--- title: December 4, 2024 Residency Newsletter description: What Makes Residents Tick, Complimentary CME for YOU, Boosting Residency Slots, Physician Control Matters image: https://challengercme.com/hubfs/res%20nl%20dec.png --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) # December 4, 2024 Residency Newsletter What Makes Residents Tick, Complimentary CME for YOU, Boosting Residency Slots, Physician Control Matters [ Challenger Corporation ](https://challengercme.com/blog/author/challenger-corporation) Dec 4, 2024 ### < [All Posts](https://challengercme.com/blog) Try Med-Challenger Start a free trial today and save! 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[BROWSE COURSES](https://fuse.challengercme.com/store) --- ### Share this article [mailto:?subject=Check%20out%20https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0&utm_medium=social&utm_source=email) ### Subscribe ### Subscribe ![December 4, 2024 Residency Newsletter](https://challengercme.com/hubfs/res%20nl%20dec.png)   - What Makes Residents Tick - Complimentary CME for YOU - Medicare Expands GME - More Control = Less Burnout - QUIZ QUESTION - Test Your Knowledge ![res nl dec div](https://challengercme.com/hs-fs/hubfs/res%20nl%20dec%20div.png?width=800&height=56&name=res%20nl%20dec%20div.png) ## What Really Makes Residents Tick or Burn Out? A BMC research article by a major residency provider in Israel highlights issues that seem to be universal among residents (and all other practicing physicians). High workloads, limited time with patients, excessive administrative challenges, and the struggle to maintain a home life are common concerns. ![chart for nl Dec residency](https://challengercme.com/hs-fs/hubfs/chart%20for%20nl%20Dec%20residency.png?width=685&height=288&name=chart%20for%20nl%20Dec%20residency.png) The most important factors in workplace satisfaction are relationships with others in the workplace, and the relationship senior doctors. [What Really Makes Residents Tick or Burn Out?](https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-024-06331-z?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_tdWsgtZMPAy7Nz_6jETOPq7gViwIZJVQ03riwIBopd48-qynXAt3GGtvd99L3osHuM3Ta) - BMC Medical Education [![res nl div 4](https://challengercme.com/hs-fs/hubfs/res%20nl%20div%204.png?width=800&height=56&name=res%20nl%20div%204.png)![resident NL ad dec-1](https://challengercme.com/hs-fs/hubfs/resident%20NL%20ad%20dec-1.png?width=800&height=800&name=resident%20NL%20ad%20dec-1.png)![res nl div dec3](https://challengercme.com/hs-fs/hubfs/res%20nl%20div%20dec3.png?width=800&height=56&name=res%20nl%20div%20dec3.png)](https://challengercme.com/medical-education-lms-for-residency-training-programs) ## Medicare-Supported GME Residency Positions Look to Grow the Physician Workforce and Expand Health Care Access This article is about 200 new residency slots. Not mentioned in the article, however, are some other statistics: - Practicing physician growth, 10-year = 0.79% annually - Population growth, 10-year = 0.46% annually Those are FSMB and U.S. Census numbers. The doubling rate of specialization and knowledge growth in medicine is 73 days, if measured by the growth in medical research publications. That’s not a great comparison, since much of what ends up on PubMed is clearly not composed of clinical changes of great import, but it is a measurable proxy. The rate of change in complexity and the availability of new treatments is high, the growth in efficiency is low, and the requirement for more time per patient—not less—suggests that most forecasts using the common physicians-per-100,000-population metric are off by a significant factor. We come up with numbers that look more like 5% to 10% growth needed in medical specialties and primary care. Seriously, does no one factor in the rate of technological change in these prognostications? But here’s the AAMC and others congratulating themselves for successfully lobbying for another 200 positions. We’ll give it to them. 🙂 [Medicare-Supported GME Residency Positions Look to Grow the Physician Workforce and Expand Health Care Access](https://www.medicaleconomics.com/view/medicare-supported-gme-residency-positions-look-to-grow-the-physician-workforce-and-expand-health-care-access?