Evidence map›Paper›PMID 31988223›Full record

ArticleBMJ open2020

Resilience, burnout and coping mechanisms in UK doctors: a cross-sectional study.

Nicola McKinley, R Scott McCain, Liam Convie, Mike Clarke, Martin Dempster, William Jeffrey Campbell, Stephen James Kirk

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06410768 (Evaluating the Feasibility of a Future Trial-based Economic Evaluation of a Multistage Shared Decision-making Program for the Treatment of Type 2 Diabetes Mellitus), which is not on this map. Cited by 83 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06410768 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluating the Feasibility of a Future Trial-based Economic Evaluation of a Multistage Shared Decision-making Program for the Treatment of Type 2 Diabetes Mellitus: a Pilot Study

TypeinterventionalSponsorMaastricht University Medical CenterRan2024 to 2025Enrolled40ConditionsDiabetes Mellitus, Type 2Armsmultistage shared decision-making program
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. GP wellbeing during the COVID-19 pandemic: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Pooled it
  4. Article
  5. Review
  6. Determinants of Stress Coping Strategies of Doctors in Poland's Silesian Voivodeship.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  7. Article
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  15. Modifiable Psychological Mechanisms of Resilience Among UK Trainee and Newly Qualified Teachers.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  16. Article
  17. Article
  18. Article
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nicola McKinleyGeneral Surgery, Ulster Hospital, Dundonald, UK nmckinley01@qub.ac.uk.ORCID 0000-0003-0544-3874
R Scott McCainGeneral Surgery, Ulster Hospital, Dundonald, UK.
Liam ConvieGeneral Surgery, Ulster Hospital, Dundonald, UK.ORCID 0000-0002-4380-8910
Mike ClarkeNorthern Ireland Methodology Hub, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-2926-7257
Martin DempsterQueen's University Belfast School of Psychology, Belfast, UK.
William Jeffrey CampbellGeneral Surgery, Ulster Hospital, Dundonald, UK.
Stephen James KirkGeneral Surgery, Ulster Hospital, Dundonald, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis cross-sectional study aimed to assess resilience, professional quality of life and coping mechanisms in UK doctors. It also aimed to assess the impact of demographic variables, such as sex, grade and specialty on these factors.

methodsDuring October and November 2018, medical doctors in the UK were eligible to complete an online survey made up of validated psychological instruments. Royal Colleges and other medical organisations invited their membership to participate via newsletters, email invitations, websites and social media.

results1651 doctors participated from a wide range of specialties and grades across the UK. The mean resilience score was 65.01 (SD 12.3), lower than population norms. Of those who responded, 31.5% had high burnout (BO), 26.2% had high secondary traumatic stress and 30.7% had low compassion satisfaction (CS). Doctors who responded from emergency medicine were more burned out than any other specialty group (F=2.62, p=0.001, df 14). Those who responded from general practice scored lowest for CS (F=6.43, p<0.001, df 14). 120 (8%) doctors met the criteria for all three of high BO, high STS and low CS. The most frequently reported coping mechanism was the maladaptive strategy of self-distraction.

conclusionsOne-third of UK doctors who responded are burned out and suffering from STS. Those who responded from emergency medicine and general practice appear to be suffering the most. Over 100 doctors fell into the at-risk category of high BO, high STS and low CS. Future analysis of the free text responses from doctors may help to identify factors that are playing a role in the high levels of BO and STS being reported by medical staff.

Indexed as

Adaptation, PsychologicalResilience, PsychologicalBurnout, ProfessionalCompassion FatigueCross-Sectional StudiesFemaleHumansJob SatisfactionMalePhysiciansQuality of LifeResidence CharacteristicsSeverity of Illness IndexSex FactorsSocioeconomic FactorsSpecializationburnoutcliniciandoctorphysicianpsychological well-beingresilience

Identifiers

PMID31988223
PMCPMC7045750

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.