Generation Physician 'Mal-being;' and the resident physicians' experience of effort-reward imbalance, perseverance, burnout, depression, and anxiety

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* 1. Please indicate your current status

I am a first year medical resident

I am a second year medical resident

I am a third year medical resident

I am a fourth year medical resident

I am a fifth year medical resident

I am a sixth year medical resident

I am a seventh year medical resident

I would rather not say

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* 2. Please indicate your current program of study

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* 3. What is your gender?

Male

Female

Other

Rather not say

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* 4. What is your age?

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* 5. Over the last two weeks, how often have you been bothered by the following problems.

	Not at all	Several days	More than half the days	Nearly everyday
Feeling nervous, anxious, or on edge	Feeling nervous, anxious, or on edge Not at all	Feeling nervous, anxious, or on edge Several days	Feeling nervous, anxious, or on edge More than half the days	Feeling nervous, anxious, or on edge Nearly everyday
Not being able to stop or control worrying.	Not being able to stop or control worrying. Not at all	Not being able to stop or control worrying. Several days	Not being able to stop or control worrying. More than half the days	Not being able to stop or control worrying. Nearly everyday
Worrying too much about different things.	Worrying too much about different things. Not at all	Worrying too much about different things. Several days	Worrying too much about different things. More than half the days	Worrying too much about different things. Nearly everyday
Trouble relaxing.	Trouble relaxing. Not at all	Trouble relaxing. Several days	Trouble relaxing. More than half the days	Trouble relaxing. Nearly everyday
Being so restless that it’s hard to sit still.	Being so restless that it’s hard to sit still. Not at all	Being so restless that it’s hard to sit still. Several days	Being so restless that it’s hard to sit still. More than half the days	Being so restless that it’s hard to sit still. Nearly everyday
Becoming easily annoyed or irritable.	Becoming easily annoyed or irritable. Not at all	Becoming easily annoyed or irritable. Several days	Becoming easily annoyed or irritable. More than half the days	Becoming easily annoyed or irritable. Nearly everyday
Feeling afraid as if something awful might happen.	Feeling afraid as if something awful might happen. Not at all	Feeling afraid as if something awful might happen. Several days	Feeling afraid as if something awful might happen. More than half the days	Feeling afraid as if something awful might happen. Nearly everyday

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* 6. Over the last two weeks how often have you been bothered by the following problems?

	Not at all	Several days	More than half the days	Nearly everyday
Little interest or pleasure in doing things.	Little interest or pleasure in doing things. Not at all	Little interest or pleasure in doing things. Several days	Little interest or pleasure in doing things. More than half the days	Little interest or pleasure in doing things. Nearly everyday
Feeling down, depressed, or hopeless.	Feeling down, depressed, or hopeless. Not at all	Feeling down, depressed, or hopeless. Several days	Feeling down, depressed, or hopeless. More than half the days	Feeling down, depressed, or hopeless. Nearly everyday
Trouble falling asleep, staying asleep, or sleeping too much.	Trouble falling asleep, staying asleep, or sleeping too much. Not at all	Trouble falling asleep, staying asleep, or sleeping too much. Several days	Trouble falling asleep, staying asleep, or sleeping too much. More than half the days	Trouble falling asleep, staying asleep, or sleeping too much. Nearly everyday
Feeling tired or having little energy.	Feeling tired or having little energy. Not at all	Feeling tired or having little energy. Several days	Feeling tired or having little energy. More than half the days	Feeling tired or having little energy. Nearly everyday
Poor appetite or overeating.	Poor appetite or overeating. Not at all	Poor appetite or overeating. Several days	Poor appetite or overeating. More than half the days	Poor appetite or overeating. Nearly everyday
Feeling bad about yourself- or that you’re a failure or have let yourself or your family down.	Feeling bad about yourself- or that you’re a failure or have let yourself or your family down. Not at all	Feeling bad about yourself- or that you’re a failure or have let yourself or your family down. Several days	Feeling bad about yourself- or that you’re a failure or have let yourself or your family down. More than half the days	Feeling bad about yourself- or that you’re a failure or have let yourself or your family down. Nearly everyday
Trouble concentrating on things, such as reading the newspaper or watching television.	Trouble concentrating on things, such as reading the newspaper or watching television. Not at all	Trouble concentrating on things, such as reading the newspaper or watching television. Several days	Trouble concentrating on things, such as reading the newspaper or watching television. More than half the days	Trouble concentrating on things, such as reading the newspaper or watching television. Nearly everyday
Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual.	Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual. Not at all	Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual. Several days	Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual. More than half the days	Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual. Nearly everyday
Thoughts that you would be better off dead or of hurting yourself in some way.	Thoughts that you would be better off dead or of hurting yourself in some way. Not at all	Thoughts that you would be better off dead or of hurting yourself in some way. Several days	Thoughts that you would be better off dead or of hurting yourself in some way. More than half the days	Thoughts that you would be better off dead or of hurting yourself in some way. Nearly everyday

