Academic Psychiatry

, Volume 42, Issue 5, pp 636–641 | Cite as

A Retrospective Cross-Sectional Review of Resident Care-Seeking at a Physician Health Program

  • Amanda L. Parry
  • Elizabeth BrooksEmail author
  • Sarah R. Early
In Brief Report

While most providers find the practice of medicine to be highly rewarding [1, 2], burnout is on the rise [3]. This is particularly true for residents [4]. The intense training required to begin practice is extremely difficult; the environment of residency is one of high demands and heavy workloads. As residents concentrate on establishing their professional clinical skills, they often forsake their own self-care. While such focus may work temporarily, it is not sustainable behavior [5]. Residents report high levels of fatigue and isolation and frequently abstain from general leisure time that might offer rest and recovery [2, 6]. Perhaps it is not surprising then that up to 70% of residents exhibit features of burnout [7]. Depersonalization—defined in this context as a negative or detached response to one’s career, instruction, or other factors of one’s life—is common among residents. In one study, 35% of residents reported frequent symptoms of depersonalization compared to 9% of...



We would like to acknowledge Jeannette Guerrasio, MD, Assistant Professor of Medicine in the Department of General Internal Medicine, Hospitalist Section, at the University of Colorado at Anschutz Medical Campus and Doug Speedie, MD, Associate Medical Director at Rocky Mountain Health Plans, who reviewed and provided valuable insight into the development of this manuscript.

Compliance with Ethical Standards

Colorado Multiple Institutional Review Board (COMIRB) reviewed this work and granted it as Exempt status.


