Show what you know and deal with stress yourself: A qualitative interview study of medical interns' perceptions of stress and gender

BMC Medical Education

Volumn 14, Issue 1, 2014, Pages

  Verdonk, Petra ^a   Räntzsch, Viktoria ^b   De Vries, Remko ^c   Houkes, Inge ^d  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b Clinipace AG   (Switzerland)

^c Cormel IT Services ^*  (Netherlands)

^d MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

Coping; Gender; Interns; Medical education; Rotations; Stress

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; ETIOLOGY; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INTERVIEW; MALE; MEDICAL EDUCATION; MENTAL STRESS; OCCUPATIONAL DISEASES; PSYCHOLOGY; QUALITATIVE RESEARCH; SEX DIFFERENCE; YOUNG ADULT;

ADAPTATION, PSYCHOLOGICAL; ADULT; ATTITUDE OF HEALTH PERSONNEL; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; INTERVIEWS AS TOPIC; MALE; OCCUPATIONAL DISEASES; QUALITATIVE RESEARCH; SEX FACTORS; STRESS, PSYCHOLOGICAL; YOUNG ADULT;

EID: 84901694483     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-14-96     Document Type: Article

References (72)

1. Burnout in medical residents: a review. Prins JT, Gazendam-Donofrio SM, Tubben BJ, Van der Heijden FMMA, Van de Wiel HBM, Hoekstra-Weebers JEHM, Med Educ 2007 41 8 788 800 (Pubitemid 47125325)
2. Burnout bei niedergelassenen Ärztinnen und Ärzten für Allgemeinmedizin. Fuchs S, Endler PC, Mesenholl E, Paß P, Frass M, Wien Med Wochenschr 2009 159 7-8 188 191
3. How healthy are Dutch general practitioners? Self-reported (mental) health among Dutch general practitioners. Twellaar M, Winants Y, Houkes I, Eur J Gen Pract 2008 14 1 4 9 (Pubitemid 351973706)
4. Physician burnout. Gundersen L, Ann Intern Med 2001 135 2 145 148 (Pubitemid 32661201)
5. Stress and depressed mood in medical students, law students and graduate students at McGill University. Helmers KF, Danoff D, Steinert Y, Leyton M, Young SN, Acad Med 1997 72 8 8 14
6. Perceived stress during undergraduate medical training: a qualitative study. Radcliffe C, Lester H, Med Educ 2003 37 1 32 38 (Pubitemid 36151559)
7. Burnout and psychiatric morbidity in new medical graduates. Willcock SM, Daly MG, Tennant CC, Allard B, Med J Aust 2004 181 7 357 360 (Pubitemid 39341646)
8. Medical student distress: causes, consequences, and proposed solutions. Dyrbye LN, Thomas MR, Shanafelt TD, Mayo Clin Proc 2005 80 12 1613 1622 (Pubitemid 41747064)
9. Training in end-of-life care through interaction with dying patients. Binienda J, Schwartz K, Gaspar D, Acad Med 2001 76 5 517
10. Students' opinion about their preparation for clinical practice. Prince KJAH, Boshuizen HPA, Van der Vleuten CPM, Scherpbier AJJA, Med Educ 2005 39 7 704 712 (Pubitemid 40897313)
11. Sexual harassment during medical training: the perceptions of medical students at a university medical school in Australia. White GA, Med Educ 2000 34 12 980 986
12. Gender equity in undergraduate medical education: a status report. Bickel J, J Womens Health Gend Based Med 2001 10 261 270 (Pubitemid 32440411)
13. The work lives of women physicians. Results from the physician work life study. McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K, J Gen Intern Med 2000 15 6 372 380 (Pubitemid 30431306)
14. Gender matters in medical education. Bleakley A, Med Educ 2013 47 59 70
15. The origins of sex differences in depressive disorder: bridging the gap. Bebbington P, Int Rev Psychiatry 1996 8 4 295 332 (Pubitemid 26419892)
16. Work-related fatigue: the specific case of highly educated women in the Netherlands. Verdonk P, Hooftman WE, Van Veldhoven MJPM, Boelens LRM, Koppes LLJ, Int Arch Occup Environ Health 2010 83 3 309 321
17. The Bologna Process-A global vision for the future of medical education. Patrício M, Harden RM, Med Teach 2010 32 305 315
18. Van Herwaarden CLA, Laan FJM, Leunissen RRM, The 2009 Framework for Undergraduate Medical Education in the Netherlands Utrecht: Nederlandse Federatie van Universitaire Medische Centra Download 8 April 2014 http://www.nfu.nl/img/pdf/09.4072-Brochure-Raamplan-artsopleiding-Framework-for- Undergraduate-2009.pdf
19. Women in medicine-is there a problem? A literature review of the changing gender composition, structures and occupational cultures in medicine. Kilminster S, Downes J, Gough B, Murdoch-Eaton D, Roberts T, Med Educ 2007 41 1 39 49 (Pubitemid 46011041)
