Resident and Fellow Well-being Flashcards
7 cards from real TAGME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Resident and Fellow Well-being flashcards as text
Under ACGME requirements, which entity holds primary responsibility for developing and implementing a resident well-being program?
Answer: The sponsoring institution
The sponsoring institution is ultimately responsible for establishing and maintaining a well-being program that applies across all training programs.
A program director notices a fellow consistently arriving late and making uncharacteristic documentation errors over several weeks. The most appropriate first step is to:
Answer: Have a private, supportive conversation to assess the fellow's well-being
Direct, private, supportive inquiry is the appropriate first response to identify whether a performance concern stems from a well-being issue before escalating.
Which of the following is classified as a major depressive episode symptom that GME administrators should recognize as potentially impairing a resident's function?
Answer: Persistent anhedonia lasting at least two weeks
Persistent anhedonia (loss of interest or pleasure) lasting at least two weeks is a hallmark symptom of major depressive disorder that can impair performance.
ACGME's Institutional Requirements mandate that residents must have access to mental health services that are:
Answer: Confidential, affordable, and easily accessible
ACGME requires that mental health services be confidential, affordable, and easily accessible so residents are not deterred from seeking help.
A residency program tracks resident satisfaction surveys and notices a sustained decline in scores related to autonomy and feedback. This data is most useful for:
Answer: Guiding program improvement efforts at the GMEC level
Sustained negative trends in resident surveys are quality indicators that the GMEC should use to drive targeted program improvement efforts.
When a resident discloses a substance use disorder to their program director, the program director's primary obligation is to:
Answer: Ensure the resident receives evaluation and treatment while protecting patient safety
Program directors must balance compassionate support and access to treatment with the non-negotiable duty to protect patient safety.
Which well-being intervention has the strongest evidence for reducing physician burnout at the organizational level compared to individual-level strategies?
Answer: Structural changes to workflow and scheduling
Evidence consistently shows that systemic/organizational changes to workload and workflow produce larger and more durable reductions in burnout than individual coping strategies.