Nagy Christopher, Schwabe Donna, Jones Woodson, Brown Alexander, Shupe Matthew, Mancone Angelica, Camillocci James
Anesthesiology Program Director, San Antonio Uniformed Services Health Education Consortium; Chairman, Physician Wellness Committee, San Antonio Uniformed Services Health Education Consortium.
Clinical Psychologist, San Antonio Uniformed Services Health Education Consortium; Co-Chair, Physician Wellness Committee, San Antonio Uniformed Services Health Education Consortium; Director, HARBOR.
MedEdPORTAL. 2016 Nov 29;12:10508. doi: 10.15766/mep_2374-8265.10508.
Physician wellness has garnered significant recent national attention within graduate medical education (GME). Unfortunately, the resources to proactively address burnout, depression, and suicide are lacking. The "Time to Talk About It: Physician Depression and Suicide" video/discussion session is specifically designed for the GME community.
The primary focus of this 60-minute video/discussion session is to promote an open dialogue among interns, residents, and fellows about depression and suicide within the profession of medicine. The centerpiece of the session is a 7-minute video featuring personal accounts from physicians at the San Antonio Uniformed Services Health Education Consortium (SAUSHEC). The materials associated with the publication include the video, a guide for facilitating group discussion following the video, a list of questions to guide small-group discussions, a session evaluation form, and examples of mental health resources for distribution at the end of the session.
A field test of the video/discussion session with 22 trainees from the pediatrics residency program at SAUSHEC was very well received. Their average response to "This session was an effective first step in promoting an open dialogue among physicians about depression and suicide within the profession" was 4.5 out of 5 (i.e., Strongly Agree). One hundred percent of participants answered "Yes" to the question "Would you recommend this session to other physicians?"
We hope that this resource will be useful to other institutions around the country as they confront physician burnout, depression, and suicide.
医师健康问题最近在研究生医学教育（GME）领域受到了全国的广泛关注。不幸的是，目前缺乏积极应对职业倦怠、抑郁和自杀问题的资源。“是时候谈谈了：医师抑郁与自杀”视频/讨论环节是专门为GME群体设计的。
这个60分钟的视频/讨论环节的主要重点是促进实习医生、住院医生和研究员之间就医学职业中的抑郁和自杀问题展开公开对话。该环节的核心是一个7分钟的视频，其中展示了圣安东尼奥军事卫生教育联盟（SAUSHEC）的医生们的个人经历。与该出版物相关的材料包括视频、视频播放后促进小组讨论的指南、引导小组讨论的问题列表、环节评估表以及在环节结束时发放的心理健康资源示例。
对SAUSHEC儿科住院医师项目的22名学员进行的视频/讨论环节实地测试获得了很好的反响。他们对“该环节是促进医师之间就医学职业中的抑郁和自杀问题展开公开对话的有效第一步”这一问题的平均回答是4.5分（满分5分，即强烈同意）。100%的参与者对“你会向其他医师推荐这个环节吗？”这个问题回答“是”。
我们希望这个资源对全国其他机构在应对医师职业倦怠、抑郁和自杀问题时有所帮助。
