Abstract

Background: Residency training can render a wide variety of stressors that can affect the residents-in- training’s level of well-being and performance. Long hours of duty in the hospital together with physical and mental fatigue had become acceptable as these were believed to impart toughness to prepare physicians for a career in Medicine. This study was done to identify the stressors experienced by Far Eastern University – Nicanor Reyes Medical Foundation (FEU-NRMF) Medical Center residents-in- training using the Brief Job Stress Questionnaire. Likewise, the relationship between the stressors and the demographic profile of the resident was explored.
 Methods: This is a single-center descriptive cross-sectional study of all resident physicians of the FEU- NRMF Medical Center. The demographic data which includes age, sex, civil status, specialty training, and years in training were sought using a self-administered questionnaire. The stressors, stress reaction, social support, and job satisfaction of residents were identified using the Brief Job Stress Questionnaire (BSQ) which is a validated self-administered questionnaire used in Japan. Data were analyzed using descriptive statistics, presented in tables. The relationships between the stressors and demographic data were analyzed using chi-square and t-test.
 Results: The mean age of the residents-in-training who responded was 29-years old and the majority were females (71%) and single (85%). Mostly came from Internal Medicine training (23%) and were within the first three years of training (83%). The BSQ showed that the psychological stressors of resident-in-training were lack of meaningfulness of work (94%), skill under-utilization (90%), and unsuitable job (85%). In terms of stress reaction, mostly felt fatigued (65%), and anxious (32%). Residents-in-training social support came from their supervisors (86%) and co-workers (60%). Most of them were satisfied with their job (81%) and family life (78%). Among the different stressors, physical demand was the only variable significantly associated with sex (p-value, 0.015) and specialty (p-value, 0.004).
 Conclusion: The research was able to identify the different job stressors, stress reaction, social support, and satisfaction with job and family life of the residents-in-training in FEU-NRMF Medical Center. This will be a starting point in planning and creating programs that will help residents cope with the stress of residency training.

Highlights

  • Residency refers to an advanced training program in a medical or surgical specialty

  • The research was able to identify the different job stressors, stress reaction, social support, and satisfaction with job and family life of the residents-in-training in FEU-NRMF Medical Center. This will be a starting point in planning and creating programs that will help residents cope with the stress of residency training

  • This research aims to identify the stressors, stress reaction, social support, and job and family life satisfaction of residents-in-training in FEU-NRMF Medical Center and determine if there is an association between the identified stressor and the demographic characteristics of the residents

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Summary

Introduction

Residency refers to an advanced training program in a medical or surgical specialty. The first formal residency programs were established in the Johns Hopkins School of Medicine in the late 19th century. As well as physical and mental fatigue, have become accepted among training programs as this is believed to impart toughness to prepare physicians for a career in Medicine. Research by Mata et al (2015) surveyed 18,000 residents over 50 years and they found that 29% of residents will experience depression during their training, four times higher than the depression rate among adults Given these findings, residents-in-training’s mental wellbeing is affected and it was found that there is an association between residents’ level of well-being and their capacity for empathy & patient care (Shanafelt TD et al, 2005). Long hours of duty in the hospital together with physical and mental fatigue had become acceptable as these were believed to impart toughness to prepare physicians for a career in Medicine. The relationship between the stressors and the demographic profile of the resident was explored

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