We are finally in the last chapter of autonomy as one of three key underpinnings of psychological fitness for physicians – autonomy, relatedness, and competence. This week, I will attempt to tackle – imperfectly so – the unique situation of autonomy for residents and fellows. After all, trainees are not different in what supports their psychological health than attendings.

Autonomy of task/technique (i.e., supervision): Most discussions about autonomy for trainees...

For the past three weeks, we've been delving into impostor phenomenon – the definition, its effects, and helpful tips to improve. This week we look at two final aspects of impostor phenomenon. 1. Maintaining progress 2. How to help others experiencing intense or frequent impostor side effects.

Several of the books and authors mentioned last week highlight the importance of having a team of people you trust to play specific roles in maintaining a better self-assessment. I...