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* 7. Please indicate how often you have the following feelings about work:

	Everyday	A few times a week	Once a week	A few times a month	Once a month or less	A few times a year	Never
I feel burned out from my work.	I feel burned out from my work. Everyday	I feel burned out from my work. A few times a week	I feel burned out from my work. Once a week	I feel burned out from my work. A few times a month	I feel burned out from my work. Once a month or less	I feel burned out from my work. A few times a year	I feel burned out from my work. Never
I have become more callous towards people since I took this job.	I have become more callous towards people since I took this job. Everyday	I have become more callous towards people since I took this job. A few times a week	I have become more callous towards people since I took this job. Once a week	I have become more callous towards people since I took this job. A few times a month	I have become more callous towards people since I took this job. Once a month or less	I have become more callous towards people since I took this job. A few times a year	I have become more callous towards people since I took this job. Never

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* 8. The following items refer to your present occupation. For each of the following items, please indicate whether you strongly agree, agree, disagree, or agree.

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* 9. Please respond to the following 8 items

	Very much like me	Mostly like me	Somewhat like me	Not much like me	Not like me at all.
New ideas and projects sometimes distract me from previous ones.	New ideas and projects sometimes distract me from previous ones. Very much like me	New ideas and projects sometimes distract me from previous ones. Mostly like me	New ideas and projects sometimes distract me from previous ones. Somewhat like me	New ideas and projects sometimes distract me from previous ones. Not much like me	New ideas and projects sometimes distract me from previous ones. Not like me at all.
Setbacks don’t discourage me.	Setbacks don’t discourage me. Very much like me	Setbacks don’t discourage me. Mostly like me	Setbacks don’t discourage me. Somewhat like me	Setbacks don’t discourage me. Not much like me	Setbacks don’t discourage me. Not like me at all.
I have been obsessed with a certain idea or project for a short time but later lost interest.	I have been obsessed with a certain idea or project for a short time but later lost interest. Very much like me	I have been obsessed with a certain idea or project for a short time but later lost interest. Mostly like me	I have been obsessed with a certain idea or project for a short time but later lost interest. Somewhat like me	I have been obsessed with a certain idea or project for a short time but later lost interest. Not much like me	I have been obsessed with a certain idea or project for a short time but later lost interest. Not like me at all.
I am a hard worker.	I am a hard worker. Very much like me	I am a hard worker. Mostly like me	I am a hard worker. Somewhat like me	I am a hard worker. Not much like me	I am a hard worker. Not like me at all.
I often set a goal but later choose to pursue a different one.	I often set a goal but later choose to pursue a different one. Very much like me	I often set a goal but later choose to pursue a different one. Mostly like me	I often set a goal but later choose to pursue a different one. Somewhat like me	I often set a goal but later choose to pursue a different one. Not much like me	I often set a goal but later choose to pursue a different one. Not like me at all.
I have difficulty maintaining my focus on projects that take more than a few months to complete.	I have difficulty maintaining my focus on projects that take more than a few months to complete. Very much like me	I have difficulty maintaining my focus on projects that take more than a few months to complete. Mostly like me	I have difficulty maintaining my focus on projects that take more than a few months to complete. Somewhat like me	I have difficulty maintaining my focus on projects that take more than a few months to complete. Not much like me	I have difficulty maintaining my focus on projects that take more than a few months to complete. Not like me at all.
I finish whatever I begin.	I finish whatever I begin. Very much like me	I finish whatever I begin. Mostly like me	I finish whatever I begin. Somewhat like me	I finish whatever I begin. Not much like me	I finish whatever I begin. Not like me at all.
I am diligent.	I am diligent. Very much like me	I am diligent. Mostly like me	I am diligent. Somewhat like me	I am diligent. Not much like me	I am diligent. Not like me at all.

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* 10. We thank you again for participating in this survey. We would welcome any further narrative comment from you in the dialogue box below.

As a 'thank-you' token of appreciation for participating, email umadduri@myumanitoba.ca with the subject "Effort-reward imbalance," for your name to be entered into a draw to win one of three (3) 50-dollar gift certificates. Your contact information will not be associated with your survey. Thank you again for your participation.

