Mental health stigma in the medical profession: Where do we go from here?

Ng, Isaac KS; Tan, Bill Cornelius; Goo, Sabrina; Al-Najjar, Zaid

doi:10.1016/j.clinme.2024.100013

Cited by 3 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In line with the recommendations of the United States National Academy of Medicine consensus report, ( 32 ) it is essential to adopt a systematic approach focusing on improving the working environment rather than just providing resilience training to physicians in order to achieve large-scale organizational changes. Similar multi-pronged approach, addressing the mental health conditions such as burnout among physicians in UK has been suggested, including but limited to promoting friendly and supportive work environment, and establishing open dialogue practices to bring forward any occupational stressors as well as structural organizational transformations to support mental health and address burnout syndrome ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

Burnout among diabetes specialist registrars across the United Kingdom in the post-pandemic era

Agha,

Basu,

Anwar

et al. 2024

Front. Med.

View full text Add to dashboard Cite

IntroductionBurnout syndrome is a condition resulting from chronic work-related stress exposure and can be identified by the presence of one or more of the three classic dimensions of burnout, i.e., emotional exhaustion, depersonalization, and lack of personal accomplishment, which negatively impact physician health and productivity.ObjectiveThis study aimed to identify burnout among Diabetes and Endocrinology Specialty Training Registrars (DStRs) across the United Kingdom.Design/settingIt was a Cross-sectional observational study after ethical approval ERSC_2022_1166, utilizing the gold standard Maslach Burnout Inventory to measure burnout syndrome, and to determine self-reported stressors and compare them with the results of our previous survey in 2018.ParticipantsOver 430 DStRs across the United Kingdom were invited electronically through their deanery representatives and specialty training bodies.ResultsUsing Google Forms™ to gather data, we were able to collect 104 completed surveys. Results revealed that 62.5% (n = 65) of participants have burnout (5% increase from the previous survey in 2018), 38.6% (n = 40) have high emotional exhaustion, and 44.2% (n = 46) feel a lack of personal accomplishment. “General Internal Medicine specific workload” was the most common self-reported stressor reported by 87.5% (n = 91) of participants, whereas bullying/harassment and discrimination at work were reported by 35.6% (n = 37) and 30.77% (n = 32) of participants, respectively. Using multivariable logistic regression model, personal stress (OR, 4.00; 95% CI, 1.48–10.86; p = 0.006) had significant, while Bullying/harassment (OR, 3.75; 95% CI, 0.93–15.12; p = 0.063) had marginal impact on the presence of burnout.ConclusionDiabetes and Endocrinology Specialty Training Registrars frequently experience burnout syndrome, which has increased over the last 4 years. However, organizational changes can help identify, prevent, and treat physician burnout.Trial registrationNCT05481021 available at https://ichgcp.net/clinical-trials-registry/NCT05481021.

show abstract

Section: Discussionmentioning

confidence: 99%

Burnout among diabetes specialist registrars across the United Kingdom in the post-pandemic era

Agha,

Basu,

Anwar

et al. 2024

Front. Med.

View full text Add to dashboard Cite

show abstract

Treat staff like they make a difference, and they will

Emmanuel

2024

Clinical Medicine

View full text Add to dashboard Cite

Clinical reasoning in real-world practice: a primer for medical trainees and practitioners

Ng,

Goh,

Teo

et al. 2024

Postgraduate Medical Journal

View full text Add to dashboard Cite

Clinical reasoning is a crucial skill and defining characteristic of the medical profession, which relates to intricate cognitive and decision-making processes that are needed to solve real-world clinical problems. However, much of our current competency-based medical education systems have focused on imparting swathes of content knowledge and skills to our medical trainees, without an adequate emphasis on strengthening the cognitive schema and psychological processes that govern actual decision-making in clinical environments. Nonetheless, flawed clinical reasoning has serious repercussions on patient care, as it is associated with diagnostic errors, inappropriate investigations, and incongruent or suboptimal management plans that can result in significant morbidity and even mortality. In this article, we discuss the psychological constructs of clinical reasoning in the form of cognitive ‘thought processing’ models and real-world contextual or emotional influences on clinical decision-making. In addition, we propose practical strategies, including pedagogical development of a personal cognitive schema, mitigating strategies to combat cognitive bias and flawed reasoning, and emotional regulation and self-care techniques, which can be adopted in medical training to optimize physicians’ clinical reasoning in real-world practice that effectively translates learnt knowledge and skill sets into good decisions and outcomes.

show abstract

Mental health stigma in the medical profession: Where do we go from here?

Cited by 3 publications

References 23 publications

Burnout among diabetes specialist registrars across the United Kingdom in the post-pandemic era

Burnout among diabetes specialist registrars across the United Kingdom in the post-pandemic era

Treat staff like they make a difference, and they will

Clinical reasoning in real-world practice: a primer for medical trainees and practitioners

Contact Info

Product

Resources

About