Resident Physician Depression: Systemic Challenges and Possible Solutions

Overview

Journal Trends Mol Med

Specialties General Medicine
Molecular Biology

Date 2024 Aug 24

PMID 39181802

Authors

Karina Pereira-Lima

Srijan Sen

Affiliations

Soon will be listed here.

Abstract

Resident physicians face intense stressors that significantly heighten their depression risk. This article discusses research findings on critical factors contributing to depression among resident physicians. Understanding these factors is essential to developing targeted interventions, fostering healthy work environments, and ultimately improving physician wellbeing and patient care.

References

Fang Y, Lodi S, Hughes T, Frank E, Sen S, Bohnert A . Work Hours and Depression in U.S. First-Year Physicians. N Engl J Med. 2022; 387(16):1522-1524. PMC: 9807271. DOI: 10.1056/NEJMc2210365. View

Pereira-Lima K, Gupta R, Guille C, Sen S . Residency Program Factors Associated With Depressive Symptoms in Internal Medicine Interns: A Prospective Cohort Study. Acad Med. 2018; 94(6):869-875. PMC: 6538448. DOI: 10.1097/ACM.0000000000002567. View

Cleary J, Fang Y, Zahodne L, Bohnert A, Burmeister M, Sen S . Polygenic Risk and Social Support in Predicting Depression Under Stress. Am J Psychiatry. 2023; 180(2):139-145. PMC: 10355168. DOI: 10.1176/appi.ajp.21111100. View

Mata D, Ramos M, Bansal N, Khan R, Guille C, Di Angelantonio E . Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA. 2015; 314(22):2373-83. PMC: 4866499. DOI: 10.1001/jama.2015.15845. View

Salvado M, Marques D, Pires I, Silva N . Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2021; 9(10). PMC: 8544467. DOI: 10.3390/healthcare9101342. View

Williford M, Scarlet S, Meyers M, Luckett D, Fine J, Goettler C . Multiple-Institution Comparison of Resident and Faculty Perceptions of Burnout and Depression During Surgical Training. JAMA Surg. 2018; 153(8):705-711. PMC: 6584717. DOI: 10.1001/jamasurg.2018.0974. View

Douglas R, Sharpe E, Kraus M, Saddawi-Konefka D, Hanson A, Pulos B . Mental Health Questions on State Medical License Applications and Evaluation of Updates. JAMA Netw Open. 2023; 6(9):e2333360. PMC: 10498334. DOI: 10.1001/jamanetworkopen.2023.33360. View

Meeks L, Cleary J, Horwitz A, Pereira-Lima K, Zhao Z, Fang Y . Analysis of Depressive Symptoms and Perceived Impairment Among Physicians Across Intern Year. JAMA Netw Open. 2022; 5(1):e2144919. PMC: 8790665. DOI: 10.1001/jamanetworkopen.2021.44919. View

Linzer M, Poplau S, Grossman E, Varkey A, Yale S, Williams E . A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study. J Gen Intern Med. 2015; 30(8):1105-11. PMC: 4510236. DOI: 10.1007/s11606-015-3235-4. View

10.

Guille C, Frank E, Zhao Z, Kalmbach D, Nietert P, Mata D . Work-Family Conflict and the Sex Difference in Depression Among Training Physicians. JAMA Intern Med. 2017; 177(12):1766-1772. PMC: 5820732. DOI: 10.1001/jamainternmed.2017.5138. View

11.

Fang Y, Bohnert A, Pereira-Lima K, Cleary J, Frank E, Zhao Z . Trends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019 : A Repeated Annual Cohort Study. Ann Intern Med. 2021; 175(1):56-64. DOI: 10.7326/M21-1594. View

12.

Gottlieb M, Palter J, Westrick J, Peksa G . Effect of Medical Scribes on Throughput, Revenue, and Patient and Provider Satisfaction: A Systematic Review and Meta-analysis. Ann Emerg Med. 2020; 77(2):180-189. PMC: 9756438. DOI: 10.1016/j.annemergmed.2020.07.031. View

13.

Barger L, Weaver M, Sullivan J, Qadri S, Landrigan C, Czeisler C . Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. BMJ Med. 2023; 2(1):e000320. PMC: 10254593. DOI: 10.1136/bmjmed-2022-000320. View

14.

Fang Y, Scott L, Song P, Burmeister M, Sen S . Genomic prediction of depression risk and resilience under stress. Nat Hum Behav. 2019; 4(1):111-118. PMC: 6980948. DOI: 10.1038/s41562-019-0759-3. View

15.

Fang Y, Forger D, Frank E, Sen S, Goldstein C . Day-to-day variability in sleep parameters and depression risk: a prospective cohort study of training physicians. NPJ Digit Med. 2021; 4(1):28. PMC: 7892862. DOI: 10.1038/s41746-021-00400-z. View