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U. of Washington residents stressed out

Discussion in 'Pre-Medical - MD' started by SMW, Mar 8, 2002.

  1. SMW

    SMW Grand Member
    7+ Year Member

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    Interesting article I just came across...........

    Study reveals stresses of UW med residents
    3 out of 4 say they suffer from burnout; half say they sometimes gave insufficient care
    Tuesday, March 5, 2002 SEATTLE POST-INTELLIGENCER STAFF AND NEWS SERVICES
    Three out of four medical residents in a University of Washington study report suffering from "burnout," and half of those said they sometimes gave
    less-than-ideal care. Too little sleep, frequent shifts longer than 24 hours and lack of leisure
    time were most often rated as major stresses by residents in the university's internal medicine residency program.
    The study, published yesterday in the Annals of Internal Medicine, is the largest study so far of burnout in medical residents, a syndrome
    characterized by emotional exhaustion, a sense of overwhelming workload and an unhealthy detachment from patients.
    Although medical training has always been rigorous, the pressures faced by today's residents are different and may contribute to a higher rate of
    burnout, said Dr. Joyce Wipf, director of the residency program at UW, and one of the study's authors.
    "Patients are coming in sicker and going home more quickly," she said. Treatment choices are also more complex, and young doctors have less time to
    develop relationships with their patients. In addition, the social support for residents has changed.
    "Their personal pressures are greater," she said. "It's harder for residents to put their personal lives on hold. Their significant others have their own
    careers to deal with." Dr. Anthony Back, a UW medical professor and one of the authors of the
    study, said the research didn't determine whether patient care was affected.

    But according to the study, slightly more than half the residents experiencing burnout reported one or more "suboptimal" patient-care
    practices at least monthly, compared with about 21 percent of residents not experiencing burnout.
    Such practices included residents making treatment or medication errors "not due to a lack of knowledge or inexperience," failing to fully discuss
    treatment options and answer patient questions and discharging patients "because the team was too busy."
    Doctors generally serve one year as an intern and train for three years as residents after graduation from medical school.
    Dr. Julia Gore, chief resident at the Veterans Affairs hospital in the UW system, called the study a "snapshot" that doesn't fully describe the
    experience. "Sure, there definitely were times when I felt really tired and probably would say burned out," said Gore, in her third year as a resident. "After a
    few days off or after moving onto a different rotation, my response would be completely different."
    Even when fatigued, Gore said, she felt "very supported" by other residents and the attending physician on duty.
    Since doing the study, the UW has been working to reduce resident workloads by enforcing limits on the number of new admissions residents can take, and
    by mandating that they take at least one day off a week, Wipf said. In addition, the UW has begun monthly support groups for residents.
    "The profession is changing," Gore said. "It's OK to talk about it now."
     
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  3. brandonite

    Moderator Emeritus 7+ Year Member

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    Funny how the hospital's response was to downplay the problem, then suggest that it might be solved by resident's being able to express their feelings. I suppose I won't be a resident for four years now, but I think the only real solution to the problem is more reasonable work hours, and enough time off to allow residents to spend time with their families. I don't see how being able to talk about how tired you are should make you less tired... :confused:
     
    ldiaz29 likes this.

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