Lemay Megan, Encandela John, Sanders Lisa, Reisman Anna
J Grad Med Educ. 2017 Jun;9(3):357-360. doi: 10.4300/JGME-D-16-00366.1.
Writing narratives during medical training can provide a way to derive meaning from challenging experiences, enhance reflection, and combat burnout. The Yale Internal Medicine Residency Writers' Workshop, an annual 2-day intensive workshop followed by faculty-guided writing revision and publication, has been training resident physicians in the craft of writing since 2003.
The study aimed to assess the long-term effects of a craft-focused writers' workshop for residents on empathy, observation skills, and future writing.
A survey of closed and open-ended questions was sent to former workshop participants (2003-2013), who rated and described the workshop's influence on their observation skills, empathy, improvement in writing, and continued informal and formal writing. A total of 89 of 130 participants (68%) completed the online survey. We identified key themes in written responses and collected quantitative ratings on a 5-point Likert scale of self-reported influence on these factors. Simple statistics and narrative analysis were used to derive results.
Most participants agreed or strongly agreed that the workshop influenced their ability for careful observation (72 of 85, 85%); ability to be empathic with patients or colleagues (51 of 77, 66%); quality of writing (69 of 77, 90%); and continued formal or informal writing (52 of 77 [68%] and 41 of 77 [53%], respectively). Participants felt the workshop improved their attention to detail, provided a deeper understanding of others' experiences, and improved their writing.
Participants in a residency writers' workshop experienced lasting effects on observation, empathy, and writing skills.
在医学培训期间撰写叙事文章可以提供一种从具有挑战性的经历中汲取意义、增强反思并对抗职业倦怠的方式。耶鲁大学内科住院医师写作工作坊是一个为期两天的年度强化工作坊，随后由教员指导进行写作修订和发表，自2003年以来一直在培训住院医师的写作技巧。
本研究旨在评估以写作技巧为重点的住院医师工作坊对同理心、观察技巧和未来写作的长期影响。
向以前的工作坊参与者（2003年至2013年）发送了一份包含封闭式和开放式问题的调查问卷，他们对工作坊对其观察技巧、同理心、写作改进以及持续的非正式和正式写作的影响进行评分并描述。130名参与者中有89名（68%）完成了在线调查。我们在书面回复中确定了关键主题，并收集了关于这些因素自我报告影响的5点李克特量表的定量评分。使用简单统计和叙事分析得出结果。
大多数参与者同意或强烈同意该工作坊影响了他们仔细观察的能力（85人中有72人，85%）；对患者或同事产生同理心的能力（77人中有51人，66%）；写作质量（77人中有69人，90%）；以及持续进行正式或非正式写作（分别为77人中有52人[68%]和77人中有41人[53%]）。参与者认为该工作坊提高了他们对细节的关注，提供了对他人经历的更深入理解，并改进了他们的写作。
住院医师写作工作坊的参与者在观察、同理心和写作技巧方面经历了持久的影响。
