Can GP registrars find equilibrium? A brief introduction to work–life balance and strategies for success

Abdin S Welch RK Byron-Daniel J , et al. (2018) The effectiveness of physical activity interventions in improving well-being across office-based workplace settings: a systematic review. Public Health, 160: 70–76. DOI: 10.1016/j.puhe.2018.03.029.

Albedry B Marenus MW Chen W (2024) The relationship between employee physical activity intensity and workplace burnout: a cross-sectional study. Journal of Occupational and Environmental Medicine, 66(4): 316–320. DOI: 10.1097/JOM.0000000000003043.

Boyd S (2023) A life outside: working less than full time is an option now open to far more doctors – And for many it’s what keeps them in medicine. BMA News and Opinion, 7 March. Available at: www.bma.org.uk/news-and-opinion/a-life-outside (accessed 22 September 2025).

British Medical Association (2018) Workload control in general practice. London: BMA. Available at: www.bma.org.uk/media/1145/workload-control-general-practice-mar2018-1.pdf (accessed 22 September 2025).

British Medical Association (2025) GP practices: managing workload. Available at: www.bma.org.uk/advice-and-support/gp-practices?_gl=1*lcoxp9*_up*MQ..*_gs*MQ..&gclid=Cj0KCQjwyIPDBhDBARIsAHJyyVhBUQUvQKF19-4C5d44NHWXnTuVwTVqUGnZEKZ6A9Pwa0KxCW_vrZ8aAmHhEALw_wcB&gbraid=0AAAAAD6Ciry-9rBgC_WZCXWVhX1OxFpLl#managing-workload (accessed 22 September 2025).

Bryan L Singh A (2025) Alcohol and sleep. Sleep Foundation. Available at: www.sleepfoundation.org/nutrition/alcohol-and-sleep (accessed 22 September 2025).

Carroll Á Collins C McKenzie J (2025) Physician wellbeing in a national rehabilitation hospital: a qualitative study utilizing Maslow’s hierarchy of needs as a framework for analysis. BMC Health Services Research, 25(1): 175. DOI: 10.1186/s12913-025-12310-x.

Dewa CS Loong D Bonato S , et al. (2014) How does burnout affect physician productivity? A systematic literature review. BMC Health Services Research, 14: 325. DOI: 10.1186/1472-6963-14-325.

General Medical Council (2024a) National Training Survey: summary report 2024. London: GMC. Available at: www.gmc-uk.org/-/media/documents/national-training-survey-summary-report-2024_pdf-107834344.pdf (accessed 22 September 2025).

General Medical Council (2024b) The duties of medical professionals registered with the GMC. Available at: www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice/the-duties-of-medical-professionals-registered-with-the-gmc (accessed 22 September 2025).

General Medical Council (2024c) Workplace report 2024. London: GMC. Available at: www.gmc-uk.org/-/media/documents/somep-workplace-report-2024-full-report_pdf-107930713.pdf (accessed 22 September 2025).

Gragnano A Simbula S Miglioretti M (2020) Work–life balance: weighing the importance of work–family and work–health balance. International Journal of Environmental Research and Public Health, 17(3): 907. DOI: 10.3390/ijerph17030907.

Imo UO (2017) Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors. BJPsych Bulletin, 41(4): 197–204.

Malik H Annabi CA (2022) The impact of mindfulness practice on physician burnout: a scoping review. Frontiers in Psychology 13: 956651. DOI: 10.3389/fpsyg.2022.956651.

Maslow AH (1943) A theory of human motivation. Psychological Review, 50(4): 370–396. DOI: 10.1037/h0054346.

NHS (2025) Physical activity guidelines for adults aged 19 to 64. Available at: www.nhs.uk/live-well/exercise/physical-activity-guidelines-for-adults-aged-19-to-64 (accessed 22 September 2025).

Peng J Zhang J Wang B , et al. (2023) The relationship between sleep quality and occupational well-being in employees: the mediating role of occupational self-efficacy. Frontiers in Psychology, 14: 1071232. DOI: 10.3389/fpsyg.2023.1071232.

Perlo J Balik B Swensen S , et al. (2017) IHI framework for improving joy in work. Cambridge, MA: Institute for Healthcare Improvement. Available at: https://qi.elft.nhs.uk/wp-content/uploads/2017/07/IHI-Framework-for-Improving-Joy-In-Work.pdf (accessed 22 September 2025).

Pressman SD Matthews KA Cohen S , et al. (2009) Association of enjoyable leisure activities with psychological and physical well-being. Psychosomatic Medicine, 71(7): 725–732.

RCGP (2024) Retaining GPs. Available at: www.rcgp.org.uk/representing-you/policy-areas/retaining-gps (accessed 22 September 2025).

Rich A Viney R Needleman S , et al. (2016) ‘You can’t be a person and a doctor’: The work-life balance of doctors in training – a qualitative study. BMJ Open, 6(12): e013897. DOI: 10.1136/bmjopen-2016-013897.

Sánchez-Villegas A Toledo E de Irala J , et al. (2011) Fast-food and commercial baked goods consumption and the risk of depression. Public Health Nutrition, 15(3): 424–432.

Schwingshackl A (2014) The fallacy of chasing after work-life balance. Frontiers in Pediatrics, 2: 26. DOI:10.3389/fped.2014.00026.

Shanafelt TD West CP Sloan JA , et al. (2009) Career fit and burnout among academic faculty. Archives of Internal Medicine, 169(10): 990–995. DOI:10.1001/archinternmed.2009.70.

Sutliffe JT Carnot MJ Fuhrman JH , et al. (2018) A worksite nutrition intervention is effective at improving employee well-being: A pilot study. Journal of Nutrition and Metabolism, 2018: 8187203. DOI: 10.1155/2018/8187203.

Tonkin T (2024) Burnout forces doctors to take remedial action. The Doctor (British Medical Association), 8 August. Available at: https://thedoctor.bma.org.uk/articles/life-at-work/burnout-forces-doctors-to-take-remedial-action (accessed 22 September 2025).

Walker M (2017) Why We Sleep: Unlocking the Power of Sleep and Dreams. London: Scribner.

West CP Dyrbye LN Shanafelt TD (2018) Physician burnout: Contributors, consequences and solutions. Journal of Internal Medicine, 283(6): 516–529. DOI: 10.1111/joim.12752.

World Health Organization (2019) Burn-out an “occupational phenomenon”: International Classification of Diseases. Available at: www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases (accessed 22 September 2025).