Pub Date : 2018-01-01Epub Date: 2018-02-20DOI: 10.33582/2637-4900/1003
James H Tabibian, Amanda K Bertram, Hsin-Chieh Yeh, Joseph Cofrancesco, Nancy Codori, Lauren Block, Edgar R Miller, Padmini D Ranasinghe, Spyridon S Marinopoulos
Introduction: Burnout and depression are well-described in medical students and physicians and can lead to adverse personal and patient outcomes; however, their time course and risk factors remain understudied. Here, we measured multiple domains of mental and physical health and wellness and assessed gender differences among incoming physician trainees beginning residency at an academic medical center.
Methods: Using a cross-sectional study design, all incoming trainees (i.e. housestaff) at Johns Hopkins Hospital received a questionnaire assessing depression, burnout, sleep, exercise, and alcohol consumption, among other domains. Standardized instruments were utilized for questionnaire development. Tests of significance were two-tailed.
Results: 196 of 229 incoming housestaff (86%) completed the survey, and 49% were female. A history of depression was reported in 8%, and 5.4% met criteria for at least moderate depression by Patient Health Questionnaire (PHQ-9). Females were more likely to report a history of depression than males (13% vs. 3%, p=0.02) but had similar PHQ-9 scores. Four percent of participants reported feeling they were in the wrong profession. Goal and mean sleep were 7 and 6.7 hours/night, respectively. Forty-seven percent reported exercising once/week or not at all. While mean reported weekly alcohol consumption was three drinks, participants reported consuming ≥5 drinks in one sitting on average 1.6 times in the prior 6 months, and 4% used alcohol to sleep.
Conclusions: Incoming housestaff reported generally favorable mental and physical health at the beginning of residency training. However, exercise rates were low, and ill-suited alcohol consumption was noted, though infrequent. The few areas of possible improvement were largely similar between males and females. Wellness interventions might capitalize on the relatively high morale and health at the completion of medical school by helping to promote healthy habits, including regular exercise and avoidance of excess alcohol consumption, throughout future training and practice.
{"title":"Health and wellness among incoming resident physicians: A multi-domain survey.","authors":"James H Tabibian, Amanda K Bertram, Hsin-Chieh Yeh, Joseph Cofrancesco, Nancy Codori, Lauren Block, Edgar R Miller, Padmini D Ranasinghe, Spyridon S Marinopoulos","doi":"10.33582/2637-4900/1003","DOIUrl":"10.33582/2637-4900/1003","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout and depression are well-described in medical students and physicians and can lead to adverse personal and patient outcomes; however, their time course and risk factors remain understudied. Here, we measured multiple domains of mental and physical health and wellness and assessed gender differences among incoming physician trainees beginning residency at an academic medical center.</p><p><strong>Methods: </strong>Using a cross-sectional study design, all incoming trainees (i.e. housestaff) at Johns Hopkins Hospital received a questionnaire assessing depression, burnout, sleep, exercise, and alcohol consumption, among other domains. Standardized instruments were utilized for questionnaire development. Tests of significance were two-tailed.</p><p><strong>Results: </strong>196 of 229 incoming housestaff (86%) completed the survey, and 49% were female. A history of depression was reported in 8%, and 5.4% met criteria for at least moderate depression by Patient Health Questionnaire (PHQ-9). Females were more likely to report a history of depression than males (13% vs. 3%, p=0.02) but had similar PHQ-9 scores. Four percent of participants reported feeling they were in the wrong profession. Goal and mean sleep were 7 and 6.7 hours/night, respectively. Forty-seven percent reported exercising once/week or not at all. While mean reported weekly alcohol consumption was three drinks, participants reported consuming ≥5 drinks in one sitting on average 1.6 times in the prior 6 months, and 4% used alcohol to sleep.</p><p><strong>Conclusions: </strong>Incoming housestaff reported generally favorable mental and physical health at the beginning of residency training. However, exercise rates were low, and ill-suited alcohol consumption was noted, though infrequent. The few areas of possible improvement were largely similar between males and females. Wellness interventions might capitalize on the relatively high morale and health at the completion of medical school by helping to promote healthy habits, including regular exercise and avoidance of excess alcohol consumption, throughout future training and practice.</p>","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37508355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01Epub Date: 2018-04-05DOI: 10.33582/2637-4900/1004
Kais Zakharia, James H Tabibian
Infection is the second most common cause of esophagitis, second only to gastroesophageal reflux, and represents a clinically important disorder. Immunosuppressed patients are at highest risk for infectious esophagitis, with CANDIDA, herpes simplex virus, and cytomegalovirus being the most common causative microorganisms. Here we provide a brief clinical review and present a case of concomitant oropharyngeal and presumed esophageal candidiasis in a patient with autoimmune hepatitis who was initiated on high-dose corticosteroid therapy and soon thereafter develop odynodysphagia and who was found to have herpes esophagitis diagnosed by endoscopy and histopathology.
