Chung Arlene, Battaglioli Nicole, Lin Michelle, Sherbino Jonathan
J Grad Med Educ. 2018 Feb;10(1):36-42. doi: 10.4300/JGME-D-17-00475.1.
Physician well-being is garnering increasing attention. In 2016, the () published a review by Kristin Raj, MD, entitled "Well-Being in Residency: A Systematic Review." There is benefit in contextualizing the literature on resident well-being through an academic journal club.
We summarized an asynchronous, online journal club discussion about this systematic review and highlighted themes that were identified in the review.
In January 2017, and the Academic Life in Emergency Medicine (ALiEM) blog facilitated an open-access, online, weeklong journal club on the featured article. Online discussions and interactions were facilitated via blog posts and comments, a video discussion on Google Hangouts on Air, and Twitter. We performed a thematic analysis of the discussion and captured web analytics.
Over the first 14 days, the blog post was viewed 1070 unique times across 52 different countries. A total of 130 unique participants on Twitter posted 480 tweets using the hashtag #JGMEscholar. Thematic analysis revealed 5 major domains: the multidimensional nature of well-being, measurement of well-being, description of wellness programs and interventions, creation of a culture of wellness, and critique of the methodology of the review.
Our online journal club highlighted several gaps in the current understanding of resident well-being, including the need for consensus on the operational definition, the need for effective instruments to evaluate wellness programs and identify residents in distress, and a national research collaboration to assess wellness programs and their impact on resident well-being.
医生的职业幸福感正日益受到关注。2016年，（此处信息缺失）发表了医学博士克里斯汀·拉杰题为《住院医师的职业幸福感：系统评价》的综述。通过学术期刊俱乐部将关于住院医师职业幸福感的文献置于具体情境中有诸多益处。
我们总结了关于该系统评价的一次异步在线期刊俱乐部讨论，并突出了该评价中确定的主题。
2017年1月，（此处信息缺失）和急诊医学学术生活（ALiEM）博客就这篇专题文章促成了一个为期一周的开放获取在线期刊俱乐部。通过博客文章及评论、谷歌环聊视频上的视频讨论以及推特促进了在线讨论与互动。我们对讨论进行了主题分析并获取了网络分析数据。
在最初的14天里，博客文章在52个不同国家被1070人次独立浏览。共有130名推特上的独立参与者使用#JGMEscholar标签发布了480条推文。主题分析揭示了5个主要领域：幸福感的多维度性质、幸福感的衡量、健康计划与干预措施的描述、营造健康文化以及对该评价方法的批评。
我们的在线期刊俱乐部突出了当前对住院医师职业幸福感理解中的几个差距，包括需要就操作定义达成共识、需要有效的工具来评估健康计划并识别处于困境的住院医师，以及需要开展全国性研究合作以评估健康计划及其对住院医师职业幸福感的影响。
