Gafson Irene, Currie Jane, O'Dwyer Sabrina, Woolf Katherine, Griffin Ann
Specialty Registrar in Obstetrics and Gynaecology and Medical Education Fellow, Research Department of Medical Education, UCL Medical School, London.
Specialty Registrar in Obstetrics and Gynaecology and Clinical Research Fellow, Institute for Women's Health, University College London, London.
Br J Hosp Med (Lond). 2017 Jun 2;78(6):344-348. doi: 10.12968/hmed.2017.78.6.344.
Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and 'peri-attrition' - a term coined to describe the trainee who has seriously considered leaving the specialty. The authors identified six key themes which describe trainees' feelings about attrition in obstetrics and gynaecology: morale and undermining; training processes and paperwork; support and supervision; work-life balance and realities of life; NHS environment; and job satisfaction. This article discusses themes of an under-resourced health service, bullying, lack of work-life balance and poor personal support.
医生在工作场所的不满情绪会对患者安全产生影响。目前在英国，每五名参加妇产科专科培训的医生中就有一人在培训结束前离开该项目。实习生流失对劳动力规划、医疗服务组织和患者护理都有影响。作者对当前实习生和以前实习生关于流失以及“临近流失”（这一术语用于描述已认真考虑离开该专业的实习生）的看法进行了调查。作者确定了六个关键主题，这些主题描述了实习生对妇产科流失情况的感受：士气与打击；培训流程与文书工作；支持与监督；工作与生活的平衡及生活现实；国民医疗服务体系（NHS）环境；以及工作满意度。本文讨论了医疗服务资源不足、欺凌、缺乏工作与生活平衡以及个人支持不足等主题。
