Bentley Paige Greason, Kaplan Sebastian G, Mokonogho Josephine
Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Acad Psychiatry. 2018 Oct;42(5):668-673. doi: 10.1007/s40596-018-0914-6. Epub 2018 Apr 13.
Psychiatry residents face challenges daily that test their capacity to be empathic and attuned to their own self-care. This can have a deleterious impact not only on the residents but also on patient-care. Training to manage the challenges of the work and cultivate stronger patient relationships is needed but often missing in medical education. This study aimed to pilot an empathy training course based in relational mindfulness and assess the impact on burnout and empathy.
Seven first-year psychiatry residents (PGY-1) at an academic medical center in a mid-size city in the southeast participated in an eight-week pilot program created by the authors that integrated relational mindfulness and empathy training. Data were gathered from the seven PGY-1s on measures of burnout and empathy and on their experience of the training.
The PGY-1s demonstrated a downward trend in means on all three burnout subscales and significant improvement on the measure of empathy (f = 8.98; p = .02). Overall, the PGY-1s reported an increased awareness of their cognitive and emotional experiences and stated that the skills learned in the program increased their ability to care for themselves, their patients, and their families.
Training in intrapersonal and interpersonal attunement is often overlooked in medical training, leading to resident burnout and negative patient outcomes. An empathy course based in relational mindfulness may be a viable strategy for programs looking to attend to their residents' emotional health and bridge the empathy training gap.
精神病学住院医师每天都面临着挑战，这些挑战考验着他们的共情能力以及关注自身自我保健的能力。这不仅会对住院医师产生有害影响，还会影响患者护理。需要开展培训以应对工作中的挑战并培养更牢固的医患关系，但医学教育中往往缺少此类培训。本研究旨在试点一项基于关系正念的共情培训课程，并评估其对职业倦怠和共情能力的影响。
东南部一个中等规模城市的一家学术医疗中心的七名精神病学一年级住院医师（PGY-1）参加了由作者创建的一项为期八周的试点项目，该项目整合了关系正念和共情培训。收集了这七名PGY-1住院医师在职业倦怠和共情能力方面的测量数据以及他们对培训的体验。
PGY-1住院医师在所有三个职业倦怠分量表上的平均分均呈下降趋势，在共情能力测量方面有显著改善（F = 8.98；p = 0.02）。总体而言，PGY-1住院医师报告称他们对自己的认知和情感体验的认识有所提高，并表示在该项目中学到的技能增强了他们照顾自己、患者和家人的能力。
在医学培训中，人际内协调和人际协调方面的培训常常被忽视，这导致住院医师职业倦怠和患者出现负面结果。对于希望关注住院医师情绪健康并弥合共情培训差距的项目而言，基于关系正念的共情课程可能是一种可行的策略。