On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Beckman TJ, Reed DA, Shanafelt TD, West CP. Resident physician well-being and assessments of their knowledge and clinical performance. J Gen Intern Med. 2012;27(3):325–30.CrossRefGoogle Scholar
  2. 2.
    Cohen JS, Leung Y, Fahey M, Hoyt L, Sinha R, Cailler L, et al. The happy docs study: a Canadian association of internes and residents well-being survey examining resident physician health and satisfaction within and outside of residency training in Canada. BMC Res Notes. 2008;1:105.CrossRefGoogle Scholar
  3. 3.
    Shanafelt TD, Balch CM, Bechamps GJ, Russell T, Dyrbye L, Satele D, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250(3):463–71.PubMedGoogle Scholar
  4. 4.
    Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA: J A Med Assoc. 2011;306(9):9p.Google Scholar
  5. 5.
    Keim SM, Mays MZ, Williams JM, Serido J, Harris RB. Measuring wellness among resident physicians. Med Teach. 2006;28(4):370–4.CrossRefGoogle Scholar
  6. 6.
    Macedo PC, Citero Vde A, Schenkman S, Nogueira-Martins MC, Morais MB, Nogueira-Martins LA. Health-related quality of life predictors during medical residency in a random, stratified sample of residents. Rev Bras Psiquiatr. 2009;31(2):119–24.CrossRefGoogle Scholar
  7. 7.
    Holmes ME, Editor. Medical resident burnout reaches epidemic levels. American Psychiatric Association (APA) Annual Meeting; 2015; Chicago, IL.Google Scholar
  8. 8.
    Panagopoulou E, Montgomery A, Benos A. Burnout in internal medicine physicians: differences between residents and specialists. Eur J Intern Med. 2006;17(3):195–200.CrossRefGoogle Scholar
  9. 9.
    Buddeberg-Fischer B, Klaghofer R, Stamm M, Siegrist J, Buddeberg C. Work stress and reduced health in young physicians: prospective evidence from Swiss residents. Int Arch Occ Env Hea. 2008;82(1):31–8.CrossRefGoogle Scholar
  10. 10.
    Mata DA, Ramos MA, Bansal N, Khan R, Guille C, di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314(22):2373–83.CrossRefGoogle Scholar
  11. 11.
    Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336(7642):488–91.CrossRefGoogle Scholar
  12. 12.
    Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA: J Am Med Assoc. 2015;314(22):2373–83.CrossRefGoogle Scholar
  13. 13.
    Tyssen R, Rovik JO, Vaglum P, Gronvold NT, Ekeberg O. Help-seeking for mental health problems among young physicians: is it the most ill that seeks help?: a longitudinal and nationwide study. Soc Psychiatry Psychiatr Epidemiol. 2004;39(12):989–93.CrossRefGoogle Scholar
  14. 14.
    Rosen IM, Christie JD, Bellini LM, Asch DA. Health and health care among housestaff in four u.S. internal medicine residency programs. J Gen Intern Med. 2000;15:116–21.CrossRefGoogle Scholar
  15. 15.
    Dunn LB, Green Hammond KA, Roberts LW. Delaying care, avoiding stigma: Residents' attitudes toward obtaining personal health care. Acad Med. 2009;84(2):242–50.CrossRefGoogle Scholar
  16. 16.
    Carr GD, Hall BP, Reid AJ, RL D. Physician health programs: the us model Brower K. RM, editor:. Springer; 2017.Google Scholar
  17. 17.
    Brooks E, Gendel MH, Early SR, Gundersen DC, Shore JH. Physician boundary violations in a physician's health program: a 19-year review. J Am Acad Psychiatry Law 2012;40(1):59–66.Google Scholar
  18. 18.
    Brooks E, Gendel MH, Gundersen DC, Early SR, Schirrmacher R, Lembitz A, et al. Physician health programmes and malpractice claims: reducing risk through monitoring. Occup Med (Lond). 2013;63(4):274–80.CrossRefGoogle Scholar
  19. 19.
    Skipper GE, DuPont RL. The physician health program: a replicable model of sustained recovery management. In: Kelly JF, White WL, editors. Addiction recovery management: Theory, research and practice, current clinical psychiatry: Springer Science+Business Media; 2010. p. 281–299.Google Scholar
  20. 20.
    Ware JE, Kosinski M. Sf-36 physical & mental health summary scales: a manual for users of version 1: Quality Metric; 2001.Google Scholar
  21. 21.
    Center for Workforce Studies. Colorado physician workforce profile. In: Association of American Medical Colleges; 2015.Google Scholar
  22. 22.
    Association of American Medical Colleges. The state of women in academic medicine: the pipeline and pathways to leadership. In: 2013–2014; 2015.Google Scholar
  23. 23.
    Association of American Medical Colleges. Report on residents: 2016. Washington, DC: 2016.Google Scholar
  24. 24.
    Revicki DA, Whitley TW, Gallery ME. Organizational characteristics, perceived work stress, and depression in emergency medicine residents. Behav Med. 1993;19(2):74–81.CrossRefGoogle Scholar
  25. 25.
    Busireddy KR, Miller JA, Ellison K, Ren V, Qayyum R, Panda M. Efficacy of interventions to reduce resident physician burnout: a systematic review. J Grad Med Educ. 2017;9(3):294–301.CrossRefGoogle Scholar
  26. 26.
    Access to confidential health services for medical students and physicians: Resolutions 901-I-15, 913-I-15 AND 304-A-16(2016).Google Scholar
  27. 27.
    Colorado Department of Regulatory Agencies. Physician training license (tl) application checklist. 2017.Google Scholar
  28. 28.
    Campbell S, Delva D. Physician do not heal thyself. Survey of personal health practices among medical residents. Can Fam Physician. 2003;49:1121–7.PubMedPubMedCentralGoogle Scholar

Copyright information

© Academic Psychiatry 2018

Authors and Affiliations

  • Amanda L. Parry
    • 1
  • Elizabeth Brooks
    • 2
    Email author
  • Sarah R. Early
    • 1
  1. 1.Colorado Physician Health ProgramDenverUSA
  2. 2.University of Colorado Anschutz, Colorado School of Public HealthAuroraUSA

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