We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Dissipating the Foggy Myth of the Black Cloud

Niel F. Miele, MD
Arch Pediatr Adolesc Med. 1994;148(3):333. doi:10.1001/archpedi.1994.02170030103031.
Text Size: A A A
Published online


Tanz and Charrow1 should be commended for their attempt to dissipate the stratospheric (or perhaps cumulus) legend of the so-called black cloud. Their evidence appears to show that actual work experiences during the internship year do not differ greatly between residents. Differences in perceived workload, however, were attributed in part to differences in work styles, and not to actual workload.

In my experience, many residents who have acquired the reputation of a black or white cloud have had this title bestowed on them while working in the emergency department (ED). A somewhat related reputation of "sieve" or "wall" may also be accorded a resident working in the ED, depending on the number of admissions for which he or she is responsible. I suspect that the overall workload between residents in the ED is also similar and am curious if Tanz and Charrow have any information regarding the interns' ED


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.