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Resident resistance

J L Price1, B Cleary

  • 1Family Medicine of Southwest Washington, Vancouver, Wash., USA. jprice@swmedctr.com

Family Medicine
|February 13, 1999
PubMed
Summary
This summary is machine-generated.

Understanding resident resistance in medical training is key. Faculty should view resistance as a defense mechanism, not a flaw, to foster growth and improve residency program outcomes.

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Area of Science:

  • Medical Education
  • Psychology in Medicine
  • Residency Training

Background:

  • Resident resistance can hinder learning and professional development in medical training programs.
  • Misunderstanding or mishandling resistance can compromise the goals of residency education.
  • Resistance often serves as a defense mechanism for residents, particularly interns, to manage stress and avoid self-reflection.

Purpose of the Study:

  • To explore the nature of resident resistance within family practice residency programs.
  • To emphasize the importance of understanding resistance as a defense mechanism.
  • To guide faculty in effectively managing resident resistance for improved training outcomes.

Main Methods:

  • Qualitative analysis of resident behaviors and faculty interactions.

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  • Exploration of psychological underpinnings of resident resistance.
  • Case study approach within a family practice residency setting.

    • Main Results:

    • Resistance is a common defense strategy employed by residents to cope with the pressures of training.
    • Effective management requires faculty to understand the underlying reasons for resistance, not just react to behaviors.
    • Recognizing resistance as a defense can lead to more empathetic and productive faculty-resident relationships.

    Conclusions:

    • Faculty must actively work with residents to understand their resistance to learning opportunities.
    • A holistic approach that respects resident defenses is crucial for managing stress and disharmony.
    • Successfully navigating resident resistance is vital for achieving the objectives of residency training and fostering physician growth.