20. Factors associated with dropout in medical education: a literature review. Dyhrberg O'Neill L, Wallstedt B, Eika B, Hartvigsen J, Med Educ 2011 45 440 454
21. Medical students' distress-quality, continuity and gender differences during a six-year medical programme. Niemi P, Vainiomäki P, Med Teach 2006 28 2 136 141 (Pubitemid 43771962)
22. Perfectionism, the impostor phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Henning K, Ey S, Shaw D, Med Educ 1998 32 5 456 464 (Pubitemid 28458247)
23. Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal study. Tyssen R, Vaglum P, Gronvold NT, Ekeberg O, Med Educ 2001 35 2 110 120 (Pubitemid 32154688)
24. Medical students' academic distress, coping and achievement strategies during the preclinical years. Niemi P, Vainiomäki P, Teach Learn Med 1999 11 3 125 134
25. Chronic stress in medical and dental education. Schmitter M, Liedl M, Beck J, Rammelsberg P, Med Teach 2008 30 1 97 99 (Pubitemid 351266792)
26. Preparing medical students for clerkship: a descriptive analysis of transition courses. Poncelet A, O'Brien B, Acad Med 2008 83 5 444 451 (Pubitemid 351630259)
27. An evaluation study of the didactic quality of clerkships. Remmen R, Denekens J, Scherpbier A, Hermann I, Van der Vleuten C, Van Royen P, Bossaert L, Med Educ 2000 34 6 460 464 (Pubitemid 30325853)
28. Harassment among university hospital physicians in four European cities. Results from a cross-sectional study in Norway, Sweden, Iceland and Italy (the HOUPE study). Andersen GR, Aasland OG, Fridner A, Løvseth LT, Work 2010 37 99 110
29. Mental health consequences and correlates of reported medical student abuse. Richman JA, Flaherty JA, Rospenda KM, Christensen ML, J Am Med Assoc 1992 267 5 692 694
30. Medical student abuse: incidence, severity, and significance. Silver HK, Glicken AD, J Am Med Assoc 1990 263 4 527 532 (Pubitemid 20030259)
31. Gender discrimination and sexual harassment in medical education: perspectives gained by a 14-school study. Nora LM, McLaughlin MA, Fosson SE, Stratton TD, Murphy-Spencer A, Fincher RM, German CD, Seiden D, Witzke DB, Acad Med 2002 77 12 Pt1 1226 1234 (Pubitemid 36090297)
32. Sexual harassment during clinical clerkship in Dutch medical schools. Rademakers JJDJM, Van den Muijsenbergh METC, Slappendel G, Lagro-Janssen ALM, Borleffs JCC, Med Educ 2008 42 5 452 458 (Pubitemid 351533471)
33. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Fried JM, Vermillion M, Parker NH, Uijtdehaage S, Acad Med 2012 87 9 1191 1198
34. A pilot study of medical student 'abuse': student perceptions of mistreatment and misconduct in medical school. Sheehan H, Sheehan D, White K, Leibowitz A, Baldwin DC Jr, J Am Med Assoc 1990 263 4 533 537 (Pubitemid 20030260)
35. Bradley H, Gender Cambridge: Polity Press 2007
36. Central gender theoretical concepts in health research. Hammarström A, Johansson K, Annandale E, Ahlgren C, Aléx L, Christianson M, Elwér S, Eriksson C, Fjellman-Wiklund A, Gilenstam K, Gustafsson PE, Harryson L, Lehti A, Stenberg G, Verdonk P, J Epidemiol Community Health 2014 68 185 190
37. Gender en burnout bij Nederlandse huisartsen. Abrahams H, Houkes I, Winants YHWM, Twellaar M, Verdonk P, TSG 2013 91 4 225 233 [Gender and burnout among Dutch General Practitioners]
38. Beyond gender stereotyping: examining the validity of the Bem Sex role inventory among 16- to 19-year old females in england. Wilcox C, Francis LJ, Pers Indiv Differ 1996 23 1 9 13 (Pubitemid 127161025)
39. Lorber J, Women Physicians. Careers, Status and Power New York: Tavistock Publications 1984
40. Doing gender. West C, Zimmerman DH, Gender Soc 1987 1 2 125 151
41. Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three wave panel study. Houkes I, Winants Y, Twellaar M, Verdonk P, BMC Public Health 2011 11 240
42. Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (the HOUPE study): cross-sectional associations with work stressors. Fridner A, Belkic K, Marini M, Minucci D, Pavan L, Schenck-Gustafsson K, Gender Med 2009 6 1 314 328
43. Psychosocial Aspects of Workload. Meijman TF, Mulder G, Handbook of Work, Organizational Psychology Hove: Psychology Press, Drenth PJD, Thierry H, Wolff CJ, 1998 5 33
44. Karasek R, Theorell T, Healthy Work: Stress, Productivity and the Reconstruction of Working Life New York: Basic Books 1990
45. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F, J R Soc Med 1998 91 5 237 243 (Pubitemid 28258535)
46. Sex differences in physician burnout in the United States and the Netherlands. Linzer M, McMurray JE, Visser MRM, Oort FJ, Smets EMA, De Haes HCJM, J Am Med Womens Assoc 2002 57 4 191 193
