Tucker Tara, Bouvette Maryse, Daly Shauna, Grassau Pamela
Community Palliative Care Physician, 316-1500 Bank St. Ottawa, ON K1H 1B8, Canada.
Bruyère Continuing Care, Regional Palliative Care Consultation Service, 43 Bruyere St., Ottawa, ON K1N 5C8, Canada.
Eval Program Plann. 2017 Dec;65:106-112. doi: 10.1016/j.evalprogplan.2017.07.006. Epub 2017 Jul 22.
Medical trainees are at high risk for developing burnout. Introducing trainees to the risks of burnout and supporting identification and proactive responses to their 'warning' signs of compassion fatigue (CF) is critical in building resiliency. The authors developed and evaluated a burnout and CF program for third year trainees at a Canadian Medical School. Of 165 medical trainees who participated in the burnout and CF program, 59 (36%) provided evaluation and feedback of the program and its impact throughout their year. Participation included self-utilization of a validated CF and burnout tool (ProQOL) across three time-points, workshop feedback, and focus group participation. Results highlighted the importance of 1) Recognizing Individual Signs & Symptoms of Stress, CF and Burnout; 2) Normalizing Stress, CF and Burnout for Students and Physicians; 3) Learning to Manage One's Own Stress. A decrease in compassion satisfaction and increase in burnout between beginning and end of third year were found. Further outcomes highlighted the importance of learning, living and surviving CF and burnout in clerkship. Emergent theory reveals the important responsibility educators have to integrate CF and burnout programs into 'the sweet spot' that third year offers, as trainees shift from theoretical to experiential practice as future clinicians.
医学实习生面临着较高的职业倦怠风险。让实习生了解职业倦怠的风险，并支持他们识别并积极应对同情疲劳（CF）的“警示”信号，对于培养复原力至关重要。作者为加拿大一所医学院的三年级实习生开发并评估了一个职业倦怠和CF项目。在165名参加职业倦怠和CF项目的医学实习生中，59人（36%）在一整年中对该项目及其影响提供了评估和反馈。参与方式包括在三个时间点自行使用经过验证的CF和职业倦怠工具（ProQOL）、工作坊反馈以及焦点小组参与。结果凸显了以下几点的重要性：1）识别压力、CF和职业倦怠的个体症状；2）使学生和医生对压力、CF和职业倦怠有正确认知；3）学会管理自身压力。研究发现，三年级开始和结束时，同情满意度下降，职业倦怠增加。进一步的结果凸显了在临床实习中学习、应对和克服CF及职业倦怠的重要性。新出现的理论表明，教育工作者有重要责任将CF和职业倦怠项目融入三年级提供的“最佳时机”，因为实习生正从理论学习转向作为未来临床医生的实践体验。
