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Impaired residents: identification and intervention.

Henry C Veldenz1, Kamela K Scott, James W Dennis

  • 1Department of Surgery, University of Florida Health Science Center, Jacksonville, Florida 32209, USA.

Current Surgery
|February 20, 2004
PubMed
Summary
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A faculty psychologist aids general surgery residents facing psychological challenges. Early intervention improves their performance and increases the likelihood of successful program completion.

Area of Science:

  • Medical Education
  • Psychology
  • Surgery

Background:

  • Faculty psychologists can support resident well-being.
  • Addressing psychological issues is crucial for medical training.

Purpose of the Study:

  • To evaluate the impact of a faculty psychologist on general surgery residents with performance-impairing psychological issues.
  • To assess the role of early identification and intervention in resident program completion.

Main Methods:

  • A faculty psychologist integrated with the Department of Surgery since 1996.
  • The psychologist provided therapies, stress management, research, and identified residents with behavioral issues.
  • Interventions included counseling, career change recommendations, and pharmacotherapy.

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Main Results:

  • Twelve general surgery residents were identified with psychological issues (depression, anger, addictions) affecting performance between 1996-2001.
  • Referrals originated from peers (4) and performance concerns (8).
  • Interventions varied based on individual resident needs.

Conclusions:

  • Psychological problems significantly hinder resident performance and training.
  • A faculty psychologist facilitates early detection and support, enhancing opportunities for residents to complete their training.