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GP registrar well-being: a cross-sectional survey

Peter Schattner1 email, Dennis Mazalin1 email, Ciaran Pier2 email, Jo Wainer3 email and Mee Yoke Ling1 email

Department of General Practice, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill Vic 3168, Australia

School of Psychology, Deakin University, 221 Burwood Highway, Burwood Vic 3125, Australia

Monash Institute of Health Services Research, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Locked Bag 29, Clayton 3168, Australia

author email corresponding author email

Asia Pacific Family Medicine 2010, 9:2doi:10.1186/1447-056X-9-2

Published: 9 February 2010

Abstract

Objectives

To investigate the major stressors affecting GP registrars, how those at risk can be best identified and the most useful methods of managing or reducing their stress.

Design, setting and participants

Cross-sectional postal questionnaire of all GP registrars in one large regional training provider's catchment area.

Main outcome measures

The Depression, Anxiety and Stress Scale (DASS), a specifically developed Registrar Stressor Scale consisting of five subscales of potential stressors, plus closed questions on how to identify and manage stress in GP registrars.

Results

Survey response rate of 51% (102/199). Rural difficulties followed by achieving a work/life balance were the principal stressors. Ten percent of registrars were mildly or moderately depressed or anxious (DASS) and 7% mild to moderately anxious (DASS). Registrars preferred informal means of identifying those under stress (a buddy system and talks with their supervisors); similarly, they preferred to manage stress by discussions with family and friends, debriefing with peers and colleagues, or undertaking sport and leisure activities.

Conclusions

This study supports research which confirms that poor psychological well-being is an important issue for a significant minority of GP trainees. Regional training providers should ensure that they facilitate formal and informal strategies to identify those at risk and assist them to cope with their stress.


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