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What to do about psychological distress in emergency department senior house officers?
  1. J Probert,
  2. W Sargeant,
  3. I Higginson,
  4. N Rawlinson
  1. Emergency Department, Bristol Royal Infirmary, Bristol, UK
  1. Correspondence to:
 Dr I M Higginson
 Emergency Deparment, Bristol Royal Infirmary, Bristol BS2 8HW, UK; Ian.Higginsonubht.swest.nhs.uk

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The article by McPherson et a1 generates some interesting questions concerning disproportionately high levels of psychological distress among emergency department senior house officers (SHOs). The combination of shift work, a challenging working environment, broad case mix, and newly acquired decision latitude may explain the findings.

We did have some reservations about the article. We are unfamiliar with the general health questionnaire (GHQ) and brief …

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