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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

‘We are not invincible’: a qualitative study of self-care practices by Australian general practice registrars

Nadia Khan A B and Tim Usherwood A
+ Author Affiliations
- Author Affiliations

A Department of General Practice, Westmead Clinical School, Faculty of Health and Medicine, The University of Sydney, Acacia House, Westmead Hospital, NSW 2145, Australia.

B Corresponding author. Email: nadia.khan@sydney.edu.au

Australian Journal of Primary Health 25(4) 380-386 https://doi.org/10.1071/PY18169
Submitted: 24 October 2018  Accepted: 27 May 2019   Published: 2 September 2019

Abstract

Doctors are not well known to look after their own health. The barriers and enablers that doctors face in staying healthy and managing ill health are not fully understood. This study aimed to explore these issues among general practice registrars (trainee general practitioners (GPs)). Semistructured interviews conducted with 14 GP registrars were audio-recorded, transcribed and analysed thematically. Participants noted the benefits of healthy lifestyle and the major barrier of competing priorities. Barriers to having their own GP included uncertainty about colleagues’ clinical abilities and about their respect for professional boundaries. Nearly all the participants had self-prescribed and many reported informal consultations with colleagues, although they noted the limitations of these. The participants identified their professional responsibility to maintain a healthy lifestyle and need for a regular GP, the importance of support for these responsibilities by training practices and regional training organisations and the value of training organisations incorporating such support into curriculum and policies.


References

Baigent M, Baigent R (2018) Burnout in the medical profession: not a rite of passage. The Medical Journal of Australia 208, 471–472.
Burnout in the medical profession: not a rite of passage.Crossref | GoogleScholarGoogle Scholar | 29902400PubMed |

beyondblue (2013) National mental health survey of doctors and medical students. (beyondblue: Melbourne, Vic., Australia) Available at https://www.beyondblue.org.au/docs/default-source/research-project-files/bl1132-report---nmhdmss-full-report_web [Verified 12 June 2019]

Braun V, Clarke V (2013) Successful qualitative research. pp. 201–274. (Sage Publications: London, UK)

Brooks SK, Gerada C, Chalder M (2011) Review of literature on the mental health of doctors: are specialist services needed? Journal of Mental Health (Abingdon, England) 20, 146–156.
Review of literature on the mental health of doctors: are specialist services needed?Crossref | GoogleScholarGoogle Scholar |

Kay M, Mitchell G, Clavarino A, Doust J (2008) Doctors as patients: a systematic review of doctors’ health access and the barriers they experience. The British Journal of General Practice 58, 501–508.
Doctors as patients: a systematic review of doctors’ health access and the barriers they experience.Crossref | GoogleScholarGoogle Scholar | 18611318PubMed |

Larkins SL, Spillman M, Vanlint JW, Hays RB (2003) Stress, personal and educational problems in vocational training: a prospective cohort study. Australian Family Physician 32, 473–475.

Larkins SL, Spillman M, Parison J, Hays RB (2004) Isolation, flexibility and change in vocational training for general practice: personal and educational problems experienced by general practice registrars in Australia. Family Practice 21, 559–566.
Isolation, flexibility and change in vocational training for general practice: personal and educational problems experienced by general practice registrars in Australia.Crossref | GoogleScholarGoogle Scholar | 15367479PubMed |

Markwell AL, Wainer Z (2009) The health and well-being of junior doctors: insights from a national survey. The Medical Journal of Australia 191, 441–444.

Schulz S, Einsle F, Schneider N, Wensing M, Gensichen J (2017) Illness behaviour of general practitioners – a cross-sectional survey. Occupational Medicine 67, 33–37.
Illness behaviour of general practitioners – a cross-sectional survey.Crossref | GoogleScholarGoogle Scholar | 27697967PubMed |

Spall S (1998) Peer debriefing in qualitative research: emerging operational models. Qualitative Inquiry 4, 280–292.
Peer debriefing in qualitative research: emerging operational models.Crossref | GoogleScholarGoogle Scholar |