MEdIC Series: Case of the Fatiguing Fourth Year – Expert Review and Curated Community Commentary


burnoutThe Case of the Fatiguing Fourth Year outlined a scenario many of us deal with at some point throughout our careers, that of a senior emergency resident struggling to cope with the physical, emotional and mental exhaustion of working in our chosen field of medicine. This month, the MEdIC team (Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji and Brent Thoma), hosted a discussion around this case with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our 3 expert opinions. Thank-you to all participants for contributing to the very rich and very important discussions surrounding this case!

This follow-up post includes

  • Responses from our solicited experts:
    • Dr. Glen Bandiera is the Chief of Emergency Medicine at at St. Michael’s Hospital and Associate Dean, Postgraduate Medical Education at the University of Toronto. He is a full Professor and has degrees in engineering, medicine as well as medical education. His academic interests include: faculty development, systems improvement and competency assessment; he has published widely in these areas.
    • Dr. Nicole Battaglioli completed her residency training at York Hospital and is now a faulty member at the Mayo Clinic. Her academic interests include medical education, wilderness medicine and physician wellness and resiliency. She is involved with the ALiEM Chief Resident Incubator and the ALiEM Wellness Think Tank projects.
    • Dr. Tom McLaughlin is a fourth year pediatrics resident at the University of Toronto, and Chief Resident at the Hospital for Sick Children. He was the president of Resident Doctors of Canada (Canada’s national residency association) from 2015-2016. He has an interest in fatigue risk management, resident wellness, and child health policy.
  • A summary of insights from the ALiEM community derived from the Twitter and blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert Response 1: Mitigating the Risk of Physician Burnout (Dr. Glen Bandiera)
Expert Response 2: Recognize the Red Flags of Physician Burnout (Nicole Battaglioli)
Expert Response 3: Physician Burnout: The Need for Skills Training in Fatigue Management and Mental Resiliency (Tom McLaughlin)
Curated from the Community (Dr. Alkarim Velji)

Case and Responses for Download

Click here (or on the picture below) to download the case and responses as a PDF (358 kb).

Tamara McColl, MD FRCPC MEd(c)

Tamara McColl, MD FRCPC MEd(c)

Associate Editor, ALiEM MEdIC Series
Emergency Physician, St. Boniface Hospital, WRHA
Academic Lead, Educational Scholarship
Department of Emergency Medicine
University of Manitoba