Emotional impairment in internal medicine house staff. Results of a national survey
J. W. Smith, W. F. Denny and D. B. Witzke
A questionnaire was sent to all internal medicine program directors who
were members of the Association of Program Directors in Internal Medicine
to identify the scope of the problem of debilitating emotional impairment
in internal medicine house staff for each of the five years 1979 through
1984; 63% of the questionnaires were returned. During these five years,
55.5% of internal medicine training programs granted leaves of absence to
medical residents because of emotional impairment; an average of 0.9% of
internal medicine house staff required leaves of absence, with the rate
twice as common in female residents. Most impaired residents recovered and
apparently did well, for 79% continued in medicine. However, 10% completely
dropped out of medicine and 2% had a successful suicide; an additional 3%
attempted suicide unsuccessfully.
Vincent's Gift
Zenilman and Garrett
Arch Surg 2008;143:531-532.
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Teaching Residents and Program Directors About Physician Impairment
Broquet and Rockey
Acad. Psychiatry 2004;28:221-225.
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Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program
Shanafelt et al.
ANN INTERN MED 2002;136:358-367.
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Stress in Medical Residency: Status Quo after a Decade of Reform?
Collier et al.
ANN INTERN MED 2002;136:384-390.
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The Inner Life of Physicians and Care of the Seriously Ill
Meier et al.
JAMA 2001;286:3007-3014.
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National Survey of Internal Medicine Residency Program Directors Regarding Problem Residents
Yao and Wright
JAMA 2000;284:1099-1104.
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Nurses Impaired by Emotional and Psychological Dysfunction
Smith and Hukill
J Am Psychiatr Nurses Assoc 1996;2:192-200.
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The Impact of Residency Training on Physicians' Outlook on AIDS: A Cohort Analysis
Yedidia and Berry
Med Care Res Rev 1996;53:207-224.
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