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不是你不好,是我不配:学会应对医患关系。

It's Not You, It's Me: Learning to Navigate the Patient-Physician Relationship.

机构信息

Icahn School of Medicine at Mount Sinai, New York, New York.

出版信息

Ann Fam Med. 2021 May-Jun;19(3):271-273. doi: 10.1370/afm.2644.

Abstract

In this essay, a medical student details how she struggled to let go of a patient with whom she connected throughout the patient's pregnancy during her second year of medical school. Although she learned in her preclinical "doctoring" courses how to build quick connections with patients, such training did not delve into how to manage meaningful, emotionally complex connections that may form with patients during longitudinal rotations or, as in this case, extracurricular activities. While primary care physicians may have decades of practice managing evolving longitudinal relationships, medical students who form strong connections with patients are just learning what it means to navigate those relationships, some of which come to an end. Reflecting on the end of this particular relationship helped the author appreciate the power of the longitudinal physician-patient relationship and taught her that taking care of patients also requires taking care of one's self.

摘要

在这篇文章中,一位医学生详细描述了她在医学院第二年的实习期间,如何努力放下一位与她在整个孕期都有联系的患者。尽管她在临床前的“行医”课程中学习了如何与患者建立快速联系,但这种培训并没有深入探讨如何管理可能在纵向轮转期间或在这种情况下与患者建立的有意义的、情感复杂的联系。虽然初级保健医生可能有几十年的实践经验来管理不断发展的纵向关系,但与患者建立了牢固联系的医学生才刚刚开始了解管理这些关系的含义,其中一些关系会结束。反思这段特殊关系的结束帮助作者理解了纵向医患关系的力量,并教导她照顾患者还需要照顾自己。

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本文引用的文献

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Physician burnout: contributors, consequences and solutions.医生职业倦怠:成因、后果及应对策略。
J Intern Med. 2018 Jun;283(6):516-529. doi: 10.1111/joim.12752. Epub 2018 Mar 24.
2
Impact of the Doctor-Patient Relationship.医患关系的影响。
Prim Care Companion CNS Disord. 2015 Oct 22;17(5). doi: 10.4088/PCC.15f01840. eCollection 2015.

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