Department of Psychology, Palo Alto University, Palo Alto, CA, and VA Northern California Health Care System, Martinez, CA.
VA Palo Alto Health Care System, Palo Alto, CA, and Stanford University School of Medicine, Stanford, CA.
Mayo Clin Proc. 2020 Dec;95(12):2719-2733. doi: 10.1016/j.mayocp.2020.05.002.
Physician burnout is common across specialties and largely driven by demands of the current health care industry. However, the obvious need for systems change does not address the unavoidable impact of providing care to those who suffer. An intentional, developmental, longitudinal approach to resiliency training would not distract from fixing a broken system or blame physicians for their distress. Existing models and approaches to resilience training are promising but limited in duration, scope, and depth. We call for and describe a career-long model, introduced early in undergraduate medical training, extending into graduate medical education, and integrated throughout professional training and continuing medical education, in intrapersonal and interpersonal skills that help physicians cope with the emotional, social, and physical impact of care provision.
医生职业倦怠在各科室都很常见,主要是由当前医疗行业的需求所导致的。然而,系统变革的明显需求并不能解决为患者提供医疗服务所带来的不可避免的影响。对韧性训练进行有目的、发展性、纵向的方法不会分散对修复破碎系统的注意力,也不会将医生的痛苦归咎于他们。现有的韧性训练模式和方法很有前景,但在持续时间、范围和深度上都有限制。我们呼吁并描述了一种贯穿职业生涯的模式,在本科医学培训早期引入,延伸到研究生医学教育,并整合到专业培训和继续医学教育中,培养医生在情感、社会和身体方面提供医疗服务的应对能力。