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肿瘤学家生活中的压力:虽存在但并非无法克服 :(不应劝阻学生选择肿瘤学作为他们未来的专业)。

Stress In An Oncologist's Life: Present But Not Insurmountable : (Students Should Not Be Discouraged Choosing Oncology as Their Future Specialisation).

作者信息

Nowakowski Jonatan, Borowiec Grazyna, Zwierz Izabela, Jagodzinski Wojciech, Tarkowski Radoslaw

机构信息

Wrocław Medical University, Wybrzeże L. Pasteura 1, 50-367, Wroclaw, Poland.

Analiza Badania Rozwoj, Osiedle Stefana Batorego 11 lok 74, 60-687, Poznan, Poland.

出版信息

J Cancer Educ. 2017 Mar;32(1):198-205. doi: 10.1007/s13187-015-0928-7.

DOI:10.1007/s13187-015-0928-7
PMID:26475498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5290067/
Abstract

Burnout is a serious problem facing the majority of oncologists. Many medical students may regard oncology as depressive part of medicine. This false picture may discourage them from choosing oncology as their future specialization. To learn problems experienced by oncologists and to answer the students' question: is it dangerous to choose oncology? We conducted an anonymous survey among 69 oncologists. Young doctors (up to 5 years of service) accounted for 31 %, specialists 69 %, with a median length of practice of 14 years. The most frequently reported symptoms included irritability (84 %) and tension (74 %). Forty-five percent reported headaches, 25 % sleep disorders, 51 % negative impact on their personal lives. Excessive bureaucratization, overwork, and haste, with the disparity between undertaken effort and compensation were the most common sources of stress. Stress reduction methods were as follows: their relationship with family and/or friends (69 %), reading books/watching movies (66 %), emotional distance from their problems (63 %), and contact with nature (62 %). Ninety-six percent of physicians were satisfied with their choice of pursuing work with cancer patients. However, as many as 49 % of oncologists experienced moments of doubt regarding their sense of vocation. Students and young doctors considering pursuing an oncological speciality should not be discouraged by the likely degree of sacrifice or burden, but rather aim to develop effective ways to reduce stress, along with remembering one's own health needs. This could be valuable part of both pregradual and postgradual medical education, worth to become part of medical curricula.

摘要

职业倦怠是大多数肿瘤学家面临的一个严重问题。许多医学生可能将肿瘤学视为医学中令人沮丧的领域。这种错误认知可能会阻碍他们选择肿瘤学作为未来的专业方向。为了了解肿瘤学家所面临的问题,并回答学生们的疑问:选择肿瘤学是否危险?我们对69名肿瘤学家进行了一项匿名调查。年轻医生(从业年限不超过5年)占31%,专科医生占69%,中位从业年限为14年。最常报告的症状包括易怒(84%)和紧张(74%)。45%的人报告有头痛症状,25%有睡眠障碍,51%表示对个人生活有负面影响。过度的官僚化、工作过度和匆忙,以及付出与回报之间的差距是最常见的压力来源。减压方法如下:与家人和/或朋友的关系(69%)、读书/看电影(66%)、在情感上与问题保持距离(63%)以及接触大自然(62%)。96%的医生对选择从事癌症患者治疗工作感到满意。然而,多达49%的肿瘤学家对自己的职业使命感产生过怀疑。考虑从事肿瘤学专业的学生和年轻医生不应因可能的牺牲程度或负担而气馁,而应致力于开发有效的减压方法,同时牢记自身的健康需求。这可以成为本科和研究生医学教育中有价值的一部分,值得纳入医学课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/491a/5290067/98874d51d67e/13187_2015_928_Fig2a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/491a/5290067/0d16071f271e/13187_2015_928_Fig1a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/491a/5290067/98874d51d67e/13187_2015_928_Fig2a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/491a/5290067/0d16071f271e/13187_2015_928_Fig1a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/491a/5290067/98874d51d67e/13187_2015_928_Fig2a_HTML.jpg

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Burnout and career satisfaction among US oncologists.
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Curr Oncol. 2022 Mar 4;29(3):1634-1644. doi: 10.3390/curroncol29030137.
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Virtual educational meetings and activities during the COVID-19 pandemic and beyond: Egyptian oncologists' experience.2019冠状病毒病大流行期间及之后的虚拟教育会议和活动:埃及肿瘤学家的经验
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