Fortenberry Katherine T, Van Hala Sonja, Frost Caren J
Division of Family Medicine, Department of Family and Preventive Medicine, University of Utah.
College of Social Work, University of Utah.
PRiMER. 2017 Aug 8;1:12. doi: 10.22454/PRiMER.2017.597444. eCollection 2017 Sep.
Residency training is a peak time of physician distress, but also a venue in which residents can learn skills to thrive in a high-risk career. The goal of this study was to examine residents' perceptions of the value of teaching wellness as an integrated component of a residency program.
Researchers at the University of Utah Family Medicine Residency Program conducted a focus group with graduating family medicine residents regarding their perception of wellness and wellness skills, after having completed an intentional wellness curriculum integrated through their 3 years of residency. We used open coding to identify themes of the residents' perceptions of the wellness curriculum.
Four interconnected themes emerged: (1) describing the relevance of wellness to a medical career; (2) the wellness curriculum as prioritized and intentional; 3) The value of wellness skills learned through the curriculum; and (3) the role of community ethos in maintaining wellness.
Residents consider wellness to be a critical facet of being an effective physician. Our results suggest that a culture of wellness can be created through deliberate and transparent curricular design, helping residents to view wellness as a priority.
住院医师培训是医生压力的高峰期，但也是住院医师学习在高风险职业中蓬勃发展技能的场所。本研究的目的是调查住院医师对将健康教学作为住院医师培训项目综合组成部分的价值的看法。
犹他大学家庭医学住院医师培训项目的研究人员在完成了贯穿三年住院医师培训的有意为之的健康课程后，与即将毕业的家庭医学住院医师进行了焦点小组讨论，了解他们对健康和健康技能的看法。我们使用开放式编码来确定住院医师对健康课程看法的主题。
出现了四个相互关联的主题：（1）描述健康与医学职业的相关性；（2）将健康课程作为优先事项且有意为之；（3）通过课程学到的健康技能的价值；以及（4）社区风气在维持健康方面的作用。
住院医师认为健康是成为一名有效医生的关键方面。我们的结果表明，可以通过精心设计和透明的课程设计来营造健康文化，帮助住院医师将健康视为优先事项。
