Abstract
OBJECTIVE: To identify the problems encountered by residents during training and the solutions they proposed. DESIGN: Qualitative study. SETTING: Family practice program at Sherbrooke University. PARTICIPANTS: Sixty-eight residents in the Family practice program between 1999 and 2000. METHOD: We used the nominal group technique with four groups of participants. Then we held five 3-hour discussion groups to explore difficulties and solutions in depth. Finally, data were validated with a written questionnaire. MAIN FINDINGS: At least 20% of respondents confirmed 65 difficulties and 61 solutions. Three major themes emerged: the many demands of the residence program, residents' personal experience of the program, and the lack of time for personal life. CONCLUSION: Publication of these results could help residents develop proactive adaptive strategies to deal with the stress of their training programs. Certain adjustments will be made by the program administration to make it easier for residents to manage their stress.
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Selected References
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- Baird N., Fish J. S., Dworkind M., Steinert Y. Physician, heal thyself. Developing a hospital-based physician well-being committee. Can Fam Physician. 1995 Feb;41:259–263. [PMC free article] [PubMed] [Google Scholar]
- Butterfield P. S. The stress of residency. A review of the literature. Arch Intern Med. 1988 Jun;148(6):1428–1435. [PubMed] [Google Scholar]
- Colford J. M., Jr, McPhee S. J. The ravelled sleeve of care. Managing the stresses of residency training. JAMA. 1989 Feb 10;261(6):889–893. [PubMed] [Google Scholar]
- Cook D. J., Liutkus J. F., Risdon C. L., Griffith L. E., Guyatt G. H., Walter S. D. Residents' experiences of abuse, discrimination and sexual harassment during residency training. McMaster University Residency Training Programs. CMAJ. 1996 Jun 1;154(11):1657–1665. [PMC free article] [PubMed] [Google Scholar]
- Damestoy N., Brouillette L., De Courval L. P. Stress and residents' lifestyle. Survey of family medicine residents at McGill University. Can Fam Physician. 1993 Jul;39:1576–1580. [PMC free article] [PubMed] [Google Scholar]
- Houry D., Shockley L. W., Markovchick V. Wellness issues and the emergency medicine resident. Ann Emerg Med. 2000 Apr;35(4):394–397. [PubMed] [Google Scholar]
- Margittai K. J., Moscarello R., Rossi M. F. Forensic aspects of medical student abuse: a Canadian perspective. Bull Am Acad Psychiatry Law. 1996;24(3):377–385. [PubMed] [Google Scholar]
- McCue J. D. The distress of internship. Causes and prevention. N Engl J Med. 1985 Feb 14;312(7):449–452. doi: 10.1056/NEJM198502143120725. [DOI] [PubMed] [Google Scholar]
- Metz W. P., Pollack P. Pediatric resident support group. A 7-year longitudinal experience. Am J Dis Child. 1993 Jul;147(7):781–786. doi: 10.1001/archpedi.1993.02160310083024. [DOI] [PubMed] [Google Scholar]
- Reuben D. B., Novack D. H., Wachtel T. J., Wartman S. A. A comprehensive support system for reducing house staff distress. Psychosomatics. 1984 Nov;25(11):815–820. doi: 10.1016/S0033-3182(84)72942-2. [DOI] [PubMed] [Google Scholar]
- Shapiro S. L., Shapiro D. E., Schwartz G. E. Stress management in medical education: a review of the literature. Acad Med. 2000 Jul;75(7):748–759. doi: 10.1097/00001888-200007000-00023. [DOI] [PubMed] [Google Scholar]
- Steinert Y., Magonet G., Rubin G., Carson K. Emotional Well-Being of House Staff: Comparison of residency training programs. Can Fam Physician. 1991 Oct;37:2130–2138. [PMC free article] [PubMed] [Google Scholar]
- Stewart S. M., Betson C., Marshall I., Wong C. M., Lee P. W., Lam T. H. Stress and vulnerability in medical students. Med Educ. 1995 Mar;29(2):119–127. doi: 10.1111/j.1365-2923.1995.tb02814.x. [DOI] [PubMed] [Google Scholar]
- Toews J. A., Lockyer J. M., Dobson D. J., Simpson E., Brownell A. K., Brenneis F., MacPherson K. M., Cohen G. S. Analysis of stress levels among medical students, residents, and graduate students at four Canadian schools of medicine. Acad Med. 1997 Nov;72(11):997–1002. doi: 10.1097/00001888-199711000-00019. [DOI] [PubMed] [Google Scholar]
- Williams L. S. Manitoba suicides force consideration of stresses facing medical residents. CMAJ. 1997 Jun 1;156(11):1599–1602. [PMC free article] [PubMed] [Google Scholar]