Strategies Australian junior doctors use to maintain their mental, physical and social well-being: a qualitative study

BMJ Open. 2022 Sep 1;12(9):e062631. doi: 10.1136/bmjopen-2022-062631.

Abstract

Objectives: This study aimed to uncover the strategies that junior doctors implement to maintain their mental, physical and social well-being, and the barriers they experience in practising these strategies.

Participants: Fifteen junior doctors in their postgraduate year 1 or 2 currently practising in Australia were recruited.

Outcome measures: Semistructured interviews were conducted, and the transcripts underwent thematic analysis.

Results: Three key themes emerged from thematic analysis, namely: well-being strategies, barriers to well-being and and future interventions. Exercise, a healthy and balanced diet, quality sleep, and workplace organisations were frequently reported well-being strategies. High workload, unpredictable routines, lack of familiarity with the healthcare system and ongoing stigma surrounding mental health were seen as barriers to well-being. Suggested interventions included increased control over rosters, subsidised access to facilities such as gyms and increased internship preparedness programmes organised by the medical schools.

Conclusions: The findings from this study may assist in developing more personalised and targeted methods to help junior doctors maintain their mental, physical and social well-being. Future studies may address the structural and systemic changes required to develop a workforce that fosters the well-being of junior doctors and reduces the institutional barriers to practising well-being strategies.

Keywords: EDUCATION & TRAINING (see Medical Education & Training); HEALTH SERVICES ADMINISTRATION & MANAGEMENT; MEDICAL EDUCATION & TRAINING; MENTAL HEALTH; QUALITATIVE RESEARCH.

MeSH terms

  • Australia
  • Humans
  • Medical Staff, Hospital / psychology
  • Mental Health*
  • Qualitative Research
  • Workplace* / psychology