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身为医生的特权与医学职业的不变价值。

The Privilege of Being a Physician and the Immutable Values of the Medical Profession.

作者信息

Heudebert Gustavo R

机构信息

BIRMINGHAM, ALABAMA.

出版信息

Trans Am Clin Climatol Assoc. 2017;128:234-242.

PMID:28790505
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5525415/
Abstract

The medical profession has been, is, and will continue to be under siege by a variety of sources most of which are external to the profession and not under our control. The consequences of this unrelenting pressure are leading to burnout, early retirement, and low career satisfaction. Arguably, these and perhaps other not-well-recognized factors has influenced the well-being of physicians and culminated in a high suicide rate in the profession. However, the pressures that our profession have been under over the last 2,500 years, albeit less pronounced than the current ones, have been successfully navigated by going back to the foundational values of medicine that are both intemporal and immutable. We should stand by these principles and defend the description of the Ideal Internist; these principles should guide how health care is delivered as they are rooted in the fiduciary commitment our profession has made to society since the Hippocratic Oath was written.

摘要

医学专业一直、现在并且将继续受到各种来源的围攻,其中大多数来自该专业外部且不受我们控制。这种持续不断的压力导致职业倦怠、提前退休和职业满意度低下。可以说,这些以及其他一些尚未得到充分认识的因素影响了医生的幸福感,并最终导致该职业的自杀率居高不下。然而,在过去的2500年里,尽管我们专业所面临的压力不如当前这般明显,但通过回归医学的基本价值观,这些压力都已成功化解,而这些价值观是永恒不变的。我们应该坚守这些原则,捍卫理想内科医生的描述;这些原则应指导医疗保健的提供方式,因为它们植根于自《希波克拉底誓言》写成以来我们专业对社会做出的信托承诺。

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The Privilege of Being a Physician and the Immutable Values of the Medical Profession.身为医生的特权与医学职业的不变价值。
Trans Am Clin Climatol Assoc. 2017;128:234-242.
2
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本文引用的文献

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Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.门诊医师工作时间分配:4 个专科的时间与动作研究。
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Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.2011 年至 2014 年期间,医生和美国普通劳动人口的倦怠和工作-生活平衡满意度变化。
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Burnout and satisfaction with work-life balance among US physicians relative to the general US population.与美国普通人群相比,美国医生的职业倦怠与工作生活平衡满意度情况。
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Suicide rates among physicians: a quantitative and gender assessment (meta-analysis).医生的自杀率:一项定量与性别评估(荟萃分析)
Am J Psychiatry. 2004 Dec;161(12):2295-302. doi: 10.1176/appi.ajp.161.12.2295.
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