Prevalence of health-related behaviors among physicians and medical trainees
Abstract
Objective The authors studied the prevalence of health-promoting and health-risking behaviors among physicians and physicians-in-training. Given the significant potential for negative outcomes to physicians' own health as well as the health and safety of their patients, examination of the natural history of this acculturation process about physician self-care and wellness is critical to the improvement of the western health care delivery system.Methods 963 matriculating medical students, residents, or attending physicians completed the Empathy, Spirituality, and Wellness in Medicine (ESWIM) survey between the years 2000 and 2004. Items specific to physician wellness were analyzed. These included healthy behaviors as well as risk behaviors.Results Both medical students and attending physicians scored higher in overall wellness than did residents. Residents were the lowest scoring group for getting enough sleep, using seatbelts, and exercising. Medical students were more likely to smoke tobacco and drink alcohol. Medical students reported less depression and anxiety and more social contacts.Conclusion Medical school training may prevent students from maintaining healthy behaviors, so that by the time they are residents they exercise less, sleep less, and spend less time in organizational activities outside of medical school. If physicians do not engage in these healthy behaviors, they are less likely to encourage such behaviors in their patients and patients are less likely to listen to them even if they do talk about it.
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Sleep issues among medical doctors may lead to symptoms of depression, anxiety, and burnout.
“These issues may lead to symptoms of depression, anxiety (47–54) and burnout (54–59).”
Cites
Social Isolation in America: Changes in core discussion networks over two decades.
McPherson, M., Smith-Lovin, L., & Brashears, M. E. (2006) · American Sociological Review · doi:10.1177/000312240607100301 · Cited by 1,887 · see citing works
Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041406 · Cited by 1,760 · cited 1× · see citing works
“Physician sleep deprivation, substance abuse, anxiety and depression have been implicated as factors contributing to medical errors and inadequate patient safety (9, 10), and extended trainee work hours result in higher rates of work-related injuries and motor vehicle accidents among residents in training (11, 12).”
BackgroundWechsler, H., Lee, J. E., Mohler‐Kuo, M., & Lee, H. (2000) · Journal of American College Health · doi:10.1080/07448480009599305 · Cited by 1,023 · see citing works
Extended Work Shifts and the Risk of Motor Vehicle Crashes among Interns
Barger, L. K., Cade, B. E., Ayas, N. T., Cronin, J. W., Rosner, B., Speizer, F. E., & Czeisler, C. A. (2005) · New England Journal of Medicine · doi:10.1056/nejmoa041401 · Cited by 928 · see citing works
Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures
Lockley, S. W., Cronin, J. W., Evans, E. E., Cade, B. E., Lee, C. J., Landrigan, C. P., Rothschild, J. M., Katz, J. T., Lilly, C. M., Stone, P. H., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041404 · Cited by 913 · cited 1× · see citing works
“Physician sleep deprivation, substance abuse, anxiety and depression have been implicated as factors contributing to medical errors and inadequate patient safety (9, 10), and extended trainee work hours result in higher rates of work-related injuries and motor vehicle accidents among residents in training (11, 12).”
BackgroundSuicide Rates Among Physicians: A Quantitative and Gender Assessment (Meta-Analysis)
Schernhammer, E. S., & Colditz, G. A. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.12.2295 · Cited by 879 · see citing works
College Binge Drinking in the 1990s: A Continuing Problem
Wechsler, H., Lee, J. E., Mohler‐Kuo, M., & Lee, H. (2000) · Cited by 479 · see citing works
the Society of General Internal Medicine (SGIM) Career Satisfaction Study Group (CSSG), Linzer, M., Konrad, T. R., Douglas, J., McMurray, J. E., Pathman, D. E., Williams, E. S., Schwartz, M. D., Gerrity, M., Scheckler, W. E., et al. (2000) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2000.05239.x · Cited by 411 · see citing works
Extended Work Duration and the Risk of Self-reported Percutaneous Injuries in Interns
Ayas, N. T., Barger, L. K., Cade, B. E., Hashimoto, D. M., Rosner, B., Cronin, J. W., Speizer, F. E., & Czeisler, C. A. (2006) · JAMA · doi:10.1001/jama.296.9.1055 · Cited by 411 · see citing works
Brummett, B. H., Barefoot, J. C., Siegler, I. C., Clapp-Channing, N. E., Lytle, B. L., Bosworth, H. B., Williams, R. B., & Mark, D. B. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200103000-00010 · Cited by 396 · see citing works
Shanafelt, T. D., West, C. P., Zhao, X., Novotny, P. J., Kolars, J. C., Habermann, T. M., & Sloan, J. A. (2005) · Europe PMC (PubMed Central) · doi:10.1111/j.1525-1497.2005.0108.x · Cited by 371 · see citing works
Relationship between increased personal well-being and enhanced empathy among
Shanafelt, T. D., West, C. P., Zhao, X., Novotny, P. J., Kolars, J. C., Habermann, T. M., & Sloan, J. A. (2005) · Journal of General Internal Medicine · doi:10.1007/s11606-005-0102-8 · Cited by 356 · see citing works
Coulehan, J., & WILLIAMS, P. C. (2001) · Academic Medicine · doi:10.1097/00001888-200106000-00008 · Cited by 330 · see citing works
Physician disclosure of healthy personal behaviors improves credibility and ability to motivate.
