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. 2009;120:227–238.

Table 8.

Resident Factors

  • Work hour restriction and the effects of the “solutions”

  • Hyper-regulated by RRC's

  • Shift-work mentality

  • Loss of ownership of the patient and the service

  • No clear end product of residency

  • Generation X factors

  • Loss of time to socialize into the profession

  • Over-supervision - patient safety vs. emotional learning

  • Disappearance of master clinician and physician scientist from the “wards”