The article titled “Burnout and Internal Medicine Resident Work-Hour Restrictions” struck a nerve.1 I had been in academic medicine for 15 years, been director of a combined internal medicine–pediatrics residency program for 8 years, and am still active in education at all levels from student nurses through fellows. I have an alternative cause of “burnout” and it is not the current students (generation X) or the complexity of medicine. It is caused by inadequate education for the task performed.
Lichtenberg R. Disappointment, Not Burnout. Arch Intern Med. 2006;166(13):1422. doi:10.1001/archinte.166.13.1422-a