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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Impact of Severe Acute Respiratory Syndrome on Medical House Staff</title>
<author><name sortKey="Rambaldini, Gloria" sort="Rambaldini, Gloria" uniqKey="Rambaldini G" first="Gloria" last="Rambaldini">Gloria Rambaldini</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, Kumanan" sort="Wilson, Kumanan" uniqKey="Wilson K" first="Kumanan" last="Wilson">Kumanan Wilson</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rath, Darlyne" sort="Rath, Darlyne" uniqKey="Rath D" first="Darlyne" last="Rath">Darlyne Rath</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Yulia" sort="Lin, Yulia" uniqKey="Lin Y" first="Yulia" last="Lin">Yulia Lin</name>
<affiliation><nlm:aff id="au2"><institution>Department of Hematology, University of British Columbia, Vancouver</institution>
<addr-line>British Columbia, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gold, Wayne L" sort="Gold, Wayne L" uniqKey="Gold W" first="Wayne L" last="Gold">Wayne L. Gold</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kapral, Moira K" sort="Kapral, Moira K" uniqKey="Kapral M" first="Moira K" last="Kapral">Moira K. Kapral</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Straus, Sharon E" sort="Straus, Sharon E" uniqKey="Straus S" first="Sharon E" last="Straus">Sharon E. Straus</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">15963157</idno>
<idno type="pmc">1490116</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490116</idno>
<idno type="RBID">PMC:1490116</idno>
<idno type="doi">10.1111/j.1525-1497.2005.0099.x</idno>
<date when="2005">2005</date>
<idno type="wicri:Area/Pmc/Corpus">000C57</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C57</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Impact of Severe Acute Respiratory Syndrome on Medical House Staff</title>
<author><name sortKey="Rambaldini, Gloria" sort="Rambaldini, Gloria" uniqKey="Rambaldini G" first="Gloria" last="Rambaldini">Gloria Rambaldini</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, Kumanan" sort="Wilson, Kumanan" uniqKey="Wilson K" first="Kumanan" last="Wilson">Kumanan Wilson</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rath, Darlyne" sort="Rath, Darlyne" uniqKey="Rath D" first="Darlyne" last="Rath">Darlyne Rath</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Yulia" sort="Lin, Yulia" uniqKey="Lin Y" first="Yulia" last="Lin">Yulia Lin</name>
<affiliation><nlm:aff id="au2"><institution>Department of Hematology, University of British Columbia, Vancouver</institution>
<addr-line>British Columbia, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gold, Wayne L" sort="Gold, Wayne L" uniqKey="Gold W" first="Wayne L" last="Gold">Wayne L. Gold</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kapral, Moira K" sort="Kapral, Moira K" uniqKey="Kapral M" first="Moira K" last="Kapral">Moira K. Kapral</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Straus, Sharon E" sort="Straus, Sharon E" uniqKey="Straus S" first="Sharon E" last="Straus">Sharon E. Straus</name>
<affiliation><nlm:aff id="au1"><institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of General Internal Medicine</title>
<idno type="ISSN">0884-8734</idno>
<idno type="eISSN">1525-1497</idno>
<imprint><date when="2005">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVE</title>
<p>To explore the impact of severe acute respiratory syndrome (SARS) on a medical training program and to develop principles for professional training programs to consider in dealing with future, similar crises.</p>
</sec>
<sec><title>DESIGN</title>
<p>Qualitative interviews analyzed using grounded theory methodology.</p>
</sec>
<sec><title>SETTING</title>
<p>University-affiliated hospitals in Toronto, Canada during the SARS outbreak in 2003.</p>
</sec>
<sec><title>PARTICIPANTS</title>
<p>Medical house staff who were allocated to a general internal medicine clinical teaching unit, infectious diseases consultation service, or intensive care unit.</p>
</sec>
<sec><title>RESULTS</title>
<p>Seventeen medical residents participated in this study. Participants described their experiences during the outbreak and highlighted several themes including concerns about their personal safety and about the negative impact of the outbreak on patient care, house staff education, and their emotional well-being.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>The ability of residents to cope with the stress of the SARS outbreak was enhanced by the communication of relevant information and by the leadership of their supervisors and infection control officers. It is hoped that training programs for health care professionals will be able to implement these tenets of crisis management as they develop strategies for dealing with future health threats.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Gen Intern Med</journal-id>
