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October 1989

Stress During Residency Training

Am J Dis Child. 1989;143(10):1130. doi:10.1001/archpedi.1989.02150220018003

Sir.—We read with interest the article by Hoekelman regarding stress experienced during pediatric residency training in the February 1989 issue of AJDC.1 This article adequately outlined the problem of resident stress and proposed some very useful solutions.

I think we can all recall similar discussions and proposed solutions dating back at least 15 years. Very little has changed, presumably because it has not served the interest of hospitals to follow through on these and other means of resolving the issue of stress during residency training. In New York State in particular, we have been presented with recommendations by the State Department of Health regarding limitations on working hours, the use of nonphysician personnel for responsibilities such as blood drawing and starting of intravenous lines, and the use of computers to facilitate retrieval of laboratory results. Very few programs are even attempting to comply with these regulations by the