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Resident Non-adherence: A Case Study



JGIM HEALING ARTS Materia Medica Eric J. Warm Department of Internal Medicine, University of Cincinnati Academic Health Center, Cincinnati, OH, USA. J Gen Intern Med 25(Suppl 4):634–5 DOI: 10.1007/s11606-010-1348-3 © Society of General Internal Medicine 2010 t the end of our ambulatory group-practice experience called the long-block1, I meet the residents to review their year. I usually know what to expect, but sometimes, surprises happen. “How did it go this year? Did you learn anything?” I asked a resident. “Well,” he said without pausing, “something happened in clinic this morning. A guy came in and started complaining about back pain and fatigue. He kept going on and on. Then a little voice inside my head said, ‘he’s going to ask for disability —he’s going to pull out the forms.’ And I was like...wait for it... wait for it... and then, after a million complaints, he pulled out the papers! I was so right.” He smiled as if he had discovered an essential truth. I was horrified. Of all the stories he could have related, of all the lessons he had learned, he chose this one. He seemed to have missed the point of the entire year. During the



Journal of General Internal MedicineSpringer Journals

Published: Sep 1, 2010

DOI: 10.1007/s11606-010-1348-3

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