Tartas Małgorzata, Walkiewicz Maciej, Budziński Waldemar, Majkowicz Mikołaj, Wójcikiewicz Krzysztof, Zdun-Ryżewska Agata
Faculty of Psychology, Medical University of Gdańsk, Tuwima 15 Street, 80-210, Gdańsk, Poland.
Polish Chamber of Physicians in Gdansk, Śniadeckich 33 Street, 80-204, Gdańsk, Poland.
BMC Med Educ. 2016 Jul 22;16:186. doi: 10.1186/s12909-016-0706-1.
The stress associated with the physician's work is generally acknowledged and is related to well-being and life satisfaction. The presented study was designed to extract the role of coping strategies in identifying differentiated styles of success in a medical career during medical education.
The participants were examined when they applied to medical school and each subsequent academic year. The final study took place four years after graduation. The baseline questionnaire measured coping strategies. The follow-up questionnaire consisted of measures of: quality of life, work stress and burnout, satisfaction with medicine as a career, and professional competency.
Based on coping strategies assessed during admission and preclinical years of medical study, some aspects of success in the participants' future medical career can be predicted. Students who take action and deal directly with a problem, neither accept resignation, nor reduce tension by expressing feelings would most probably resist future burnout. However, despite the fact that they obtain the highest quality of life or earn the highest income they would be, at the same time, the least satisfied with chosen career, as well as being more likely to be characterised by a low level of competence.
Assessment of coping strategies at the beginning of medical education could be taken into consideration as an instrument to diagnose a specific trend in physicians' career development.
医生工作所带来的压力已得到普遍认可，且与幸福感和生活满意度相关。本研究旨在探究应对策略在医学教育阶段确定医学职业生涯中不同成功模式方面所起的作用。
在参与者申请医学院校时以及随后的每个学年对其进行检查。最终研究在毕业后四年进行。基线调查问卷测量应对策略。随访调查问卷包括以下方面的测量：生活质量、工作压力与倦怠、对医学职业的满意度以及专业能力。
根据医学学习入学阶段和临床前阶段评估的应对策略，可以预测参与者未来医学职业生涯成功的某些方面。采取行动并直接处理问题，既不接受听天由命，也不通过表达感受来缓解紧张情绪的学生，最有可能抵御未来的职业倦怠。然而，尽管他们拥有最高的生活质量或获得最高的收入，但与此同时，他们对所选职业的满意度最低，而且更有可能表现出能力水平较低的特征。
医学教育初期对应对策略的评估可被视为一种诊断医生职业发展特定趋势的工具。
