Resilience in medical doctors: a systematic review

Postgrad Med J. 2019 Mar;95(1121):140-147. doi: 10.1136/postgradmedj-2018-136135. Epub 2019 Mar 29.

Abstract

Introduction: Resilience can be difficult to conceptualise and little is known about resilience in medical doctors.

Aims: This systematic review discusses the existing literature on influences on resilience levels of medical doctors.

Methods: The bibliographic databases PubMed, MEDLINE, EMBASE and PsycINFO were searched from 2008 to November 2018 using keyword search terms resilience* AND ("medical physician*" OR doctor* OR surgeon* OR medical trainee* or clinician*).

Results: Twenty-four studies were deemed eligible for inclusion. A narrative synthesis was performed. The following influences on resilience in doctors were identified: demographics, personality factors, organisational or environmental factors, social support, leisure activities, overcoming previous adversity and interventions to improve resilience.

Conclusions: Resilience is not limited to a doctor's own personal resource. Published studies also highlight the influence of other modifiable factors.

Keywords: clinician; doctor; physician; psychological wellbeing; resilience (psychological).

Publication types

  • Systematic Review

MeSH terms

  • Demography
  • Humans
  • Leisure Activities
  • Motivation
  • Personality
  • Physicians / psychology*
  • Resilience, Psychological*
  • Risk Factors
  • Social Support