Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children and University of Toronto, Toronto, Ont..
Can J Ophthalmol. 2020 Jun;55(3 Suppl 1):7-16. doi: 10.1016/j.jcjo.2020.01.014. Epub 2020 Mar 20.
Physician wellness is an important issue and a growing concern within the medical profession. Although "burnout" is a commonly used term to describe physician distress, it fails to capture the many aspects of medicine that negatively impact physician wellness and what physicians experience. In this article, I will explore the personal (unhealthy perfectionism, pathologic altruism, self-recrimination, and the pitfalls of success), interpersonal (empathic distress, moral suffering, bullying, and marginalization), and systemic (medical culture, workplace environment and burnout, and health care system) factors that act interdependently and synergistically to give rise to physician distress. This article is a call for an earnest discussion and for implementing changes by addressing and reconsidering the place of physician wellness in medical practice, education, and research on the one hand, and its impact on patients, families, and society on the other.
医生的健康是一个重要的问题，也是医学界日益关注的问题。虽然“倦怠”是一个常用的术语来描述医生的痛苦，但它未能捕捉到许多方面的医学，对医生的健康和医生的经验产生负面影响。在这篇文章中，我将探讨个人（不健康的完美主义、病态利他主义、自责和成功的陷阱）、人际（同理心痛苦、道德苦难、欺凌和边缘化）和系统（医学文化、工作场所环境和倦怠、医疗保健系统）因素，这些因素相互依存、相互协同，导致医生的痛苦。这篇文章呼吁认真讨论，并通过解决和重新考虑医生在医疗实践、教育和研究中的健康状况，以及它对患者、家庭和社会的影响，来实施变革。
