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
An anonymous report to the GMEC alleges that a program's culture discourages residents from using sick leave. Which ACGME principle is most directly at risk?
Answer: Resident access to appropriate rest and self-care
ACGME well-being requirements explicitly include that residents must be able to access sick leave and self-care without fear of reprisal or stigma.
The 'second victim' phenomenon in residency training refers to:
Answer: Healthcare providers psychologically traumatized after being involved in an adverse patient event
The 'second victim' concept describes the emotional and psychological impact on clinicians who are involved in unanticipated adverse patient events.
A fellow requests a schedule accommodation to attend weekly therapy sessions. Under ACGME policy and the ADA, the program director should:
Answer: Provide a reasonable accommodation unless it creates undue hardship on the program
Reasonable workplace accommodations for mental health treatment are required under the ADA and align with ACGME's commitment to resident well-being.
Which metric is the most direct indicator that a program's well-being initiatives are effective?
Answer: Decreased scores on validated burnout instruments over time
Validated instruments such as the Maslach Burnout Inventory provide objective, longitudinal data on whether burnout is actually decreasing.
A resident with a known history of depression approaches the coordinator asking whether their medical records from institutional counseling could be accessed by their program director. The correct answer is:
Answer: No, counseling records are confidential and cannot be shared without written consent
Confidentiality of mental health counseling records is legally and ethically protected; disclosure without written consent violates HIPAA and ACGME confidentiality requirements.
Peer support programs in GME are most effective when they are designed with which core feature?
Answer: Voluntary, confidential access led by trained peer supporters
Voluntary participation and confidentiality are essential to peer support effectiveness because they build psychological safety and reduce stigma.
When evaluating a resident's fitness for duty after a mental health leave of absence, the program's primary framework should be:
Answer: Whether the resident can safely perform essential functions of the training role with or without reasonable accommodation
Fitness-for-duty determinations must be grounded in the resident's functional ability to perform essential job functions, consistent with ADA and patient safety standards.