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Barry Blackwell, MD

JAMA. 1986;255(9):1177-1178.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The rigors of residency training and the rites of passage endured between graduation and practice have been cataloged over the years in a variety of biographical and anecdotal formats, including books that range from scholarly surveys¹ to best-selling novels.² Norman Cousins'³ earlier editorial on this topic identified internship as "the weakest link in the entire chain of physician training" and provoked a lively debate in the correspondence columns of THE JOURNAL regarding the degree to which the experience provided legitimate preparation for practice or was a hazardous form of hazing.

The national survey by Smith and co-workers4 published in this issue of THE JOURNAL provides a much needed source of information with which to temper the debate. Their major finding is that 0.9% of internal medicine residents take a leave of absence because of emotional impairment during their training, declining from a peak of 1.4% during internship to . . . [Full Text PDF of this Article]

Author Affiliations
University of Wisconsin Medical School Milwaukee

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