Osanlou Orod, Hull Richard
Warrington and Halton Hospitals NHS Foundation Trust, Warrington and University of Liverpool, Liverpool, UK.
King's College Hospital NHS Foundation Trust, London, UK.
Future Hosp J. 2017 Feb;4(1):45-48. doi: 10.7861/futurehosp.4-1-45.
The face of medical training has transformed over the last two decades. This has impacted education and training, work ethic and pride within the profession. There are serious concerns that rigid working hours, shift systems, erosion of team-working (with all of the implications this carries for the essential 'apprenticeship' of postgraduate medical training) and repeated political interference will transform the millennial doctor into a 'blue collar' worker. Morale is at an all-time low and more needs to be done to support and value junior doctors, raise awareness of work-life balance issues and improve working lives. Initiatives such as the Royal College of Physicians' report and the chief registrar project are crucial triggers to raise morale and restore pride in this most rewarding of professions.
在过去二十年里,医学培训的面貌已经发生了改变。这对教育与培训、职业道德以及行业内的自豪感都产生了影响。人们严重担忧,严格的工作时间、轮班制度、团队协作的削弱(这对研究生医学培训这一至关重要的“学徒期”产生了诸多影响)以及反复的政治干预,会将千禧一代的医生变成“蓝领”工人。士气处于历史最低点,需要采取更多措施来支持和重视初级医生,提高对工作与生活平衡问题的认识,并改善工作状况。诸如皇家内科医师学院的报告和总住院医师项目等举措,对于提升士气以及恢复对这个最有意义的职业的自豪感而言,是至关重要的触发因素。