This article is co-authored** by (top row) Christina M. Nowik , Pamela Lai, , , (bottom row) Gillian Shiau, , , and Jasmin Yee, all of whom previously served on the Resident Doctors of Canada () Resiliency Working Group
For Canadian resident doctors, July 1st is more than a national holiday; it represents the day when newly-minted doctors become responsible for decisions in patient care. While this is an exciting day, it can also be fraught with anxiety and stress. Over the course of residency, acute work-related stressors, including traumas and patient deaths, can negatively impact residents’ wellbeing. Additionally, residents endure chronic stressors such as large debts, extended work hours, and isolation from family. These factors predispose residents to burnout. The is up to a staggering 75%. Resiliency interventions have been shown to work, and the time to begin implementing them nationwide is now. ...continue reading →
is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK
They found the body. A . Dr Rose Polge left her hospital shift two months previously and had not been seen since. Her car was found parked by the sea.
A young doctor took her own life. I wanted to write about it at the time but it was difficult to find the words. It seemed to me a tragedy, a great loss of a young life full of potential. But, these words cannot capture quite what I felt. Where have we gone wrong?
It brought me back. I remembered my first year after qualification. It was brutal; a shock. Suddenly I felt I carried all the responsibility. I saw seriously ill patients in the middle of the night and had to make critical decisions. It was a small hospital. I was the cardiac arrest team. The tiredness was unrelenting, the gnawing anxiety continuous. ...continue reading →
Interview with Dr. Christopher Parshuram, critical care specialist with the Hospital for Sick Children in Toronto. He is the lead author of a randomized trial published in CMAJ looking at patient safety, resident well-being and continuity of care for three resident duty schedules in the ICU. Work schedules incorporating shorter periods of continuous duty affected neither doctors' daytime sleepiness nor adverse outcomes in patients.
Interview with Dr. Thomas Maniatis, internal medicine training program director and clinical ethicist at McGill. Dr. Maniatis is the author of a commentary published in CMAJ. He argues that resident duty-hour reform must be further evaluated in order to design systems that provide maximal benefit and minimal harms for all involved.
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