McKenna Kathleen M, Hashimoto Daniel A, Maguire Michael S, Bynum William E
K.M. McKenna is a third-year resident, Department of Family Medicine, Oregon Health and Science University, Portland, Oregon. D.A. Hashimoto is a third-year resident, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts. M.S. Maguire is a first-year resident, Christiana Care Health System/Sidney Kimmel Medical College at Thomas Jefferson Combined Internal Medicine-Pediatrics Residency, Wilmington, Delaware. W.E. Bynum IV is attending faculty, National Capital Consortium Family Medicine Residency, Fort Belvoir, Virginia.
Acad Med. 2016 Sep;91(9):1197-9. doi: 10.1097/ACM.0000000000001311.
Awareness of the risks of burnout, depression, learner mistreatment, and suboptimal learning environments is increasing in academic medicine. A growing wellness and resilience movement has emerged in response to these disturbing trends; however, efforts to address threats to physician resilience have often emphasized strategies to improve life outside of work, with less attention paid to the role of belonging and connection at work. In this Commentary the authors propose that connection to colleagues, patients, and profession is fundamental to medical learners' resilience, highlighting "social resilience" as a key factor in overall well-being. They outline three specific forces that drive disconnection in medical education: the impact of shift work, the impact of the electronic medical record, and the impact of "work-life balance." Finally, the authors propose ways to overcome these forces in order to build meaningful connection and enhanced resilience in a new era of medicine.
在学术医学领域，人们对职业倦怠、抑郁、学员受虐以及不理想的学习环境等风险的认识日益提高。针对这些令人不安的趋势，一场日益壮大的健康与复原力运动应运而生；然而，应对医生复原力威胁的努力往往侧重于改善工作之外生活的策略，而对工作中归属感和人际关系的作用关注较少。在这篇评论文章中，作者提出与同事、患者及职业的联系是医学学员复原力的根本，强调“社会复原力”是整体幸福感的关键因素。他们概述了在医学教育中导致人际关系疏离的三种具体力量：轮班工作的影响、电子病历的影响以及“工作与生活平衡”的影响。最后，作者提出了克服这些力量的方法，以便在医学新时代建立有意义的联系并增强复原力。
