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01-12-2020 | Burnout Syndrome | Editorial

Emotional Distress During Internship: Causes and Support Systems

Author: D. Michael Elnicki, MD

Published in: Journal of General Internal Medicine | Issue 12/2020

Excerpt

Many physicians experience emotional distress during medical training. In this issue of JGIM, Moore and colleagues¹ expand our understanding of the problem with a thoughtful study of interns’ emotional distress and the support they do or do not receive. We know from prior research that emotional distress and burnout are common early in medical careers.^{2, 3} Physician distress has real consequences that are not limited to the distressed physician. Studies of burnout have shown higher rates of unprofessional behaviors,⁴ lower markers of achievement,⁵ and the self-perception of delivering poorer patient care⁶ in affected physicians and trainees. …

Moore K.A., O’Brien B.C., Thomas L.R. “I wish they had asked”: A qualitative study of emotional distress and peer support during internship. J Gen Intern Med. https://doi.org/10.1007/s11606-020-05803-4.

Hariharan, T. S., & Griffin, B. A review of the factors related to burnout at the early-career stage of medicine. Med Teach. 2019;41(12):1380–1391.CrossRef

Dyrbye L.N., et al. Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. Population. Acad Med. 2014;89(3):443-50.CrossRef

Dyrbye L.N., et al. Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA. 2010;304(11):1173-80.CrossRef

West C.P., Shanafelt T.D., Kolars J.C. Quality of Life, Burnout, Educational Debt, and Medical Knowledge Among Internal Medicine Residents. JAMA. 2011;306(9):952-60.CrossRef

Shanafelt T.D., Bradley K.A., Wipf J.E., Back A.L. Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program. Ann Intern Med. 2020;136(5):358-66.CrossRef

Karani R., et al. How Medical Students Learn From Residents in the Workplace: A Qualitative Study. Acad Med. 2014;89(3):490-6.CrossRef

Zwack J., & Schweitzer, J. If Every Fifth Physician Is Affected by Burnout, What About the Other Four? Resilience Strategies of Experienced Physicians. Acad Med. 2013;88(3):382-9.CrossRef

Dyrbye L.N., et al. The Impact of Stigma and Personal Experiences on the Help-Seeking Behaviors of Medical Students With Burnout. Acad Med. 2015;90(7):961-8.CrossRef

10.

Robertson S.L., Robinson M.D., Reid, A. Electronic Health Records Effects on Work-Life Balance and Burnout Within the I³ Population Collaborative. J Grad Med Educ. 2017. 479-84. https://doi.org/10.4300/JGME-D-16-00123.1.

Title: Emotional Distress During Internship: Causes and Support Systems
Author: D. Michael Elnicki, MD
Publication date: 01-12-2020
Publisher: Springer International Publishing
Keyword: Burnout Syndrome
Published in: Journal of General Internal Medicine / Issue 12/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-020-06283-2

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