Stress and impairment during residency training: Strategies for reduction, identification, and management

R. D. Aach, Thomas (Tom) Cooney, Donald Girard, D. Grob, J. D. McCue, M. I. Page, J. D. Reinhard, D. B. Reuben, J. W. Smith

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

Graduate physicians face formidable developmental tasks during residency training as they prepare for their professional careers. Adapting to becoming a skilled physician involves assuming and mastering many professional responsibilities for the proper care of patients while taking on many personal obligations such as marriage, parenthood, and financial independence. Adaptation requires physicians to cope successfully with a series of stresses that have been divided into three categories: situational, professional, and personal stresses. Each category is reviewed and both general and specific recommendations are offered to reduce the level of stress. Normal and abnormal responses to the stresses of residency training are described, and guidelines are provided for recognizing the impaired resident early. Recommendations are made for managing the residency program and treating the resident, should he or she become impaired.

Original languageEnglish (US)
Pages (from-to)154-161
Number of pages8
JournalAnnals of Internal Medicine
Volume109
Issue number2
StatePublished - 1988
Externally publishedYes

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Internship and Residency
Physicians
Marriage
Patient Care
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

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Stress and impairment during residency training : Strategies for reduction, identification, and management. / Aach, R. D.; Cooney, Thomas (Tom); Girard, Donald; Grob, D.; McCue, J. D.; Page, M. I.; Reinhard, J. D.; Reuben, D. B.; Smith, J. W.

In: Annals of Internal Medicine, Vol. 109, No. 2, 1988, p. 154-161.

Research output: Contribution to journalArticle

Aach, RD, Cooney, TT, Girard, D, Grob, D, McCue, JD, Page, MI, Reinhard, JD, Reuben, DB & Smith, JW 1988, 'Stress and impairment during residency training: Strategies for reduction, identification, and management', Annals of Internal Medicine, vol. 109, no. 2, pp. 154-161.
Aach, R. D. ; Cooney, Thomas (Tom) ; Girard, Donald ; Grob, D. ; McCue, J. D. ; Page, M. I. ; Reinhard, J. D. ; Reuben, D. B. ; Smith, J. W. / Stress and impairment during residency training : Strategies for reduction, identification, and management. In: Annals of Internal Medicine. 1988 ; Vol. 109, No. 2. pp. 154-161.
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