Sir.—In the February 1989 issue of AJDC, Dr Hoekelman1 discussed sources of stress in pediatric residency and suggested possible ways in which it can be reduced. Dr Hoekelman listed eight sources of stress that included learning to be a physician, having a family, having relatively low income, and being in a highly competitive environment. Dr Hoekelman suggested that reduction of stress would occur if each resident had an advisor, if 4 weeks' vacation were given each year, and if consecutive hours of work numbered no more than 29. He also suggested that a reduced schedule option be available, that maternity and paternity leaves be granted, and that residents organize and participate in social events with the faculty.
I am a practicing pediatrician in a group of seven pediatricians, and I found this article disturbing. I have always considered residency to be a preparation for the practice of pediatrics.
BENJAMIN JT. Stress in Residency. Am J Dis Child. 1990;144(3):265-266. doi:10.1001/archpedi.1990.02150270011003