Palamara Kerri, Kauffman Carol, Stone Valerie E, Bazari Hasan, Donelan Karen
J Grad Med Educ. 2015 Dec;7(4):630-7. doi: 10.4300/JGME-D-14-00791.1.
Residency is an intense period. Challenges, including burnout, arise as new physicians develop their professional identities. Residency programs provide remediation, but emotional support for interns is often limited. Professional development coaching of interns, regardless of their performance, has not been reported.
Design, implement, and evaluate a program to support intern professional development through positive psychology coaching.
We implemented a professional development coaching program in a large residency program. The program included curriculum development, coach-intern interactions, and evaluative metrics. A total of 72 internal medicine interns and 26 internal medicine faculty participated in the first year. Interns and coaches were expected to meet quarterly; expected time commitments per year were 9 hours (per individual coached) for coaches, 5 1/2 hours for each individual coachee, and 70 hours for the director of the coaching program. Coaches and interns were asked to complete 2 surveys in the first year and to participate in qualitative interviews.
Eighty-two percent of interns met with their coaches 3 or more times. Coaches and their interns assessed the program in multiple dimensions (participation, program and professional activities, burnout, coping, and coach-intern communication). Most of the interns (94%) rated the coaching program as good or excellent, and 96% would recommend this program to other residency programs. The experience of burnout was lower in this cohort compared with a prior cohort.
There is early evidence that a coaching program of interactions with faculty trained in positive psychology may advance intern development and partially address burnout.
住院医师培训阶段任务繁重。随着新医生逐渐形成专业身份,会出现包括职业倦怠在内的各种挑战。住院医师培训项目会提供补救措施,但对实习生的情感支持往往有限。目前尚未有关于对实习生进行专业发展指导(无论其表现如何)的报道。
设计、实施并评估一项通过积极心理学指导来支持实习生专业发展的项目。
我们在一个大型住院医师培训项目中实施了专业发展指导项目。该项目包括课程开发、指导教师与实习生互动以及评估指标。第一年共有72名内科实习生和26名内科教员参与。预计实习生和指导教师每季度会面一次;预计每年的时间投入为:指导教师每人9小时(针对每位接受指导的实习生),每位实习生5.5小时,指导项目主任70小时。要求指导教师和实习生在第一年完成2项调查并参与定性访谈。
82%的实习生与指导教师会面3次或更多次。指导教师和他们的实习生从多个维度(参与度、项目及专业活动、职业倦怠、应对方式以及指导教师与实习生沟通)对该项目进行了评估。大多数实习生(94%)将指导项目评为良好或优秀,96%的实习生会向其他住院医师培训项目推荐该项目。与之前的一组相比,这一组实习生的职业倦怠体验较低。
有早期证据表明,与接受过积极心理学培训的教员进行互动的指导项目可能会促进实习生的发展,并部分缓解职业倦怠。