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

R. D. Aach, T. G. Cooney, D. E. Girard, D. Grob, J. D. McCue, M. I. Page, J. D. Reinhard, D. B. Reuben, J. W. Smith

Research output: Contribution to journalArticle

80 Scopus citations

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
DOIs
StatePublished - Jan 1 1988
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine

Fingerprint Dive into the research topics of 'Stress and impairment during residency training: Strategies for reduction, identification, and management'. Together they form a unique fingerprint.

Cite this