Background Burnout continues to erode the physician workforce, and there are few effective intervention studies to guide educators.

This article describes a residency educational process that considers the reciprocal impact doctors and patients have on each other, using a modified "MegaClinic" conference model. Specific description of the 1-hr, once-a-month interdisciplinary conference is provided, including preparation, examples of discussion content, and facilitator considerations. The MegaClinic considers how a physician, in the context of the entire office system, interacts with and is influenced by a succession of patients who are coincidentally scheduled during the same patient-care session.

Children originally modeled toward intentional and consequence orientations in moral judgment were observed 12 months later on the same kind of moral situations. Changes in orientation which had been obtained initially, 2 weeks after a modeling session, were no longer noticeable. After 1 year, all subjects tended toward the intentional orientation with the group originally lowest in intention now being like the transitional or mixed subjects had been on the initial pretest. Subjects who were successful on a conservation task were more likely to be consistently intentional (n=18) than not (n -4).

Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent value. However, measuring the impact in order to communicate the nature of that value has been elusive. A recent literature review highlighted the equivocal nature of research results and suggested that well-designed qualitative research may be more effective in selecting target measures which could result in better evidence for this group process. This paper describes such an effort using a qualitative analysis of the author's own reflections about significant moments and learnings while participating in Balint groups.