Wellness Services: A Need Assessment Survey for Post Graduate Medical Education Trainees at Aga Khan University Hospital
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ORIGINAL RESEARCH
Wellness Services: A Need Assessment Survey for Post Graduate Medical Education Trainees at Aga Khan University Hospital, Pakistan Tania Nadeem 1 & Nargis Asad 2 & Muhammad Yusuf Hafiz 2 & Nida Rahman 2 & Muhammad Rizwan Khan 2 & Tashfeen Ahmad 2 & Noreen Nasir 2 & Sahar Nadeem Hamid 3 & Mohammad Zaman 2 & Shahina Pirani 2 Accepted: 1 October 2020 # International Association of Medical Science Educators 2020
Abstract Objective The study aimed to assess the need of mental wellbeing services for post graduate medical (PGME) trainees working at the Aga Khan University Hospital in Karachi, Pakistan. Methods A cross-sectional study was conducted among all PGME trainees working at Aga Khan University Hospital in Karachi, Pakistan. The study questionnaire was developed by the team of investigators. The data collection was done through online survey from April 2019 to May 2019 and it was analyzed using descriptive and inferential analyses. Results Out of total 623 PGME trainees, 334 trainees completed the online survey (response rate of 53.61%). A total of 292 participants (87.4%) perceived a need for mental health services. The major stressors identified were increase work hours (77.8%), excessive workload (75.1%), and difficulty balancing between work and personal life (72.8%). The perceived obstacles of utilizing mental services included lack of protected time (69.8%), fear of consequences (36.8%), lack of confidentiality (36.5%), and stigma (32.9%). The study participants indicated various suggestions to reduce their stressors such as separate relaxation space in hospital (91.3%), appreciation gestures like encouraging emails (65%), mentoring programs (43.4%), and regular surveys about resident needs (39.8%). Conclusion It is evident that innovative strategies to address trainees’ mental health needs, looking at limitations of developing countries like Pakistan with large population and limited resources, need to be explored. Keywords Wellness services . Mental health . Trainees . Pakistan
Introduction Postgraduate medical training is the time of formal medical education which facilitates the growth from a graduating medical student to a practicing physician [1]. Training is a stressful experience with significant amount of pressure as individuals have to balance their family and social responsibilities and at Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40670-020-01098-6) contains supplementary material, which is available to authorized users. * Tania Nadeem [email protected] 1
Department of Psychiatry, Aga Khan University, Stadium Road, PO Box 3500, Karachi 74800, Pakistan
2
Aga Khan University, Karachi, Pakistan
3
Glyndwr University, Wrexham, UK
the same time acquire knowledge and skills to become a certified and competent specialist [2]. Unfortunately, physician burnout rates are increasing, and some studies have quoted numbers as high as 50% [3]. Burnout leads to emotional exhaustion, depersonalization, and a sense of failure in traini
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