Training issues in the intensive care unit

Critical care settings create challenges and stresses for both patients and physicians. Training programs that are mindful of the sources and conseque nces of environmental, clinical, and interpersonal stresses associated with intensive care will be better prepared to deal with them. The authors revi ew the literature regarding the aforementioned stressors and offer recommen dations concerning possible interventions. Awareness of the dark side of IC U training, coupled with strategic interventions, should enhance the functi on and emotional well-being of trainees working in intensive care settings.