WORKPLACE BASED CHALLENGES FOR POSTGRADUATE TRAINEE DOCTORS WORKING IN A PUBLIC SECTOR HOSPITAL

Authors

  • Sadia Zaheer Sialkot Medical College, Sialkot, Pakistan https://orcid.org/0000-0003-4302-0290
  • Waqas Khalid Department of Medical Education, Sialkot Medical College, Sialkot, Pakistan
  • Usman Shahid Butt Department of Forensic Medicine, Khawaja Muhammad Safdar Medical College, Sialkot, Pakistan
  • Sanober Rana Department of Anatomy, Sialkot Medical College, Sialkot, Pakistan
  • Anwar Khan Department of Forensic Medicine, Sialkot Medical College, Sialkot, Pakistan

DOI:

https://doi.org/10.69656/pjp.v19i4.1583

Keywords:

workplace based challenges, workload, financial issues, environmental issues, postgraduate trainees, security threats, time constraints, personal issues

Abstract

Background: Workplace-based challenges are experiences that are seen as inappropriate by the person experiencing or observing the challenge. These challenges may arise every day in different situations or may be a one off incident that is disturbing and affects one’s productivity. The study aims to identify and analyse the major hurdles that healthcare professionals encounter in their daily practice. Methods: A qualitative approach was employed to collect data from a diverse group of doctors at a public sector hospital in Sialkot. Semi-structured interviews were conducted in groups from different departments of the hospital in 2023. The consenting participants were interviewed regarding the challenges they face day to day working in government setup. Themes were extracted and data was tabulated to draw results. Results: We interviewed 21 consenting doctors from different departments mainly, Medicine, Surgery, Paediatrics and Gynaecology and identified six main themes which were high workload, security threats, financial Issues, resource constraints, time constraints, and inadequate work-life and personal-life balance. Amongst the 21 doctors, (47.62%) were females and (52.38%) were males. the challenges of high workload was stated by all (100%) of the participants, followed by security threats (91.5%), resource constraints (85.7%), financial issues (76.1%), time constraints (71%) and work and personal life imbalance (71.4%). Conclusion: Doctors reported significant levels of work-related stress, poor work-life balance, inadequate work capacity, and about one-third of them burned out, a sign of unfavourable working conditions.

Pak J Physiol 2023;19(4):15–8

Downloads

Download data is not yet available.

References

The Gateway Paper; Health systems in Pakistan —A way forward, Mental Health: An Indian Perspective 1946–2003. (Review on Books). J Pak Psychiatr Soc 2006;3(1):54. Available at: http://www.jpps.com.pk/article/thegatewaypaperhealthsystemsinpakistanawayforwardmentalhealthanindianperspective19462003_2271.html. Retrieved on: August 31, 2023.

Shakir S, Ghazali A, Shah IA., Zaidi SA, Tahir MH. Job satisfaction among doctors working at teaching hospital of Bahawalpur, Pakistan. J Ayub Med Coll Abbottabad 2007;19(3):42–5.

Sameer-ur-Rehman, Kumar R, Siddiqui N, Shahid Z, Syed S, Kadir M.. Stress, job satisfaction and work hours in medical and surgical residency programmes in private sector teaching hospitals of Karachi, Pakistan.. J Pak Med Assoc 2012;62(10)1109–12.

Tahir MW, Kauser, R, Tahir MA. Brain drain of doctors; causes and consequences in Pakistan. Int J Hum Soc Sci 2011;5:302–8.

Kurji Z, Premani ZS, Mithani Y. Analysis of the health care system of Pakistan: Lessons learnt and way forward. J Ayub Med Coll Abbottabad 2016;28(3):601–4.

Jalil A, Mahmood QK, Fischer F. Young medical doctors’ perspectives on professionalism: a qualitative study conducted in public hospitals in Pakistan. BMC Health Serv Res. 2020;20(1):847.

Rich A, Viney R, Needleman S, Griffin A, Woolf K. ‘You can’t be a person and a doctor’: the work–life balance of doctors in training—a qualitative study. BMJ Open 2016;6(12):e013897.

Azam K, Khan A, Alam, MT. Causes and adverse impact of physician burnout: A systematic review. J Coll Physicians Surg Pak 2017;27(8):495–501.

Shanafelt TD, Mungo M, Schmitgen J, Storz KA, Reeves D, Hayes SN, Sloan JA, et al. Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Mayo Clin Proc 2016;91(4):422–31.

Shaikh S, Baig LA, Hashmi I, Khan M, Jamali S, Khan MN, et al. The magnitude and determinants of violence against healthcare workers in Pakistan. BMJ Glob Health 2020;5(4):e002112.

Kowalenko T, Gates D, Gillespie GL, Succop P, Mentzel TK. Prospective study of violence against ED workers. Am J Emerg Med. 2013;31(1):197–205.

Friedberg MW, Chen PG, Van Busum KR, Aunon F, Pham C, Caloyeras J, et al. Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy. Rand Health Q 2014;3(4):1.

Geleto A, Chojenta C, Musa A, Loxton D. Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature. Syst Rev 2018;7(1):183.

Abdulghani HM, Al-Drees AA, Khalil MS, Ahmad F, Ponnamperuma GG, Amin Z. What factors determine academic achievement in high achieving undergraduate medical students? A qualitative study. Med Teach 2014;36(Suppl 1):S43–8.

Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc 2015;90(12):1600–13.

Downloads

Published

31-12-2023

How to Cite

1.
Zaheer S, Khalid W, Butt US, Rana S, Khan A. WORKPLACE BASED CHALLENGES FOR POSTGRADUATE TRAINEE DOCTORS WORKING IN A PUBLIC SECTOR HOSPITAL. Pak J Phsyiol [Internet]. 2023 Dec. 31 [cited 2024 Nov. 21];19(4):15-8. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1583