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News & Analysis Mann,MD,apsychiatristatColumbiaandthe weren’t enrolled in medical school (Brazeau ing doing some of the damage? What we’re New York State Psychiatric Institute. “The CM et al. Acad Med. doi:10.1097/ACM finding is that there is an effect that medi- chairman of medicine came back immedi- .0000000000000482 [published on- cal education is having, and it’s not a posi- ately from his vacation. We had meetings line September 23, 2014]). The study, whose tive one.” with all of the interns and residents. We had coauthors include Moutier and Dyrbye, sur- Some of the potential fixes are rela- a massive, carefully organized set of initia- veyed entering students at 6 medical tivelysimple,suchasincludingagymoracaf- tives,allgearedtohelppeopledealwiththeir schools. eteria when designing new medical school feelings about what happened.” But by the time they graduated, about buildings,Zisooksaid.Inasurveyoffirst-and The approach has been used in commu- half of medical students had burnout, a syn- second-year students at 7 medical schools, nities, corporations, and the military after a drome of depersonalization, emotional ex- Dyrbye and her coauthors found that how suicide prompts concerns over the poten- haustion, and a feeling of low personal ac- students were evaluated had a greater ef- tialforcontagionor“copycat”suicides,Mann complishment, Dyrbye found in a previous fect than
JAMA – American Medical Association
Published: Nov 5, 2014
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