The DOI matches its Crossref record.
The Stress of Residency: A Review of the Literature
Abstract
• A review of empiric studies of the stresses of residency training and descriptions of intervention programs and mental health resource surveys published since 1980 indicated that inadequate sleep and fatigue are major stressors for residents, but they are only part of a more complex situation influenced by time demands, social support, and maturational factors. Other important stressful aspects of training appear to be those that interfere with social support. Increased anger, not depression, is emerging as the predominant mood change during residency, but the effects of any mood change on patient care have not been studied. Despite growing evidence of the need for change in training programs, especially attention to the affiliative needs of residents, few intervention programs have been reported. (Arch Intern Med1988;148:1428-1435)
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In the citing paper
“It is a time of high stress (Butterfield, 1988)”
From Chronic Stress, Hair Cortisol and Depression: A Prospective and Longitudinal Study of Medical Internship (2018) · cites this paper as Butterfield, 1988
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Mindfulness-based stress reduction for health care professionals: results from a randomized trial
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005) · International Journal of Stress Management · doi:10.1037/1072-5245.12.2.164 · Cited by 1,323
The Effects of Acute Stress on Performance: Implications for Health Professions Education
LeBlanc, V. R. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181b37b8f · Cited by 713
Stress Management in Medical Education
Shapiro, S. L., Shapiro, D., & SCHWARTZ, G. E. R. (2000) · Academic Medicine · doi:10.1097/00001888-200007000-00023 · Cited by 413
Sen, S., Kranzler, H. R., Krystal, J. H., Speller, H., Chan, G., Gelernter, J., & Guille, C. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.41 · Cited by 411
Burnout in medical residents: a review
Prins, J. T., Gazendam‐Donofrio, S. M., Tubben, B. J., Van Der Heijden, F. M. M. A., Van De Wiel, H. B. M., & Hoekstra‐Weebers, J. E. H. M. (2007) · Medical Education · doi:10.1111/j.1365-2923.2007.02797.x · Cited by 383
Metadata
- Authors
- Butterfield, P. S.
- Corresponding author
- Butterfield, Paula S.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1988-06-01
- Volume
- 148
- Issue
- 6
- Pages
- 1428
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W4319704952
- Cited by
- 112
- References
- 0
- Citations by year
- 2025: 5 · 2024: 3 · 2022: 5 · 2021: 2 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 17.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Education › Innovations in Medical Education
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- residency training, medical residents, occupational stress, sleep deprivation, fatigue, social support, anger, mood changes, mental health resources, intervention program, time requirements, training program reform
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