title: Personal growth during internship: a qualitative analysis of interns' responses to key questions.
abstract: BACKGROUND
  During clinical training, house officers frequently encounter intense experiences that may affect their personal growth. The purpose of this study was to explore processes related to personal growth during internship.
  
  
  METHODS
  Prospective qualitative study conducted over the course of internship.
  
  
  METHODS
  Thirty-two postgraduate year (PGY)-1 residents from 9 U.S. internal medicine training programs.
  
  
  METHODS
  Every 8 weeks, interns responded by e-mail to an open-ended question related to personal growth. Content analysis methods were used to analyze the interns' writings to identify triggers, facilitators, and barriers related to personal growth.
  
  
  RESULTS
  Triggers for personal growth included caring for critically ill or dying patients, receiving feedback, witnessing unprofessional behavior, experiencing personal problems, and dealing with the increased responsibility of internship. Facilitators of personal growth included supportive relationships, reflection, and commitment to core values. Fatigue, lack of personal time, and overwhelming work were barriers to personal growth. The balance between facilitators and barriers may dictate the extent to which personal growth occurs.
  
  
  CONCLUSIONS
  Efforts to support personal growth during residency training include fostering supportive relationships, encouraging reflection, and recognizing interns' core values especially in association with powerful triggers.
authors.affiliation: Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. rlevine@jhmi.edu
authors.forename: Rachel B
authors.initials: RB
authors.lastname: Levine
authors.forename: Paul
authors.initials: P
authors.lastname: Haidet
authors.forename: David E
authors.initials: DE
authors.lastname: Kern
authors.forename: Brent W
authors.initials: BW
authors.lastname: Beasley
authors.forename: Lisa
authors.initials: L
authors.lastname: Bensinger
authors.forename: Donald W
authors.initials: DW
authors.lastname: Brady
authors.forename: Todd
authors.initials: T
authors.lastname: Gress
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hughes
authors.forename: Ajay
authors.initials: A
authors.lastname: Marwaha
authors.forename: Jennifer
authors.initials: J
authors.lastname: Nelson
authors.forename: Scott M
authors.initials: SM
authors.lastname: Wright
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D019538:Health Care Surveys; D006801:Humans; D007388:Internal Medicine; D007396:Internship and Residency; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital / Q000523:psychology*