PMID: 8959168Dec 1, 1996Paper

The psychological effects of a four-week emergency medicine rotation on residents in training

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
K AlagappanK Carpenter

Abstract

To prospectively evaluate psychological stress reactions among residents in an emergency medicine (EM) rotation during a 4-week period. Pre- and postrotation psychological distress levels were assessed over a 4-week EM rotation. Subjects were evaluated by several psychometric measures. These included the assessment of anxiety, depressive, and other psychological symptoms by the Brief Symptom Inventory (BSI), and the occurrence of traumatic anxiety via the Dissociative Experience Scale (DES). Also assessed were the Impact of Events Scale and the Holmes Social Readjustment Ratings Scale (Holmes), a baseline life-change measure. Demographic data were obtained. The study occurred in a university-affiliated teaching hospital ED. The 45 EM residents and 27 non-EM residents were analyzed as a group, followed by subgroup analysis comparing EM vs non-EM residents. An increase in psychological distress over the 4-week rotation was found in the non-EM group, but not in the EM group. For the non-EM residents, all 10 BSI scales worsened and 3 of 4 DES scales worsened (p = 0.002), indicative of increased psychological distress. In contrast, analysis of the 45 EM residents showed improvement in 8 of 10 BSI scales and 3 of 4 DES scales (p = 0....Continue Reading

References

May 1, 1979·Psychosomatic Medicine·M HorowitzW Alvarez
Mar 1, 1992·Annals of Emergency Medicine·K N HallJ Khoury
Jan 1, 1992·Annals of Emergency Medicine·M E GalleryD A Revicki
Jul 1, 1990·Annals of Emergency Medicine·M E GalleryR Williams
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Jan 1, 1983·Annals of Emergency Medicine·R A Anwar
Jun 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L Doan-WigginsE H Chen

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Citations

Feb 24, 2001·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·K AlagappanS Pollack
Jul 26, 2011·International Journal of Emergency Medicine·C James HollimanKathleen Clem
May 24, 2007·Medical Education·Vicki R LeBlanc, Glen W Bandiera

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