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This article has been cited by other articles in PMC. Research suggests residents rely on family and friends for support during their training. Method The authors used a constructivist grounded theory approach. In —, they conducted semistructured interviews with a purposive and theoretical sample of 16 Canadian residents from various specialties and training levels. Data analysis occurred concurrently with data collection, allowing authors to use a constant comparative approach to explore emergent themes.
Transcripts were coded; codes were organized into categories and then themes to develop a substantive theory. Results Residents perceived their relationships to be influenced by their evolving professional identity: Although personal relationships were important, being a doctor superseded them. Participants suggested they were forced to adapt their personal relationships, which resulted in the evolution of a hierarchy of relationships that was reinforced by the work—life imbalance imposed by their training.
Participants applied coping mechanisms to manage the conflict arising from the adaptation and protect their relationships. To minimize the effects of identity dissonance, some gravitated toward relationships with others who shared their professional identity or sought social comparison as affirmation. Conclusions Erosion of personal relationships could affect resident wellness and lead to burnout.
Educators must consider how educational programs impact relationships and the subsequent effects on resident wellness. The prevalence of depression and anxiety, 1 , 2 as well as burnout and lack of work—life balance, 3 , 4 among residents demonstrates that residents struggle with wellness during their training. A recent systematic review highlighted the need for more rigorous research on wellness during residency. The work-scheduling demands e. This approach allowed for the discovery or evolution of theory through the analysis of data without a priori assumptions to test and, as such, was ideal for our study.
Participants We conducted purposive and theoretical sampling of Canadian residents from various specialties to ensure that we had a diverse group of participants. Sampling continued until we reached a saturation of themes i. Eight of the participants were female. Fifteen participants were residents at the University of Toronto, and one was a resident at Dalhousie University.
Table 1 Open in a separate window Data collection and analysis Semistructured interviews with the participating residents were conducted in person or by telephone by three of the authors M.
Lam, D. The interview guide questions see Appendix 1 were adjusted to explore emergent themes. Interviews ranged from 25 to 56 minutes. The dialogue was audio-recorded and transcribed verbatim. Consistent with a constructivist grounded theory approach, 11 we derived our hypotheses and concepts from the data during the course of the research.
Data analysis occurred in tandem with data collection, with analysis beginning as soon as the first interview was conducted and continuing iteratively. Transcripts were coded line-by-line P. Over the course of data collection, we M. This comparative and concurrent analysis subsequently resulted in the development of themes. This continued refinement of the research process allowed for the development of a substantive theory consisting of clearly defined concepts related to one another in a cohesive manner.
Residents subsequently applied coping strategies to protect their relationships and sought to mitigate the identity dissonance they experienced between their personal and professional lives and the negative effects of this dissonance on their wellness. The influence of an evolving professional identity on personal relationships Participants perceived their personal relationships as being influenced by their evolving professional identity of becoming and being a doctor.
They could be an accountant, an economist, or in any other profession, but maybe if there was a difference in the degree of responsibility. It would be harder for me to explain why I have to do certain things the way that I do it if there was a difference in the degree of responsibility. However, many residents explained that being a doctor superseded their personal relationships and suggested that residency was all-consuming time, emotion, motivation, energy.
As their professional identity developed and strengthened, residents seemed to forfeit or relinquish their personal relationships. But … I care a lot about what my other fellow residents and what my staff think of me. And it keeps me working, right? This support allowed residents to focus on their work and, for example, forgo personal responsibilities at home. Emotional support often took the form of understanding and empathy. So, my wife has been amazing.
She is very, very accommodating. She makes all the schedules between the nanny, me, and her. And she also actually works full-time as a physician, as well.
I think all doctors keep those in their minds and everybody deals with them in a different way. She helps me deal with those stresses, and they come out periodically and she just helps me get through them in a positive way. Residents had their own convictions that the individuals in their lives needed to compromise and reconciled these beliefs as representing what these individuals could reasonably expect of them. The couple returned to the States with a renewed focus on unity, partnership and their future.
Sometimes people try to postpone relationships until the end of medical school or residency or some other milestone. Be open to possibilities at all times. Maneen became a first-year resident at Memorial Family Medicine. She noticed that he was the person who spearheaded a card campaign for a sick colleague, making sure everyone signed and shared good wishes. The couple bonded over their love for sports medicine. Dominic Maneen photo Dr. Amini, now a fellow in sports medicine in Fort Worth, Texas, says she knew immediately that Dr.
Maneen was a caring individual. He was able to connect with them easily. Amini says. Amini is three hours away from Dr. While training and patients come first, the couple also makes their relationship a priority, Dr. The couple schedules phone calls, FaceTime and weekends together as much as possible, and always searches for moments when they can align their busy calendars. Maneen says. You need someone who is understanding of your schedule and someone who matches your personality.
Love is where you find it Despite the many successes of dating and mating for many couples, not all relationships make it to the altar. Tsai, who says he has no regrets about ending his long-distance romance.