Assessing Secondary Traumatic Stress in Obstetric Providers [ID 1411]

INTRODUCTION: Although the high prevalence of secondary traumatic stress (STS) is established, less is known about how STS differentially affects different types of obstetrics and gynecology (ob-gyn) providers. The purpose of this study was to assess the effect and resources desired for STS, and to assess for differences between ob-gyn faculty, trainees, and certified nurse-midwives (CNMs). METHODS: An anonymous 14-item survey was electronically distributed to ob-gyn faculty, house officers (HOs), and CNMs. Survey questions addressed STS prevalence, psychological and physical distress, and interest in resources and barriers to seeking support. Likert scales were used to rate responses (1 = strongly disagree to 5 = strongly agree). One-way analyses of variance were used to assess differences. RESULTS: Ninety-four individuals responded with 50 faculty, 26 HOs, and 18 CNMs. Ninety percent (n=84) reported experiencing a traumatic work event. Faculty were more likely than other groups to endorse feeling fearful of future occurrences ( P =.004). Difficulty sleeping was reported more often by faculty ( P =.007). Many respondents did not feel supported after an adverse event, with the lowest rating reported by faculty (37% versus CNMs 54%, HOs 50%). All groups selected peer support as their preferred intervention, and cited lack of time as the biggest barrier to seeking support, followed by not knowing whom to go to, and difficulty accessing services. CONCLUSIONS/IMPLICATIONS: This study demonstrates the detrimental effects of STS on all ob-gyn providers and highlights the unique stressors on faculty physicians. Intentional programming and supports for faculty are needed to support their well-being and professional development.