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To the Editor: In their On Call article, Dr Bellini and colleagues¹ described the relationship between mood and empathy in a sample of interns. My colleagues and I recently reported a relationship between emotional distress in residents and the quality of the care they deliver.²

While Bellini et al state they were unaware of previous longitudinal studies reporting on variations in mood during the course of the internship, we are aware of 2 studies that reported similar data.^3-4 Like the study by Bellini et al, one of these studies found that depression and fatigue in residents was greatest in February.³ Over the last 2 decades, the negative emotional consequences of residency training have been well documented. In an effort to improve the situation, the Accreditation Council for Graduate Medical Education (ACGME) recently published new guidelines that restrict resident work hours.⁵ While these regulations represent an effort toward meaningful progress, little . . . [Full Text of this Article]

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