Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pediatric intensive care training: confronting the dark side

M S Jellinek1, I D Todres, E A Catlin

  • 1Psychiatry Service, Massachusetts General Hospital, Boston 02114.

Critical Care Medicine
|May 1, 1993
PubMed
Summary

Pediatric intensive care fellows face emotional challenges like fallibility and loss. Training programs must address these "dark side" feelings to prevent burnout and improve well-being.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Regulation of components of the inflammatory response by 5-iodo-6-amino-1,2-benzopyrone, an inhibitor of poly(ADP-ribose) synthetase and pleiotropic modifier of cellular signal pathways.

International journal of oncology·2011
Same author

Analysis of enacted difficult conversations in neonatal intensive care.

Journal of perinatology : official journal of the California Perinatal Association·2009
Same author

A magnetic resonance imaging study of regional cortical volumes following stereotactic anterior cingulotomy.

CNS spectrums·2006
Same author

Effort and work of breathing in neonates during assisted patient-triggered ventilation.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2003
Same author

Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting.

Journal of perinatology : official journal of the California Perinatal Association·2002
Same author

Improvement in severe self-mutilation following limbic leucotomy: a series of 5 consecutive cases.

The Journal of clinical psychiatry·2002

Area of Science:

  • Medical Education
  • Pediatric Intensive Care
  • Psychological Well-being

Background:

  • Pediatric intensive care unit (ICU) fellowship training involves complex, high-stakes work.
  • Fellows experience personal stresses common to extended training, such as long hours and isolation.
  • Deeper emotional challenges arise from high expectations, fallibility, anger, loss, and interactions with grieving families.

Purpose of the Study:

  • To identify and describe the "dark side" of pediatric intensive care fellowship training.
  • To propose educational strategies for fellows to understand and manage difficult emotions.

Main Methods:

  • Qualitative observation and listening to fellows during training and in later careers.
  • Review of literature on pediatric residency and fellowship training, particularly in intensive care.

Related Experiment Videos

  • Data gathered from group meetings, conferences, rounds, individual discussions, and psychiatric consultations.

    • Main Results:

    • Fellows develop mastery but also confront "dark" feelings: fallibility, anger, frustration, loss, and limited control.
    • Failure to acknowledge these emotions can lead to anger, detachment, and depression for fellows, staff, and faculty.
    • These negative impacts can extend beyond the professional sphere into personal lives.

    Conclusions:

    • The "dark side" of pediatric intensive care fellowship is an expected and inevitable part of training.
    • Training programs should proactively help fellows cope with and understand these challenging emotions.
    • Fostering trust and utilizing group discussions, mentorship, team conferences, and psychiatric support are key strategies.