A faculty-house staff retreat

P. J. Kling and N. C. Fost
Department of Pediatrics, University of Iowa, Iowa City.

There has been much discussion regarding the causes of stress in residency training programs and solutions to alleviate the pressure. As a partial solution, we have found discussions of retreats for pediatric interns in the medical literature, but no discussion of department-wide retreats. Since the early 1970s, the University of Wisconsin (Madison) Department of Pediatrics has held a faculty-house staff retreat every 2 years. The more recent retreats used process-oriented discussions in its goals of fostering understanding through group communication to reduce stress. The 1989 agenda was an expansion of previous efforts with extensive faculty and house staff involvement before, during, and after the retreat. The purposes of this article are to review the literature on the use of retreats in various settings, especially residency training programs; describe the past and present use of retreats by the University of Wisconsin Department of Pediatrics; describe the 1989 retreat; and describe the positive and negative aspects relating to retreats as we have used them. We believe our retreat is unique, serves many purposes, and has been a successful tool for relieving residency stress.