Menzin Andrew W, Kline Myriam, George Cicy, Schindler Jaclyn, Yacht Andrew C, Fornari Alice
Department of Obstetrics and Gynecology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Biostatistics Unit, Feinstein Institutes for Medical Research, Northwell Health, New Hyde Park, NY.
Mayo Clin Proc Innov Qual Outcomes. 2020 Aug 20;4(5):499-505. doi: 10.1016/j.mayocpiqo.2020.05.001. eCollection 2020 Oct.
To assess the effect of a faculty development program (Mentoring and Professionalism in Training [MAP-IT]) that fosters humanism in medicine on elements of burnout and the development of resilience.
The cohort of participants was drawn from a cross-section of disciplines and represented a diverse group of health professionals, including physicians, nurses, physician assistants, pharmacists, psychologists, social workers, and chaplains. The 106 participants were divided into 12 groups, each of which was facilitated by two or three leaders. Each group completed the MAP-IT curriculum from October 1, 2017, through July 31, 2018. All participants and leaders completed the Connor-Davidson Resilience Scale and the Maslach Burnout Inventory (assessing emotional exhaustion, depersonalization, and personal accomplishment) before and after completion of the program.
The participants' scores for emotional exhaustion and depersonalization remained unchanged following the completion of the MAP-IT curriculum. However, their scores for personal accomplishment and resilience increased significantly and approximated those of the leaders.
The MAP-IT program has shown effectiveness both in fostering resilience and a sense of personal accomplishment. The time is ripe for institutional programming to create and foster the personal tools needed to prevent burnout and its sequelae.
评估一项促进医学人文精神的教师发展计划(培训中的指导与职业精神[MAP-IT])对职业倦怠因素和复原力发展的影响。
参与者群体来自不同学科,代表了包括医生、护士、医师助理、药剂师、心理学家、社会工作者和牧师在内的多元化健康专业人员群体。106名参与者被分成12组,每组由两到三名组长负责。从2017年10月1日至2018年7月31日,每个小组完成了MAP-IT课程。所有参与者和组长在课程开始前和结束后都完成了康纳-戴维森复原力量表和马氏职业倦怠量表(评估情感耗竭、去个性化和个人成就感)。
完成MAP-IT课程后,参与者的情感耗竭和去个性化得分保持不变。然而,他们的个人成就感和复原力得分显著提高,接近组长的得分。
MAP-IT计划在培养复原力和个人成就感方面已显示出成效。开展机构项目以创造和培养预防职业倦怠及其后遗症所需的个人能力的时机已经成熟。