Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
International Journal of Social Psychiatry
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Lydall, G. J.
Right arrow Articles by Bhugra, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lydall, G. J.
Right arrow Articles by Bhugra, D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Psychological Impact of Systemic Training Failure On Mental Health and Career Satisfaction of UK Trainees: Lessons From an Online Attitudes Survey

Gregory J. Lydall

ST4 in General Adult Psychiatry, Highgate Mental Health Centre, Dartmouth Park Hill, London

Amit Malik

Hampshire Partnership NHS Trust, Gosport War Memorial Hospital, Gosport

Robert Blizard

Mental Health Sciences, Royal Free Hospital, University College, London

Dinesh Bhugra

Mental Health and Cultural Diversity, Health Service and Population Research Department, Institute of Psychiatry, King's College London. London, d.bhugra{at}iop.kcl.ac.uk

Aims: This study aims to evaluate the psychological and career-planning impact of the new postgraduate training system Modernising Medical Careers (MMC) on junior doctor applicants in the UK. We hypothesized that certain junior doctor groups were more vulnerable to distress during the process than others.

Method: Online, anonymous, cross-sectional attitudes survey of applicants in June 2007. Participants were Medical Training Application System (MTAS) applicants of all grades in the UK.

Results: Of 1,002 responders, 703 (70%) reported four or more depressive symptoms; 231 (23%) reported increased suicidal thinking; 932 (93%) increased stress; 856 (85%) increased worry; 374 (37%) consumed more alcohol. Some 941 (94%) attributed increased stress to `MMC/MTAS'. Female sex (OR = 1.48, 95% CI = 1.12, 1.95) and not receiving a job offer (OR = 1.85, 95% CI = 1.35, 2.56) predicted higher number of depressive symptoms.

Conclusion: At the onset of MMC, MTAS applicants reported negative process experiences, psychological distress and poor coping (including increased alcohol use), with possible implications for mental health, career planning and patient care.

Key Words: adaptation • career mobility • data collection • hospital • medical staff • psychological • stress

International Journal of Social Psychiatry, Vol. 55, No. 2, 180-190 (2009)
DOI: 10.1177/0020764008095031
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?