Accepted Type
Facilitated and Dedicated Poster
Code
LP2 - 01
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Student
Affiliation
Considered for Poster
yes
Title
Establishing a Holistic Framework for Physician Stress
Length of Presentation
Background/Purpose
Physician stress has been identified as destructive to individual and system wellness and performance, however we continue to struggle to address stress in practice. Challenges arise from the lack of a shared definition of 'stress'-which is idiosyncratic and multifaceted-as well as limitations to traditional, reductionist approaches to understanding stress that seek linear cause-effect relationships. We require a cohesive framework for organizing multidisciplinary knowledge for studying and tackling stress. The present study builds on the cognitive appraisal theory of stress to establish a holistic physician stress framework.
Methods
Constructivist grounded theory was used to set aside preconceived definitions of 'stress' and explore the holistic subjective experience with the individuals experiencing the stress. 24 semi-structured interviews were conducted to explore distress, followed by 19 interviews on eustress. Participants were staff surgeons at the University of Toronto, purposively sampled for experience levels and practices. Data were coded and analyzed iteratively by three researchers until no new themes relating to the emerging model were identified.
Results
We present a conceptual framework for physician stress that includes: 1. Distress and eustress as two holistic experiences; 2. The multiple dimensions contributing as both antecedents and components of the stress experience (physiological, cognitive, emotional, sociocultural, environmental) and; 3. Interrelationships and dynamic feedback between component parts.
Conclusion
A holistic framework may be used in conjunction with methods from complexity science to identify novel approaches to stress research, and to organize efforts for countering distress while supporting eustress in practice.
Keyword 1
Stress
Keyword 2
Wellness
Keyword 3
Eustress
Level of Training
General
Abstract Themes
Physician & Medical Student Health and Well-being
Additional Theme (First choice)
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Sydney McQueen
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
