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- Page navigation anchor for RE: Instead of evaluating residents on their ability to withstand the heat, residency programs need to focus on putting out the fireRE: Instead of evaluating residents on their ability to withstand the heat, residency programs need to focus on putting out the fire
I too attended ICPH2018, but my recollection was that while “the training environment … put(ting) some trainees at greater risk” was topical, the proposed solutions centered on detoxifying the workplace, not on “wellness training”. The idea of “well-being” being assessed as a “competency” is absurd. Perhaps instead of placing another barrier between residents and mental health care – the fear of failing the “wellness” competency – schools should focus their efforts on reducing those already firmly in place. Residents have no flexibility in their schedules, making attending appointments difficult. Circadian rhythm disruption (ie, call) is a well-known risk factor for depression. Derogatory comments about mental illness are rampant in medical education – no resident wants to risk having those things said about them. “Shame-based learning” remains common. Sexism is ever present. Microaggressions are a reprieve from outright harassment. Requirements of disclosure of mental illness to the Colleges are stigmatizing, can feel punitive, and often delay starting independent practice. Perhaps medical schools have a role in petitioning for an end to this archaic practice? Certainly, any resources should not be “aimed at helping students do their part”, but rather aimed at providing students with the help they need to heal. Create a world in which residents can access quality psychiatric care without fear of repercussions, and I think you will find your need for “wellness training” di...
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