Trainee Medical Officers Health and Well-being: Stressors, Coping Mechanisms and Intervention Ideas of a South Australian Paediatric Cohort

Abstract

Background: Trainee Medical Officers’ (TMOs) show high levels of stress, burnout, distress and low well-being. Studies have used quantitative methods to determine well-being in training and post-training phases, few used qualitative methods. Aim: 1. Establish base health and well-being characteristics of the cohort and variations from normative results. 2. Identify the stressors and coping mechanisms. 3. Identify elements for an intervention program and whether mindfulness is appropriate. Method: This study used a mixed methods design. Quantitative data measured burnout, stress, distress, coping, well-being and mindfulness in the cohort. The qualitative exploration, used semi-structured focus groups, provided information from TMOs about stressors, coping mechanisms and ideas for an intervention and/or a mindfulness program. Results: The quantitative analysis concludes that this cohort does not differ from the norm except in slightly higher distress levels and lower mindfulness characteristics. Through qualitative analysis, these results were explained in light of the positive paediatrics culture, however stressors and coping mechanisms were similar to previous research. The thematic analysis of the focus group data and analysis of the questionnaire provides an insight into TMOs in South Australia and identifies areas in which TMOs need assistance through their trainee phase. Conclusion: The qualitative analysis, resulted in 6 recommendations for intervention strategies, as well as a general endorsement for trialling the use of mindfulness practices. The sampled paediatrics department work environment and culture is less distressing than other areas of practise and may have produced skewed results. Further research is recommended in other locations and other specialities.