TAGME Resident and Fellow Well-being 2

Question 1

What is 'moral distress' as experienced by resident physicians?

Accepted Answer

Distress arising when a resident knows the right action but is constrained from taking it

Answer

Stress from taking medical licensing exams

Answer

Burnout caused by night float schedules

Answer

Conflict between co-residents

Question 2

Under ACGME requirements, what must programs do when a resident is on medical leave?

Accepted Answer

Allow the resident to return and complete the program, providing any required make-up time

Answer

Automatically terminate the resident's appointment

Answer

Replace the resident immediately

Answer

Report the absence to the RRC within 48 hours

Question 3

Which federal law prohibits discrimination in residency programs based on disability and requires reasonable accommodations?

Accepted Answer

Americans with Disabilities Act (ADA)

Answer

HIPAA

Answer

Family and Medical Leave Act (FMLA)

Answer

Occupational Safety and Health Act (OSHA)

Question 4

What is the 'second victim' phenomenon in healthcare and its relevance to GME?

Accepted Answer

A healthcare provider traumatized by being involved in an adverse patient event

Answer

A patient harmed by a resident's error

Answer

A faculty member sued for a resident's mistake

Answer

A resident who witnesses a colleague's burnout

Question 5

What is the difference between 'fatigue mitigation' strategies and 'duty hour limits' in GME well-being?

Accepted Answer

Duty hour limits cap work time; fatigue mitigation strategies reduce the impact of fatigue within allowed hours

Answer

They are the same thing

Answer

Fatigue mitigation replaces duty hour rules

Answer

Duty hour limits only apply to PGY-1 residents

Question 6

How should a program administrator respond if a resident discloses suicidal ideation?

Accepted Answer

Connect the resident immediately with mental health resources and follow institutional emergency protocols

Answer

Document the disclosure and take no further action

Answer

Notify the ACGME directly

Answer

Place the resident on administrative leave without support