

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Cenkseven²,

Karcıoğlu³

et al. 2005

Postgraduate Medical Journal

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Objective: To evaluate medical and surgical residents' anger levels with regard to the department in which they worked, seniority, sex, satisfaction with their work environment, and the number of nightshifts worked per month. The specific situations and persons at whom residents reacted with anger were also investigated. Methods: 116 randomly selected residents staffed in a university hospital (62 medical and 54 surgical residents) were enrolled. The trait anger and anger expression scale was used to find out the personal anger levels of each participant. The participants also clarified the persons and situations that made them angry at work. Results: Trait anger levels were greater in the surgical residents in their first two years when compared with levels of their senior colleagues (p = 0.033). Mean trait anger levels were greater in the residents who were not satisfied with their department (p = 0.004). Anger levels were not found to be related to the number of shifts per month. Male residents had higher levels of anger than female colleagues (p = 0.019). Conclusion: Residents in clinical sciences seem to have the potential to benefit from a screening process in terms of anger and its subcomponents by means of a tool such as the trait anger and anger expression scale during their residency.

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Section: Discussionmentioning

confidence: 60%

An investigation of the anger levels of residents: medical compared with surgical disciplines

Satar

Cenkseven²,

Karcıoğlu³

et al. 2005

Postgraduate Medical Journal

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“…A 1992 survey correlated the degree of exhaustion a resident experiences with the number of nights spent on call [4]. Although work hours are decreasing, the overnight call remains a key component of a residency.…”

Section: Discussionmentioning

confidence: 99%

Short-term sleep deficits do not adversely affect acquisition of laparoscopic skills in a laboratory setting

et al. 2004

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“…En cuanto a la prevalencia de consumo de alcohol entre residentes, las estimaciones oscilan entre el 20% y el 81,4% (Akvardar et al, 2004;Bunch, Dvonch, Storr, Baldwin y Hughes, 1992;Earle et al, 2005;Fagnani Neto et al, 2004;Koran et al, 1988;Lydall et al, 2009;Matheson et al, 2016;Melo et al, 2016;Mousa et al, 2016;Ogunsemi et al, 2010;Talih et al, 2016;Martinez, et al, 2016;Zisook et al, 2016).…”

Section: Lydall Et Al 2009unclassified

Diagnóstico dual en médicos residentes: una revisión sistemática

et al. 2020

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ResumenAbstract original adicciones vol. xx, nº x · 2020 El período de preparación como médico residente (en español, MIR) suele asociarse a una elevada sobrecarga emocional tanto por las nuevas exigencias profesionales como por otros factores psicosociales. El objetivo de este estudio es conocer las características del diagnóstico dual en los MIRs. Se llevó a cabo una revisión sistemática de las bases de datos MEDLINE (PubMed), Web of Science y Google Scholar, seleccionando artículos publicados en inglés y español entre 1984 y 2017. Se obtuvieron 2.415 artículos: se excluyeron 2.276 por título, 105 por el contenido del resumen y 17 por el contenido del artículo. En la revisión final se incluyeron 17 artículos. La prevalencia de clínica depresiva varía del 10,2% al 70%, de ansiedad entre 13,2% y 33,9%, de ideación suicida entre 6,7% y 25% mientras que el consumo de riesgo de alcohol se encuentra aproximadamente en torno al 20%, entre 2% y 13,4% se auto-prescriben medicamentos psicótropos y del 2,7% al 14% consumen otras sustancias. La mayoría de los estudios analizados adolecen de limitaciones metodológicas importantes lo que dificulta una adecuada comprensión del fenómeno. Las variaciones en las cifras de prevalencia tienen que ver con la disparidad de escalas y de criterios diagnósticos empleados, entre otros factores. Aún así, los estudios muestran que el consumo de alcohol y/u otras sustancias se correlacionan positivamente con el malestar emocional en los MIRs. Se hace necesario mejorar el conocimiento del diagnóstico dual en este grupo profesional para que se puedan prevenir y tratar sus consecuencias de manera más eficaz. Palabras clave: Médico residente; Trastorno por uso de sustancias; Trastornos mentales; Diagnóstico dual; Auto-tratamiento. The post-graduate period as a resident doctor (MIR, in Spanish) is usually associated with high emotional distress due to new professional demands and to other psychosocial factors. The objective of this study is to determine the characteristics of dual diagnosis among MIRs. A systematic review was carried out in MEDLINE (PubMed), Web of Science and Google Scholar databases, selecting articles published in English and Spanish between 1984 and 2017. A total of 2,415 articles were obtained: 2,276 were excluded by their title, 105 by the abstract and 17 after a complete review of the article; 17 papers were finally included. The prevalence of depressive symptoms among MIRs ranges from 10.2% to 70%, while the prevalence of anxious symptoms varies from 13.2% to 33.9%, from 6.7% to 25% reported suicidal ideation, 20% hazardous drinking, 2%-13.4% self-prescribed psychotropics, and 2.7%-14% used other drugs. Most studies present important methodological limitations, thus complicating adequate understanding of the phenomenon. High variations in prevalence data are related to differences in the psychometric scales and to disparity in diagnosis criteria, among other limitations. However, most studies report that alcohol and drug use is correlated with severe distress among MIRs...

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The stresses of the surgical residency

Cited by 34 publications

References 5 publications

An investigation of the anger levels of residents: medical compared with surgical disciplines

An investigation of the anger levels of residents: medical compared with surgical disciplines

Short-term sleep deficits do not adversely affect acquisition of laparoscopic skills in a laboratory setting

Diagnóstico dual en médicos residentes: una revisión sistemática

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