title: The impact of severe acute respiratory syndrome on medical house staff: a qualitative study.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Qualitative interviews analyzed using grounded theory methodology.
  
  
  METHODS
  University-affiliated hospitals in Toronto, Canada during the SARS outbreak in 2003.
  
  
  METHODS
  Medical house staff who were allocated to a general internal medicine clinical teaching unit, infectious diseases consultation service, or intensive care unit.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of General Internal Medicine, University Health Network, Toronto, Ontario, Canada.
authors.forename: Gloria
authors.initials: G
authors.lastname: Rambaldini
authors.forename: Kumanan
authors.initials: K
authors.lastname: Wilson
authors.forename: Darlyne
authors.initials: D
authors.lastname: Rath
authors.forename: Yulia
authors.initials: Y
authors.lastname: Lin
authors.forename: Wayne L
authors.initials: WL
authors.lastname: Gold
authors.forename: Moira K
authors.initials: MK
authors.lastname: Kapral
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Straus
mesh_terms: D000328:Adult; D003142:Communication; D004196:Disease Outbreaks; D006801:Humans; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency; D009864:Ontario; D010353:Patient Education as Topic; D036301:Qualitative Research; D045169:Severe Acute Respiratory Syndrome / Q000453:epidemiology / Q000628:therapy; D012934:Social Isolation; D013315:Stress, Psychological