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Welfare of doctors: ARTICLES

This page contains information about accessing online journals and articles, as well as linked lists of articles and journal titles relevant to the welfare of doctors.

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Recent articles of interest

Last updated: 7 March 2019

Articles​Kim DD, Kimura A Jr, Pontes DKL, Oliveira MLS, Cumino DO. Evaluation of anesthesiologists' knowledge about occupational health: pilot study. BMC Anesthesiology. 2018;18(1):193-193. 

WebsiteCanadian Anesthesiologists' Society.Healthy Anesthesiologist [Internet]. 2019. From: https://www.cas.ca/English/Healthy-Anesthesiologist. Accessed 6 March 2019.

ArticlesSchäfer SK, Lass-Hennemann J, Groesdonk H, Volk T, Bomberg H, Staginnus M, et al. Mental health in anesthesiology and ICU staff: sense of coherence matters. Front. Psychiatry, 19 September 2018.

ArticlesPatel RS, Bachu R, Adikey A, Malik M, Shah M. Factors related to physician burnout and its consequences: a review. Behavioral Sciences (Basel, Switzerland). 2018;8(11).
ArticlesDhand, S. Why doctors are unhappy in their jobs - and what to do about it. Medical Observer, Opinion, 12 June 2019.

​Prins DJ, van Vendeloo SN, Brand PLP, Van der Velpen I, de Jong K, van den Heijkant F, et al. The relationship between burnout, personality traits, and medical specialty. A national study among Dutch residents. Med Teach. 2018 Nov 3:1-7.

Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132-49.

Westbrook, J., Sunderland, N. Bullying and harassment of health workers endangers patient safety.  The ConversationMedical Observer, 5 November 2018, .

Robson, S. I was a young doctor, about to kill myself, when I heard a knock at my door. Sydney Morning Herald; 2 November 2018.

Victorian Institute of Forensic Medicine. Clinical Communique. 2018;5(3):10.

Special issue on clinician suicides.

Marr, J. 'I needed it to look like an accident. A tired doctor falls asleep at the wheel and hits a tree' [article post]. Medical observer. Posted 24 August, 2017.

In this article GP Dr Jane Marr tells how one night, during a shift on a labour ward, she came close to suicide.

Murray R, Crotty B. What needs to happen to build resilience and improve mental health among junior doctors [article post]. The Conversation. Posted May 25, 2017.

Doctors experience higher levels of suicide and mental distress than their non-medical peers. A review of studies in the area found male doctors had a 26% higher risk of suicide, while female doctors had a 146% higher risk (more than double) than the general population...

Wiedersehn, Sarah. Anaesthetists conference: Medical professionals encouraged to speak up on mental health [article post]. Brisbane Times. Posted May 14, 2017.

A healthy anaesthetist means a healthier patient, which is why the topic of mental health among this "high-risk" group of doctors is being brought out in the open.​..

Spotlight on: substance abuse

The topic of substance abuse amongst our colleagues has frequently and recently been discussed by the SIG.  This article sought to establish how common the problem is, who it affects and what is being done about it in our region.  The survey has recently been repeated and the results will be published soon.  Until then, let us review where we were in 2005.  Also keep a look out for our ‘article of the month’ in the ANZCA Bulletin.

To view the survey click here.

Fry, RA. Substance Abuse by Anaesthetists in Australia and New Zealand.  Anaesthesia and Intensive Care, 2005; 33: 248-255

Recognising Warning Signs 
  • Are you enthusiastic for long, difficult or complicated cases?  
  • Do you volunteer to work extra shifts or to do extra or late cases on a list? 
  • Are you over-anxious to give breaks to your colleagues?  

Did you know that these are some of the warning signs of drug abuse, according the Association of Anaesthetists of Great Britain and Ireland (AAGBI)?

These attributes are also those which are generally valued by anaesthetists, which highlights how difficult it can be to recognise substance misuse amongst our colleagues.  
    
For more warning signs and for strategies on what to do when you suspect someone may have a substance abuse problem, I encourage you to read the Welfare of Anaesthetists Special Interest Group resource document "RD 20 Substance Abuse 2013", which can be found (along with other resource documents) on the ANZCA website here.

Recommendations for future articles of the month are welcome.  Please contact Events or Dr Suzi Nou (Suzi.Nou@nh.org.au).  

More articles of interest

Marr, J. 'I needed it to look like an accident. A tired doctor falls asleep at the wheel and hits a tree' [article post]. Medical observer. Posted 24 August, 2017.

In this article GP Dr Jane Marr tells how one night, during a shift on a labour ward, she came close to suicide.

Murray R, Crotty B. What needs to happen to build resilience and improve mental health among junior doctors [article post]. The Conversation. Posted May 25, 2017.

Abstract: Doctors experience higher levels of suicide and mental distress than their non-medical peers. A review of studies in the area found male doctors had a 26% higher risk of suicide, while female doctors had a 146% higher risk (more than double) than the general population...

Wiedersehn, Sarah. Anaesthetists conference: Medical professionals encouraged to speak up on mental health [article post]. Brisbane Times. Posted May 14, 2017.

Introduction: A healthy anaesthetist means a healthier patient, which is why the topic of mental health among this "high-risk" group of doctors is being brought out in the open.​..

Davies Scimeca, P. Out from under a bus. CDC's Safe Healthcare Blog. Posted on February 2, 2017.

Abstract: Many health professionals believe that reporting a colleague’s alcohol or other drug problem is “throwing them under the bus.” However, most professionals in recovery from a substance use disorder agree that they were already under the bus that was going to run over and kill them. Most experts in peer assistance, including myself, concur that without responsible reporting, the professional may not only die, but harm patients. Yet there is another gallery of voices that must be heard to truly see the impact of this dilemma.

Goldney RD. Suicide by health care professionals. Med J Aust. 2016;205(6):257-8.

Milner AJ, Maheen H, Bismark MM, Spittal MJ. Suicide by health professionals: a retrospective mortality study in Australia, 2001-2012. Med J Aust. 2016;205(6):260-5.

Tartas M, Walkiewicz M, Budzinski W, Majkowicz M, Wojcikiewicz K, Zdun-Ryzewska A. The coping strategies during medical education predict style of success in medical career: A 10-year longitudinal study. BMC Med Educ. 2016;16(1):186.

Soares DS, Chan L. Stress and wellbeing of junior doctors in Australia: A comparison with American doctors and population norms. BMC Med Educ. 2016;16(1):183.

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA. 2015;314(22):2373-2383.

Matejic B, Milenovic M, Kisic Tepavcevic D, Simic D, Pekmezovic T, Worley JA. Psychometric properties of the Serbian version of the Maslach Burnout Inventory-human services survey: A validation study among anesthesiologists from Belgrade teaching hospitals. ScientificWorldJournal. 2015;2015:903597.

Craig D. Substance use disorder in canadian university departments of anesthesia. Can J Anaesth. 2016;63(3):365-366.

Fiedorowicz JG, Ellingrod VL, Kaplan MJ, Sen S. The development of depressive symptoms during medical internship stress predicts worsening vascular function. J Psychosom Res. 2015;79(3):243-245.

Mayall RM. Substance abuse in anaesthetistsBJA Educ. 2015, 1-6.

Lee YY, Medford AR, Halim AS. Burnout in physicians. J R Coll Physicians Edinb. 2015;45(2):104-107.