title: Health and health care among housestaff in four U.S. internal medicine residency programs.
abstract: BACKGROUND
  Although there have been many studies of the health care services that resident physicians provide, little is known about the health care services they receive.
  
  
  OBJECTIVE
  To describe residents' perceptions of the health care they receive.
  
  
  METHODS
  Anonymous mailed survey.
  
  
  METHODS
  All 389 residents in four U.S. categorical internal medicine training programs.
  
  
  RESULTS
  Three hundred sixteen residents responded (83%). In aggregate, 116 (37%) reported having no primary care physician, and 36 (12%) reported that they are their own primary care physician. These figures varied substantially across the four programs. Most residents reported receiving basic screening and preventive services; however, their attitudes toward their health and health care differed across postgraduate level, gender, and program. Many residents reported that their long and unpredictable hours interfered with their ability to schedule clinician visits, that their health had declined because of residency, that programs and other residents were unsupportive of residents' health care needs, and that residency raised special issues of privacy that limited access to health care.
  
  
  CONCLUSIONS
  Despite high rates of receipt of preventive services, these internal medicine residents identified several barriers that limited their access to health care. Program directors should explore these barriers and, at the same time, reevaluate the messages being sent to resident physicians about maintaining their health and health care.
authors.affiliation: Department of Medicine, University of Pennsylvania School of Medicine, and Veterans Affairs Medical Center, Philadelphia, PA, USA. Center for
authors.forename: I M
authors.initials: IM
authors.lastname: Rosen
authors.forename: J D
authors.initials: JD
authors.lastname: Christie
authors.forename: L M
authors.initials: LM
authors.lastname: Bellini
authors.forename: D A
authors.initials: DA
authors.lastname: Asch
mesh_terms: D000328:Adult; D005260:Female; D006262:Health; D015438:Health Behavior; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014481:United States