	Strongly agree	Agree	Disagree	Strongly disagree
I have constant time pressure due to a heavy workload.	I have constant time pressure due to a heavy workload. Strongly agree	I have constant time pressure due to a heavy workload. Agree	I have constant time pressure due to a heavy workload. Disagree	I have constant time pressure due to a heavy workload. Strongly disagree
I have many interruptions and disturbances while performing my job.	I have many interruptions and disturbances while performing my job. Strongly agree	I have many interruptions and disturbances while performing my job. Agree	I have many interruptions and disturbances while performing my job. Disagree	I have many interruptions and disturbances while performing my job. Strongly disagree
Over the past few years, my job has become more and more demanding.	Over the past few years, my job has become more and more demanding. Strongly agree	Over the past few years, my job has become more and more demanding. Agree	Over the past few years, my job has become more and more demanding. Disagree	Over the past few years, my job has become more and more demanding. Strongly disagree
I receive the respect I deserve from my superior or a respective relevant person.	I receive the respect I deserve from my superior or a respective relevant person. Strongly agree	I receive the respect I deserve from my superior or a respective relevant person. Agree	I receive the respect I deserve from my superior or a respective relevant person. Disagree	I receive the respect I deserve from my superior or a respective relevant person. Strongly disagree
My job promotion prospects are poor.	My job promotion prospects are poor. Strongly agree	My job promotion prospects are poor. Agree	My job promotion prospects are poor. Disagree	My job promotion prospects are poor. Strongly disagree
I have experienced or expect to experience an undesirable change in my work situation.	I have experienced or expect to experience an undesirable change in my work situation. Strongly agree	I have experienced or expect to experience an undesirable change in my work situation. Agree	I have experienced or expect to experience an undesirable change in my work situation. Disagree	I have experienced or expect to experience an undesirable change in my work situation. Strongly disagree
My job security is poor.	My job security is poor. Strongly agree	My job security is poor. Agree	My job security is poor. Disagree	My job security is poor. Strongly disagree
Considering all my efforts and achievements, I receive the respect and prestige I deserve at work.	Considering all my efforts and achievements, I receive the respect and prestige I deserve at work. Strongly agree	Considering all my efforts and achievements, I receive the respect and prestige I deserve at work. Agree	Considering all my efforts and achievements, I receive the respect and prestige I deserve at work. Disagree	Considering all my efforts and achievements, I receive the respect and prestige I deserve at work. Strongly disagree
Considering all my efforts and achievements, my job promotion aspects are adequate.	Considering all my efforts and achievements, my job promotion aspects are adequate. Strongly agree	Considering all my efforts and achievements, my job promotion aspects are adequate. Agree	Considering all my efforts and achievements, my job promotion aspects are adequate. Disagree	Considering all my efforts and achievements, my job promotion aspects are adequate. Strongly disagree
Considering all my effort and achievements, my salary/income is adequate.	Considering all my effort and achievements, my salary/income is adequate. Strongly agree	Considering all my effort and achievements, my salary/income is adequate. Agree	Considering all my effort and achievements, my salary/income is adequate. Disagree	Considering all my effort and achievements, my salary/income is adequate. Strongly disagree
I get easily overwhelmed by time pressures at work.	I get easily overwhelmed by time pressures at work. Strongly agree	I get easily overwhelmed by time pressures at work. Agree	I get easily overwhelmed by time pressures at work. Disagree	I get easily overwhelmed by time pressures at work. Strongly disagree
As soon as I get up in the morning, I start thinking about work problems.	As soon as I get up in the morning, I start thinking about work problems. Strongly agree	As soon as I get up in the morning, I start thinking about work problems. Agree	As soon as I get up in the morning, I start thinking about work problems. Disagree	As soon as I get up in the morning, I start thinking about work problems. Strongly disagree
When I get home, I can easily relax and switch off work.	When I get home, I can easily relax and switch off work. Strongly agree	When I get home, I can easily relax and switch off work. Agree	When I get home, I can easily relax and switch off work. Disagree	When I get home, I can easily relax and switch off work. Strongly disagree
People close to me say I sacrifice too much for my job.	People close to me say I sacrifice too much for my job. Strongly agree	People close to me say I sacrifice too much for my job. Agree	People close to me say I sacrifice too much for my job. Disagree	People close to me say I sacrifice too much for my job. Strongly disagree
Work rarely lets me go, it is still on my mind when I go to bed.	Work rarely lets me go, it is still on my mind when I go to bed. Strongly agree	Work rarely lets me go, it is still on my mind when I go to bed. Agree	Work rarely lets me go, it is still on my mind when I go to bed. Disagree	Work rarely lets me go, it is still on my mind when I go to bed. Strongly disagree
If I postpone something that I was supposed to do today I’ll have trouble sleeping at night.	If I postpone something that I was supposed to do today I’ll have trouble sleeping at night. Strongly agree	If I postpone something that I was supposed to do today I’ll have trouble sleeping at night. Agree	If I postpone something that I was supposed to do today I’ll have trouble sleeping at night. Disagree	If I postpone something that I was supposed to do today I’ll have trouble sleeping at night. Strongly disagree