Stress and recovery in junior doctors

Introduction
Junior doctors are thought to experience increased mental strain in comparison to other occupations. This might be due to job related constant stress-related wear and tear without appropriate recovery. The aim of the present study was to comprehensively analyse work-related influencing factors of strain and recovery in junior doctors.

Methods
In September 2006, 1494 young doctors were asked to participate in a postal questionnaire study featuring the Recovery Stress Questionnaire (RESTQ) and additional questions on job-specific risk-factors. Using hierarchical linear regression analyses the answers of 637 participants with less than 1.5 years work experience were analysed.

Results
Results revealed that overtime work, as well as lack of performance-related feedback from supervisors were consistently related to increased levels of strain among junior doctors. These risk factors were also predominantly related to recovery. In addition, feedback from colleagues was significantly associated with the recovery subscales (with the exception of sleep quality).

Discussion
Overtime work and performance-related feedback from supervisors seem to be important work-related factors concerning junior doctors’ levels of strain and recovery. In addition, performance feedback from colleagues seems to be a major resource for recovery. The findings have implications regarding work time regulations and the necessity of leadership skill development trainings regarding feedback talks and fostering a desirable social climate in the healthcare system for the well-being of junior doctors.