Perceptions and stress factors among physicians in pre-graduate and post-graduate training in Morocco: COVID-19 pandemic context

Figures & data

Table 1. Internal and resident doctors’ sociodemographic characteristics (n = 74)

Characteristics		Effective (n)	Percent (%)
Gender	Female	42	56,8
	Male	32	43,2
Family Situation	Single	55	74,3
	Married	19	25,7
Status	Internal Doctor	46	62,2
	Resident Physician	28	37,8
Residence year	1st	7	25,0
	2nd	5	17,9
	3rd	5	17,9
	4th	7	25,0
	5th	4	14,3
Current housing	Hotel	35	47,3
	Alone	29	39,2
	Family	8	10,8
	Collocation	2	02,7
Degrees of involvement in COVID −19 patients care	First line	51	69,9
	Second line	23	31,1
Hospital service	COVID Services	34	45,9
	COVID emergency	39	52,7
	COVID intensive care units	4	05,4
	Normal Services	35	33,8
	Normal emergency	40	54,1
Impact of the pandemic on training	Negative	67	90,5
	Positive	07	09,5
Working hours per week	Less than 40 hours	45	60,8
	More than 40 hours	29	39,2

Table 2. Impact of the pandemic on the professional/training area and social impact

	All participants	Status			Gender
		Internes	Residents	p	Woman	Man	p
	Likert’s score Average (SD)				Likert’s score Average (SD)
Impact of the pandemic on work area
My work puts me at great risk of exposure to COVID-19	4.6 (0.5)	4.6 (0.5)	4.6 (0.6)	0.591	4.6 (0.5)	4.6 (0.6)	0.77
I’m afraid of being infected with COVID-19	3.9 (0.9)	3.9 (1.0)	4.0 (0.7)	0.786	4.1 (0.8)	3.8 (1.0)	0.231
The risk to which I am exposed is unacceptable	3.2 (0.9)	3.3 (0.9)	3.1 (1.1)	0.271	3.3 (0.8)	3.2 (1.2)	0.713
I’m confident my hospital would take care of me if I ever got the disease	2.9 (1.2)	2.8 (1.1)	3.1 (1.3)	0.335	2.9 (1.2)	3.0 (1.3)	0.621
There is more conflict between colleagues at work	3.2 (1.2)	3.4 (1.1)	2.8 (1.2)	0.038	3.2 (1.2)	3.1 (1.0)	0.683
I feel more stressed at work	3.9 (1.1)	4.0 (1.0)	3.6 (1.1)	0.077	4.1 (0.9)	3.5 (1.2)	0.028
Impact of the pandemic in social domain
I feel like I’ll pass on SARS-CoV2 to my family	3.0 (1.2)	2.8 (1.3)	3.3 (1.2)	0.05	3.0 (1.2)	3.0 (1.3)	0.906
I feel that my family members have been avoiding me since the beginning of the pandemic	2.4 (1.2)	2.3 (1.2)	2.5 (1.2)	0.515	2.4 (1.2)	2.3 (1.1)	0.786
I’m afraid my family won’t take care of me if I get infected	1.7 (0.8)	1.6 (0.8)	1.7 (0.9)	0.552	1.8 (0.9)	1.5 (0.8)	0.167
I will not tell my family or friends if I have been infected	1.9 (1.0)	1.9 (1.1)	1.9 (1.0)	0.971	1.9 (1.0)	1.9 (1.1)	0.788
I’m afraid to talk to my family about the risk I’m exposed to	2.5 (1.1)	2.6 (1.2)	2.3 (1.0)	0.187	2.6 (1.1)	2.4 (1.2)	0.693

SD: standard deviation

Table 3. Sense of control of the pandemic

	All participants	Status		p	Gender		p
		Internes	Residents		Woman	Man
	Likert’s score Average (SD)				Likert’s score Average (SD)
I have been trained in controlling SARS-CoV2 infection	3.0 (1.4)	3.2 (1.1)	2.7 (1.2)	0.074	3.1 (1.1)	2.8 (1.1)	0.153
In our hospital we have enough staff to control the infection	3.0 (1,3)	2.5 (1.2)	3.8 (1.0)	0.001	2.7 (1.2)	3.3 (1.3)	0.04
Our hospital has a clear plan to deal with the outbreak	2.8 (1.1)	2.8 (1.1)	2.7 (1.0)	0.712	2.9 (1.0)	2.7 (1.2)	0.403
I have received adequate training in personal protective equipment	2.7 (1.2)	2.9 (1.2)	2.5 (1.3)	0.133	2.8 (1.1)	2.7 (1.4)	0.71
I’m prepared to help control the epidemic	2.9 (1.2)	3.0 (1.2)	2.8 (1.2)	0.334	3.1 (1.2)	2.8 (1.2)	0.237
I am confident in the current infection control measures	3.1 (1.1)	2.9 (1.2)	3.4 (1.1)	0.133	2.9 (1.1)	3.3 (1.2)	0.151

