According to Dr. Paul Farnan, coordinator of the British Columbia Physician Support Program, factors that contribute to stress for many doctors include the difficulty they have in finding replacements to fill in when they want to take a vacation, an overly demanding on - call schedule, and overwhelming paperwork.
وتتميّز هذه الحالة بالارهاق العاطفي ،‏ التشاؤم ،‏ ومشاعر عدم الاهلية في عملهم » ،‏ وفقا لما اوردته صحيفة ذا ڤانكوڤر صن .‏