47. Perceptions of academic vulnerability associated with personal illness: a study of 1027 students at nine medical schools. Roberts LW, Warner TD, Lyketsos C, Frank E, Ganzini L, Carter D, Compr Psychiat 2001 42 1 1 15 (Pubitemid 32095058)
48. Stress and adaptation in medical students: who is most vulnerable? Notman MT, Salt P, Nadelson CC, Compr Psychiat 1984 25 3 355 366
49. Gender differences over time in medical school stressors, anxiety and the sense of coherence. Bernstein J, Carmel S, Sex Roles 1991 24 5-6 335 344
50. Self-assessment scores and gender. Rees C, Med Educ 2003 37 6 572 573
51. Assessing implicit gender bias in Medical Student Performance Evaluations. Axelson RD, Solow CM, Ferguson KJ, Cohen MB, Eval Health Prof 2010 33 3 365 385
52. Self-efficacy BA, The Exercise of Control New York: W.H. Freeman and Company 1997
53. Medical student gender and issues of confidence. Blanch DC, Hall JA, Roter DL, Frankel RM, Pat Educ Couns 2008 72 3 374 381
54. Female medical practitioners: more preventive and patient oriented? Maheux B, Dufort T, Béland F, Lévesque JA, Med Care 1990 28 1 87 92
55. Mediators of the gender difference in rumination. Nolen-Hoeksema S, Jackson B, Psychol Women Quart 2001 25 1 37 47
56. Explaining the gender difference in depressive symptoms. Nolen-Hoeksema S, Larson J, J Pers Soc Psychol 1999 77 5 1061 1072
57. Problem-based learning in medicine: an introduction. Bligh J, Postgrad Med J 1995 71 836 323 326
58. Polit DF, Beck CT, Nursing Research: Principles and Methods: Generating and Assessing Evidence for Nursing Practice Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins 2008
59. Green J, Thorogood N, Qualitative Methods for Health Research Los Angeles: Sage 2009
60. Using thematic analysis in psychology. Braun V, Clarke V, Qual Res Psychol 2006 3 77 101
61. Content analysis-A methodological primer for gender research. Neuendorff KA, Sex Roles 2011 64 276 289
62. How many interviews are enough? An experiment with data saturation and variability. Guest G, Bunce A, Johnson L, Field Methods 2006 18 1 59 82
63. Swedish medical students' views of the changing professional role of medical doctors and the organisation of health care. Holmström I, Sanner MA, Rosenqvist U, Adv Health Sci Educ 2004 9 1 5 14 (Pubitemid 38992784)
64. Work environment and recent suicidal thoughts among male university hospital physicians in Sweden and Italy: The Health and Organization among University Hospital Physicians in Europe (HOUPE) study. Fridner A, Belkic K, Minucci D, Pavan L, Marini M, Pingel B, Putoto G, Simonato P, Løvseth LT, Schenck-Gustafsson K, Gender Med 2011 8 4 269 279
65. The effect of gender on the clinical clerkship experiences of female medical students: Results from a qualitative study. Babaria P, Abedin S, Nunez-Smith M, Acad Med 2009 84 7 859 866
66. Medical faculty as humanistic physicians and teachers: the perceptions of students at innovative and traditional medical schools. Maheux B, Beaudoin C, Berkson L, Côté L, Des Marchais J, Jean P, Med Educ 2000 34 8 630 634 (Pubitemid 30657572)
67. Does equal education generate equal attitude? gender differences in medical Students' attitude toward the ideal physician. Verdonk P, Harting AJ, Lagro-Janssen TLM, Teach Learn Med 2007 19 1 9 13
68. Peer influence on students' estimates of performance: social comparison in clinical rotations. Raat AN, Kuks JBM, Van Hell EA, Cohen-Schotanus J, Med Educ 2013 47 2 190 197
69. Are new medical students' specialty preferences gendered? Related motivational factors at a Dutch medical school. Van Tongeren-Alers M, Van Esch M, Verdonk P, Johansson EE, Hamberg K, Lagro-Janssen T, Teach Learn Med 2011 23 3 263 268
70. Few gender differences in Swedish medical students' specialty preferences. A study of motivational factors and their impact on last year students' specialty preferences. Diderichsen S, Johansson EE, Verdonk P, Lagro-Janssen T, Hamberg K, BMC Med Educ 2013 13 39
71. Swedish medical students' expectations of their future life. Diderichsen S, Andersson J, Johansson EE, Verdonk P, Lagro-Janssen T, Hamberg K, Int J Med Educ 2011 2 140 146
72. Confidentiality and physicians' health. A cross-sectional study of university hospital physicians in four European cities (the HOUPE-study). Løvseth LT, Aasland OG, Fridner A, Jónsdottir LS, Marini M, Linaker OM, J Occup Health 2010 52 5 263 271