TAGME Resident and Fellow Well-being 5

Question 1

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?

Accepted Answer

Resident access to appropriate rest and self-care

Answer

ACGME well-being requirements explicitly include that residents must be able to access sick leave and self-care without fear of reprisal or stigma.

Question 2

The 'second victim' phenomenon in residency training refers to:

Accepted Answer

Healthcare providers psychologically traumatized after being involved in an adverse patient event

Answer

The 'second victim' concept describes the emotional and psychological impact on clinicians who are involved in unanticipated adverse patient events.

Question 3

A fellow requests a schedule accommodation to attend weekly therapy sessions. Under ACGME policy and the ADA, the program director should:

Accepted Answer

Provide a reasonable accommodation unless it creates undue hardship on the program

Answer

Reasonable workplace accommodations for mental health treatment are required under the ADA and align with ACGME's commitment to resident well-being.

Question 4

Which metric is the most direct indicator that a program's well-being initiatives are effective?

Accepted Answer

Decreased scores on validated burnout instruments over time

Answer

Validated instruments such as the Maslach Burnout Inventory provide objective, longitudinal data on whether burnout is actually decreasing.

Question 5

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:

Accepted Answer

No, counseling records are confidential and cannot be shared without written consent

Answer

Confidentiality of mental health counseling records is legally and ethically protected; disclosure without written consent violates HIPAA and ACGME confidentiality requirements.

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME Resident and Fellow Well-being 5