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医学生的心理健康:是时候采取行动了。

Mental health in medical students: time to act.

作者信息

Awad Fady, Awad Mina, Mattick Karen, Dieppe Paul

机构信息

Royal Gwent Hospital, Newport, UK.

Gloucester Royal Hospital, Gloucester, UK.

出版信息

Clin Teach. 2019 Aug;16(4):312-316. doi: 10.1111/tct.13047. Epub 2019 Jun 28.

Abstract

BACKGROUND

Mental health problems are prevalent amongst medical students. However, many students delay seeking medical help or support from the medical school for a variety of reasons, including a fear of facing fitness to practice proceedings. Tackling this problem of awareness and delayed presentation will need a strong and dedicated focus at all stages, with prevention being of great importance.

METHODS

A conference dedicated to mental health and well-being was organised for students of all years. The first part of the conference centred on well-being dilemmas and the second part focused on discussing important issues in small group sessions.

RESULTS

Students were divided into eight groups and each group suggested improvements to the course that they felt would improve mental health and well-being. The main suggestions raised were: reassurance that the disclosure of mental health problems would not automatically result in fitness to practice proceedings; separate academic and pastoral roles of tutors; open up the topic of mental health and well-being more frequently during the programme; improve knowledge about the availability of support services; and have mentors who are at an earlier stage in postgraduate training (e.g. junior doctors).

DISCUSSION

It is necessary to tackle the prevalent myths about this topic. Many students are unaware of the support services available. This conference has therefore sought to increase awareness of the topic. An approach is also now needed to identify those who need extra help. The authors strongly advocate opening up this topic throughout the course in the context of a dedicated conference, for example. Many students are unaware of the support services available The authors strongly advocate opening up this topic throughout the course in the context of a dedicated conference ….

摘要

背景

心理健康问题在医学生中很普遍。然而,许多学生由于各种原因推迟寻求医疗帮助或向医学院寻求支持,包括害怕面临行医资格审查程序。解决这一认知和延迟就诊问题需要在各个阶段都给予强有力且专注的关注,预防至关重要。

方法

为各年级学生组织了一次关于心理健康与幸福的会议。会议的第一部分聚焦于幸福困境,第二部分则侧重于在小组讨论中探讨重要问题。

结果

学生被分成八个小组,每个小组都提出了他们认为能改善心理健康与幸福的课程改进建议。主要提出的建议有:确保披露心理健康问题不会自动导致行医资格审查程序;明确导师的学术和辅导职责;在课程中更频繁地展开心理健康与幸福的话题;提高对支持服务可用性的了解;以及配备处于研究生培训早期阶段的导师(如初级医生)。

讨论

有必要解决关于这个话题的普遍误解。许多学生不知道可用的支持服务。因此,本次会议旨在提高对该话题的认识。现在还需要一种方法来识别那些需要额外帮助的人。例如,作者强烈主张在专门会议的背景下,在整个课程中展开这个话题。许多学生不知道可用的支持服务。作者强烈主张在专门会议的背景下,在整个课程中展开这个话题……

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