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减少 burnout 并促进健康的策略:医学受训者和早期职业放射肿瘤学家的个人财务健康。

A Burnout Reduction and Wellness Strategy: Personal Financial Health for the Medical Trainee and Early Career Radiation Oncologist.

机构信息

Department of Radiation Oncology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.

Department of Emergency Medicine, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina.

出版信息

Pract Radiat Oncol. 2019 Jul-Aug;9(4):231-238. doi: 10.1016/j.prro.2019.02.015. Epub 2019 Mar 7.

Abstract

PURPOSE

Physician burnout is reported in more than one out of every 2 practicing clinicians and is just as prevalent in training physicians. Burnout severity is also associated with increasing levels of financial debt. Medical professionals are notable for their high and increasing levels of debt; despite this, financial literacy is poor among physicians, and financial education is largely absent from medical education. Radiation oncologists (ROs) are no different in this regard, with 33% of residents reporting high levels of burnout symptoms, 33% carrying >$200,000 of educational debt, and 75% reporting being unprepared to handle future financial decisions. To fill this gap, we reviewed the basic tenets of personal financial health for the early career RO.

METHODS AND MATERIALS

The core concept of financial independence (FI) is introduced, and we review 4 basic tenets of personal financial health for the young medical professional: debt, behavior, investment, and asset protection strategies.

RESULTS

FI is achieved by saving until the desired quality of life can be maintained, independent of employment income. Debt strategy involves minimizing debt accrual, understanding student loans, and having a debt management plan. Behavioral strategy involves setting financial goals, calculating worth and a savings rate, budgeting, and frugal living. The basics of investing include asset allocation, diversification, rebalancing, and minimizing expenses. Finally, asset protection includes insuring against catastrophic events with disability, life, health, liability, and property insurance.

CONCLUSIONS

Healthy financial practices can lead to FI and may facilitate professional and personal freedoms with the goal of mitigating burnout-associated stressors. The tenets of strong financial health for ROs in the early stages of their career include sound debt, behavioral, investment, and asset protection strategies. Furthermore, initial and continuing financial education is an overlooked but important curriculum component. ROs with their financial houses in order can devote more resources to learning and practicing good medicine while living healthy, rewarding lives.

摘要

目的

每两名执业临床医生中就有超过一名报告称出现医生倦怠,在培训医生中也同样普遍。倦怠严重程度与不断增加的财务债务有关。医疗专业人员的债务水平高且不断增加;尽管如此,医生的金融知识水平却很差,而且金融教育在医学教育中基本上是缺失的。放射肿瘤学家(RO)在这方面也没有什么不同,有 33%的住院医师报告称出现高度倦怠症状,33%的人背负超过 20 万美元的教育债务,75%的人表示他们没有准备好应对未来的财务决策。为了填补这一空白,我们回顾了早期职业 RO 的个人财务健康的基本原则。

方法和材料

引入了财务独立(FI)的核心概念,我们回顾了年轻的医疗专业人员个人财务健康的 4 个基本原则:债务、行为、投资和资产保护策略。

结果

FI 通过储蓄实现,直到能够维持所需的生活质量,而无需依赖就业收入。债务策略包括最大限度地减少债务累积、了解学生贷款和制定债务管理计划。行为策略包括设定财务目标、计算价值和储蓄率、预算和节俭生活。投资的基础知识包括资产配置、多样化、再平衡和最小化支出。最后,资产保护包括通过残疾、人寿、健康、责任和财产保险来防范灾难性事件。

结论

健康的财务实践可以实现 FI,并可能促进专业和个人自由,从而减轻与倦怠相关的压力源。RO 在职业生涯早期的健康财务原则包括健全的债务、行为、投资和资产保护策略。此外,初始和持续的金融教育是一个被忽视但重要的课程组成部分。财务状况良好的 RO 可以将更多资源用于学习和实践良好的医学,同时过上健康、有回报的生活。

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