Academic Unit of General Practice and Community Health Australian National University, Canberra, Australia.
Br J Gen Pract. 2011 Jul;61(588):e404-10. doi: 10.3399/bjgp11X583182.
Although physician burnout has received considerable attention, there is little research of doctors who thrive while working in challenging conditions.
To describe attitudes to work and job satisfaction among Australian primary care practitioners who have worked for more than 5 years in areas of social disadvantage.
Semi-structured interviews were conducted with 15 primary health care practitioners working in Aboriginal health, prisons, drug and alcohol medicine, or youth and refugee health. The interviews explored attitudes towards work and professional satisfaction, and strategies to promote resilience.
All doctors were motivated by the belief that helping a disadvantaged population is the 'right thing' to do. They were sustained by a deep appreciation and respect for the population they served, an intellectual engagement with the work itself, and the ability to control their own working hours (often by working part-time in the field of interest). In their clinical work, they recognised and celebrated small gains and were not overwhelmed by the larger context of social disadvantage.
If organisations want to increase the numbers of medical staff or increase the work commitment of staff in areas of social disadvantage, they should consider supporting doctors to work part-time, allowing experienced doctors to mentor them to model these patient-appreciative approaches, and reinforcing, for novice doctors, the personal and intellectual pleasures of working in these fields.
尽管医生职业倦怠已经引起了相当多的关注，但对于在挑战性环境中工作却表现出色的医生，相关研究却很少。
描述在社会弱势群体服务领域工作超过 5 年的澳大利亚初级保健从业者对工作的态度和工作满意度。
对在原住民健康、监狱、药物和酒精医学、青年和难民健康领域工作的 15 名初级保健从业者进行了半结构化访谈。访谈内容涉及对工作和职业满意度的态度，以及促进韧性的策略。
所有医生都受到帮助弱势群体是“正确的事情”这一信念的激励。他们对自己服务的人群深表感激和尊重，对工作本身有深入的了解和投入，并且能够控制自己的工作时间（通常通过在感兴趣的领域兼职工作）。在临床工作中，他们认识到并庆祝小的进展，不会被社会劣势的更大背景所压倒。
如果组织希望增加医疗人员数量或增加社会劣势领域的工作人员的工作投入，他们应该考虑支持医生兼职工作，允许有经验的医生指导他们模仿这些以患者为中心的方法，并向新医生强调在这些领域工作的个人和智力上的乐趣。