{"title":"Infectious esophagitis in the immunosuppressed: Candida and beyond.","authors":"Kais Zakharia, James H Tabibian","doi":"10.33582/2637-4900/1004","DOIUrl":"https://doi.org/10.33582/2637-4900/1004","url":null,"abstract":"<p><p>Infection is the second most common cause of esophagitis, second only to gastroesophageal reflux, and represents a clinically important disorder. Immunosuppressed patients are at highest risk for infectious esophagitis, with <i>CANDIDA,</i> herpes simplex virus, and cytomegalovirus being the most common causative microorganisms. Here we provide a brief clinical review and present a case of concomitant oropharyngeal and presumed esophageal candidiasis in a patient with autoimmune hepatitis who was initiated on high-dose corticosteroid therapy and soon thereafter develop odynodysphagia and who was found to have herpes esophagitis diagnosed by endoscopy and histopathology.</p>","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37508356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-14DOI: 10.24966/CMPH-1978/100026
M. G. Matos, Anabela Caetano Santos, Cristiana Fauvelet, Francisco Marta, E. S. Evangelista, José Ferreira, Miguel Moita, Tim Conibear, Matthew Mattila
{"title":"10 - Years Risk of Coronary Heart Disease among Tanta Faculty of Medicine Administrative Employees","authors":"A. El-Sherbiny, H. Zaid","doi":"10.12816/0011941","DOIUrl":"https://doi.org/10.12816/0011941","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randa M. Said, G. Khafagy, M. Ghobashi, Mohamed A.Fouda Mohamed A.Fouda
{"title":"Effect of Social Marketing Campaign on Utilization of Primary Health Care Preventive Services","authors":"Randa M. Said, G. Khafagy, M. Ghobashi, Mohamed A.Fouda Mohamed A.Fouda","doi":"10.12816/0011944","DOIUrl":"https://doi.org/10.12816/0011944","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"47-74"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66239836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Health Educational Program on Quality of Life of Cancer Patients Receiving Radiotherapy","authors":"M. Ragheb, Z. Hammour","doi":"10.12816/0011946","DOIUrl":"https://doi.org/10.12816/0011946","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"89-105"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66239879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Hassan, A. Shoman, A. Hafez, S. Dewedar, Abuelgasim M. Abuelgasim
{"title":"Epidemiology of Anemia among Pregnant Women Attending Antenatal Care Centers in Alniaryah Province , Eastern Saudi Arabia","authors":"A. Hassan, A. Shoman, A. Hafez, S. Dewedar, Abuelgasim M. Abuelgasim","doi":"10.12816/0011942","DOIUrl":"https://doi.org/10.12816/0011942","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"19-32"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66239828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Awareness of Coronary Artery Disease Risk Factors and Prevention among a Population Sample in Upper Egypt : Community - Based Study","authors":"I. Habil, M. Saber, Magdy A. Gharieb, M. A. Kader","doi":"10.12816/0011945","DOIUrl":"https://doi.org/10.12816/0011945","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"75-87"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66239872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Research Principles Educational Intervention on Research Knowledge , Attitude and Practice among House - Officers at the Faculty of Medicine , Cairo University , Egypt","authors":"Dalia Ahmed, A. Badr, Ola A. Mostafa","doi":"10.12816/0011943","DOIUrl":"https://doi.org/10.12816/0011943","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"32 1","pages":"33-46"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66239833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Educational Sessions about Effectiveness of Handoff System for Nurses on their Knowledge and Practice","authors":"E. Elhanafy, Z. Hammour","doi":"10.12816/0011960","DOIUrl":"https://doi.org/10.12816/0011960","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"68 1","pages":"13-26"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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