Hospital interns' and residents' perceptions of rural training and practice in Victoria

Aim: To assess prevalence of Depression, Anxiety, Stress in medical students, interns, and residents in Pakistan Study design: Cross-sectional Survey (Questionnaire) based study. Place and duration of study: This study was conducted at Combined Military Hospital Lahore Medical College from March 2020 to May 2020. Results: 104 participants were included in the study. There was female predominance 58(55.8%), and the mean age was 23.55±1.42. The overall mean score of depression and anxiety was 21.2±12.67 and 15.7±10.67 respectively and most prevalent in third and fourth-year residents. The mean stress score was 13.7, 10. 27. Twenty-eight (26.9%) of the overall participants had extremely severe depression, 36 (34.6 %) had extremely severe anxiety and 13(12.5%) had severe stress. Doctors studying and practicing in the private sector have a higher DASS21 score (p = < 0.006) Conclusion: Multiple factors have been found to contribute to the poor mental health of health care workers, including financial trouble, sleep deprivation, abuse from colleagues, high expectations, female gender, broken relationships, and substance misuse. Keywords: Anxiety Disorders, Depression, Medical, Mental Health Problem Solving, Psychological Distress,

Download Full-text

Intimidation and harassment in residency: a review of the literature and results of the 2012 Canadian Association of Interns and Residents National Survey

Canadian Medical Education Journal ◽

10.36834/cmej.36667 ◽

2014 ◽

Vol 5 (1) ◽

pp. e50-e57 ◽

Cited By ~ 18

Author(s):

Safiya Karim ◽

Maryana Duchcherer

Keyword(s):

Literature Review ◽

English Language ◽

Residency Education ◽

Verbal Abuse ◽

Emotional Impact ◽

Review Of The Literature ◽

Canadian Association ◽

Predominant Form ◽

Interns And Residents ◽

Common Problems

Background: Intimidation and harassment (I&H) have been longstanding problems in residency training. These behaviours continue to be prevalent, as evidenced by the 2012 Canadian Association of Interns and Residents (CAIR) National Resident Survey. More than seven in ten (72.9%) residents reported behaviour from others that made them feel diminished during their residency. We conducted a literature review to identify other surveys to determine the prevalence, key themes, and solutions to I&H across residency programs.Method: PubMed and MEDLINE searches were performed using the key words “intimidation,” “harassment,” “inappropriate behaviour,” “abuse,” “mistreatment,” “discrimination,” and “residency.” The search was limited to English language articles published between 1996 and 2013, and to papers where ten or more residents were surveyed or interviewed.Results: A total of ten articles were reviewed. Our findings showed that I&H continue to be highly prevalent with 45-93% of residents reporting this behaviour on at least one occasion. Verbal abuse was the most predominant form; staff physicians and nurses tended to be the dominant source. Residents reported that I&H caused significant emotional impact; however, very few incidents of inappropriate behaviour were reported. Very few solutions to I&H were proposed.Conclusions: I&H in residency education continue to be common problems that are under-reported and under-discussed. The opportunity exists to improve efforts in this area. Definitions of what incorporates I&H should be revisited and various educational and structural initiatives should be implemented.

Download Full-text

A study on mosquito density in rural Kerala before and after floods

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190187 ◽

2019 ◽

Vol 6 (2) ◽

pp. 659

Author(s):

V. T. Krishnadas Menon ◽

Jerry Rachel ◽

C. R. Saju ◽

M. Mohamed Rafi ◽

Vidhu M. Joshy

Keyword(s):

Disease Outbreaks ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Mosquito Density ◽

Cross Sectional ◽

Training Centre ◽

Before And After ◽

Initial Survey ◽

Rural Training

Background: Mosquito borne diseases are a major public health problem in Kerala. Mosquito density assessed by larval surveys is easier and quicker to perform. The larval indices are an important practical predictor of outbreaks of mosquito borne disease and are valuable in taking preventive measures. This study is done to calculate standardized larval indices namely house index, container index and Breteau index and to identify the major breeding sources of mosquitoes in the residential environment in a rural of Thrissur, Kerala.Methods: A cross-sectional study selecting 80 houses from 1 wards of Konnikara village under Thrikkur Panchayath under the field practice area of rural training centre, Amala Institute of Medical Sciences Thrissur. Every water holding container indoors and outdoors was counted and searched for larval presence and noted on a pretested format.Results: In this study, 80 houses were surveyed in 2 days initially in June and in September. All the entomological indices were found to be above the critical level in the initial survey in June. House index=36% container index=44%; Breteau index=143% showing high chances for outbreaks of mosquito borne diseases. In September though the indices were very low house index 1.25% container index 2.77% and Breteau index.Conclusions: The area is prone for mosquito borne disease outbreaks like dengue fever and after interventions the vector indices and potential risks came down.

Download Full-text

The Evolution of the Labor Market for Medical Interns and Residents: A Case Study in Game Theory

Journal of Political Economy ◽

10.1086/261272 ◽

1984 ◽

Vol 92 (6) ◽

pp. 991-1016 ◽

Cited By ~ 576

Author(s):

Alvin E. Roth

Keyword(s):

Game Theory ◽

Labor Market ◽

Interns And Residents ◽

Medical Interns

Download Full-text

Prevalence of Depression, Anxiety and Stress in Medical Students, interns and residents in Pakistan

10.53350/pjmhs211592215 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2215-2218

Author(s):

Anum Arif ◽

Minahil Iram ◽

Sabih Nofal ◽

Aima Sohail ◽

Bismah Riaz ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Severe Depression ◽

Poor Mental Health ◽

Military Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Interns And Residents ◽

The Mean

Aim: To assess prevalence of depression, anxiety, stress in medical students, interns and residents in Pakistan Study design: Cross-sectional Survey (Questionnaire) based study. Place and duration of study: This study was conducted at Combined Military Hospital Lahore Medical College from March 2020 to May 2020. Results: 104 participants were included in the study. There was female predominance 58(55.8%), and the mean age was 23.55±1.42. The overall mean score of depression and anxiety was 21.2±12.67 and 15.7±10.67 respectively and most prevalent in third and fourth-year residents. The mean stress score was 13.7, 10. 27. Twenty-eight (26.9%) of the overall participants had extremely severe depression, 36 (34.6 %) had extremely severe anxiety and 13(12.5%) had severe stress. Conclusion: Multiple factors have been found to contribute to the poor mental health of health care workers, including financial trouble, sleep deprivation, abuse from colleagues, high expectations, female gender, broken relationships, and substance misuse. The prevalence of depression, anxiety, and stress in common in medical students. This calls for the development of strategies, workshops, and programs to identify modifiable stressors, encourage students to reach out to their family members and their teachers to verbalize their issues, and make psychiatric consultation accessible to them. Keywords: Anxiety Disorders, Depression, Medical, Mental Health Problem Solving, Psychological Distress,

Download Full-text