In the rapidly evolving landscape of medical education and psychiatry, the journey of resident physicians is pivotal in shaping future leaders in the field. This transformative experience is at the heart of Dr. Singhal’s insightful exploration in the forthcoming article, “From Fixing to Questioning: How Residency Gave Me My Academic Voice,” slated for print in the esteemed journal Academic Psychiatry. This examination speaks to the fundamental shifts in perspective that resident doctors undergo as they navigate the complexities of clinical practice and academic rigor.
Residency, traditionally seen as a mere formal training period, has evolved in its perception and importance. The emotional and intellectual trials faced by residents often serve as crucibles for personal and professional development. It is in this crucible that many residents discover their academic voices, transitioning from a state of simply ‘fixing’ problems in their patients to developing a more nuanced understanding through ‘questioning’. This pivotal change reflects a deeper engagement not only with their patients but also with the systemic and structural components of healthcare.
Throughout their residencies, physicians grapple with a relentless pace of learning and adaptation. They are thrust into high-pressure environments where critical thinking and rapid decision-making are paramount. Herein lies the potential for profound growth; through daily challenges, residents begin to question not only clinical practices but also the socio-cultural dynamics in which these practices occur. This questioning mindset is essential for fostering a more inclusive and equitable healthcare system, as it empowers resident physicians to see beyond the immediate clinical picture.
Dr. Singhal’s narrative emphasizes that residency training extends beyond acquiring medical knowledge and clinical skills. It evolves into a period of philosophical inquiry, where residents cultivate a critical consciousness about their roles in healthcare. This transformation can manifest in various ways, from advocating for patient-centered approaches that respect diverse backgrounds to challenging longstanding inequities within the healthcare system. Such advocacy is critical, as it allows physicians to better represent and serve increasingly diverse populations, thereby enriching the physician-patient relationship.
Moreover, the article highlights the importance of mentorship in this transformative process. Residents benefit greatly from the guidance of seasoned professionals who model the art of questioning and critical thinking. Effective mentorship equips them with the tools necessary to articulate their insights, facilitating a broader discourse about clinical practice that embraces both personal and professional growth. Mentors play a pivotal role by nurturing an environment that encourages exploration, thus enabling residents to find their own academic voices amid the chaos of transition.
Dr. Singhal also sheds light on the emotional aspects of residency. The intense nature of training can lead to burnout, anxiety, and even depression among residents. This emotional labor can stifle the desire to question and reflect, making it crucial for institutions to recognize and support the psychological well-being of their trainees. By developing programs aimed at mental health resources and promoting open discussions about struggles, institutions can foster resilience in residents, allowing them to harness their emotional experiences as a source of strength and insight in their academic pursuits.
As residents emerge from their training with knowledge and skills, they must also confront the reality of systemic challenges in the field. The article underscores that questioning is not only an intellectual exercise but also a tool for social change. Physicians who adopt this approach can initiate meaningful dialogue surrounding issues of access, equity, and quality of care, thereby striving to improve the overall health system. Such initiatives can have ripple effects, promoting progressive policies that transcend mere clinical solutions to address the root causes of health disparities.
In this era of information overload, the ability to question effectively becomes a vital skill. Dr. Singhal advocates for a shift towards training that emphasizes critical thinking alongside clinical skills. This can involve incorporating methodologies such as reflective practice, which encourages residents to pause, analyze their experiences, and derive lessons that can inform their future decisions. The capacity to question and reflect cultivates more than just better clinicians; it develops future changemakers in medicine.
Residents embarking on academic careers face their unique set of challenges and opportunities in articulating their findings and opinions. The shift from fixing problems to questioning underlying structures can embolden residents in their academic endeavors, impacting publications, collaborations, and innovations. By fostering a culture of inquiry, institutions can cultivate leaders who contribute to the discourse surrounding psychiatry and beyond, ensuring that the future of medicine is not only informed by data but also shape by critical thought.
Dr. Singhal’s article serves as a clarion call to recognize and capitalize on the transformative experience of residency as a catalyst for both personal and academic growth. It challenges institutions to reassess how they train and support future generations of physicians, urging them to create environments that not only prioritize clinical efficacy but also intellectual and emotional resilience. Awareness of this dual focus can significantly influence how residents perceive their roles, ultimately shaping the kind of practitioners they become.
As the psychological complexities of patient care continue to expand, the experiences of residents during their training will remain integral in evolving the standards of practice in psychiatry. Dr. Singhal’s observations will resonate with many who traverse this path, and the insights gleaned from their journeys are as critical as the medical knowledge acquired.
In reflection, “From Fixing to Questioning” encapsulates the essence of what it means to be a physician in today’s world—a journey navigated with tenacity, vulnerability, and an unwavering commitment to advocacy. Through such frameworks, the future of psychiatry can become one that prioritizes not just treatment, but a holistic understanding of the larger societal issues affecting mental health and wellness.
In the end, each resident’s journey is a testimony to the strength that comes from questioning, ultimately leading to a richer, more integrated approach to healthcare that both informs and inspires the next generation of medical practitioners.
Subject of Research: The transformative experience of residency in psychiatry and its impact on academic development.
Article Title: From Fixing to Questioning: How Residency Gave Me My Academic Voice
Article References: Singhal, S. From Fixing to Questioning: How Residency Gave Me My Academic Voice. Acad Psychiatry 49, 533–534 (2025). https://doi.org/10.1007/s40596-025-02259-8
Image Credits: AI Generated
DOI: 10.1007/s40596-025-02259-8
Keywords: residency, medical education, academic voice, psychiatry, mentorship, critical thinking, healthcare equity, mental health, physician training

