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Health of tomorrow's doctors: obstacles to appropriate help-seeking

Published online by Cambridge University Press:  02 January 2018

Robert M. Wrate  and
Pamela J. Baldwin
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During the research interviews for Isobel Allen's prospective studies of medical careers (Allen, 1994), many young doctors voiced concerns about their working conditions. Although a relationship between doctors' health impairment and their arduous working conditions has only recently been empirically established (Baldwin et al, 1997a), concern about sick doctors, at all stages of their careers, has been growing for many years. There are very few empirical data on sick doctors' help-seeking, but the enlightened self-interest of trusts and health boards may become an important new driving force, because of the more clearly defined responsibilities of National Health Service (NHS) senior staff for the well-being of their colleagues and possible liability for colleagues' impaired clinical practice (General Medical Council, 1995; British Medical Journal, 1997). The anticipated UK shortage of doctors may also act as a stimulus for measures designed to encourage the retention of a healthy medical workforce.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 3 , Issue 5 , September 1997 , pp. 290 - 296
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

Allen, I. (1994) Doctors and their Careers: A New Generation. London: Policy Studies Institute.Google Scholar
Armstrong, E. M. (1997) Vital stressline is set to continue. BMA News Review, 23, 4.Google Scholar
Baldwin, P. J., Dodd, M. & Wrate, R. M. (1997a) Young doctors' health: how do working conditions affect attitudes, health and performance. Social Science and Medicine, 45, 34–40.CrossRefGoogle ScholarPubMed
Baldwin, P. J., Dodd, M. & Wrate, R. M. (1997b) Young doctors' health: health and health behaviour. Social Science and Medicine, 45, 41–44.CrossRefGoogle ScholarPubMed
British Medical Journal (1997) Inquiry calls for doctors to be tested regularly for alcohol. British Medical Journal, 314, 769.Google Scholar
Borrill, C. S., Wall, T. D., West, M. A. et al (1996) Mental Health of the Workforce in NHS Trusts: Phase 1 Final Report. Sheffield: Institute of Work Psychology, University of Sheffield.Google Scholar
Caplan, R. (1994) Stress, anxiety and depression in hospital consultants, general practitioners and senior health service managers. British Medical Journal, 309, 1261–1263.Google Scholar
Chick, J. (1992) Doctors with emotional problems: how can they be helped? In Practical Problems in Psychiatry: Some Clinical Guidelines (eds Hawton, K. & Cowen, P.) Oxford: Oxford University Press.Google Scholar
Donaldson, L. (1994) Sick doctors: a responsibility to act. British Medical Journal, 309, 557–558.CrossRefGoogle Scholar
Firth-Cozens, J. (1987) Emotional distress in junior house officers. British Medical Journal, 295, 533–536.CrossRefGoogle ScholarPubMed
Firth-Cozens, J. (1990) Sources of stress in women junior doctors. British Medical Journal, 301, 89–91.Google Scholar
General Medical Council (1995) Good Medical Practice. London: GMC.Google Scholar
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.Google Scholar
Hale, R. (1992) The cobbler's children: how the medical profession looks after its own. British Journal of Hospital Medicine, 47, 405–407.Google Scholar
Harrington, J. M. (1990) The health of health care workers. Journal of the Royal College of Physicians, 24, 189–195.Google Scholar
Institute for Employment Studies (1994) Health at Work in the NHS: Key Indicators. Document CN1764. Brighton: University of Sussex.Google Scholar
Jamison, K. R. (1996) An Unquiet Mind: A Memoir of Moods and Madness. London: Picador.Google Scholar
La Puma, J., Stocking, C. B., La Voie, D. et al (1991) When physicians treat members of their own families. New England Journal of Medicine, 325, 1290–1294.Google Scholar
Miller, P. McC. (1995) The importance of context in who needs and who does not need social support among college students. In Social Support and Psychiatric Disorder: Research Findings and Guidelines for Clinical Practice (ed. Brugha, T. S.) pp. 163–173. Cambridge: Cambridge University Press.Google Scholar
Miller, P. McC. & Lloyd, C. (1991) Social support and its interactions with personality and childhood background as predictors of psychiatric symptoms in Scottish and American medical students. Social Psychiatry and Psychiatric Epidemiology, 26, 171–177.Google Scholar
Miller, P. McC. & Surtees, P. G. (1991) Psychological symptoms and their course in first-year medical students as assessed by the Interval General Health Questionnaire (I-GHQ). British Journal of Psychiatry, 159, 199–207.CrossRefGoogle ScholarPubMed
MacDonald, E. B. & McCloy, E. C. (1994) Existing services need to be coordinated (letter). British Medical Journal, 309, 1235.Google Scholar
McKevitt, C., Morgan, M., Simpson, J. et al (1996) Doctors' Health and Needs for Services. London: Nuffield Provincial Hospitals Trust.Google Scholar
Myers, M. F. (1994) Doctors' Marriages: A Look at the Problems and Their Solutions (2nd edn). New York: Plenum.CrossRefGoogle Scholar
Nuffield Provincial Hospitals Trust (1996) Taking Care of Doctors' Health. London: NPHT.Google Scholar
Rosenberg, M. (1965) Society and the Adolescent Self Image. Princeton, NJ: Princeton University Press.Google Scholar
Silvester, S., Allen, H., Withey, C. et al (1994) The Provision of Medical Services to Sick Doctors: A Conspiracy of Friendliness? London: Nuffield Provincial Hospitals Trust.Google Scholar
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