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

Moral distress occurs when a resident knows the ethically correct course of action but institutional, hierarchical, or systemic constraints prevent them from acting on it.

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

ACGME requires programs to accommodate residents on medical leave and allow them to return to complete their training, with appropriate extensions if needed.

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

The Americans with Disabilities Act (ADA) requires programs to provide reasonable accommodations to residents with qualifying disabilities, prohibiting discrimination.

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

The 'second victim' refers to healthcare providers who experience psychological trauma after being involved in a patient safety event or adverse outcome.

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

Duty hour limits set maximum work time, while fatigue mitigation strategies — such as naps, handoff protocols, and safe transportation — reduce fatigue risk within those limits.

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME Resident and Fellow Well-being 2