Staying Human During Residency Training

by Peterkin, Allan D.

• ISBN13: 9781442613645
• ISBN10: 1442613645
• Edition: 5th
• Format: Paperback
• Copyright: 2012-04-17
• Publisher: Univ of Toronto Pr

Summary

The ultimate survival guide for medical students, interns, residents and fellows, Staying Human during Residency Trainingprovides time-tested advice and the latest information on every aspect of a resident's life ; from choosing a residency program, to coping with stress, enhancing self-care, and protecting personal and professional relationships. Allan D. Peterkin, MD, provides hundreds of tips on how to cope with sleep deprivation, time pressures, and ethical and legal issues. This fifth edition features new, leading-edge information on enhancing personal resilience, planning one's career, pursuing leadership roles, and using new technologies to maximize learning. Presenting practical antidotes to cynicism, careerism, and burnout, Peterkin also offers guidance on fostering more empathic connection with patients and deepening relationships with colleagues, friends, and family. Acknowledged by thousands of doctors across North America as an invaluable resource, Staying Human during Residency Traininghas helped to shape notions of trainee well-being for medical educators worldwide. Informative, compassionate, and professional, this new edition will again show why it is required reading for medical students and new physicians pursuing postgraduate training.

Table of Contents

Foreword to the Fifth Edition	p. xiii
Introduction to ihe Fifth Edition	p. xv
Acknowledgments	p. xix
Body and Soul: The Risks, Challenges, and Opportunities of Residency Training	p. 3
Anxiety and Depression	p. 6
Substance Abuse	p. 6
Abuse and Harassment	p. 6
Suicide	p. 6
Relationships	p. 7
Job Satisfaction	p. 7
Stressors	p. 7
Other Health Risks	p. 7
Key Trends around Residency Stress	p. 8
Major Manifestations of Burnout	p. 9
Individual Vulnerabilities	p. 10
Developmental Issues	p. 11
What Residents Want	p. 12
Elements of Physician Well-Being	p. 14
What about Happiness?	p. 15
Preventive Medicine: Choosing a Humane Residency	p. 19
Program Factors	p. 20
Picking a Specialty	p. 21
Considerations in Choosing a Residency	p. 22
The Human Factor	p. 24
The Interview	p. 25
Before Signing On: What to Look for in Residency Contracts	p. 27
Preparing a Curriculum Vitae	p. 28
Navigating the Match: Tips and Resources	p. 30
Additional Reading and Resources	p. 31
Physician Heal Thyself: Taking Care of Your Body	p. 33
Sleep	p. 33
Top 10 Cognitive and Neurobehavioral Effects of Fatigue	p. 35
Tips for Regular Sleep	p. 37
Diet	p. 37
Fuel-Efficient Snacks	p. 38
Eating Strategies	p. 39
Bad Habits	p. 39
Other Stress Busters	p. 40
Exercise	p. 40
Simple Relaxation Exercises	p. 41
Remaining Mindful	p. 42
Protecting Your Physical Health	p. 42
Protecting Yourself from Physical Violence	p. 43
Strategies to Ensure Safety	p. 44
Avoiding Viral and Bacterial Infections	p. 45
Universal Blood and Body-Fluid Precautions	p. 45
Illness during Training	p. 47
Staying Whole: Maximizing Supports and Finding Balance	p. 49
Maximizing Support at Work	p. 49
A Good Mentor	p. 52
Support Groups	p. 54
Setting Up Your Own Support Group	p. 58
Maximizing a Personal Sense of Control	p. 59
Personal Strategies for Maintaining Balance	p. 60
Additional Reading	p. 65
Other Resident Wellness Resources	p. 66
Protecting and Improving Personal and Professional Relationships	p. 69
Couple Life	p. 69
Avoiding Trouble in Couple Life	p. 71
Parenting	p. 73
The Single Resident	p. 76
Other Residents	p. 77
Signs of Trouble among Residents	p. 79
Dealing with Team Troubles	p. 79
The Impaired Colleague	p. 81
Residents as Teachers: Working with Students	p. 83
Guide to the Ethical Behavior of Clinical Teachers	p. 84
Responsibilities to Students	p. 84
Nursing and Other Staff	p. 85
Attending Physicians	p. 87
Signs of Trouble in Resident-Attending Physician Relationship	p. 87
Dealing with Unprofessional or Disruptive Behavior	p. 88
Patients: How to Be a Mindful, Caring Doctor	p. 89
Signs of Trouble in Relationships with Patients	p. 90
Delivering Bad News to Patients	p. 93
Other Tips to Enhance Communication with Your Patient	p. 94
Practical Strategies for Practicing a More Narrative-Based Medicine	p. 96
Remaining Sensitive and Compassionate about Death	p. 98
Resources for Physician Health and Help with Substance Abuse	p. 102
Additional Readings and Resources	p. 102
One Size Does Not Fit All: Unique Concerns	p. 104
Women	p. 104
International Medical Graduates	p. 107
Visible Minority Residents	p. 110
Religious Residents	p. 111
Gay and Lesbian Residents	p. 114
Residents with a Disability, Chronic Illness, or Learning Challenge	p. 116
Additional Resources	p. 118
Whiz Kids: Teaching, Learning, and Leading with No Time	p. 119
Learning	p. 119
Basic Learning Styles	p. 119
Continuing Medical Education	p. 120
Exams!	p. 122
Test-Taking Tips	p. 123
Teaching	p. 124
How to Give an Effective Audiovisual Presentation Using Slides, Overheads, and PowerPoint	p. 126
Other Tips on Organizing your Presentation	p. 127
Becoming a Leader	p. 127
Expanding your Worldview	p. 130
Humanities and Arts-Based Learning	p. 131
Additional Resources	p. 136
Not Just a Job: Professionalism, Ethics Issues, and Legal Considerations	p. 137
Ethics vs Legal Considerations	p. 139
Ethics Issues	p. 140
Legal Considerations	p. 149
Other Resources and References	p. 155
Taking Care of Business: Managing Your Finances	p. 157
Budgeting	p. 157
Education Debts	p. 160
Medical Moonlighting and Its Tax Implications	p. 161
Other Tax Deductions	p. 163
Insurance	p. 163
Obtaining a Loan or Line of Credit	p. 166
Help from Other Professionals	p. 167
Post-Residency Help	p. 169
I'm Finally Done: Now What? Thoughts on the End of Residency	p. 171
Options after Residency	p. 173
Summary	p. 179
Other Well-Being Resources	p. 180
Knowledge Is Power: Helpful Web Resources	p. 181
Applying for Residency and Tips on the Match	p. 181
Residents' Organizations	p. 183
Wellness Resources	p. 184
Physician Health	p. 185
Useful Networking Sites for Residents	p. 186
CME Websites	p. 187
Search Tools for Medical Research	p. 188
Useful Medical Websites	p. 188
Databases	p. 189
Medical Journal Internet Addresses	p. 190
Medical Literature Websites	p. 190
Online Journal Clubs	p. 190
Clinical Practice Guidelines	p. 191
Specialty Board Exams	p. 191
Resident Researchers / PhD Students	p. 191
Legal Resources	p. 192
Financial and Business Resources	p. 192
Specialty Associations	p. 193
National Medical Associations	p. 193
International Medical Associations	p. 193
Special Interest Groups	p. 194
Index	p. 195
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