Evidence map›Paper›PMID 34857580›Full record

Observational studyBMJ open2021

Characteristics of resident physicians accessing a specialised mental health service: a retrospective study.

María Dolores Braquehais, Sebastián Vargas-Cáceres, Gemma Nieva, Maria Fernanda Mantilla, Germán Ortega, Sergi Valero, Jose Antonio Ramos-Quiroga, Eugeni Bruguera

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. [Mental health strategies for self-care and coping in medical residents].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  2. Article
  3. [Mental health in postgraduate medicine: an urgency in the systematization of strategies].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Review
  4. Psychiatric Issues Among Health Professionals.The Medical clinics of North America · 2023
    Review
  5. Observational
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

8 authors at 4 institutions in 1 country.

María Dolores BraquehaisIntegral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain mdbraquehais.paimm@comb.cat.ORCID 0000-0001-7314-0045
Sebastián Vargas-CáceresMental Health, Benito Menni, Adult Mental Health Service, L'Hospitalet de Llobregat, Catalonia, Spain.
Gemma NievaIntegral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain.ORCID 0000-0003-2630-1218
Maria Fernanda MantillaOutpatient Service, Mental Health Service of Gracia, Barcelona, Catalonia, Spain.
Germán OrtegaDepartment of Psychiatry, Vall d'Hebron University Hospital, Barcelona, Catalonia, Spain.
Sergi ValeroIntegral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain.
Jose Antonio Ramos-QuirogaPsychiatry, Mental Health and Addiction Research Group, VHIR, CIBERSAM, Barcelona, Catalonia, Spain.
Eugeni BrugueraIntegral Care Programme for Sick Health Professionals, Galatea Clinic, Barcelona, Catalonia, Spain.
Vall d'Hebron Hospital Universitari · ESCentro de Investigación Biomédica en Red de Salud Mental · ESAjuntament de L’Hospitalet · ESFundació ACE · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLittle is known about resident physicians being treated at physician health programmes around the world despite the fact that it is a highly demanding training period. This study aims to describe the profiles of resident physicians accessing a specialised mental health service in Spain over a 20-year period and to compare them to consultant-grade physicians.

designRetrospective observational study.

settingMedical records of the Galatea Care Programme for Sick Physicians.

participants1846 physicians registered at the Barcelona Medical Council-Association and admitted to the programme from January 1998 to December 2018. PRIMARY AND SECONDARY OUTCOME MEASURES: Number of admissions, sociodemographic and clinical variables, including medical specialty, main diagnosis and need of hospitalisation.

resultsResidents accounted for 18.1% (n=335) of the sample and admissions increased over the years. Most residents (n=311; 94.5%) and consultant-grade physicians (n=1391; 92.8%) were self-referred. The most common specialty among residents was family medicine (n=107; 31.9%), followed by internal medicine (n=18; 5.4%), paediatrics (n=14; 4.2%), psychiatry (n=13; 3.9%) and anaesthesiology (n=13; 3.9%). Residents, regardless of year of training, mainly asked for help because of adjustment (n=131; 39.1%), affective (n=77; 23%), anxiety disorders (n=40; 18.8%) and addictions (n=19; 5.7%). There were no significant differences between groups in the main diagnosis and in the variables related to need of hospitalisation. The percentage of residents accessing the programme was higher than in the reference population registered at the Barcelona Medical Council-Association (18.1% vs 7.6%; z=7.2, p<0.001) as was the percentage of family medicine residents (31.9% vs 19.6%; z=5.7, p<0.001).

conclusionsResidents are more likely than consultant-grade physicians to seek help when suffering from mental disorders. Local primary prevention actions since the beginning of their training period and having access to a well-known highly reliable programme may partly explain these findings.

Indexed as

Internship and ResidencyMental Health ServicesPhysiciansPsychiatryAnxiety DisordersChildHumansRetrospective Studiesadult psychiatrymedical education & trainingmental health

Identifiers

PMID34857580
PMCPMC8640645
OpenAlexW3216327262

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.