Residency poses challenges for residents' personal relationships. Educators must consider how educational programs impact relationships and . However, many residents explained that being a doctor superseded their. Residency or postgraduate training is a stage of graduate medical education. It refers to a . Some residency programs are direct entry (family medicine, dermatology, neurology, .. To defray the cost of residency interviews, social networking sites have been devised to allow applicants with common interview dates to share.
Dating someone in a surgical montreal dating reddit program or really, ANY residency is something of a myth. Surgeon and I met during his 2nd year of residency. I seriously had no idea what I was getting into back then. Dating doctor residency openings 1: After my first formal date with Surgeon, it got not-so-formal.
The couple bonded over their love for sports medicine. Dominic Maneen photo Dr. Amini, now a fellow in sports medicine in Fort Worth, Texas, says she knew immediately that Dr.
Maneen was a caring individual. He was able to connect with them easily. Amini says. Amini is three hours away from Dr. While training and patients come first, the couple also makes their relationship a priority, Dr. The couple schedules phone calls, FaceTime and weekends together as much as possible, and always searches for moments when they can align their busy calendars.
Maneen says. You need someone who is understanding of your schedule and someone who matches your personality. Love is where you find it Despite the many successes of dating and mating for many couples, not all relationships make it to the altar.
Tsai, who says he has no regrets about ending his long-distance romance. Tsai advises residents in the dating world to keep an open mind and look for compatibility and flexibility.
Pham and Dr. Kim, along with Drs. Maneen and Amini, have plans to tie the knot in the near future. For further reading. She is very, very accommodating. She makes all the schedules between the nanny, me, and her. And she also actually works full-time as a physician, as well. I think all doctors keep those in their minds and everybody deals with them in a different way. She helps me deal with those stresses, and they come out periodically and she just helps me get through them in a positive way.
Residents had their own convictions that the individuals in their lives needed to compromise and reconciled these beliefs as representing what these individuals could reasonably expect of them. Residents thought that their families and friends had come to anticipate these adjustments of social plans and work schedules , particularly with respect to the amount of time they could spend together.
So, yes, it is just a step further. But maybe the change is so gradual that no one really notices. Nothing is spontaneous. This hierarchy was portrayed by residents as a way to preserve the most important relationships: As greater time was consumed by the necessary work of residency, the remaining time could be focused on more valued relationships i.
Obviously you have to prioritize. But she also understands that, really, it is just the way the training is. I try to maximize my time the best that I can. Whenever I am not home, it is not like I am out with my friends or anything like that. I am home, playing with the baby and trying to help out as much as I can. Participants applied coping mechanisms e. But here, it seems to amplify because it can still do more in maintaining those relationships a little better, I think.
I never really call my parents. I call them once a week. So, with all the support and planning and organization, your work life will still have a significant influence on your personal life. Relationships with like-minded individuals helped residents justify or make sense of the negative feelings many were experiencing. Being both in medicine, being really busy, has really helped, as well, because we have that mutual understanding, of you know, schedules. When I talk to my friends who are in Internal [Medicine] residency, they think I have this great life, less than 90 hours a week.
As a result, residents were forced to adapt their relationships and develop a hierarchy, even though those relationships often were a source of support. Despite applying coping mechanisms to navigate their relationships, residents felt strong identity dissonance. One way some residents minimized this dissonance was to gravitate toward relationships with others who shared their professional identity. They also actively sought out social comparison to reinforce their relationship decisions.
Participants in our study described tension between their professional and personal identities and the resulting negative impact on their relationships.
This is concerning because our data suggest that having a supportive personal relationship can affect resident wellness.
Burnout, in turn, could lead to further distress, such as alcohol abuse or dependence, suicidal ideation, higher risk of motor vehicle incidents, and greater relationship stress. Our participants described workload intensity as being exacerbated by the strong professional identity associated with being a doctor.
Schaufeli and colleagues 19 similarly highlighted the connection between burnout and role conflicts. An exaggerated sense of responsibility, guilt, self-doubt, perfectionism, desire for control, and drive to overwork can lead to self-neglect and disintegration of close relationships, 20 thereby creating the potential for burnout. The concerning spin-off effect of this burnout is its impact on patient care. For example, junior doctors with burnout are prone to relating to patients in a more callous and cynical way depersonalization.
The hierarchy of relationships that participants established to address these demands was a way of mitigating the effects of the poor work—life balance imposed by their training. Slavin and colleagues 22 similarly discussed the training environment as an overlooked component for interventions aimed at improving medical student mental health. On the basis of these findings, we posit that curriculum structures—formal, informal, and hidden 23 —gave rise to and reinforced the poor work—life balance that residents experienced.
As noted above, improving resident quality of life and preventing burnout will not be achieved by residents simply working fewer hours. Doing so may provide insight into how the hidden curriculum contributes to resident wellness and provide educators with opportunities to develop broad, proactive interventions. Limitations Our study had some limitations. First, all of the participants were Canadian residents, primarily at one medical school.
Second, our findings represent the experiences of a limited number of specialties. Given the importance of the training environment, we recommend that future research explore the relationships of residents from different training contexts to further understand the impact of curricula on wellness. In addition, as causation is not the goal of qualitative research, our study did not seek to establish such. Conclusion Our findings add to the debate regarding how best to promote and maintain resident wellness by highlighting that stressors go beyond workload; rather, professional identity plays a contributory role in resident wellness.
We have offered some understanding of the tension between professional identity and personal relationships that is derived from the demands of the training environment.