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The article titled "Burnout and Internal Medicine Resident Work-Hour Restrictions" struck a nerve.¹ I had been in academic medicine for 15 years, been director of a combined internal medicine–pediatrics residency program for 8 years, and am still active in education at all levels from student nurses through fellows. I have an alternative cause of "burnout" and it is not the current students (generation X) or the complexity of medicine. It is caused by inadequate education for the task performed.

This is not due to excessive work hours but rather deterioration of the team leader's involvement. The bedside is a lonely, uncomfortable place if unsupervised and is getting lonelier. Why? It does not generate relative value units and has turned into a hostile environment that resembles a war zone. The goal of rounds is "get in and get out."

The authors comment that 54% to 55% of residents spend 2 . . . [Full Text of this Article]

AUTHOR INFORMATION
Robert Lichtenberg, MD

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RELATED ARTICLE

Burnout and Internal Medicine Resident Work-Hour Restrictions
Ravi Gopal, Jeffrey J. Glasheen, Tom J. Miyoshi, and Allan V. Prochazka
Arch Intern Med. 2005;165(22):2595-2600.
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