Perspective: Resident physician wellness: A new hope

Academic Medicine

Volumn 87, Issue 5, 2012, Pages 598-602

  Lefebvre, Dennis C ^a  

^a UNIVERSITY OF ALBERTA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84860730665     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31824d47ff     Document Type: Review

References (71)

1. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. http://whqlibdoc.who.int/hist/official-records/constitution.pdf. Accessed January 5, 2012.
2. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: A missing quality indicator. Lancet. 2009;374:1714-1721.
3. Maslach C, Schaufeli WB, Leiter MP. Maslach Burnout Inventory, third edition. In: Zalaquett CP, Wood RJ, eds. Evaluating Stress: A Book of Resources. Lanham, Md: Rowman & Littlefield Publishers Inc; 1997:191-218.
4. Spickard A, Gabbe SG, Christensen JF. Midcareer burnout in generalist and specialist physicians. JAMA. 2002;288:1447-1450.
5. Schwartz DS. "How's work?" Ann Emerg Med. 2009;53:157.
6. Clever LH. Who is sicker: Patients-or residents? Residents' distress and the care of patients. Ann Intern Med. 2002;136:391-393.
7. Hull SK, DiLalla LF, Dorsey JK. Prevalence of health-related behaviors among physicians and medical trainees. Acad Psychiatry. 2008;32:31-38.
8. Shanafelt TD, Bradley KA, Wipf JE, et al. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136:358-367.
9. Becker JL, Magdy MP, Klock SC. Burnout, depression, and career satisfaction: Cross-sectional study of obstetrics and gynecology residents. Am J Obstet Gynecol. 2006;195:1444-1449.
10. Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: Prospective cohort study. BMJ. 2008;336:488-491.
11. Golub JS, Weiss PS, Ramesh AK, et al. Burnout in residents of otolaryngology-head and neck surgery: A national inquiry into the health of residency training. Acad Med. 2007;82:596-601.
12. Martini M, Arfken CL, Churchill A, et al. Burnout comparison among residents in different medical specialties. Acad Psychiatry. 2004;28:240-242.
13. Purdy RR, Lemkau JP, Rafferty JP, et al. Resident physicians in family practice: Who's burnt out and who knows? Fam Med. 1987;19:203-208.
14. Afzal KI, Khan FM, Mulla Z, et al. Primary language and cultural background as factors in resident burnout in medical specialties: A study in a bilingual US city. South Med J. 2010;103:607-615.
15. Kuhn G, Goldberg R, Compton S. Tolerance for uncertainty, burnout, and satisfaction with the career of emergency medicine. Ann Emerg Med. 2009;54:106-113.
16. Barrack RL, Miller LS, Sotile WM, et al. Effect of duty hour standards on burnout among orthopaedic surgery residents. Clin Orthop Relat Res. 2006;449:134-137.
17. Parshuram CS, Dhanani S, Kirsh JA, et al. Fellowship training, workload, fatigue and physical stress: A prospective observational study. CMAJ. 2004;170:965-970.
18. Perry MY, Osborne WE. Health and wellness in residents who matriculate into physician training programs. Am J Obstet Gynecol. 2003;189:679-683.
19. Rosen IM, Gimotty PA, Shea JA, et al. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81:82-85.
20. Williams LS. Manitoba suicides force consideration of stresses facing medical residents. CMAJ. 1997;156:1599-1602.
21. Kessler RC, Chiu WT, Demler O, et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617-627.
22. Clark DC, Salazar-Gruesco E, Grabler P, et al. Predictors of depression during the first 6 months of internship. Am J Psychiatry. 1984;141:1095-1098.
23. Peterlini M, Tiberio IF, Saadeh A, et al. Anxiety and depression in the first year of medical residency training. Med Educ. 2002;36:66-72.
24. A Working Group Report to the AAMC Governance. Medical Education Costs and Student Debt. Washington, DC: Association of American Medical Colleges; 2005.
25. Association of American Medical Colleges. GQ Medical School Graduation Questionnaire, All Schools Summary Report 2010. https://www.aamc.org/download/ 140716/data/2010-gq-all-schools. pdf. Accessed January 5, 2012.
26. Kondro W. Debt woes. CMAJ. 2007;176:919.
27. 2003 Report of the American Medical Association-Medical Student Section Task Force on Medical Student Debt. http://www.ama-assn.org/ama1/pub/upload/mm/ 15/debt-report.pdf. Accessed January 5, 2012.
28. Bank of Canada, Data and Statistics Office. Chartered bank administered interest rates-Conventional mortgage 5 year. http://www.bank-banque-canada.ca/ pdf/annual-page53. pdf. Accessed January 5, 2012.
29. Collier VU. Stress in medical residency: Status quo after a decade of reform? Ann Intern Med. 2002;136:384-396.
30. Dyrbye LN, Sloan JA, Shanafelt TD. In response: Is there a connection between high educational debt and suicidal ideation among medical students? Ann Intern Med. 2009;150:285.
31. Koran LM, Litt IF. House staff well-being. West J Med. 1988;148:97-101.
32. Sangi-Haghpeykar H, Ambani D, Carson SA. Stress, workload and sexual dysfunction among physician residents in training. Int J Clin Pract. 2009;63:462-467.
33. Houry D, Shockley LW, Markovchick V. Wellness issues and the emergency medicine resident. Ann Emerg Med. 2000;35:394-396.
