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October 16, 2002

Medical Residents' Emotional Well-being—Reply

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

JAMA. 2002;288(15):1846-1847. doi:10.1001/jama.288.15.1845

In Reply: The studies that Drs Shanafelt and Habermann cite were published 17 years ago and suggest that mood disturbances were as prevalent then as they are now. We agree that we should have cited them. Many changes have been implemented in graduate medical education at the direction of the ACGME since those studies were done, including night float systems, less critical care time, less frequent call, fewer hours per week worked and more time off.1 It is quite disconcerting that, despite these regulations, the level of mood disturbance remains similar.

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