Reality shock: a case study in the socialization of new residents

For the graduating medical student, the transition from medical school to residency can be stressful. Although much has been written about resident stress, little attention has been directed to the socialization process of medical students entering a residency program. This case report describes a difficult experience with the socialization of a class of new family practice residents. A model of professional socialization called "reality shock" is presented. Strategies and educational interventions aimed at helping overcome reality shock are described.