Stress, personal and educational problems in vocational training: a prospective cohort study

INTRODUCTION: Australian general practitioners suffer from high levels of stress, but the incidence among GP registrars during vocational training is less well described. METHODS: All 400 new Australian GP registrars in 1999 were invited to participate in the study. Consenting registrars completed an annual questionnaire and initial psychometric scales. Medical educators also provided information annually about known registrar problems. RESULTS: Participating numbers were 213 (year 1), 226 (year 2), 203 (year 3), and 98 (year 4). More than half reported at least one problem in years 2, 3 and 4. Those reporting problems scored significantly higher on initial psychometric scales, and reported lower enthusiasm for training (p