Analysis of the stress level of resident physician education program specialist in Obstetrics and Gynecology Andalas University in 2020

Ari Fuad Fajri(1*), Bobby Indra Utama(2), Hardisman Hardisman(3)

(1) Prodi Program Pendidikan Dokter Spesialis Obstetri dan Ginekologi Fakultas Kedokteran Universitas Andalas RSUP Dr. M. Djamil Padang
(2) Sub Division of Urogynecology, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang, West Sumatera, Indonesia
(3) Public health Department, Faculty of Medicine, Andalas University, West Sumatera, Indonesia
(*) Corresponding Author



Introduction:The Specialist Doctor Education Program (PPDS) is one of the academic education of general practitioners and is known as a resident doctor to become a specialist and is at the forefront ofhealth services. Resident doctors are expected to be flexible clinicians, educators, researchers, andadministrators by the end of their residency training. It often requires stressful hard work, and is oftenreported as a cause of burnout, anxiety, depression, anger, irritability, anxiety, sleep deprivation,fatigue, substance abuse, and psychosocial problems. One of the problems that often occurs with residents is long working hours. Based on the working hours regulation adopted in the UK since 1998, namely the European Working Time Directive (EWTD) and a policy change in 2007 and 2009 called The New Deal, the working hours of resident doctors to achieve optimal performance is 56 hours per week. In the initial survey of 10 PPDS Obgin Unand residents, network station residents still had to carry out their duties 24 hours a day for 1 month in the hospital. Except for applying for certain permits. If you add up, the average working hours in 1 week is more than 60 working hours.

Objective: This study aims to determine the stress level of resident doctors in the Education Program of  Obstetric and Gynecology Specialist, Andalas University in 2020

Methods: This research is a quantitative study followed by qualitative method using an explanatory design. Data was taken using the triangulation method. The data was taken from questionnaires, Focus Group Discussion (FGD), and document review from Obstetric and Gynecology residents of all semester at Andalas University.

Results: The highest stress level in the Obstetric and Gynecology residents of Andalas University in 2020 was 60.3% at moderate level, there was a relationship between stress levels with graduation and semester. The highest stress domain is ARS (Academic Related Stressor) and SRS (Social Related Stressor).

Conclusion: the stress level in the Obstetric and Gynecology residents of Andalas University in 2020 is at a moderate level, and the highest stress domain is ARS (Academic Related Stressor) and SRS (Social Related Stressor).

Keywords: Resident Doctor; Obstetric and Gynecology; stress

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Ahmed SM, Hershberger, J P, Lemkau, Parr J. Psychosocial Influences on Health. Textbook of Family Medicine. ed2016. 25-30 p.

Micaela B. Owusu MD, M.Sc., Deanna C. Chaukos MD, Elyse R. Park PD, M.P.H., Gregory L. Fricchione MD. Mind–Body Medicine: Massachusetts General Hospital Handbook of General Hospital Psychiatry.; 2018. 455-60 p.

Kupriyanov R, & Zhdanov, R. (2014). The eustress concept: Problems and out-looks. World Journal of Medical Sciences, 11(2), 179-185. doi: 10.5829/idosi.wjms. 2014.11.2.8433.

Średniawa A DD, Krotos A, Wojtaś D, Kostecka N, Tomasik T. Insomnia and the level of stress among students in Krakow, Poland., 2019 TPP.

Badan Penelitian dan Pengembangan Kesehatan kementrian Kesehatan RI. Riset Kesehatan Dasar. Kementrian Kesehatan RI. 2013. Diakses 28 Januari 2020. Tersedia pada

Teori Stres: Stimulus, Respons, dan Transaksional. In: (NTOU) NTOU, editor. Buletin Psikologi2016. p. Vol. 24, No. 1, 1 – 11.

Putri IA, Soedibyo S. Tingkat Depresi Peserta Program Pendidikan Dokter Spesialis Ilmu Kesehatan Anak FKUI RSCM dan faktor-Faktor yang Terkait. Sari Pediatri. 2011;13(1):70-8.

West CP, Tan AD, Shanafelt TD. Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. Mayo Clinic proceedings. 2012;87(12):1138-44.

Navines R, Olive V, Ariz J, Lopez J, Tortajada M, et al. (2016) Stress and Burnout During the First Year of Residence Training in a University Teaching Hospital: Preliminary Date. Dual Diagn Open Acc 1:17. doi: 10.21767/2472-5048.100017.

Ogundipe OA, Olagunju AT, Lasebikan VO, Coker AO. 2014. Burnout among doctors in residency training in a tertiary hospital. Asian Journal of Psychiatry 10: 27-32.

Salam A, Segal DM, Abu-Helalah MA, Gutierrez ML, Joosub I, Ahmed W, et al. The impact of work-related stress on medication errors in Eastern Region Saudi Arabia. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2019;31(1):30-5.

Lockley SW, Barger LK, Ayas NT, Rothschild JM, Czeisler CA, Landrigan CP. Effects of health care provider work hours and sleep deprivation on safety and performance. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):7–18. doi: 10.1016/S1553-7250(07)33109-7.

Ebrahimi S, Kargar Z. Occupational stress among medical residents in educational hospitals. Annals of occupational and environmental medicine. 2018;30:51.

Buku Pedoman Program Pendidikan Dokter Spesialis Obstetri dan Ginekologi Universitas Andalas. Padang. 2018.

M, Lefrandt R, Santosa F. Tinjauan etik regulasi jam kerja dokter di Indonesia. JEKI. 2017;1(1):25–9. doi: 10.26880/jeki.v1i1.6.

Siyoto S, Sodik MA. Dasar Metodologi Penelitian. 1 ed. Yogyakarta: Literasi Media Publishing; 2015.

Saiful M. 2014. The Medical Student Stressor Questionner (MSSQ) Manual. www.Researchgate/MSSQ-diakses tanggal 2 Februari 2020.

Yahaya SN, Wahab SFA, Yusoff MSB, Yasin MAM, Rahman MAA. Prevalence and associated factors of stress, anxiety and depression among emergency medical officers in Malaysian hospitals. World journal of emergency medicine. 2018;9(3):178-86.

Jafari N, Loghmani A, Montazeri A. Mental health of Medical Students in Different Levels of Training. International journal of preventive medicine. 2012;3(Suppl 1):S107-12.

Moutinho ILD, Maddalena NdCP, Roland RK. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras 63 (1). 2017.

Yusoff MSB, Rahim AFA. The medical student stressor questionnaire MSSQ) manual. Kota Bharu: KKMED Publication; 2010. p. 1-21.

Hidayat A, Ariadi A, Firdawati F. The Relationship between Menopause and Depression in Padang. Journal Obgin Emas. Universitas Andalas; 2021 Jul 8;5(2):206 Tersedia di:


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Address for Correspondence:

Editorial Room Andalas Obstetrics and Gynecology Journal 3rd floor of KSM Obstetrics and Gynecology
RSUP Dr. M. Djamil Padang, Jl. Perintis Kemerdekaan Padang, Sumatara Barat, 25127