Table 4.

Writing Affects Four Themes

Themes	Participant Responses
I. Peers	“We had similar experiences in residency … how do we conceptualize and describe these experiences differently?”
II. Self	“I didn't realize some of the emotions I was feeling until writing it down … not processed until writing.”
III. Patients	“Individual words that you would never use in a progress note … what the patient looked like, smelled like … makes you look at them in a different way … the act of writing changes the way you look at patients.”
IV. Institution	“Part of the ripple was having had Grand Rounds and distributing our writing. It infuses the culture of this place … I've talked to faculty, and also to other residents who wished they'd been brave enough to sign up.
	“I've been interviewing for jobs … every single place asked about the workshop, more than the other things on my resume.”