Carmen Axisa1, Louise Nash2, Patrick Kelly3, Simon Willcock4. 1. Lecturer, Faculty of Health, University of Technology Sydney, Sydney, NSW, and; PhD Candidate, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia. 2. Associate Professor and Associate Director Teaching and Learning, Brain and Mind Centre, The University of Sydney, NSW, and; Sydney Local Health District, Sydney, NSW, Australia. 3. Associate Professor, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia. 4. Professor of General Practice, Sydney Medical School, The University of Sydney, Sydney, NSW, and; Director of Primary Care, Macquarie University Hospital, Sydney, NSW, Australia.
Abstract
OBJECTIVE: To evaluate the effectiveness of a workshop intervention to promote wellbeing for Australian physician trainees using a randomized-controlled design. METHODS: Participants were randomly assigned into intervention and control groups. The intervention group attended a half-day workshop. Outcome measures included depression anxiety stress scale, professional quality of life scale and alcohol use disorders identification test. Demographic and work/life factors were measured. Measurements were recorded at baseline, 3 and 6 months, and the workshop was evaluated by participants. RESULTS: High rates of burnout (76%) and secondary traumatic stress (91%) were detected among study participants and around half met screening criteria for depression (52%), anxiety (46%) and stress (50%) at baseline. Workshop evaluations showed that participants agreed that the training was relevant to their needs (96%) and met their expectations (92%). There was a small reduction in alcohol use, depression and burnout in the intervention group compared with the control group at 6 months, but these changes did not reach statistical significance. CONCLUSION: High rates of psychological morbidity detected in the study suggest that physician trainees are a vulnerable group who may benefit from initiatives that promote wellbeing and changes in the workplace to reduce distress.
OBJECTIVE: To evaluate the effectiveness of a workshop intervention to promote wellbeing for Australian physician trainees using a randomized-controlled design. METHODS: Participants were randomly assigned into intervention and control groups. The intervention group attended a half-day workshop. Outcome measures included depression anxiety stress scale, professional quality of life scale and alcohol use disorders identification test. Demographic and work/life factors were measured. Measurements were recorded at baseline, 3 and 6 months, and the workshop was evaluated by participants. RESULTS: High rates of burnout (76%) and secondary traumatic stress (91%) were detected among study participants and around half met screening criteria for depression (52%), anxiety (46%) and stress (50%) at baseline. Workshop evaluations showed that participants agreed that the training was relevant to their needs (96%) and met their expectations (92%). There was a small reduction in alcohol use, depression and burnout in the intervention group compared with the control group at 6 months, but these changes did not reach statistical significance. CONCLUSION: High rates of psychological morbidity detected in the study suggest that physician trainees are a vulnerable group who may benefit from initiatives that promote wellbeing and changes in the workplace to reduce distress.
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