Skip to main content
The Western Journal of Medicine logoLink to The Western Journal of Medicine
. 1988 Jan;148(1):97–101.

House Staff Well-being

Lorrin M Koran, Iris F Litt
PMCID: PMC1026039  PMID: 3341147

Abstract

From a survey of 281 house-staff members of a university medical center, we found that nearly half the respondents were afraid to complain about their training programs and were concerned that their relationship with their partner would not survive the residency. In all, 40% reported that anxiety or depression impaired their performance for a month or more; 12% reported an increased use of alcohol, marijuana, or cocaine; and 7% an increased use of sedatives, stimulants, or opioids. Stressors and dysfunctional behaviors did not differ significantly between male and female house staff, but many women had more tenuous support systems. Married house staff had stronger support systems and less substance abuse, anxiety, and depression. Departments differed widely in house-staff morale, available social supports, and the frequency of dysfunctional behaviors. Residency program directors should assess their house staff's distress and study and initiate means to reduce stress, increase support, and facilitate coping.

Full text

PDF
97

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Asken M. J., Raham D. C. Resident performance and sleep deprivation: a review. J Med Educ. 1983 May;58(5):382–388. doi: 10.1097/00001888-198305000-00003. [DOI] [PubMed] [Google Scholar]
  2. Berg J. K., Garrard J. Psychosocial support in residency training programs. J Med Educ. 1980 Oct;55(10):851–857. doi: 10.1097/00001888-198010000-00006. [DOI] [PubMed] [Google Scholar]
  3. Bergman A. S. Marital stress and medical training: an experience with a support group for medical house staff wives. Pediatrics. 1980 May;65(5):944–947. [PubMed] [Google Scholar]
  4. Blackwell B. Prevention of impairment among residents in training. JAMA. 1986 Mar 7;255(9):1177–1178. [PubMed] [Google Scholar]
  5. Borenstein D. B. Should physician training centers offer formal psychiatric assistance to house officers? A report on the major findings of a prototype program. Am J Psychiatry. 1985 Sep;142(9):1053–1057. doi: 10.1176/ajp.142.9.1053. [DOI] [PubMed] [Google Scholar]
  6. Clark D. C., Salazar-Grueso E., Grabler P., Fawcett J. Predictors of depression during the first 6 months of internship. Am J Psychiatry. 1984 Sep;141(9):1095–1098. doi: 10.1176/ajp.141.9.1095. [DOI] [PubMed] [Google Scholar]
  7. Elliot D. L., Girard D. E. Gender and the emotional impact of internship. J Am Med Womens Assoc. 1986 Mar-Apr;41(2):54–56. [PubMed] [Google Scholar]
  8. Friedman R. C., Bigger J. T., Kornfeld D. S. The intern and sleep loss. N Engl J Med. 1971 Jul 22;285(4):201–203. doi: 10.1056/NEJM197107222850405. [DOI] [PubMed] [Google Scholar]
  9. Friedman R. C., Kornfeld D. S., Bigger T. J. Psychological problems associated with sleep deprivation in interns. J Med Educ. 1973 May;48(5):436–441. doi: 10.1097/00001888-197305000-00004. [DOI] [PubMed] [Google Scholar]
  10. Glick I. D., Borus J. F. Marital and family therapy for troubled physicians and their families. A bridge over troubled waters. JAMA. 1984 Apr 13;251(14):1855–1858. [PubMed] [Google Scholar]
  11. Herzog D. B., Wyshak G., Stern T. A. Patient-generated dysphoria in house officers. J Med Educ. 1984 Nov;59(11 Pt 1):869–874. doi: 10.1097/00001888-198411000-00005. [DOI] [PubMed] [Google Scholar]
  12. Landau C., Hall S., Wartman S. A., Macko M. B. Stress in social and family relationships during the medical residency. J Med Educ. 1986 Aug;61(8):654–660. doi: 10.1097/00001888-198608000-00004. [DOI] [PubMed] [Google Scholar]
  13. Linn L. S., Yager J., Cope D., Leake B. Health habits and coping behaviors among practicing physicians. West J Med. 1986 Apr;144(4):484–489. [PMC free article] [PubMed] [Google Scholar]
  14. Mazie B. Job stress, psychological health, and social support of family practice residents. J Med Educ. 1985 Dec;60(12):935–941. doi: 10.1097/00001888-198512000-00005. [DOI] [PubMed] [Google Scholar]
  15. McAuliffe W. E., Rohman M., Santangelo S., Feldman B., Magnuson E., Sobol A., Weissman J. Psychoactive drug use among practicing physicians and medical students. N Engl J Med. 1986 Sep 25;315(13):805–810. doi: 10.1056/NEJM198609253151305. [DOI] [PubMed] [Google Scholar]
  16. McAuliffe W. E., Wechsler H., Rohman M., Soboroff S. H., Fishman P., Toth D., Friedman R. Psychoactive drug use by young and future physicians. J Health Soc Behav. 1984 Mar;25(1):34–54. [PubMed] [Google Scholar]
  17. McCue J. D. The distress of internship. Causes and prevention. N Engl J Med. 1985 Feb 14;312(7):449–452. doi: 10.1056/NEJM198502143120725. [DOI] [PubMed] [Google Scholar]
  18. Myers J. K., Weissman M. M., Tischler G. L., Holzer C. E., 3rd, Leaf P. J., Orvaschel H., Anthony J. C., Boyd J. H., Burke J. D., Jr, Kramer M. Six-month prevalence of psychiatric disorders in three communities 1980 to 1982. Arch Gen Psychiatry. 1984 Oct;41(10):959–967. doi: 10.1001/archpsyc.1984.01790210041006. [DOI] [PubMed] [Google Scholar]
  19. Reuben D. B., Novack D. H., Wachtel T. J., Wartman S. A. A comprehensive support system for reducing house staff distress. Psychosomatics. 1984 Nov;25(11):815–820. doi: 10.1016/S0033-3182(84)72942-2. [DOI] [PubMed] [Google Scholar]
  20. Rinke C. M. The professional identities of women physicians. JAMA. 1981 Jun 19;245(23):2419–2421. [PubMed] [Google Scholar]
  21. Siegel B., Donnelly J. C. Enriching personal and professional development: the experience of a support group for interns. J Med Educ. 1978 Nov;53(11):908–914. [PubMed] [Google Scholar]
  22. Smith J. W., Denny W. F., Witzke D. B. Emotional impairment in internal medicine house staff. Results of a national survey. JAMA. 1986 Mar 7;255(9):1155–1158. [PubMed] [Google Scholar]
  23. Valko R. J., Clayton P. J. Depression in the internship. Dis Nerv Syst. 1975 Jan;36(1):26–29. [PubMed] [Google Scholar]
  24. Ward C. F., Ward G. C., Saidman L. J. Drug abuse in anesthesia training programs. A survey: 1970 through 1980. JAMA. 1983 Aug 19;250(7):922–925. [PubMed] [Google Scholar]
  25. Werner E. R., Adler R., Robinson R., Korsch B. M. Attitudes and interpersonal skills during pediatric internship. Pediatrics. 1979 Mar;63(3):491–499. [PubMed] [Google Scholar]
  26. Ziegler J. L., Strull W. M., Larsen R. C., Martin A. R., Coates T. J. Stress and medical training. West J Med. 1985 Jun;142(6):814–819. [PMC free article] [PubMed] [Google Scholar]

Articles from Western Journal of Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES