{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T03:00:45Z","timestamp":1781751645568,"version":"3.54.5"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n                    Transitioning from being a medical student to a junior doctor is stressful. Junior doctors must find ways to cope with unfamiliar clinical work in rapidly changing environments. Hospital-based placements can also expose junior doctors to vicarious trauma which cumulatively\n                    <jats:italic>and<\/jats:italic>\n                    disproportionately impacts the\n                    <jats:italic>less<\/jats:italic>\n                    experienced.\n                  <\/jats:p>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Psychological debriefing continues to be implemented and advocated as a reactive approach to limit the effects of vicarious trauma. However, the literature strongly suggests this approach does not reduce the risk of developing post-traumatic stress disorder and may worsen symptoms. To identify alternatives to supporting junior doctors, a narrative literature search was conducted across multiple databases to identify relevant information. Alternatives to psychological debriefing included resilience training, mindfulness-based intervention, Schwartz rounds and somatic experiencing. While these novel interventions are promising, caution must be exercised, the evidence base is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to distressing events may be unavoidable for junior doctors. As hospitals look for better ways to address vicarious trauma, caution must be exercised to follow the evidence rather than implement a solution-focused ideology that may be harmful. Our findings suggest the need to focus on proactive rather than reactive approaches. Further research is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251324840","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T18:00:36Z","timestamp":1743012036000},"page":"561-566","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Responding to vicarious trauma experienced by junior doctors during hospital-based rotations: A narrative review considering effective approaches that have been used in healthcare settings"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3335-6284","authenticated-orcid":false,"given":"Justin","family":"Wong","sequence":"first","affiliation":[{"name":"The Prince Charles Hospital, Chermside, QLD, Australia; and Medical School, The University of Queensland, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6022-3981","authenticated-orcid":false,"given":"Stephen","family":"Parker","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital, Chermside, QLD, Australia; Medical School, The University of Queensland, Herston, QLD, Australia; School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia; and Metro North Hospital and Health Service, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"McIlwain","sequence":"additional","affiliation":[{"name":"Medical School, The University of Queensland, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Tregoning","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia; and Cairns and Hinterland Hospital and Health Service, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Carney","sequence":"additional","affiliation":[{"name":"Medical School, The University of Queensland, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Kelly","sequence":"additional","affiliation":[{"name":"Division of Research and Innovation, University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Teodorczuk","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital, Chermside, QLD, Australia; School of Nursing, QUT, Kelvin Grove, QLD, Australia; and Northside Clinical Unit, The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Medical Training Survey 2023","author":"Medical Board of Australia, AHPRA","year":"2023","unstructured":"Medical Board of Australia, AHPRA. 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Was psychological debriefing dismissed too quickly? 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