Resident and attending physician perception of maladaptive response to stress in residents

Background Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods A 16-item survey with 12 Likert-type perception items was desi...

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Veröffentlicht in:Medical education online 2014-01, Vol.19 (1), p.25041
Hauptverfasser: Riesenberg, Lee Ann, Berg, Katherine, Berg, Dale, Morgan, Charity J, Davis, Joshua, Davis, Robyn, Schaeffer, Arielle, Hargraves, Robert, Little, Brian W
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container_issue 1
container_start_page 25041
container_title Medical education online
container_volume 19
creator Riesenberg, Lee Ann
Berg, Katherine
Berg, Dale
Morgan, Charity J
Davis, Joshua
Davis, Robyn
Schaeffer, Arielle
Hargraves, Robert
Little, Brian W
description Background Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Results Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p
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We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Results Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p&lt;0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p&lt;0.0001. Conclusion Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.</description><identifier>EISSN: 1087-2981</identifier><identifier>PMID: 28440135</identifier><language>eng</language><publisher>United States</publisher><ispartof>Medical education online, 2014-01, Vol.19 (1), p.25041</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28440135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riesenberg, Lee Ann</creatorcontrib><creatorcontrib>Berg, Katherine</creatorcontrib><creatorcontrib>Berg, Dale</creatorcontrib><creatorcontrib>Morgan, Charity J</creatorcontrib><creatorcontrib>Davis, Joshua</creatorcontrib><creatorcontrib>Davis, Robyn</creatorcontrib><creatorcontrib>Schaeffer, Arielle</creatorcontrib><creatorcontrib>Hargraves, Robert</creatorcontrib><creatorcontrib>Little, Brian W</creatorcontrib><title>Resident and attending physician perception of maladaptive response to stress in residents</title><title>Medical education online</title><addtitle>Med Educ Online</addtitle><description>Background Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Results Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p&lt;0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p&lt;0.0001. Conclusion Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. 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Conclusion Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.</abstract><cop>United States</cop><pmid>28440135</pmid></addata></record>
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title Resident and attending physician perception of maladaptive response to stress in residents
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