Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges' hospitals

Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of th...

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Bibliographic Details
Published in:	Neuropsychiatric disease and treatment Vol. 10; no. default; pp. 1879 - 1886
Main Authors:	Abdulghani, Hamza Mohammad, Irshad, Mohammad, Al Zunitan, Mohammed A, Al Sulihem, Ali A, Al Dehaim, Muhammed A, Al Esefir, Waleed A, Al Rabiah, Abdulaziz M, Kameshki, Rashid N, Alrowais, Nourah Abdullah, Sebiany, Abdulaziz, Haque, Shafiul
Format:	Journal Article
Language:	English
Published:	New Zealand Dove Medical Press Limited 01-01-2014 Taylor & Francis Ltd Dove Press Dove Medical Press
Subjects:	clinical rotation Cross-sectional studies Diagnosis Distribution Health care Hospitals Internship programs Internships Learning Marital status Medical education Medical schools Medical students Medicine Original Research pediatrics Physicians Prevalence studies (Epidemiology) Psychological aspects Questionnaires Stress Stress (Psychology) Students Surgery Training Saudi Arabia Riyadh Saudi Arabia medicine clinical rotation medical education pediatrics surgery
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Summary:	Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of the prevalence of self-perceived stress among new medical graduates during their internship training has been performed, and correlations of self-perceived stress with sex, marital status, and clinical rotations have been evaluated. Interns of the King Khalid, King Abdulaziz, and King Fahd University hospitals in Saudi Arabia were invited to complete a stress inventory known as the Kessler 10, which is used for stress measurement. Apart from stress evaluation, the questionnaire collected personal data, such as age, sex, and marital status, in addition to information relevant to hospital training, assigned duties, and clinical training rotations. Our results showed that nearly 73.0% of interns were under stressed conditions. Most of the interns were affected by a severe level of stress (34.9%), followed by mild (19.3%) and moderate (18.8%) levels of stress. The stress level was significantly higher (84.0%) among female interns in comparison with male interns (66.5%) (odds ratio =2.64; confidence interval =1.59-4.39; P<0.0002). There were statistically significant differences between the percentages of male and female interns (P≤0.047) at mild, moderate, and severe stress levels. Marital status had no role in causing stress. The highest stress level was reported by interns during the clinical rotations of medicine (78.8%), followed by surgery (74.7%), pediatrics (72.4%), obstetrics and gynecology (70.1%), and emergency (58.3%). The prevalence of stress among the interns and their corresponding clinical rotations in all three hospitals had significant linear correlations (r≥0.829, P≤0.041). We found a significantly high level of stress among the medical interns. High stress may have negative effects on cognitive functioning, learning, and patient care. Hence, medical interns need support and subsequent interventions to cope with stress.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1176-6328 1178-2021 1178-2021
DOI:	10.2147/NDT.S68039