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_tdWsgtZMPAy7Nz_6jETOPq7gViwIZJVQ03riwIBopd48-qynXAt3GGtvd99L3osHuM3Ta) - Medical Economics ## ![res div dec](https://challengercme.com/hs-fs/hubfs/res%20div%20dec.png?width=800&height=56&name=res%20div%20dec.png) ## More Workplace Control Leads to Less Burnout for Physicians in Health Systems, Study Finds A Medical Economics article on a study of workplace burnout among physicians. Increased control and influence over their environment increases job satisfaction and reduces physician burnout. Well, duh. This applies to any employee. But for physicians, the named subjects are patient volumes, team support, hiring decisions, scheduling and general workload. Still, the study lends credence to six specific areas that are the primary impacts on physician practice environment, and where practice or hospital management interferes with physician control. [More Workplace Control Leads to Less Burnout for Physicians in Health Systems, Study Finds](https://www.medicaleconomics.com/view/more-workplace-control-leads-to-less-burnout-for-physicians-in-health-systems-study-finds?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_tdWsgtZMPAy7Nz_6jETOPq7gViwIZJVQ03riwIBopd48-qynXAt3GGtvd99L3osHuM3Ta) - Medical Economics ![res nl div dec3](https://challengercme.com/hs-fs/hubfs/res%20nl%20div%20dec3.png?width=800&height=56&name=res%20nl%20div%20dec3.png)[![CLICK HERE FOR ANSWER](https://challengercme.com/hs-fs/hubfs/CLICK%20HERE%20FOR%20ANSWER.png?upscale=true&upscale=true&width=940&height=788&name=CLICK%20HERE%20FOR%20ANSWER.png)](https://challengercme.com/blog/20-year-old-college-student-with-prolonged-productive-cough-and-fatigue) # QUIZ QUESTION # 20-year-old college student with prolonged productive cough and fatigue A 20-year-old college student presents to you with productive cough and fatigue for the last 7 months. He was in his usual state of health before this school year, but he tells you that since he moved into a new apartment with a new roommate, he has been intermittently ill. He also reports an unintentional weight loss of 15 pounds in a 3-month period and loss of appetite. His past medical history is negative. His past surgical history is significant for tonsillectomy and adenoidectomy at 9 years of age. He is not taking any medications and has no known allergies to medications. He has seasonal allergies to mold and ragweed for which he uses over-the-counter antihistamines as needed. He does not smoke but his roommate is a smoker. His roommate has a pet parakeet. On examination, he is a thin man in no distress. Lung auscultation reveals crackles and wheezing. His temperature is 99.8°F. Chest x-ray reveals a nonspecific diffuse interstitial pattern. Computed tomography reveals ground-glass opacities in the lower lobes. Pulmonary function studies reveal reduced forced vital and total lung capacities, with the preservation of airflow. Lung biopsy reveals the following hematoxylin and eosin stain at 40× magnification [(see figure)](https://challengercme.com/blog/20-year-old-college-student-with-prolonged-productive-cough-and-fatigue): Which of the following is the most likely etiology of his symptoms? - his roommate’s pet parakeet - chronic obstructive asthma - asbestos in the apartment building - secondhand smoke from his roommate - mononucleosis [![click here for answer](https://challengercme.com/hs-fs/hubfs/click%20here%20for%20answer.jpg?upscale=true&upscale=true&width=499&height=62&name=click%20here%20for%20answer.jpg)](https://challengercme.com/blog/20-year-old-college-student-with-prolonged-productive-cough-and-fatigue)   [ Subscribe to Our Blog & Save 15% ](https://challengercme.com/blog)   ## Similar posts ### [February 12, 2025 Residency Newsletter](https://challengercme.com/blog/february-12-2025-residency-newsletter-0-0) Residency newsletter: ITE prep tips, residency LMS updates, and case quizzes for resident physicians. Challenger Corporation Feb 12, 2025 ### [May 8, 2024 Residency Newsletter](https://challengercme.com/blog/may-08-2024-residency-newsletter) Residents & fellows vote to unionize, manage and monitor residents, what you should know about private practice, AI shows less concern than... Challenger Corporation May 8, 2024 ### [August 21, 2024 Residency Newsletter](https://challengercme.com/blog/august-21-2024-residency-newsletter) Financial Benefits During Residency, Prepare Residents for Boards, Revamping Medical Simulation Training, AI Making Patient Diagnoses Challenger Corporation Aug 21, 2024 ## Stay informed. ### Subscribe to our [Medical Education Blog](https://challengercme.com/blog)  Stay informed of new medical education content, certification requirements and deadlines, case-based CME quizzes, and special offers. 