Professionalism in Residency
Authors: P. Preston Reynolds
Journal: Annals of Internal Medicine (1991)

Editorials1 January 1991Professionalism in ResidencyP. Preston Reynolds, MD, PhDP. Preston Reynolds, MD, PhDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-1-91 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptResidents are on the front lines of medical care. Although our experiences are rewarding, they are also stressful. The hours are often long and, at times, counterproductive to the learning process. Thoughtful people throughout the country have examined residency training, and many agree on the need to reform it (1-6). The most controversial changes, precipitated by actions in New York State, however, concern the service component of residency and call for reducing the number of work hours and increasing supervision (3-6). Limiting reform to these two issues does not address the educational aspects of residency. The discussion on changing residency...References1. Schroeder S, Showstack J, and Gerbert B. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:554-61. LinkGoogle Scholar2. . Stress and impairment during residency training: strategies for reduction, identification, and management. Ann Intern Med. 1988;109:154-61. LinkGoogle Scholar3. Asch D and Parker R. The Libby Zion case. N Engl J Med. 1988;318;771-5. CrossrefMedlineGoogle Scholar4. McCall T. The impact of long working hours on resident physicians. N Engl J Med. 1988;318:775-8. CrossrefMedlineGoogle Scholar5. Levinsky N. Compounding the error. N Engl J Med. 1988;318:778-80. CrossrefMedlineGoogle Scholar6. Glickman R. Housestaff training—the need for careful reform. N Engl J Med. 1988;318:780-2. CrossrefMedlineGoogle Scholar7. Gastel V and Rogers D, eds. Clinical Education and the Doctor of Tomorrow. Proceedings of the Josiah Macy, Jr. Foundation National Seminar on Medical Education: Adapting Clinical Education to the Needs of Today and Tomorrow. New York: The New York Academy of Medicine; 1989. Google Scholar8. Physicians for the Twenty-First Century: THE GPEP REPORT. Report of the Panel on the General Professional Education of the Physician and College Preparation for Medicine. Washington, DC: Association of American Medical Colleges; 1984. Google Scholar9. Lewis C, Prout D, Chalmers E, and Leake B. How satisfying is the practice of internal medicine? A national survey. Ann Intern Med. 1991;114:1-5. LinkGoogle Scholar10. Ludmerer K. Learning To Heal: The Development of American Medical Education. New York: Basic Books, Inc.; 1985. Google Scholar11. Maulitz R and Long D. Grand Rounds. Philadelphia: University of Pennsylvania Press; 1988. CrossrefGoogle Scholar12. Blank L, Grosso L, and Benson J. A survey of clinical skills evaluation practices in internal medicine residency programs. J Med Educ. 1984;59:401-6. MedlineGoogle Scholar13. Stillman P, Swanson D, and Sydney S. Assessing clinical skills of residents with standardized patients. Ann Intern Med. 1986;105:762-71. LinkGoogle Scholar14. Day S, Grosso L, and Norcini J. Residents' perception of evaluation procedures used by their training program. J Gen Intern Med. 1990;5:421-6. CrossrefMedlineGoogle Scholar15. Foa R. Are physicians professionals? Pharos. 1986; (summer):21-3. Google Scholar16. Reynolds P. Striving for professionalism. The New Physician. 1987; (May-June):60. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: P. Preston Reynolds, MD, PhDAffiliations: The Johns Hopkins Hospital Baltimore, MD 21205-2191 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byLa educación en bioética, camino para la profesionalidadInternal medicine residency training in TurkeyHow to conceptualize professionalism: a qualitative studyFinding Soul in a “Medical Profession of One”Defining and Evaluating Professionalism: A Core Competency for Graduate Emergency Medicine EducationEthics Seminars: Teaching Professionalism to "Problem" Residents“What's Important to You?”: The Use of Narratives To Promote Self-Reflection and To Understand the Experiences of Medical ResidentsDonald W. Brady, MD, Giselle Corbie-Smith, MD, and William T. Branch Jr., MDSupporting the moral development of medical studentsPROFESSIONALISM IN OBSTETRICS-GYNECOLOGY RESIDENCY EDUCATIONPROFESSIONALISM IN EMERGENCY MEDICINEProfessionalism in Emergency MedicineReflections on residency training: 1991Influencia del sistema MIR en la formación del neumólogo actualThe State of Internal MedicineGregg Coodley, MD, Marcia Kerensky Coodley, MD 1 January 1991Volume 114, Issue 1Page: 91-92KeywordsHospital medicineResidency ePublished: 1 December 2008 Issue Published: 1 January 1991 PDF downloadLoading ...