We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Searching for Joy in Residency by Listening to Our Patients

Blake Charlton, MD1; Rachel J. Stern, MD1
[+] Author Affiliations
1Department of Internal Medicine, University of California, San Francisco
JAMA Intern Med. 2015;175(8):1269-1270. doi:10.1001/jamainternmed.2015.2223.
Text Size: A A A
Published online


As medical trainees, we have come to appreciate that today’s health care systems can be chaotic, fragmented, and filled with menial administrative tasks—in short, often joyless. Recently, Sinsky et al1 argued that such joylessness is one reason why fewer trainees choose primary care and why seasoned primary care physicians are leaving the field in droves. To re-instill joy, those authors proposed practice transformation—team-based care, pre-visit planning, scribes—to return “healing relationships with patients” to the center of outpatient medicine. These ideas inspired us to ask a similar question: how can we find joy in residency training? Some aspects of residency are joyless: sleep deprivation, difficulty seeing our loved ones, anxiety about knowing enough medicine, and doubts about clinical decisions made in the middle of the night. However, like Sinsky et al1 suggest, we have found healing relationships with patients to be often joyful and always reinvigorating. Cultivating such relationships means developing practical strategies that allow us to listen generously and communicate compassionately despite the many demands on our time.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Can the Clinical History Distinguish Between Organic and Functional Dyspepsia?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis