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Doctors & Their Family Life
The past ten to fifteen years the structure of families in general has been disintegrating. The numbers of divorces and separations have increased effecting the children and their family life. This disease has penetrated the medical profession. I feel that the doctors who care for other people are not as happy as they used to be mainly because of the unsocial working hours.
The pressure of disrupted family life has resulted in increased suicide rate, alcoholism and psychiatric illness amongst doctors. How can we change this trend ? How can we help ourselves ?
Changes in the NHS which have had or will have major implications for medical force (1, 2). Policy Studies Institute’s publication on doctors career discusses many problems women doctors face in their attempt to continue in medical work (3). Vocationally trained doctors who are not principals list difficulties in combining work with family (4).
Recent studies reported increased women entrants to medical school than men (1,3). This results in more women doctors working in hospitals and vocational training. These doctors are likely to remain single or will become single parent families. Nelson (5) pointed out some problems related to marriage. She as a mother and a psychiatrist points out various dilemmas she encountered. She also quote her daughter’s essay which draws attention to what the children born to doctors think.
We are constantly asked by our senior about our career plan but seldom about our family or the children. It looks as if the only thing matters in a doctors mind when it comes to a colleague is his career, yet when it happens to be his patient the family comes first.
Various studies point out that there is an increase in suicide rate, depression, drug and alcohol abuse amongst doctors. We read more about this in the national news paper and not much in our own journals. We do not discuss about the problem amongst ourselves nor do we venture to help our colleague in the hospital.
Gray JP (6) discusses problems and offers solution on how to cope with family dynamics. Since this paper was published, nothing has changed. BMA set up a help line to help doctors to seek help if necessary. This help line is managed by a professionally trained councillor who has no experience or understanding of the doctors.
People who are achievement -oriented, compulsive people are attracted to medicine (5). Their compulsives is encouraged and developed further while training. Life depends upon over coming barriers which never ends. We postpone pleasures and over indulge our self in excessive work. At home we are exhausted and emotionally drained and find it difficult to cope.
We do not seek help from the loved ones and so distance our self from the very people who matters. Unnatural barriers are produced resulting in the partner feeling lonely. The marital problem begins, which we all try to deny and bottle emotions which results in depression. This results in frequent visit to the local pub and may be at the mercy of the drugs.
The young doctors suffer the most mainly because of multiple barriers appearing at the same time. Starting off as a responsible member in the society can be a daunting experience. Single person with no living in partner does not help them in this situation. Working pattern preventing them from meeting and spending some time together adds more burden on the individual. The social calendar has to revolve around the duty rota. This could result in unnecessary arguments with the partners.
Having a medically qualified person as a partner helps them less as two rotas have to be matched together. Less time spent with the partner results in both feeling neglected and the relationship suffers. During this early stages of maintaining the relationship, having a child could be devastating to both parents and the young born child. One parent will have to stop moving up the ladder and care for the family. If this does not occur the relationship between the couple is under severe pressure and doomed to collapse.
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Neglecting your loved ones for a long time will result in separation and divorce. The resulted self inflicted loneliness drives to addiction. BMA estimated that one in fifteen doctors abuse drugs or alcohol. This problem was initially highlighted in 1996, when they estimated that 13,000 doctors suffer from some sort of dependence. Senior doctors insisted that it’s Government’s duty to pay for and run a national occupational health service. Minister, alarmed at the possible expense, have resisted.
Doctors caught in the middle of a prolonged row between the BMA and the Department of health continue to suffer (7).

Do we need spending large amount of money ? I feel we could strive to prevent this problem occurring if we could help the young doctors to manage their time better. This study points out and draws attention to the amount of time spent on various activities. The senior doctor and the medical personal will need to sit and discuss about the family of the new junior doctor.

Some doctors could benefit if we could allow children and partners the resident doctor to stay in the hospital. Others may need few hours break during the afternoon to visit pre school child at home

One unpublished study pointed out that the doctors working as residents do not spend enough time with their partners and children during the weekdays when compared to the weekends. Most doctors assume they spend time with their partner and children. By increasing free time available we cannot resolve the problem. Better time planning by the doctor and helped by the medical personal in the hospital would benefit junior doctors to sustain family life and prevent breakdown. . We all get excited when we appoint a bright, enthusiastic young doctor. Let us help them to grow into a healthy and successful family in the future.

We should opt out protected time to spend with our partner and children. Spend some weekends away from home and make sure that the partner feels that their life together is important. Nelson SB (1972) concluded her article saying "Time spent with those we love is the really important time in our life". I feel it is very true, as the time spent with very ill patient is seldom remembered
Neglecting your loved ones for a long time will result in separation and divorce. The resulted self inflicted loneliness drives to addiction. BMA estimated that one in fifteen doctors abuse drugs or alcohol. This problem was initially highlighted in 1996, when they estimated that 13,000 doctors suffer from some sort of dependence. Senior doctors insisted that it’s Government’s duty to pay for and run a national occupational health service. Minister, alarmed at the possible expense, have resisted. Doctors caught in the middle of a prolonged row between the BMA and the Department of health continue to suffer (7).
We need not spend large amount of money to prevent this problem occurring if we could help the young doctors to manage their time better. The senior doctor and the medical personal will need to sit and discuss about the family of the new junior doctor and participate in encouraging family life. We are concerned about teenage pregnancy, substance abuse etc, etc, but what are we doing for our young doctors ?
We should start encouraging young doctors by allowing children and partners of the resident doctor to stay in the hospital. Others may need few hours break during the afternoon to visit pre school child at home. Better time planning by the doctor and helped by the medical personal in the hospital would benefit junior doctors to sustain family life and prevent breakdown.
REFERENCE
1. Secretaries of state for health, Wales, North Ireland, Scotland. Working for patients. London HMSO, 1989. (Cmnd 555.).
2. Working Group on specialist Medical Training. Hospital Doctor : training for the future. London Department of health 1993. (Calman Report).
3. Allen I. Doctor and their career - a new generation. London Policy Institute. 1994.
4. Baker M, William’s J, Petchy R. GPs in principals but not in practice : a study of vocationally trained doctors not currently working as principals. BMJ : 310; 1301-1304.
5. Nelson SB. Some dynamics of medical marriage. J Royal college of GP.
6. Gray JP. The doctor family: some problems and solutions. J Royal college of GP.
7. Burnstein R, Lipp A. Personal View. Adoption to circumstances. Users guide to flexible training. Royal College of Anaesthetists News letter. 1997:36;10-12.
8. Editorial, Hospital Doctor. 29. Jan 1998.
 

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