Cohen Jordan S, Leung Yvette, Fahey Meriah, Hoyt Linda, Sinha Roona, Cailler Lisa, Ramchandar Kevin, Martin John, Patten Scott
University of Calgary Faculty of Medicine, Foothills Medical Center, Assistant Clinical Professor in the Department of Psychiatry, Calgary, Alberta, Canada.
BMC Res Notes. 2008 Oct 29;1:105. doi: 10.1186/1756-0500-1-105.
Few Canadian studies have examined stress in residency and none have included a large sample of resident physicians. Previous studies have also not examined well-being resources nor found significant concerns with perceived stress levels in residency. The goal of "The Happy Docs Study" was to increase knowledge of current stressors affecting the health of residents and to gather information regarding the well-being resources available to them.
A questionnaire was distributed to all residents attending all medical schools in Canada outside of Quebec through the Canadian Association of Internes and Residents (CAIR) during the 2004-2005 academic years.In total 1999 resident physicians responded to the survey (35%, N = 5784 residents). One third of residents reported their life as "quite a bit" to "extremely" stressful (33%, N = 656). Time pressure was the most significant factor associated with stress (49%, N = 978). Intimidation and harassment was experienced by more than half of all residents (52%, N = 1050) with training status (30%, N = 599) and gender (18%, N = 364) being the main perceived sources. Eighteen percent of residents (N = 356) reported their mental health as either "fair" or "poor". The top two resources that residents wished to have available were career counseling (39%, N = 777) and financial counseling (37%, N = 741).
Although many Canadian resident physicians have a positive outlook on their well-being, residents experience significant stressors during their training and a significant portion are at risk for emotional and mental health problems. This study can serve as a basis for future research, advocacy and resource application for overall improvements to well-being during residency.
加拿大很少有研究调查住院医师培训期间的压力，而且没有一项研究纳入大量住院医师样本。以往的研究也没有考察幸福感资源，也没有发现对住院医师培训期间感知到的压力水平存在重大担忧。“快乐医生研究”的目的是增加对影响住院医师健康的当前压力源的了解，并收集有关他们可获得的幸福感资源的信息。
在2004 - 2005学年期间，通过加拿大实习医生和住院医师协会（CAIR）向魁北克以外所有加拿大医学院校的所有住院医师发放了一份问卷。共有1999名住院医师回复了调查（35%，N = 5784名住院医师）。三分之一的住院医师表示他们的生活“相当”到“极其”有压力（33%，N = 656）。时间压力是与压力相关的最显著因素（49%，N = 978）。超过一半的住院医师经历过恐吓和骚扰（52%，N = 1050），培训状态（30%，N = 599）和性别（18%，N = 364）是主要的感知来源。18%的住院医师（N = 356）报告他们的心理健康为“一般”或“较差”。住院医师希望可获得的前两项资源是职业咨询（39%，N = 777）和财务咨询（37%，N = 741）。
尽管许多加拿大住院医师对他们的幸福感持积极看法，但住院医师在培训期间经历重大压力源，并且很大一部分人有情绪和心理健康问题的风险。这项研究可为未来关于改善住院医师培训期间整体幸福感的研究、宣传和资源应用提供基础。
