Bohdan A. Oryshkevich, MD, MPH
To the Editor: In the article (1) on stress and impairment during residency training, many important issues were raised. The article correctly emphasizes the financial pressures of student indebtedness on work habits, personal life, and professional choice. Unfortunately, the indebtedness of housestaff begins long before the first day of internship. Heavy loan burdens, relatively low salaries, loan deferments, and delayed personal needs lead to a period of negative amortization during residency training.
As a result, financial advocacy, services, and planning for both medical students and housestaff should be provided to prevent inevitable financial distress. Specifically, financial counseling by properly trained
Oryshkevich BA. Financial Help for Housestaff. Ann Intern Med. 1988;109:996. doi: 10.7326/0003-4819-109-12-996_1
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Published: Ann Intern Med. 1988;109(12):996.
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