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Which doctors and with what problems contact a specialist service for doctors? A cross sectional investigation

By Antony Garelick, Samantha R Gross, Irene Richardson, Mattias Von Der Tann, Julia Bland and Rob Hale


Background\ud \ud In the United Kingdom, specialist treatment and intervention services for doctors are underdeveloped. The MedNet programme, created in 1997 and funded by the London Deanery, aims to fill this gap by providing a self-referral, face-to-face, psychotherapeutic assessment service for doctors in London and South-East England. MedNet was designed to be a low-threshold service, targeting doctors without formal psychiatric problems. The aim of this study was to delineate the characteristics of doctors utilising the service, to describe their psychological morbidity, and to determine if early intervention is achieved.\ud \ud Methods\ud \ud A cross-sectional study including all consecutive self-referred doctors (n = 121, 50% male) presenting in 2002–2004 was conducted. Measures included standardised and bespoke questionnaires both self-report and clinician completed. The multi-dimensional evaluation included: demographics, CORE (CORE-OM, CORE-Workplace and CORE-A) an instrument designed to evaluate the psychological difficulties of patients referred to outpatient services, Brief Symptom Inventory to quantify caseness and formal psychiatric illness, and Maslach Burnout Inventory.\ud \ud Results\ud \ud The most prevalent presenting problems included depression, anxiety, interpersonal, self-esteem and work-related issues. However, only 9% of the cohort were identified as severely distressed psychiatrically using this measure. In approximately 50% of the sample, problems first presented in the preceding year. About 25% were on sick leave at the time of consultation, while 50% took little or no leave in the prior 12 months. A total of 42% were considered to be at some risk of suicide, with more than 25% considered to have a moderate to severe risk. There were no significant gender differences in type of morbidity, severity or days off sick.\ud \ud Conclusion\ud \ud Doctors displayed high levels of distress as reflected in the significant proportion of those who were at some risk of suicide; however, low rates of severe psychiatric illness were detected. These findings suggest that MedNet clients represent both ends of the spectrum of severity, enabling early clinical engagement for a significant proportion of cases that is of importance both in terms of personal health and protecting patient care, and providing a timely intervention for those who are at risk, a group for whom rapid intervention services are in need and an area that requires further investigation in the UK

Topics: National Health Service, Counselling, General Practice
Publisher: BMC
Year: 2007
DOI identifier: 10.1186/1741-7015-5-26
OAI identifier:

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  5. (2000). Brugha T: Nonfatal Suicidal Behaviour Among Adults Aged 16 to 74 in Great Britain London, The Stationery Office;
  6. (2002). Burnout and self reported patient care in an internal medicine residency program. Ann Int Med doi
  7. (2001). Ekeberg O: Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. doi
  8. (2000). F: Clinical outcomes in routine evaluations: doi
  9. (2002). House A: Fatal and non-fatal repetition of self-harm. doi
  10. (1997). Illness doesn't belong to us.
  11. (2001). Interventions to improve physicians' well-being and patient care. Soc Sci Med doi
  12. (2003). MM: Confronting depression and suicide in physicians: a consensus statement. JAMA doi
  13. (2003). Physician health, stress and gender at a university hospital, differential analyses in outcome according to gender. J Psychosomatic Res doi
  14. (1999). Self-reported depression and suicide attempts among US woman physicians.
  15. (1982). Stress and the practice of medicine II; stressors, stresses and strains. Psychother Psychosomatic doi
  16. (1979). Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, doi
  17. (2002). The casual links between stress and burnout in a longitudinal study of UK doctors. Lancet doi
  18. (1981). The measurement of experienced burnout. doi
  19. (1998). The patient-physician relationship. JAMA
  20. (2002). TR: Physician stress: results from the physician work life study. Stress Health doi
  21. (2005). Trust: doi
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  23. (1997). WW: Sickness absence and 'working through' illness: a comparison of two professional groups. doi

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