Monash Ageing Research Centre (MONARC), Monash University, Melbourne, VIC, Australia.
Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.
Adv Exp Med Biol. 2020;1195:117-126. doi: 10.1007/978-3-030-32633-3_16.
Medical training in Australia has been clouded in recent times by media reporting on the tragic suicides of multiple trainees. This has brought attention to the stressful demands of the medical profession and the often-poor wellbeing of trainees, who must balance both study and work demands. Psychiatry trainees in particular face unique stressors in the workplace, being in a profession that carries a high emotional burden. Psychiatry trainees encounter suicides by patients and colleagues at an alarmingly high rate and commonly experience isolation, unrealistic workloads and stigma towards their chosen specialty. This literature review will highlight the extent to which these factors impact on psychiatry trainees. We will also explore the factors that contribute to their wellbeing, including the role of supervision, as well as leisurely and social activities. This review will look at the availability of these supports to psychiatry trainees and whether their lifestyles allow them time to spend on these activities. Though it is impossible to remove all stressors from psychiatry, interventions to improve trainee wellbeing must consider factors that improve resilience and support as well as target change to the culture in medicine that currently promotes stress and overwork. It must be recognised that trainees who feel supported and mentally well will perform better in the workplace in the long run, and, in this review, we will speculate about how workplace changes that are occurring for psychiatry trainees in Victoria, Australia, may affect their wellbeing.
澳大利亚的医学培训近年来一直受到媒体对多名受训者悲惨自杀事件的报道的影响。这引起了人们对医疗行业的高压力要求和受训者的健康状况不佳的关注，他们必须平衡学习和工作的需求。精神科受训者在工作场所面临着独特的压力源，他们从事的职业情绪负担沉重。精神科受训者以惊人的高频率遇到患者和同事的自杀事件，并且经常感到孤立、工作量不切实际和对他们选择的专业的污名化。这篇文献综述将重点介绍这些因素对精神科受训者的影响程度。我们还将探讨影响他们福祉的因素，包括监督的作用，以及休闲和社交活动。本综述将研究这些支持措施对精神科受训者的可及性，以及他们的生活方式是否允许他们有时间从事这些活动。虽然不可能从精神科完全消除所有压力源，但改善受训者福祉的干预措施必须考虑到提高适应力和支持的因素，并针对目前促进压力和过度工作的医学文化进行变革。必须认识到，从长远来看，感到得到支持和心理健康的受训者在工作场所的表现会更好，在这篇综述中，我们将推测澳大利亚维多利亚州精神科受训者正在发生的工作场所变化如何影响他们的福祉。
