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Article |

Stress and the Residency Program Director FREE

Leslie L. Barton, MD; Allan D. Friedman, MD
Arch Pediatr Adolesc Med. 1994;148(1):101-103. doi:10.1001/archpedi.1994.02170010103024.
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A survey of pediatric program directors was performed to identify stressors on pediatric residents as perceived by the directors and to ascertain the relationship of stress experienced by house staff and faculty. Major stressors for pediatric residents were acuity/complexity of patient diseases and financial concerns. Major stressors for program directors were administrative duties. Although nearly three fourths of the program directors had completed a fellowship, only one half were on the tenured track. The majority of program directors believed that as resident working hours and stress decreased, faculty workload and stress increased. Stress experienced by faculty appears to require further investigation and remediation.

(Arch Pediatr Adolesc Med. 1994;148:101-103)

REFERENCES

Resident Services Committee, Association of Program Directors in Internal Medicine.  Stress and impairment during training: strategies for reduction, identification, and management . Ann Intern Med . 1988;;109:154-161.
Bergman AB.  Resident stress . Pediatrics . 1988;;82:260-263.
Cohen Ml, Dancis J, Finberg L, Hirschhorn K, Katz M, Wasserman E.  Patient care, resident stress, and government regulation . AJDC . 1989;;143:181-182.
Hoekelman RA.  Stress experienced during pediatric residency training: its causes, consequences, recognition, and solutions . AJDC . 1989;;143:177-180.
McCall TB.  The impact of long working hours on resident physicians . N Engl J Med . 1988;;318:775-778.
Bergman AB, DeAngelis CD, Feigin RD, Stockman JA.  Regulation of working hours for pediatric residents . J Pediatr . 1990;;116:478-483.
Thorpe KE.  House staff supervision and working hours: implications of regulatory change in New York State . JAMA . 1990;;263:3177-3181.
Daigler GE, Welliver RC, Stapleton FB.  New York regulation of residents' working conditions: 1 year's experience . AJDC . 1990;;144:799-802.
Weiss JC, Doughty RA, Lampe R.  The pediatric program director: an analysis of the role and its problems . AJDC . 1991;;145:449-452.
Carraccio C, Gladstein J.  Factors influencing the choice of a residency training program: a student's perspective . AJDC . 1992;;146:577-580.
Bergman AS, Adler R.  Support services for pediatric trainees: a survey of training program directors . AJDC . 1991;;145:1002-1005.

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References

Resident Services Committee, Association of Program Directors in Internal Medicine.  Stress and impairment during training: strategies for reduction, identification, and management . Ann Intern Med . 1988;;109:154-161.
Bergman AB.  Resident stress . Pediatrics . 1988;;82:260-263.
Cohen Ml, Dancis J, Finberg L, Hirschhorn K, Katz M, Wasserman E.  Patient care, resident stress, and government regulation . AJDC . 1989;;143:181-182.
Hoekelman RA.  Stress experienced during pediatric residency training: its causes, consequences, recognition, and solutions . AJDC . 1989;;143:177-180.
McCall TB.  The impact of long working hours on resident physicians . N Engl J Med . 1988;;318:775-778.
Bergman AB, DeAngelis CD, Feigin RD, Stockman JA.  Regulation of working hours for pediatric residents . J Pediatr . 1990;;116:478-483.
Thorpe KE.  House staff supervision and working hours: implications of regulatory change in New York State . JAMA . 1990;;263:3177-3181.
Daigler GE, Welliver RC, Stapleton FB.  New York regulation of residents' working conditions: 1 year's experience . AJDC . 1990;;144:799-802.
Weiss JC, Doughty RA, Lampe R.  The pediatric program director: an analysis of the role and its problems . AJDC . 1991;;145:449-452.
Carraccio C, Gladstein J.  Factors influencing the choice of a residency training program: a student's perspective . AJDC . 1992;;146:577-580.
Bergman AS, Adler R.  Support services for pediatric trainees: a survey of training program directors . AJDC . 1991;;145:1002-1005.

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