34. Prins JT, van der Heijden FMMA, Hoeksrta-Weebers JEHM, et al. Burnout, engagement and resident physicians' self-reported errors. Psychol Health Med. 2009;14:654-666.
35. West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302:1294-1300.
36. Goitein L. Book review: The Girl Who Died Twice: Every Patient's Nightmare: The Libby Zion Case and the Hidden Hazards Of Hospitals. N Engl J Med. 1996;334:201-202.
37. Accreditation Council for Graduate Medical Education. Common Program Requirements. http://acgme.org/acWebsite/dutyHours/dh-dutyHoursCommonPR.pdf. Accessed January 5, 2012.
38. Iglehart JK. Revisiting duty-hour limits-IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359:2633-2635.
39. Eggertson L. Residents claim 24-hour call violates charter rights. CMAJ. 2009;180:918.
40. Department of Health. European Working Time Directive. http://webarchive. nationalarchives.gov.uk/+/www.dh.gov.uk/en/Managingyourorganisation/Workforce/ Workforceplanninganddevelopment/Europeanworkingtimedirective/DH-077304. Accessed January 5, 2012.
41. Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: The American perspective. Curr Opin Anaesthesiol. 2007;20:580-584.
42. Millard WB. For whom the bell commission tolls: Unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54:25A-29A.
43. Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22:969-975.
44. Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;122:250-258.
45. Gelfand DV, Podnos YD, Carmichael JC, et al. Effect of the 80-hour workweek on resident burnout. Arch Surg. 2004;139:933-940.
46. Reed DA, Levine RB, Miller RH, et al. Effect of residency duty-hour limits. Arch Intern Med. 2007;167:1487-1492.
47. Seidman K. Sleepless doctors become hot topic. Gazette. September 2010:A11.
48. Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: Balancing patient safety, resident wellness, and the resident training experience: A consensus response to the 2008 Institute of Medicine resident duty hours recommendations. Acad Emerg Med. 2010;17:1004-1011.
49. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:984-992.
50. Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the highest risk patients? J Gen Intern Med. 2009;24:1149-1155.
51. Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Med Care. 2009;47:723-731.
52. Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical education and patient's outcomes: Systematic review. BMJ. 2011;342:d1580.
53. Levey RE. Sources of stress for residents and recommendations for programs to assist them. Acad Med. 2001;76:142-150.
54. Shapiro J. Does medical education promote professional alexithymia? A call for attending to the emotions of patients and self in medical training. Acad Med. 2011;86:326-332.
55. Weinstein H. A committee on well-being of medical students and house staff. J Med Educ. 1983;58:373-381.
56. Brodsky M, Fung CC, Sierpina VS, et al. Teaching self-care at UCLA medical school. Explore. 2009;5:61-62.
57. Broquet KE, Rockey PH. Teaching residents and program directors about physician impairment. Acad Psychiatry. 2004;28:221-225.
58. Frank JR, ed. The CanMEDS 2005 Physician Competency Framework. Ottawa, Ontario, Canada: Royal College of Physicians and Surgeons of Canada; 2005.
59. Puddester D, Flynn L, Cohen J. CanMEDS Physician Health Guide-A Practical Handbook for Physician Health and Well-Being. Ottawa, Ontario, Canada: Royal College of Physicians and Surgeons of Canada; 2009.
60. Drolet BC, Rodgers S. A comprehensive medical student wellness program-Design and implementation at Vanderbilt School of Medicine. Acad Med. 2010;85: 103-110.
61. Watson DT, Long WJ, Yen D, et al. Health promotion program: A resident well-being study. Iowa Orthop J. 2009;29:83-87.
62. Klein EJ, Marcuse EK, Jackson JC, et al. The pediatric intern retreat: 20 year evolution of a continuing investment. Acad Med. 2000;75:853-857.
63. Strayhorn G. Effect of a major curriculum revision on students' perceptions of wellbeing. Acad Med. 1989;64:25-29.
64. Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998;21:581-599.
65. DiLalla LF, Hull SK, Dorsey JK. Effect of gender, age, and relevant course work on attitudes toward empathy, patient spirituality, and physician wellness. Teach Learn Med. 2004;16:165-170.
66. McCue JD, Sachs CL. A stress management workshop improves residents' coping skills. Arch Intern Med. 1991;151:2273-2277.
67. Ospina-Kammerer V, Figley CR. An evaluation of the respiratory one method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health. 2003;5:29-32.
68. Keim SM, Mays MZ, Williams JM, et al. Measuring wellness among resident physicians. Med Teach. 2006;28:370-374.
69. Dong KA, Dance E, Blouin D, et al. Evaluation of a structured wellness curriculum for emergency medicine residents [unpublished manuscript]. Edmonton, Alberta, Canada: University of Alberta; 2011
70. Smith LG. Medical professionalism and the generation gap. Am J Med. 2005;118:439-442.
71. Berthold J. Is the generation gap a growth opportunity? ACP Internist. April 2008.