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- Title
BRIEF REPORT: health care provided by program directors to their resident physicians and families.
- Authors
Friedland, Allen R.; Farber, Neil J.; Collier, Virginia U.
- Abstract
<bold>Background: </bold>Who provides health care to resident physicians is not well studied.<bold>Objective: </bold>To determine whether residency program directors (PDs)provide health care to their own residents and residents' families.<bold>Design: </bold>An anonymous survey mailed to 1,345 PDs in Emergency Medicine, Family Medicine, Internal Medicine, Medicine-Pediatrics,and Obstetrics-Gynecology in the United States in 2003.<bold>Results: </bold>Six hundred nineteen PDs (46%) responded. Half had taken care of their own residents for acute conditions. Less commonly, directors had written prescriptions for acute (40%) or chronic needs (15%}or provided ongoing care (22%). Only 3% believed this conflicted with their ability to be effective directors. Responders more likely to provide future care to residents considered this kind of care generally appropriate(P< .001), or appropriate under certain circumstances {P< .001).Most of these spent > 31% of their time seeing patients. There was no difference among types of programs, gender of the director, or the years as director. Twenty-five percent of directors provided care to their residents' families.<bold>Conclusions: </bold>Substantial numbers of directors provided healthcare to their own residents. Few believed this conflicted with their director role. We believe organizations of PDs should develop positions about this practice.
- Subjects
UNITED States; RESIDENTS (Medicine); MEDICAL care; PHYSICIANS; EMERGENCY medicine; CRITICAL care medicine; MEDICAL ethics; FAMILY medicine; INTERNAL medicine; INTERNSHIP programs; QUESTIONNAIRES
- Publication
JGIM: Journal of General Internal Medicine, 2006, Vol 21, Issue 12, p1310
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1111/j.1525-1497.2006.00610.x