Unanticipated Insights Into Causes Of Emotional Stress And Its Impact On The Development Of Clinical Reasoning Skills Among Junior Doctors (ASM2024-405)

The practice of medicine, while fulfilling, imposes a significant emotional weight on doctors. This study examined the progression of clinical reasoning skills among junior doctors and incidentally discovered the emotional stress they experience and its implications on the development of clinical reasoning skills. These findings are reported to enable better support for them during practice.
Methods:
A qualitative study employing a hermeneutic phenomenology methodology was conducted using semi-structured interviews (n=18) among immediate medical graduates at a main teaching hospital in Sri Lanka. The data were analysed thematically5 to identify recurring patterns in the data to explain the dataset.
Findings:
J6unior doctors’ emotional stress primarily stems from the difficulties associated with transitioning into a new role with increased responsibilities. This emotional strain is intensified by the demanding workload and time constraints. Inadequate support from senior medical staff and a lack of recognition for their contributions exacerbate the situation. Consequently, junior doctors become demotivated, contemplate changing careers, and struggle to maintain compassionate attitudes toward patients. However, they do derive emotional support from close relationships with senior staff, peers, and appreciative patients. Additionally, they employ coping mechanisms, including embracing challenges, adapting their practices accordingly, prioritizing work commitments, and finding reassurance in the noble nature of their profession.
Conclusion:
Healthcare institutions should prioritize the provision of a safe work environment, adequate support, and mentorship from senior medical staff, and value the contributions of junior doctors as integral members of the healthcare team to help overcome emotional stress and develop their clinical reasoning skills.