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

Hamza Mohammad Abdulghani,1 Mohammed Meteb Al-harbi,2 Mohammad Irshad1 1Department of Medical Education, 2Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia Background: The residency training period in the medical profession is w...

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Autores principales: Abdulghani HM, Al-harbi MM, Irshad M
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:5af4553a9b734d23bb8dd4582796495e2021-12-02T06:07:58ZStress and its association with working efficiency of junior doctors during three postgraduate residency training programs1178-2021https://doaj.org/article/5af4553a9b734d23bb8dd4582796495e2015-12-01T00:00:00Zhttps://www.dovepress.com/stress-and-its-association-with-working-efficiency-of-junior-doctors-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hamza Mohammad Abdulghani,1 Mohammed Meteb Al-harbi,2 Mohammad Irshad1 1Department of Medical Education, 2Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia 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 (χ2) 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%) (χ2=6.42; P=0.04). The stress level decreased with the increase of years of training in Emergency Medicine (χ2=23.76; P<0.0001) and Internal Medicine (χ2=60.12; P<0.0001), whereas increased in Family Medicine (χ2=11.80; P=0.008). High stress level was significantly associated with absence from duty days (χ2=28.48, P<0.0001), inefficient day activities (χ2=39.15; P<0.0001), and general health problems (χ2=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.Keywords: postgraduate, stress, residency training, specialtiesAbdulghani HMAl-harbi MMIrshad MDove Medical PressarticlePostgraduatestressresidency trainingspecialtiesNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss Issue 1, Pp 3023-3029 (2015)
institution DOAJ
collection DOAJ
language EN
topic Postgraduate
stress
residency training
specialties
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Postgraduate
stress
residency training
specialties
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Abdulghani HM
Al-harbi MM
Irshad M
Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
description Hamza Mohammad Abdulghani,1 Mohammed Meteb Al-harbi,2 Mohammad Irshad1 1Department of Medical Education, 2Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia 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 (χ2) 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%) (χ2=6.42; P=0.04). The stress level decreased with the increase of years of training in Emergency Medicine (χ2=23.76; P<0.0001) and Internal Medicine (χ2=60.12; P<0.0001), whereas increased in Family Medicine (χ2=11.80; P=0.008). High stress level was significantly associated with absence from duty days (χ2=28.48, P<0.0001), inefficient day activities (χ2=39.15; P<0.0001), and general health problems (χ2=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.Keywords: postgraduate, stress, residency training, specialties
format article
author Abdulghani HM
Al-harbi MM
Irshad M
author_facet Abdulghani HM
Al-harbi MM
Irshad M
author_sort Abdulghani HM
title 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_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_sort stress and its association with working efficiency of junior doctors during three postgraduate residency training programs
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/5af4553a9b734d23bb8dd4582796495e
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AT irshadm stressanditsassociationwithworkingefficiencyofjuniordoctorsduringthreepostgraduateresidencytrainingprograms
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