SD: standard deviation

Table 4. Stress factors for you in this pandemic context

	All participants	Status		p	Gender		p
		Internes	Residents		Woman	Man
	Likert’s score Average (SD)				Likert’s score Average (SD)
Seeing patients with SARS- Cov2 die	3.2 (1.1)	3.2 (1.1)	3.3 (1.0)	0.82	3.4 (1.0)	3.0 (1.2)	0.064
Not knowing when the pandemic will be under control	3.2 (1.2)	3.1 (1.3)	3.3 (1.1)	0.787	3.1 (1.3)	3.3 (1.1)	0.887
Risk of acquiring SARS- CoV2 infection	3.3 (1.1)	3.2 (1.2)	3.4 (0.9)	0.979	3.3 (1.1)	3.3 (1.1)	0.593
Conflict between your duty and your own security	3,2 (1.1)	3.2 (1.2)	3.4 (0.9)	0.511	3.3 (1.1)	3.2 (1.0)	0.516
Seeing your stressed or scared colleagues	3.3 (1.0)	3.3 (1.1)	3.4 (0.9)	0.823	3.5 (0.9)	3.1 (1.1)	0.186
Lack of adequate protection measures	2.9 (1.1)	3.0 (1.1)	2.8 (1.1)	0.412	3.0 (1.1)	2.8 (1.1)	0.299
Wearing daily protective equipment	3.0 (1.1)	2.9 (1.2)	3.2 (0.9)	0.608	3.1 (1.1)	2.9 (1.1)	0.356
Staff shortages	3.0 (1.1)	3.2 (1.0)	2.5 (1.2)	0.006	3.3 (1.1)	2.5 (1.0)	0.001
Equipment shortage	3.1 (1.2)	3.4 (1.1)	2.8 (1.3)	0.025	3.4 (1.0)	2.8 (1.3)	0.029

SD: standard deviation

Table 5. The factors that have (or will) help reduce your stress

	All participants	Status		p	Gender		p
		Internes	Residents		Woman	Man
	Likert’s score Average (SD)				Likert’s score Average (SD)
Positive attitude of colleagues in your department	3.7 (1.1)	3.6 (1.1)	3.8 (0.7)	0.74	3.7 (1.0)	3.7 (0.9)	0.885
Improved health of affected patients	4.0 (0.8)	4.0 (1.0)	4.1 (0.6)	0.868	4.1 (0.8)	3.9 (0.9)	0.26
Healing your infected colleagues	4.0 (0.8)	3.9 (0.9)	4.1 (0.6)	0.517	4.1 (0.8)	3.8 (0.8)	0.09
Hospital provided protective equipment	3.9 (1.0)	3.7 (1.1)	4.2 (0.6)	0.106	4.0 (1.0)	3.7 (1.0)	0.094
Clear hospital prevention guidelines	3.7 (1.1)	3.7 (1.2)	3.7 (1.1)	0.821	4.0 (1.0)	3.4 (1.3)	0.067
Your family/friends were not affected by SARS-CoV2	4.1 (0.8)	4.0 (1.0)	4.3 (0.6)	0.461	4.3 (0.8)	3.9 (0.9)	0.062
Decrease in cases of SARS-Cov2 reported in the news.	3.9 (0.9)	3.9 (1.0)	4.0 (0.7)	0.752	4.1 (0.9)	3.7 (0.9)	0.026
Probability of getting additional compensation for your exposure to SARS-CoV2	3.7 (1.2)	3.6 (1.2)	3.9 (1.2)	0.268	3.6 (1.3)	3.8 (1.2)	0.512
Confidence in hospital staff in case of SARS-CoV2 disease	3.5 (1.1)	3.5 (1.1)	3.7 (1.0)	0.303	3.5 (1.0)	3.6 (1.1)	0.657
Accommodation in hotels	3,4 (1.1)	3.5 (0.9)	3.1 (1.3)	0.263	3.6 (1.1)	3.2 (1.1)	0.127
Psychological support listening cell	3.3 (1.1)	3.3 (1.1)	3.3 (1.1)	0.892	3.5 (1.0)	3.0 (1.1)	0.06
Not taking an additional workload	3.6 (1.1)	3.6 (1.1)	3.6 (1.0)	0.685	3.7 (1.1)	3.5 (1.1)	0.543

SD: standard deviation

Table 6. Motivation factors for coping with similar situations

	All participants	Status		p	Gender		p
		Internes	Residents		Woman	Man
	Likert’s score Average (SD)				Likert’s score Average (SD)
Provision of adequate personal protective equipment by the hospital	4.2 (1.0)	4.1 (1.0)	4.4 (0.9)	0.17	4.4 (0.8)	4.0 (1.1)	0.153
Family support	4.3 (0.8)	4.1 (0.9)	4.5 (0.5)	0.186	4.4 (0.8)	4.1 (0.9)	0.175
Compensation for work-related illness	4.0 (1.2)	4.0 (1.1)	3.9 (1.3)	0.901	4.1 (0.9)	3.9 (0.9)	0.903
Financial recognition of efforts	4.1 (1.1)	4.2 (1.1)	4.1 (1.2)	0.795	4.2 (0.9)	4.0 (1.3)	0.873
Management and Supervisor recognition for additional efforts	4.1 (1.2)	4.1 (1.2)	4.2 (1.2)	0.46	4.3 (0.9)	3.8 (1.4)	0.236
Psychiatric assistance and therapy available in the workplace to help reduce stress and anxiety	3.9 (1.1)	4.0 (1.1)	3.8 (1.1)	0.462	4.2 (0.8)	3.5 (1.3)	0.017
Work shift respected	4.1 (1.0)	4.2 (1.0)	3.9 (1.0)	0.15	4.2 (0.8)	3.8 (1.2)	0.186

SD: standard deviation

Data availability

All data supporting the findings of this study are included in the paper; however, details of the full data may be obtained from the corresponding author on request.