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《医学学习者倦怠:成因与后果》

The Silent Epidemic: Causes and Consequences of Medical Learner Burnout.

机构信息

University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI, 48109, USA.

Department of Anesthesiology, The University of Toledo College of Medicine & Life Sciences, Toledo, OH, USA.

出版信息

Curr Psychiatry Rep. 2020 Nov 28;22(12):86. doi: 10.1007/s11920-020-01211-x.

Abstract

PURPOSE OF REVIEW

Clinician burnout has significant socioeconomic, health, and quality of life implications. However, there has been little attention directed at medical students and house officers (i.e., medical learners). This review provides pertinent evidence regarding burnout as it relates to medical learners including risk factors and potential interventions. We conclude with recommendations on future research directions and potential approaches to address this epidemic of medical learner burnout.

RECENT FINDINGS

Burnout is a significant issue among medical learners that is impacted both by interpersonal and environmental factors. There are points of heightened vulnerability for medical learners throughout their training. However, studies are unable to reach consensus regarding effective interventions to mitigate the impact of burnout. Furthermore, some elements of burnout are not readily reversible even after removing risk factors. Burnout is a significant concern for medical learners with wide-ranging physical, emotional, and psychosocial consequences. However, the current body of literature is sparse and does not provide consistent guidance on how to address burnout in medical learners. It is clear additional attention is needed in understanding burnout among learners and establishing proactive approaches to minimize its negative impact.

摘要

目的综述

临床医生倦怠对社会经济、健康和生活质量都有重大影响。然而,针对医学生和住院医师(即医学学习者)的关注却很少。本综述提供了与医学学习者倦怠相关的重要证据,包括风险因素和潜在的干预措施。我们最后提出了未来研究方向的建议和解决医学学习者倦怠这一流行问题的潜在方法。

最近的发现

倦怠是医学生中的一个重大问题,它受到人际和环境因素的影响。在整个培训过程中,医学生都有一些脆弱的时刻。然而,研究无法就减轻倦怠影响的有效干预措施达成共识。此外,即使消除了风险因素,倦怠的某些方面也不容易逆转。倦怠是医学生的一个重大问题,会对他们的身体、情感和心理社会产生广泛的影响。然而,目前的文献还很缺乏,无法就如何解决医学生的倦怠问题提供一致的指导。显然,需要更多关注来理解学习者的倦怠问题,并制定积极主动的方法来最小化其负面影响。

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