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Medical Teacher Volume 33, 2011 - Issue 9
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The problems program directors inherit: medical student distress at the time of graduation

Liselotte N. DyrbyeMayo Clinic, USA; LISELOTTE N. DYRBYE, MD MHPE is a consultant in the division of Primary Care Internal Medicine and associate professor of medicine, Mayo Clinic, Rochester, Minnesota. Dr. Dyrbye is the Associate Director, Research Applications, Mayo Clinic's Program on Physician Well-being. She has published extensively in the area of trainee and physician well-being.Correspondence[email protected]
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Christine MoutierUniversity of California, USA; CHRISTINE MOUTIER, MD is the assistant dean for student affairs and associate professor of psychiatry, University of California San Diego School of Medicine. Dr. Moutier's areas of interest include refractory depression and medical student/physician wellness and suicide prevention.
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Steven J. DurningUniformed Services University of the Health Sciences, USA; STEVEN J. DURNING, MD is professor of medicine and pathology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
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F. Stanford Massie JrUniversity of Alabama School of Medicine, USA; F. STANFORD MASSIE JR., MD is associate professor of medicine, University of Alabama School of Medicine. Dr. Massie directs the Introduction to Clinical Medicine course.
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David V. PowerUniversity of Minnesota Medical School, USA; DAVID V POWER, MD MPH is associate professor of Family Medicine, University of Minnesota Medical School
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Anne EackerUniversity of Washington School of Medicine, USA; ANNE EACKER, MD is associate professor of medicine, University of Washington School of Medicine
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William HarperUniversity of Chicago, USA; WILLIAM HARPER, MD is associate professor of medicine, University of Chicago Pritzker School of Medicine. Dr. Harper directs the pre-clerkship clinical skills curriculum and is the Medical Director for the Program for Personalized Health and Prevention, University of Chicago Medical Center.
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Matthew R. ThomasMayo Clinic, USA; MATTHEW R. THOMAS, MD is a consultant in the division of Primary Care Internal Medicine and assistant professor of medicine, Mayo Clinic, Rochester, Minnesota. Dr. Thomas directs the Internal Medicine Clerkship and is Chair of Education, Division of Primary Care Internal Medicine, Mayo Clinic.
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Daniel SateleMayo Clinic, USA; DANIEL SATELE, MS is a statistician, Mayo Clinic Department of Health Sciences Research, Rochester, Minnesota.
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Jeff A. SloanMayo Clinic, USA; JEFF A. SLOAN, PhD is professor of biostatistics and oncology, Mayo Clinic Department of Health Sciences Research, Rochester, Minnesota. Dr. Sloan has extensive expertise in quality of life research.
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Tait D. ShanafeltMayo Clinic, USA; TAIT D. SHANAFELT, MD is a consultant in the division of Hematology and associate professor of medicine, Mayo Clinic, Rochester, Minnesota. Dr. Shanafelt is the Director of the Mayo Clinic's Program on Physician Well-being and has published extensively in the field of trainee and physician well-being.
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Pages 756-758 | Published online: 19 Aug 2011

References

  • Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA 2002; 287(23)3143–3146
  • Dyrbye LN, Massie FS, Jr, Eacker A, Harper W, Power D, Durning SJ, Thomas MR, Moutier C, Satele D, Sloan J, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 2010; 304(11)1173–1180
  • Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety and other indicators of psychological distress among US and Canadian medical students. Acad Med 2006; 81(4)354–373
  • Dyrbye LN, Thomas MR, Eacker M, Harper W, Massie FS, Jr, Power D, Huschka M, Novotny PJ, Sloan JA, Shanafelt TD. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007; 167: 2103–2109
  • Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydlo DW, Novotny PJ, et al. Burnout and suicidal ideation among US medical students. Ann Intern Med 2008; 149: 334–341
  • Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, Kent A, Kunkel M, Schechter J, Tate J. Depressive symptoms in medical students and residents: A multischool study. Acad Med 2009; 84(2)236–241
  • Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. Consulting Psychologists Press, Palo Alto, CA 1996
  • Norman GR, Sloan JA, Wyrwich KW. The truly remarkable universality of half a standard deviation: Confirmation through another look. Expert Rev Pharmacoecon Outcomes Res 2004; 4(5)515–519
  • Spitzer RL, Williams JB, Kroenke K, Linzer M, Verloin deGruy III F, Hahn SR, Brody D, Johnson JG. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA 1994; 272(22)1749–1756
  • Thomas NK. Resident burnout. JAMA 2004; 292(23)2880–2889
  • Ware J, Kosinski M, Dewey JE, Gandek B. How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. QualityMetric Incorporated, Lincoln, RI 2001
  • West WP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD. Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. JAMA 2006; 296: 1071–1078

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