Veldenz Henry C, Scott Kamela K, Dennis James W, Tepas Joseph J, Schinco Miren S
Department of Surgery, University of Florida Health Science Center, Jacksonville, Florida 32209, USA.
Curr Surg. 2003 Mar-Apr;60(2):214-7. doi: 10.1016/S0149-7944(02)00780-8.
To describe the effect of a psychologist on faculty staff supporting impaired residents to successful program completion in general surgery.
Since 1996, the Department of Surgery has had a staff psychologist on faculty who works closely with the Trauma service. Duties include provision of patient and family therapies (representing a revenue-generating activity for the department), in-services for staff stress management, research, and community education activities. As resident performance issues have arisen, the psychologist has been instrumental in early identification of and referral for underlying issues affecting resident behavior.
From 1996 to October 2001, 12 residents (2 with multiple referrals) have been identified with significant psychological issues impairing performance. The various psychological problems include depression, anger control issues, and addictions; required interventions have included referrals for therapeutic counseling, recommendations for career change, and therapeutic counseling combined with pharmacotherapy. Fellow residents referred 4 of the 12 residents to the psychologist for possible evaluation, and the remaining 8 had referral initiated by performance concerns.
Significant psychological problems can impair resident performance and possible training program completion. Early identification and intervention by a professional psychologist on faculty can provide support for increased opportunity to complete residency training.
描述一名心理学家对支持有障碍住院医师完成普通外科培训项目的教职员工的影响。
自1996年以来，外科系有一名教职员工心理学家，他与创伤服务部门密切合作。职责包括提供患者和家庭治疗（这是该部门的一项创收活动）、员工压力管理在职培训、研究以及社区教育活动。随着住院医师表现问题的出现，这位心理学家在早期识别和转介影响住院医师行为的潜在问题方面发挥了重要作用。
从1996年到2001年10月，已确定12名住院医师（其中2名被多次转介）存在严重心理问题，影响了他们的表现。各种心理问题包括抑郁症、愤怒控制问题和成瘾问题；所需干预措施包括转介进行心理咨询、建议职业转变以及心理咨询结合药物治疗。12名住院医师中有4名是由同组住院医师转介给心理学家进行可能的评估，其余8名是因表现问题而被转介。
严重的心理问题会损害住院医师的表现以及可能影响培训项目的完成。专业的教职员工心理学家进行早期识别和干预，可以为增加完成住院医师培训的机会提供支持。
