Self-referrals to a doctors' mental health service over 10 years

Meerten, Maja; Rost, Felicitas; Bland, Julia; Garelick, Antony

doi:10.1093/occmed/kqt177

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…Burnout has become a major problem within the field of healthcare. Burnout is associated with sleep deprivation,32 medical errors,33 poor quality of care34 and low ratings of patient satisfaction 35. Indeed, for US surgeons, burnout and depression were among the strongest factors related to reporting a recent major medical error 36.…”

Section: So What Is the Results Of Fitting Square Pegs In Round Holes?mentioning

confidence: 99%

Physicians as leaders: are we trying to fit square pegs into round holes?

Montgomery

2018

leader

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The purpose of medical education has changed over the last 70 years. The modern doctor is expected to be a leader who will be skilled in people management, team working and patient engagement. Moreover, the burgeoning literature on the development of medical leadership competency frameworks as a way to inform curriculum development is evidence of a desire to empower physicians to be healthcare leaders. The movement towards developing medical students as leaders has to be contrasted against the fact that high school exam performance and academic achievement continues to be the primary basis for selection to medical school. Not surprisingly, the smart kids are studying medicine. Unfortunately, there is a person–job mismatch between the initial skills that allows an individual entry to medical school and what the job will actually entail. For example, higher levels of intelligence are associated with less effective leadership styles. Thus, we seem to have a conundrum concerning input and output. In the following paper, I will examine the degree to which we are attempting to remould ‘square’ physicians to fit them into a ‘round’ medical landscape. The purpose of the paper is twofold. First, to assess the degree to which we can realistically expect the ‘average’ medical student to be moulded into a leader, and second, to identify what practical steps we can take to enable medical students to take a leadership role.

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Section: So What Is the Results Of Fitting Square Pegs In Round Holes?mentioning

confidence: 99%

Physicians as leaders: are we trying to fit square pegs into round holes?

Montgomery

2018

leader

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“…This omission follows trends within physician-related research where discussions of mental health concerns have often been lacking despite evidence that these are important determinants of physician well-being [43]. Also, in contrast to many studies on retirement among non-physician populations which have focused on spousal retirement or couples' adjustment to retirement [44][45][46], only one study focused on the impact of a physician's spouse on retirement adjustment [25].…”

Section: Batchelor (1990)mentioning

confidence: 99%

Life after Medicine: A Systematic Review of Studies of Physicians’ Adjustment to Retirement

Silver¹

2016

Arch Community Med Public Health

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Background: A physician's decision to retire has personal and social consequences. While there has been growing interest in how individuals adjust to retirement, less is known about physicians' adjustment to retirement. Objectives:To identify and examine: 1) factors that influence how well physicians adjust to retirement; 2) reasons physicians give for retiring; and 3) advice physicians give for a successful adjustment to retirement. Methods:A systematic review of the literature was performed by searching Medline, Web of Science, Scopus, CINAHL, Ageline, Embase, Health star, ASSA, and PsycINFO databases for peerreviewed studies published with quantitative and/or qualitative analyses of physicians' adjustment to, satisfaction with, and/or quality of life in retirement. Two independent reviewers performed data abstraction, a quality assessment and an additional reviewer resolved inconsistencies. Content analysis was used to identify and stratify information from selected studies into themes and subthemes.Results: Based on analyses of 12 articles that met the eligibility criteria, it is evident that retirement from medicine was seen as a generally favorable phenomenon. Financial security, favorable health, engagement in activities, and psychosocial well-being were identified as key factors relevant to physician retirement adjustment. Findings suggest that physicians' retirement transitions could be eased by a greater focus on financial planning, implementation of strategies to encourage the development of outside interests, and institutional retirement planning that honors the physician and takes place mid-career or well in advance of retirement. Conclusions:Advance planning to ensure that physicians have a strong financial situation, good health, engagement in activities outside of medicine, and positive psychosocial dynamics are likely to enhance adjustment to retirement for physicians. Future studies should account for multiple interrelating factors such as gender, changes over time, and spousal retirement to further enhance our understanding of physicians' adjustment to retirement. [13][14][15][16]. Understanding the needs of physicians and factors that support their successful adjustment to late career transitions is a critical area for study.For many older workers, retirement comes as a welcome respite at the end of a lifetime of toil, while for others it is a fearful time of unknowns where one's identity and standing in the world are called into question and eventually re-made into something new and not necessarily welcomed. As increasing life expectancies extend the amount of time people spend in retirement to as many as three or four decades, retirement itself becomes a life stage with considerable importance and opportunity for growth and personal development. Medicine is an all-consuming and demanding profession. Physicians enter into medicine after lengthy training and are required to treat individuals at their most vulnerable state. After decades of practice and dedication to patients, physicia...

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“…Psychiatric morbidity and burnout remain high in hospital specialists19 with little change in morbidity over the last 10 years 20. Poor mental health is associated with increased alcohol consumption, irritability with patients and colleagues and self-reported reduced standards of care 19.…”

Section: Mental Health and Medication Abusementioning

confidence: 99%

“…Poor mental health is associated with increased alcohol consumption, irritability with patients and colleagues and self-reported reduced standards of care 19. Although concern exists about doctors’ accessing mental health services,21 recent research shows an increase in doctors’ rates of self-referral 20. It is thought that, following mental illness, doctors are significantly less likely to return to full-time employment 22.…”

Section: Mental Health and Medication Abusementioning

confidence: 99%

The health of the Role 1 doctor

Parsons¹

2014

J R Army Med Corps

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Many pitfalls are evident in the event that a doctor becomes a patient requiring investigation or treatment. The military environment theoretically creates an added dimension to difficulties such as self-treatment, insight and objectivity, vulnerability, mental health and medication abuse, confidentiality and the kerb-side consultation. These are explored with the military and civilian perspectives contrasted. Further qualitative research is required to formally assess what barriers military doctors face in accessing military healthcare. This, along with national guidelines should be incorporated into formal policy.

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Self-referrals to a doctors' mental health service over 10 years

Cited by 17 publications

References 13 publications

Physicians as leaders: are we trying to fit square pegs into round holes?

Physicians as leaders: are we trying to fit square pegs into round holes?

Life after Medicine: A Systematic Review of Studies of Physicians’ Adjustment to Retirement

The health of the Role 1 doctor

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