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Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs

BACKGROUND: The residency training period in the medical profession is well known for physical and mental stress, which may affect cognitive function and practical life. The aims of this study were to assess prevalence of stress among the resident trainees of the three medical specialties of Saudi C...

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Autores principales: Abdulghani, Hamza Mohammad, Al-harbi, Mohammed Meteb, Irshad, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677768/
https://www.ncbi.nlm.nih.gov/pubmed/26677329
http://dx.doi.org/10.2147/NDT.S92408
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author Abdulghani, Hamza Mohammad
Al-harbi, Mohammed Meteb
Irshad, Mohammad
author_facet Abdulghani, Hamza Mohammad
Al-harbi, Mohammed Meteb
Irshad, Mohammad
author_sort Abdulghani, Hamza Mohammad
collection PubMed
description BACKGROUND: The residency training period in the medical profession is well known for physical and mental stress, which may affect cognitive function and practical life. The aims of this study were to assess prevalence of stress among the resident trainees of the three medical specialties of Saudi Commission for Health Specialties (SCHS) training programs, namely, Internal Medicine, Emergency Medicine, Family Medicine, and their association with training years, sex, and marital status. This study also aimed to correlate the stress levels with the working efficiency and self-perceived general health problems. PARTICIPANTS AND METHODS: Resident trainee physicians of SCHS were invited to complete a stress inventory Kessler 10, which is used for stress measurement. Pearson’s chi-square test (χ(2)) and odds ratios (ORs) were used to quantify the associations between categorical variables. A P-value of <0.05 was considered statistically significant. RESULTS: A total of 318 (out of 389, with the response rate of 82%) resident trainees participated in this study. The mean (± standard deviation) age of the study population was 27.9 (±1.6) years. The results showed 70.4% of resident trainees had stressful conditions, which consisted of severe stress: 22.6%, moderate stress: 20.4%, and mild stress: 27.4%. During the 1st year (R-1), moderate stress (OR =5.87; 95% confidence interval =2.93–17.79; P=0.001) and severe stress (OR =11.15; 95% confidence interval =4.35–28.51; P=0.0001) levels were quite high. The highest stress level was found in Emergency Medicine (80.5%), followed by Internal Medicine (73.6%), and Family Medicine (63.2%) (χ(2)=6.42; P=0.04). The stress level decreased with the increase of years of training in Emergency Medicine (χ(2)=23.76; P<0.0001) and Internal Medicine (χ(2)=60.12; P<0.0001), whereas increased in Family Medicine (χ(2)=11.80; P=0.008). High stress level was significantly associated with absence from duty days (χ(2)=28.48, P<0.0001), inefficient day activities (χ(2)=39.15; P<0.0001), and general health problems (χ(2)=45.27; P<0.0001) of resident trainees. CONCLUSION: We found significantly high levels of stress among the resident trainees of SCHS. High levels of stress may have an effect on their working efficiency and general physical health. The high stress level decreased efficient day activity and made the trainees absent from the workplace.
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spelling pubmed-46777682015-12-16 Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs Abdulghani, Hamza Mohammad Al-harbi, Mohammed Meteb Irshad, Mohammad Neuropsychiatr Dis Treat Original Research BACKGROUND: The residency training period in the medical profession is well known for physical and mental stress, which may affect cognitive function and practical life. The aims of this study were to assess prevalence of stress among the resident trainees of the three medical specialties of Saudi Commission for Health Specialties (SCHS) training programs, namely, Internal Medicine, Emergency Medicine, Family Medicine, and their association with training years, sex, and marital status. This study also aimed to correlate the stress levels with the working efficiency and self-perceived general health problems. PARTICIPANTS AND METHODS: Resident trainee physicians of SCHS were invited to complete a stress inventory Kessler 10, which is used for stress measurement. Pearson’s chi-square test (χ(2)) and odds ratios (ORs) were used to quantify the associations between categorical variables. A P-value of <0.05 was considered statistically significant. RESULTS: A total of 318 (out of 389, with the response rate of 82%) resident trainees participated in this study. The mean (± standard deviation) age of the study population was 27.9 (±1.6) years. The results showed 70.4% of resident trainees had stressful conditions, which consisted of severe stress: 22.6%, moderate stress: 20.4%, and mild stress: 27.4%. During the 1st year (R-1), moderate stress (OR =5.87; 95% confidence interval =2.93–17.79; P=0.001) and severe stress (OR =11.15; 95% confidence interval =4.35–28.51; P=0.0001) levels were quite high. The highest stress level was found in Emergency Medicine (80.5%), followed by Internal Medicine (73.6%), and Family Medicine (63.2%) (χ(2)=6.42; P=0.04). The stress level decreased with the increase of years of training in Emergency Medicine (χ(2)=23.76; P<0.0001) and Internal Medicine (χ(2)=60.12; P<0.0001), whereas increased in Family Medicine (χ(2)=11.80; P=0.008). High stress level was significantly associated with absence from duty days (χ(2)=28.48, P<0.0001), inefficient day activities (χ(2)=39.15; P<0.0001), and general health problems (χ(2)=45.27; P<0.0001) of resident trainees. CONCLUSION: We found significantly high levels of stress among the resident trainees of SCHS. High levels of stress may have an effect on their working efficiency and general physical health. The high stress level decreased efficient day activity and made the trainees absent from the workplace. Dove Medical Press 2015-12-10 /pmc/articles/PMC4677768/ /pubmed/26677329 http://dx.doi.org/10.2147/NDT.S92408 Text en © 2015 Abdulghani et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Abdulghani, Hamza Mohammad
Al-harbi, Mohammed Meteb
Irshad, Mohammad
Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title_full Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title_fullStr Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title_full_unstemmed Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title_short Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
title_sort stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677768/
https://www.ncbi.nlm.nih.gov/pubmed/26677329
http://dx.doi.org/10.2147/NDT.S92408
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