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The Occupational and Psychosocial Impact of SARS on Academic Physicians in Three Affected Hospitals

Received Jan. 13, 2004; revision received May 13, 2004; accepted June 15, 2004. From the University Health Network Women’s Health Program and the University of Toronto. Address correspondence and reprint requests to Dr. Grace, University Health Network Women’s Health Program, ML2-004c, 657 University Ave., Toronto General Hospital, Toronto, Ont., Canada M5G 2N2; sgrace{at}yorku.ca (e-mail)

A cross-sectional anonymous survey was administered to all directory-listed physicians within a network of three large teaching hospitals that provided care to SARS patients in Toronto. One hundred ninety-three physicians participated, 23% of whom provided direct care to SARS patients. A significantly higher rate of psychological distress was seen among physicians providing direct care to SARS patients (45.7%) than among those not providing direct care (17.7%), and physicians providing direct care reported feeling more stigmatized. Several physicians (10.9%) reported entering the hospital despite experiencing identified SARS symptoms. The most frequent SARS concerns were about the care of non-SARS patients following suspension of nonessential services and loss of physician income.

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