Abstract
OBJECTIVE: To assess how many residents follow the recommendation that physicians have a personal family physician and where residents seek medical attention when needed. DESIGN: Hand-delivered survey. SETTING Residency training programs at Queen's University. PARTICIPANTS: Of 215 residents with a central mailbox, 122 responded (response rate 57%). MAIN OUTCOME MEASURES: Health status, usual access to health care, having a personal family physician, and response to two scenarios. RESULTS: More than a third (38%) of residents have a local family physician, yet 25% of those with chronic illnesses and 40% of those who use prescription medications regularly do not. Many rely on colleagues; 41% have received prescriptions from or written prescriptions for their colleagues. Residents with local family physicians are more likely to seek appropriate medical attention for physical problems. Residents do not recognize or seek treatment for mental health problems. Knowledge, time, and accessibility were considered barriers to adequate health care. CONCLUSION: Many residents do not have good access to comprehensive, confidential, and objective medical care. They rely on colleagues, and they ignore mental health problems. Lack of time and access, and attitudes about the importance of having a family physician are important barriers.
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Selected References
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- Bentivegna J. F. A real health threat--debt. Conn Med. 1997 Mar;61(3):180–180. [PubMed] [Google Scholar]
- Christie J. D., Rosen I. M., Bellini L. M., Inglesby T. V., Lindsay J., Alper A., Asch D. A. Prescription drug use and self-prescription among resident physicians. JAMA. 1998 Oct 14;280(14):1253–1255. doi: 10.1001/jama.280.14.1253. [DOI] [PubMed] [Google Scholar]
- Forsythe M., Calnan M., Wall B. Doctors as patients: postal survey examining consultants and general practitioners adherence to guidelines. BMJ. 1999 Sep 4;319(7210):605–608. doi: 10.1136/bmj.319.7210.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kahn K. L., Goldberg R. J., DeCosimo D., Dalen J. E. Health maintenance activities of physicians and nonphysicians. Arch Intern Med. 1988 Nov;148(11):2433–2436. [PubMed] [Google Scholar]
- 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]
- 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]
- McIsaac W. J., Fuller-Thomson E., Talbot Y. Does having regular care by a family physician improve preventive care? Can Fam Physician. 2001 Jan;47:70–76. [PMC free article] [PubMed] [Google Scholar]
- Raj S. R., Simpson C. S., Hopman W. M., Singer M. A. Health-related quality of life among final-year medical students. CMAJ. 2000 Feb 22;162(4):509–510. [PMC free article] [PubMed] [Google Scholar]
- Roberts L. W., Hardee J. T., Franchini G., Stidley C. A., Siegler M. Medical students as patients: a pilot study of their health care needs, practices, and concerns. Acad Med. 1996 Nov;71(11):1225–1232. doi: 10.1097/00001888-199611000-00019. [DOI] [PubMed] [Google Scholar]
- Roberts L. W., Warner T. D., Carter D., Frank E., Ganzini L., Lyketsos C. Caring for medical students as patients: access to services and care-seeking practices of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Healthcare. Acad Med. 2000 Mar;75(3):272–277. doi: 10.1097/00001888-200003000-00019. [DOI] [PubMed] [Google Scholar]
- Roberts L. W., Warner T. D., Lyketsos C., Frank E., Ganzini L., Carter D. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. Compr Psychiatry. 2001 Jan-Feb;42(1):1–15. doi: 10.1053/comp.2001.19747. [DOI] [PubMed] [Google Scholar]
- Roberts L. W., Warner T. D., Trumpower D. Medical students' evolving perspectives on their personal health care: clinical and educational implications of a longitudinal study. Compr Psychiatry. 2000 Jul-Aug;41(4):303–314. doi: 10.1053/comp.2000.0410303. [DOI] [PubMed] [Google Scholar]
- Rosen I. M., Christie J. D., Bellini L. M., Asch D. A. Health and health care among housestaff in four U.S. internal medicine residency programs. J Gen Intern Med. 2000 Feb;15(2):116–121. doi: 10.1046/j.1525-1497.2000.11218.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rudner H. L. Stress and coping mechanisms in a group of family practice residents. J Med Educ. 1985 Jul;60(7):564–566. doi: 10.1097/00001888-198507000-00011. [DOI] [PubMed] [Google Scholar]
- Schwartz A. J., Black E. R., Goldstein M. G., Jozefowicz R. F., Emmings F. G. Levels and causes of stress among residents. J Med Educ. 1987 Sep;62(9):744–753. doi: 10.1097/00001888-198709000-00006. [DOI] [PubMed] [Google Scholar]
- Stoudemire A., Rhoads J. M. When the doctor needs a doctor: special considerations for the physician-patient. Ann Intern Med. 1983 May;98(5 Pt 1):654–659. doi: 10.7326/0003-4819-98-5-654. [DOI] [PubMed] [Google Scholar]
- Talbot Y., Fuller-Thomson E., Tudiver F., Habib Y., McIsaac W. J. Canadians without regular medical doctors. Who are they? Can Fam Physician. 2001 Jan;47:58–64. [PMC free article] [PubMed] [Google Scholar]
- Vaillant G. E., Sobowale N. C., McArthur C. Some psychologic vulnerabilities of physicians. N Engl J Med. 1972 Aug 24;287(8):372–375. doi: 10.1056/NEJM197208242870802. [DOI] [PubMed] [Google Scholar]
- Wilkins K., Beaudet M. P. Work stress and health. Health Rep. 1998 Winter;10(3):47–(FRE). [PubMed] [Google Scholar]
- Williams L. S. Manitoba suicides force consideration of stresses facing medical residents. CMAJ. 1997 Jun 1;156(11):1599–1602. [PMC free article] [PubMed] [Google Scholar]