Ey Sydney, Moffit Mary, Kinzie J Mark, Brunett Patrick H
J Grad Med Educ. 2016 Dec;8(5):747-753. doi: 10.4300/JGME-D-16-00034.1.
Comprehensive treatment models reduce distress and suicide risk in military, university, and community populations, but are not well studied with in medical trainees and physicians in practice. Physicians face unique internal and external barriers that limit access to psychological or psychiatric treatment, which may contribute to higher rates of burnout, depression, and suicide.
Our goal is to report on the feasibility and utilization of a wellness and suicide prevention program for residents, fellows, and faculty in an academic health center.
The program provides individual counseling, psychiatric evaluation, and wellness workshops for residents/fellows (N = 906) and faculty (N = 1400). Demand for services is demonstrated by the participation rate of eligible trainees. Acceptability within the target population is examined in a 2011 survey in which trainees (N = 116, 97% participation) and program directors (N = 23, 88% participation) rated their satisfaction. Start-up costs and funding sources to sustain a wellness program are outlined.
Over 10 years, utilization of services grew from 5% in the program's first year (2004-2005) to a high of 25% of eligible trainees for 2013-2014, and faculty utilization grew to 6% to 8% for 2014-2015. Trainees and program directors reported a high level of satisfaction with this wellness program. Funding for clinic space and clinical staff is provided by the hospital via the graduate medical education budget.
Increased utilization over 10 years, high satisfaction, and consistent institutional support suggest that this comprehensive model of care is feasible and valued.
综合治疗模式可降低军人、大学生和社区人群的痛苦及自杀风险，但在医学实习生和执业医师中尚未得到充分研究。医师面临着独特的内部和外部障碍，限制了他们获得心理或精神治疗的机会，这可能导致职业倦怠、抑郁和自杀率升高。
我们的目标是报告一项针对学术健康中心住院医师、研究员和教职员工的健康与自杀预防计划的可行性和利用率。
该计划为住院医师/研究员（N = 906）和教职员工（N = 1400）提供个人咨询、精神评估和健康研讨会。符合条件的实习生的参与率表明了对服务的需求。在2011年的一项调查中，对目标人群的可接受性进行了评估，其中实习生（N = 116，参与率97%）和项目主任（N = 23，参与率88%）对他们的满意度进行了评分。概述了维持健康计划的启动成本和资金来源。
在10年的时间里，服务利用率从该计划第一年（2004 - 2005年）的5%增长到2013 - 2014年符合条件的实习生的最高25%，2014 - 2015年教职员工的利用率增长到6%至8%。实习生和项目主任对该健康计划表示高度满意。医院通过研究生医学教育预算为诊所空间和临床工作人员提供资金。
10年来利用率的提高、高满意度以及持续的机构支持表明，这种综合护理模式是可行且有价值的。
