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Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars

Richard Berman, Malcolm Campbell, Wendy Makin and Chris Todd
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DOI: https://doi.org/10.7861/clinmedicine.7-3-235
Clin Med June 2007
Richard Berman
1Christie Hospital NHS Foundation Trust and the Pennine Acute Hospitals NHS Trust
Roles: Consultant in Palliative Medicine
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Malcolm Campbell
2School of Nursing, Midwifery and Social Work, University of Manchester
Roles: Lecturer in Statistics
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Wendy Makin
3Christie Hospital NHS Foundation Trust
Roles: Macmillan Consultant in Palliative Medicine and Oncology
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Chris Todd
2School of Nursing, Midwifery and Social Work, University of Manchester
Roles: Professor of Primary Care and Community Health
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Abstract

A cross-sectional complete enumeration postal survey was conducted to compare stress levels between specialist registrars (SpRs) in palliative medicine, clinical oncology and medical oncology. Four hundred and one UK-registered SpRs responded (response rate 63.1%). Levels of psychological distress and depression were measured by GHQ-12 and SCL-D: 102/390 (26.2%, 95% confidence interval (CI) = 21.8–30.5%)) scored >3 on GHQ-12 indicating psychological distress, 44/391 (11.3%, 95% CI = 8.1–14.4%) scored ≥1.5 on SCL-D indicative of depression. Suicidal ideation was indicated by 15 responders. There were no significant differences between specialties. The effect of stress on personal or family life was the dominant predictor of both psychological distress and depression, although dissatisfaction with choice of specialty and feeling underutilised also contributed. One in four SpRs experience stress. These results are similar to studies of general practitioner principals and consultants from other specialties. Stress needs to be managed if doctors are to survive professional life.

KEY WORDS
  • burnout
  • depression
  • epidemiological survey
  • GHQ
  • job satisfaction
  • medical careers
  • occupational stress
  • oncology
  • palliative medicine
  • psychological stress
  • © 2007 Royal College of Physicians
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Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars
Richard Berman, Malcolm Campbell, Wendy Makin, Chris Todd
Clinical Medicine Jun 2007, 7 (3) 235-242; DOI: 10.7861/clinmedicine.7-3-235

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Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars
Richard Berman, Malcolm Campbell, Wendy Makin, Chris Todd
Clinical Medicine Jun 2007, 7 (3) 235-242; DOI: 10.7861/clinmedicine.7-3-235
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