*Department of Emergency Medicine,University of Ottawa,Ottawa,ON.
†Department of Pediatrics,University of British Columbia,Vancouver,BC.
CJEM. 2018 Sep;20(5):777-780. doi: 10.1017/cem.2018.381. Epub 2018 May 30.
Introduction/Innovation ConceptEmergency medicine (EM) requires physicians to deal with acutely ill patients in a fast-paced and dynamic environment, which creates a barrier to debriefing after critical events. These unique challenges can negatively impact wellness. We sought to adapt and implement a peer-support wellness program called 'Ice Cream Rounds' in an EM residency setting.
A needs assessment survey was conducted among EM residents at The University of Ottawa to gauge interest and obtain resident input regarding program design. The structure of the sessions was adapted from similar initiatives in Canadian Pediatric Residency programs.Curriculum, Tool or MaterialConfidential peer-support sessions were created and piloted. Residents preferred peer facilitators, rather than staff, so two residents obtained training the Faculty of Medicine's Wellness Program to lead sessions. Attendance at rounds was voluntary; however, overall attendance was recorded along with feedback from pilot sessions. Discussion topics included difficult patient encounters, poor patient outcomes, challenges in residency, and ethical issues. Post implementation feedback demonstrated that Ice Cream Rounds was a helpful forum for residents to discuss important issues with colleagues.
This is the first Canadian EM training program to adapt, implement, and evaluate peer-support wellness rounds for debriefing, and this initiative can be easily adopted by any EM training program.
引言/创新理念 急诊医学（EM）要求医生在快节奏和动态的环境中处理急症患者，这为关键事件后的汇报造成了障碍。这些独特的挑战会对健康产生负面影响。我们试图在急诊住院医师培训中采用并实施一种名为“冰淇淋轮班”的同伴支持健康计划。 方法：在渥太华大学对急诊住院医师进行了需求评估调查，以了解他们对该计划设计的兴趣和意见。会议的结构是从加拿大儿科住院医师培训计划中的类似举措中改编而来的。创建并试点了机密的同伴支持会议。住院医师更喜欢同伴导师，而不是工作人员，因此两名住院医师获得了医学系健康计划的培训，以领导会议。参加轮班是自愿的，但记录了总体出勤率以及试点会议的反馈。讨论主题包括困难的患者遭遇、不良的患者结局、住院医师的挑战和伦理问题。实施后的反馈表明，冰淇淋轮班是住院医师与同事讨论重要问题的有益论坛。 结论：这是加拿大首个适应、实施和评估同伴支持健康轮班进行汇报的急诊医学培训计划，任何急诊医学培训计划都可以轻松采用这一计划。