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "resident burnout and workplace satisfaction", "graduate medical education (GME) and Medicare-supported residency positions", "physician workforce and residency slot growth", "workplace control and burnout mitigation", "continuing medical education (CME) and exam preparation", "clinical case-based learning (pulmonary case)" ], "articleSection" : "Medical Education Newsletter", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2024-12-04T21:55:01.332Z", "datePublished" : "2024-12-04T21:55:00.000Z", "description" : "What Makes Residents Tick, Complimentary CME for YOU, Boosting Residency Slots, Physician Control Matters", "headline" : "December 4, 2024 Residency Newsletter", "image" : [ { "@type" : "ImageObject", "alternateName" : "Med-Challenger Medical Education, a Division of Challenger Corporation", "description" : "Brand image for Med-Challenger medical education and newsletter." }, { "@type" : "ImageObject", "alternateName" : "Med-Challenger Newsletter Image", "description" : "Newsletter artwork for the December residency newsletter." }, { "@type" : "ImageObject", "alternateName" : "resident NL ad dec-1", "description" : "Promotional image used in the residency newsletter." } ], "inLanguage" : "en-US", "keywords" : [ "residency newsletter", "resident burnout", "workplace control", "GME expansion", "Medicare-supported residency positions", "physician workforce", "CME", "exam question", "pulmonary case" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/december-4-2024-residency-newsletter-0-0-0", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "His roommate’s pet parakeet. The clinical vignette emphasizes prolonged cough and systemic symptoms combined with lower-lobe ground-glass opacities, a restrictive pattern on pulmonary function testing, and direct exposure to a pet parakeet; these features in the article point to the pet bird exposure as the most likely etiology among the listed options." }, "name" : "Most likely etiology of chronic cough in this 20-year-old student?", "text" : "A 20-year-old college student has a 7-month history of productive cough, fatigue, 15 lb unintentional weight loss, ground-glass opacities in the lower lobes on CT, restrictive pulmonary function testing, and exposure to a roommate's pet parakeet. Which of the following is the most likely etiology of his symptoms? (choices: his roommate’s pet parakeet; chronic obstructive asthma; asbestos in the apartment building; secondhand smoke from his roommate; mononucleosis)" } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Relationships with others in the workplace and the relationship with senior doctors were described as the most important factors in workplace satisfaction." }, "name" : "Which workplace factors were identified as most important for resident workplace satisfaction?" }, "position" : 1 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter reported that Medicare-supported GME residency positions are set to increase by about 200 slots, intended to grow the physician workforce and expand access to care." }, "name" : "What change did the newsletter note regarding Medicare-supported GME?" }, "position" : 2 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Increased control and influence over the work environment (for example, patient volumes, team support, hiring decisions, scheduling, and workload) is associated with increased job satisfaction and reduced physician burnout." }, "name" : "According to the newsletter, how does increased workplace control affect physician burnout?" }, "position" : 3 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Exposure to the roommate’s pet parakeet—given the chronic productive cough, weight loss, ground-glass lower-lobe opacities, and restrictive pulmonary function testing noted in the case." }, "name" : "In the pulmonary quiz vignette, which exposure was listed as the most likely etiology of the patient's chronic symptoms?" }, "position" : 4 } ], "name" : "Practice Questions", "numberOfItems" : 4 } ```