Health in the medical and other learned professions

King, Haitung

doi:10.1016/0021-9681(70)90005-6

Cited by 29 publications

(10 citation statements)

References 61 publications

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“…However, zoonotic animal viruses should also be considered. Although human cancers are not more frequent in households containing pets with malignant lymphoma (Hanes et al , 1970;Schneider, 1972), an elevated risk for acute leukemia has been reported following exposure to sick pets (Bross et al, 1972) and among persons residing in areas where dairy herds are infected with bovine leukemia virus (Donham et al, 1978). Although mortality ratios for lymphatic and hematopoietic cancers were slightly elevated in all three speciality groups, the significant excesses were confined to the practising veterinarians, suggesting that causal factors associated with animal care may be involved.…”

Section: Discussionmentioning

confidence: 99%

“…Leukemia mortality was slightly higher among veterinarians under 60 years than those over 60, but the distribution of deaths showed the familiar increasing trend with age, making it unlikely that the observed excess resulted from a peculiar age distribution. At least part of the excesses for leukemia and Hodgkin's disease may be related to socioeconomic factors, since elevated risks have been re-ported among people of the upper social class (Registrar General's Decennial Supplement, 1978) and professional groups such as physicians (Henshaw and Hawkins, 1944;Vianna et al, 1974), chiropractors (Ravenholt, 1964), and lawyers (King, 1970).…”

Section: Discussionmentioning

confidence: 99%

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Cancer and other causes of death among U.S. veterinarians, 1966–1977

Blair

Hayes

1980

Intl Journal of Cancer

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Causes of death among 1,551 white male veterinarians identified from obituary listings in the Journal of the American Veterinary Medical Association were compared to an expected distribution based on the general US population. The proportion of deaths was significantly high for particular neoplasms, especially leukemia and Hodgkin's disease, and cancers of the brain and skin. Although socioeconomic and methodologic factors may be involved, the excesses were primarily among veterinarians in clinical practice, raising the possibility that specific occupational exposures may be carcinogenic. Mortality was also relatively high for motor vehicle accidents, suicides and asthma, but low for lung cancer and other diseases of the respiratory system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cancer and other causes of death among U.S. veterinarians, 1966–1977

Blair

Hayes

1980

Intl Journal of Cancer

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“…This was seen in their great effort to seek psychotherapeutic help and keep the assistance to the sessions. Dowling described the triple sign as: ignorance, indifference and the physicians' lack of attention to their health (King, 1970).…”

Section: Resultsmentioning

confidence: 99%

Subjective Aspects of Burnout Syndrome in the Medical Profession

García-Arroyo¹,

Domínguez-López²

2014

PSYCH

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Burnout is a syndrome related to work over load and associated, generally, with the helping professions. Here we will study it in relation to the medical profession, considering the doctor's personal aspects. For this purpose, we start with a group of physicians treated psychotherapeutically for suffering from burnout. The method is qualitative and consists of recording as accurately as possible the verbal expressions of the patients. Since there was plenty of verbal material waste, we had to differentiate between "useful statements" (type I) and "useless" (type II), whose characteristics we defined exactly. As a result we find that these professionals show emotional mismanagement due to lack of subjective recognition of affective experiences. This causes an overflow that physically manifests itself in the absence of any mental processing, resulting eventually in the triad features of the syndrome. Subjectively, we find the origin of this in the "medical ideals" that hinder these professionals from recognizing the above mentioned experiences since they consider them as inadequate for the performance of their work and contravene their values. At the same time, these subjects were busy helping others, but were unable to help themselves or ask for help.

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“…Most studies have compared mortality rates for doctors with those of the general population or within the medical profession, but not with comparable socio-economic groups. Some older studies have shown that mortality for doctors is high compared with mortality for other professionals and men in the same socio-economic group [12-15]. However, the results are inconsistent [9].…”

Section: Introductionmentioning

confidence: 99%

Mortality among Norwegian doctors 1960-2000

et al. 2011

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BackgroundTo study the mortality pattern of Norwegian doctors, people in human service occupations, other graduates and the general population during the period 1960-2000 by decade, gender and age. The total number of deaths in the study population was 1 583 559.MethodsCensus data from 1960, 1970, 1980 and 1990 relating to education were linked to data on 14 main causes of death from Statistics Norway, followed up for two five-year periods after census, and analyzed as stratified incidence-rate data. Mortality rate ratios were computed as combined Mantel-Haenzel estimates for each sex, adjusting for both age and period when appropriate.ResultsThe doctors had a lower mortality rate than the general population for all causes of death except suicide. The mortality rate ratios for other graduates and human service occupations were 0.7-0.8 compared with the general population. However, doctors have a higher mortality than other graduates. The lowest estimates of mortality for doctors were for endocrine, nutritional and metabolic diseases, diseases in the urogenital tract or genitalia, digestive diseases and sudden death, for which the numbers were nearly half of those for the general population. The differences in mortality between doctors and the general population increased during the periods.ConclusionsBetween 1960 and 2000 mortality for doctors converged towards the mortality for other university graduates and for people in human service occupations. However, there was a parallel increase in the gap between these groups and the rest of the population. The slightly higher mortality for doctors compared with mortality for other university graduates may be explained by the higher suicide rate for doctors.

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Health in the medical and other learned professions

Cited by 29 publications

References 61 publications

Cancer and other causes of death among U.S. veterinarians, 1966–1977

Cancer and other causes of death among U.S. veterinarians, 1966–1977

Subjective Aspects of Burnout Syndrome in the Medical Profession

Mortality among Norwegian doctors 1960-2000

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