House Officer

This book is about how young physicians experience training as medical specialists. Much attention is now being drawn to the stresses of post graduate medical education, their potential negative impact on the qual ity of patient care, and the manner in which these stresses influence the professional and personal development of the physicians involved. The entire focus of this book is on the firsthand experience of 52 such physicians enrolled in 16 different medical specialty training programs. Because the evaluation of stress is largely a subjective one, I have elected through the perception and the cognitive pro to approach the question cesses of the trainees themselves. THE DOCTORS The "subjects" of this work are 52 young physicians who volun teered to be interviewed confidentially and anonymously during the 1986-1987 academic year. They represent the specialties of anesthesiol ogy, clinical pathology, dermatology, emergency medicine, family prac tice, general surgery, internal medicine, neurology, neurosurgery, obstetrics and gynecology, ophthalmology, orthopedic surgery, oto laryngology, pediatrics, psychiatry, and radiology.

`I found these interviews fascinating. Something like a combination of MASH and St. Elsewhere*....This book also has much to say to the patients who are cared for within a teaching hospital system.'
Maggie McDonald, University of Pittsburgh, PA, USA

Zusammenfassung
This book is about how young physicians experience training as medical specialists.

Inhalt

1. Introduction.- I. The Medical Specialties.- 2. Internal Medicine.- 3. Pediatrics.- 4. Psychiatry.- 5. Neurology.- 6. Dermatology.- II. The Surgical Specialties.- 7. General Surgery.- 8. Obstetrics and Gynecology.- 9. Neurosurgery.- 10. Otolaryngology.- 11. Ophthalmology.- 12. Orthopedic Surgery.- III. The Hospital-Based Specialties.- 13. Anesthesiology.- 14. Radiology.- 15. Clinical Pathology.- IV. The General Specialties.- 16. Emergency Medicine.- 17. Family Practice.- V. Generic Issues.- 18. Interpersonal and Developmental Issues.- 19. Environmental Stresses.- 20. Background and Literature Review.- VI. Conclusions and Recommendations.- 21. Summing Up.- 22. Some Words of Advice.- Afterword.