Lack of Routine Healthcare among Resident Physicians in New England

• Published in: Journal of the American College of Surgeons Vol. 230; no. 6; pp. 885 - 892
• Main Authors: Rangel, Erika L., Castillo-Angeles, Manuel, Kisat, Mehreen, Kamine, Tovy H., Askari, Reza
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2020
• Subjects: Adult; Depression - epidemiology; Female; Health Behavior; Health Services Accessibility; Humans; Internship and Residency; Male; New England; Physicians - psychology; Preventive Health Services; Self Care; Surveys and Questionnaires; New England
• ISSN: 1072-7515; 1879-1190
• DOI: 10.1016/j.jamcollsurg.2019.11.005

Although physician health promotes retention to the profession and encourages higher-quality patient care, residents can face challenges seeking routine medical care. Erratic working hours, time constraints, easy access to informal health consultation, and a culture of self-reliance can deter help-seeking behavior. Despite national focus on physician burnout and efforts to promote wellness, little is known about the self-care habits of residents. The goal of this study was to evaluate the routine healthcare practices of resident physicians. A 44-question survey with questions on medical and psychiatric health was electronically distributed to 102 program directors in 20 New England teaching hospitals. Program directors were asked to forward the survey to current trainees. Two hundred and ninety-nine residents completed the survey. One-third of respondents reported not having a routine place for care (RPFC), and these residents had lower use of preventive health services. Thirty-eight percent of residents taking daily prescription medication did not have an RPFC. Compared with residents in family medicine, those in surgery, internal medicine, radiology, anesthesia, OB/GYN, and pediatrics were considerably more likely to lack an RPFC. Although two-thirds of respondents reported symptoms of depression, these residents were less likely to have been under the care of a mental health professional than those who did not report depression symptoms. Despite a high prevalence of self-reported depression and prescription medication use, a significant proportion of surveyed resident physicians in New England do not seek mental health resources and lack consistent, routine healthcare. Resident health is vital to the mission of physician well-being and mitigating the escalating problem of burnout. Barriers to self-care and help-seeking behavior should be evaluated to promote sustainable behavior that will encourage a long professional career. [Display omitted]