Warde Carole M, Vermillion Michelle, Uijtdehaage Sebastian
Sepulveda VA Ambulatory Care Center, North Hills, CA.
Fam Med. 2014 Jun;46(6):459-62.
Many medical trainees seek work among underserved communities but may be unprepared to cope with the challenges. Relationship-centered qualities have been shown to promote physician resilience and prevent burnout. The UCLA-PRIME program aims to prepare medical students to work among vulnerable groups and begins with a 3-week leadership course. We describe this course and share lessons with those seeking to foster leadership, advocacy, and resiliency in our future physician workforce.
Twenty students participated in our curriculum that emphasized five competencies: leadership, advocacy, teamwork, mindfulness, and self-care. Course activities complemented the students' work as they developed a community outreach project. They assessed and reflected on their leadership, relationship, and team behaviors, were coached to improve these, learned mindfulness meditation, and participated in community forums. Our evaluation assessed course quality, project completion, leadership, mindfulness, and team relational coordination.
Students were very satisfied with all aspects of the course. They designed a medical student elective addressing the health challenges of an incarcerated and formerly incarcerated population. While we found no change in leadership practices scores, students had high team relational coordination scores and improved mindfulness scores upon course completion.
Our course to develop medical students as resilient leaders, team members, and advocates for medically underserved groups consisted of a community-based service project, coupled with a facilitated relationship-centered curriculum. It promoted qualities in students that characterize effective and resilient physician leaders; they were more mindful, related to each other effectively, and coordinated their activities well with one another.
许多医学实习生希望在医疗服务不足的社区工作，但可能没有做好应对挑战的准备。以关系为中心的品质已被证明能增强医生的适应力并预防职业倦怠。加州大学洛杉矶分校初级医疗教育项目（UCLA-PRIME）旨在让医学生为在弱势群体中工作做好准备，该项目以一门为期3周的领导力课程开篇。我们描述这门课程，并与那些希望在未来医生队伍中培养领导力、倡导能力和适应力的人分享经验教训。
20名学生参与了我们的课程，该课程强调五项能力：领导力、倡导能力、团队合作、正念和自我关怀。课程活动与学生开展社区外展项目的工作相辅相成。他们评估并反思自己的领导能力、人际关系和团队行为，接受指导以改进这些方面，学习正念冥想，并参加社区论坛。我们的评估涵盖课程质量、项目完成情况、领导力、正念和团队关系协调。
学生对课程的各个方面都非常满意。他们设计了一门医学生选修课，以应对被监禁和曾经被监禁人群的健康挑战。虽然我们发现领导行为得分没有变化，但学生在课程结束时团队关系协调得分较高，正念得分有所提高。
我们培养医学生成为适应力强的领导者、团队成员以及医疗服务不足群体倡导者的课程，包括一个基于社区的服务项目，以及一门以关系为中心的辅助课程。它培养了学生身上那些有效且适应力强的医生领导者所具备的品质；他们更加正念，彼此之间能有效沟通，并能很好地协调彼此的活动。
