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2006, Number 2

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Cir Gen 2006; 28 (2)

Stress in medical residents in a third level health care unit

Arenas OJ

Language: Spanish
References: 17
Page: 103-109
PDF size: 126.98 Kb.


ABSTRACT

Objective: To assess stress in medical residents.
See: Third level health care hospital.
Design: Prospective, longitudinal, descriptive, observational, open.
Statistical analysis: Descriptive statistics, Student’s t and Pearson’s r tests.
Material and method: At the beginning of three teaching cycles, 1999-2000, 2000-2001, and 2001-2002, three instruments were applied to measure stress in medical residents: inventories of daily stress; type A behavior, and physiological stress.
Results: We studied 1,089 medical residents enrolled in 21 medical specialties; 69% were men and 31% women, average age 27.6 years; 49% married, 47% single, and 3% divorced; 50% in the second year, 20% in the third, and 12% in the fourth year. The inventory of daily stress revealed more stress in internal medicine, general surgery, and anesthesiology residents; the inventory of physiological stress revealed that all residents presented manifestations and/or associated pathologies, 65% in the psychological realm; 10% of the medical residents obtained a higher score when assessing type A behavior. Addictions corresponded to smoking in 26% and alcoholism in 17%. External stressors that contribute to a higher degree of stress are: work overload, degraded physical environment, excess of responsibilities, lack of incentives, bureaucracy, assessments, peer competence, demands from mentoring physicians and higher ranking peers.
Conclusion: Medical residents present 2.8 associated pathologies and 3.6 physiological manifestations due to the high degree of stress developed during residency.


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