![]() All participants were based in New South Wales or Victoria, Australia. ![]() ![]() The general practice participant cohort was recruited by advertising in the regional training organisation’s newsletter, and the hospital cohort was recruited using convenience sampling through the local hospital junior medical officer unit, with one participant recruited by word of mouth. The objective was to identify personal and environmental factors that may be involved in both the exacerbation and prevention of burnout in junior doctors in order to inform future interventions and research. The aim of this qualitative study was to compare the experiences of hospital and community-based doctors in unaccredited and specialty training across known and hypothesised causative factors for burnout. To our knowledge, the contrasting experiences of the demands across general practice training and hospital-based training have not been previously examined to identify if there are any causative factors for burnout that differ across the two environments. 12,13īurnout is an important problem with significant consequences. 11 Others see such training as a simplistic model providing only a short-term solution, where the individual is responsible for identifying and resolving workplace stressors rather than cultural or organisational factors being addressed at a system level. #Theme hospital consultant training professionalInitially, resilience was hypothesised to be a way for doctors and medical students to process and manage daily ethical struggles and practice good professional development. 10 However, there are mixed views on resilience training. 9Īn answer to burnout that has been introduced across Australian medical training environments is that of ‘resilience training’, where resilience is described as the ability to respond and react to difficult situations. 8 Research has identified a number of contributory external factors for burnout, including job demands such as excessive patient loads, long working hours, difficult rostering requirements and disproportionate on-call and out-of-hours work, 6,9 difficulty in maintaining work–life balance and issues managing challenging interpersonal relationships. 6 The personal consequences are serious, with studies linking burnout with psychiatric morbidity 7 and an increased incidence of suicidal ideation and suicide in doctors. Junior doctors who report burnout are more likely to report increased absenteeism and depression, have self-reported medical errors and engage in risky alcohol use. 5īurnout has been shown to have an impact on the person, their patients and the workforce. 3 It is considered to be a response to multiple significant stressors 4 and incorporates feelings of emotional exhaustion, depersonalisation and reduced personal accomplishment. 2īurnout has been recognised as a causative factor for depression and suicide in the medical profession. Australian doctors have higher rates of stress and more attempts at suicide than the general Australian population, 1 with an increased burden on those in their junior medical years and early stages of training. ![]()
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