<journal-id journal-id-type="publisher-id">jgi</journal-id>
<journal-title>Journal of General Internal Medicine</journal-title>
<issn pub-type="ppub">0884-8734</issn>
<issn pub-type="epub">1525-1497</issn>
<publisher><publisher-name>Blackwell Science Inc</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">15963157</article-id>
<article-id pub-id-type="pmc">1490116</article-id>
<article-id pub-id-type="doi">10.1111/j.1525-1497.2005.0099.x</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Impact of Severe Acute Respiratory Syndrome on Medical House Staff</article-title>
<subtitle>A Qualitative Study</subtitle>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Rambaldini</surname>
<given-names>Gloria</given-names>
</name>
<degrees>MD, FRCPC</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wilson</surname>
<given-names>Kumanan</given-names>
</name>
<degrees>MD, MSc, FRCPC</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rath</surname>
<given-names>Darlyne</given-names>
</name>
<degrees>MSc (T)</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Yulia</given-names>
</name>
<degrees>MD, FRCPC</degrees>
<xref ref-type="aff" rid="au2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gold</surname>
<given-names>Wayne L</given-names>
</name>
<degrees>MD, MSc, FRCPC</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kapral</surname>
<given-names>Moira K</given-names>
</name>
<degrees>MD, MSc, FRCPC</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Straus</surname>
<given-names>Sharon E</given-names>
</name>
<degrees>MD, MSc, FRCPC</degrees>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<aff id="au1"><label>1</label>
<institution>Division of General Internal Medicine, University Health Network</institution>
<addr-line>Toronto, Ontario, Canada</addr-line>
</aff>
<aff id="au2"><label>2</label>
<institution>Department of Hematology, University of British Columbia, Vancouver</institution>
<addr-line>British Columbia, Canada</addr-line>
</aff>
</contrib-group>
<author-notes><fn><p>None of the authors has any conflict of interest to report.</p>
</fn>
<corresp id="cor1">Address correspondence and requests for reprints to Dr. Straus: Department of Medicine, Toronto General Hospital, 200 Elizabeth Street, 9ES-407, Toronto, ON M5G 2C4, Canada (e-mail: <email>sharon.straus@utoronto.ca</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>5</month>
<year>2005</year>
</pub-date>
<volume>20</volume>
<issue>5</issue>
<fpage>381</fpage>
<lpage>385</lpage>
<history><date date-type="accepted"><day>4</day>
<month>1</month>
<year>2005</year>
</date>
</history>
<copyright-statement>2005 by the Society of General Internal Medicine</copyright-statement>
<copyright-year>2005</copyright-year>
<abstract><sec><title>OBJECTIVE</title>
<p>To explore the impact of severe acute respiratory syndrome (SARS) on a medical training program and to develop principles for professional training programs to consider in dealing with future, similar crises.</p>
</sec>
<sec><title>DESIGN</title>
<p>Qualitative interviews analyzed using grounded theory methodology.</p>
</sec>
<sec><title>SETTING</title>
<p>University-affiliated hospitals in Toronto, Canada during the SARS outbreak in 2003.</p>
</sec>
<sec><title>PARTICIPANTS</title>
<p>Medical house staff who were allocated to a general internal medicine clinical teaching unit, infectious diseases consultation service, or intensive care unit.</p>
</sec>
<sec><title>RESULTS</title>
<p>Seventeen medical residents participated in this study. Participants described their experiences during the outbreak and highlighted several themes including concerns about their personal safety and about the negative impact of the outbreak on patient care, house staff education, and their emotional well-being.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>The ability of residents to cope with the stress of the SARS outbreak was enhanced by the communication of relevant information and by the leadership of their supervisors and infection control officers. It is hoped that training programs for health care professionals will be able to implement these tenets of crisis management as they develop strategies for dealing with future health threats.</p>
</sec>
</abstract>
<kwd-group><kwd>medical house staff</kwd>
<kwd>severe acute respiratory distress syndrome</kwd>
<kwd>training program</kwd>
<kwd>outbreak</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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