Department of Psychiatry & Behavioural Neurosciences, Division of Geriatric Psychiatry, Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Department of Psychiatry & Behavioural Neurosciences, Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Perspect Med Educ. 2020 Apr;9(2):117-122. doi: 10.1007/s40037-020-00567-3.
There is an increasing awareness of high burnout found among physicians. Resident physicians particularly face heightened stress due to inherent pressures of training in addition to systemic challenges common to healthcare. It is crucial that medical training programs and organizations create a culture which promotes physician well-being. We conducted an evaluation of a quality assurance pilot program aimed at creating a safe space for increasing burnout awareness and well-being among resident physicians. The program was voluntary, offered to psychiatry residents enrolled at McMaster University, and comprised an online resilience curriculum, peer groups, and wellness newsletters. Data analysis took place between December 15, 2018 and July 15, 2019. The educational goals were evaluated by outcome measures obtained over time in aggregated response data through residents' anonymous survey feedback. All aspects of the triad received positive feedback, with peer groups being perceived as most helpful. Of all residents, 31% (n = 22) engaged in all three aspects of the program; the majority were female (83%) and senior residents (63%). While 48% reported burnout upon enrollment, there was an average 50% stress reduction perceived post-attendance. This project has shown that peer groups can make a difference in the daily experience of psychiatry residents at our institution.
越来越多的人意识到医生中存在高倦怠率。住院医师尤其面临更高的压力，因为除了医疗保健中常见的系统挑战外，他们还面临着内在的培训压力。医疗培训计划和组织必须营造一种促进医生健康的文化。我们对一个旨在提高住院医师倦怠意识和幸福感的质量保证试点计划进行了评估。该计划是自愿的，面向麦克马斯特大学的精神病学住院医师，包括在线弹性课程、同伴小组和健康通讯。数据分析于 2018 年 12 月 15 日至 2019 年 7 月 15 日进行。通过居民匿名调查反馈的汇总响应数据中的随时间推移获得的结果衡量标准来评估教育目标。三方的所有方面都得到了积极的反馈，同伴小组被认为最有帮助。所有住院医师中，有 31%（n=22）参与了该计划的所有三个方面；大多数是女性（83%）和高级住院医师（63%）。虽然 48%的人在入组时报告有倦怠感，但参加后平均压力降低了 50%。该项目表明，同伴小组可以改善我们机构精神病学住院医师的日常体验。