Frank, E., Breyan, J., & Elon, L. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.3.287 · Cited by 322 · see citing works
The Counseling Practices of Internists
Lewis, C. E., Clancy, C., Leake, B., & Schwartz, J. S. (1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-1-54 · Cited by 257 · see citing works
Frank, E. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.4.359 · Cited by 254 · see citing works
Mortality rates and causes among U.S. physicians
Frank, E. (2000) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00201-4 · Cited by 223 · see citing works
DeVoe, J. E., Fryer, G. E., Hargraves, J. L., et al. (2002) · PubMed · Cited by 155 · see citing works
DiLalla, L. F., Hull, S. K., & Dorsey, J. K. (2004) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1602_8 · Cited by 118 · see citing works
Self-citationPHYSICIAN IMPAIRMENT BY SUBSTANCE ABUSE
O’Connor, P. G., & Spickard, A. (1997) · Medical Clinics of North America · doi:10.1016/s0025-7125(05)70562-9 · Cited by 107 · see citing works
Self-reported Health, Illness, and Self-care Among Finnish Physicians: A National Survey
Töyry, S. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.10.1079 · Cited by 104 · see citing works
Pediatric Generalists and Subspecialists: Determinants of Career Satisfaction
Shugerman, R. P., Linzer, M., Nelson, K. G., et al. (2001) · PEDIATRICS · doi:10.1542/peds.108.3.e40 · Cited by 83 · see citing works
Personal and Clinical Exercise-Related Attitudes and Behaviors of Freshmen U.S. Medical Students
Frank, E., Galuska, D. A., Elon, L., & Wright, E. H. (2004) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2004.10609142 · Cited by 56 · see citing works
Teaching Residents and Program Directors About Physician Impairment
Broquet, K. (2004) · Academic Psychiatry · doi:10.1176/appi.ap.28.3.221 · Cited by 41 · see citing works
Wedding, D., Stuber, M. L., & GmbH, H. P. (2019) · Hogrefe Publishing eBooks · doi:10.1027/00560-000 · Cited by 21 · see citing works
The Impact of Impaired Supervisors on Residents
Igartua, K. J. (2000) · Academic Psychiatry · doi:10.1176/appi.ap.24.4.188 · Cited by 10 · see citing works
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Preventive, Lifestyle, and Personal Health Behaviors Among Physicians
Bazargan, M., Makar, M., Bazargan-Hejazi, S., Ani, C., & Wolf, K. E. (2009) · Academic Psychiatry · doi:10.1176/appi.ap.33.4.289 · Cited by 102 · see citing works
Salmoirago-Blotcher, E., Fitchett, G., Leung, K., Volturo, G., Boudreaux, E., Crawford, S., Ockene, I., & Curlin, F. (2016) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2016.01.009 · Cited by 52 · see citing works
Al-Ghafri, G., Al-Sinawi, H., Al-Muniri, A., Dorvlo, A. S. S., Al-Farsi, Y. M., Armstrong, K., & Al-Adawi, S. (2014) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2013.10.014 · Cited by 45 · see citing works
Sadeghi-Bahmani, D., Rigotti, V., Stanga, Z., Lang, U. E., Blais, R. K., Kelley, M. L., & Brand, S. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1390636 · Cited by 6 · see citing works
- Authors
- Hull, S. K., DiLalla, L. F., & Dorsey, J. K.
- Affiliations
- Southern Illinois University Carbondale (US)
- Corresponding author
- Hull, S. K.
- ORCID
- DiLalla, L. F.
- Venue
- Academic Psychiatry
- Published
- 2008-02-01
- Volume
- 32
- Issue
- 1
- Pages
- 31-38
- ISSN
- 1042-9670 (ISSN-L)
- OpenAlex
- W2136148951
- Cited by
- 77
- References
- 26
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 9 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 8 · 2015: 7 · 2014: 5 · 2013: 7 · 2012: 6
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Keywords
- physician well-being, health behavior, medical students, medical residents, attending physicians, sleep, physical activity, seat belt use, tobacco use, alcohol consumption, depression, anxiety, social contact, medical education, health promotion
- MeSH terms
- Acculturation, Adult, Aged, Aged, 80 and over, Empathy, Female, Humans, Internship and Residency, Male, Middle Aged, Physicians, Health Behavior, Prevalence, Spirituality
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