Institut für Didaktik und Ausbildungsforschung in der Medizin am Klinikum der LMU München, Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, Munich, Germany.
BMC Med Educ. 2021 Nov 12;21(1):573. doi: 10.1186/s12909-021-02933-z.
Resilience is a widely-used catchword in the last couple of years to describe the resistance to psychological strains of life, especially for the healthcare work-force. The promises of resilience to burnout sound great and what we all would want: less health impairment despite stress, higher work satisfaction and last but not least higher work performance. There is research that shows that students and physicians have high emotional distress and low resilience, yet comparably little is known which aspects of resilience are exactly impaired in the upcoming work-force. With our study we investigated the in-depth resilience status of medical graduates from five medical schools within their first year after graduation. In this, additionally to assessing the resilience status as a whole we investigate the answers on the singular items and the relationship of the resilience status with neighboring constructs.
In 2018, 1610 human medical graduates from five Bavarian medical schools were asked to take part at cross-sectional Bavarian graduate survey (Bayerische Absolventenstudie Medizin, MediBAS). The response rate was 38,07, 60% of the participants were female. For the identification of the in-depth resilience status we included the 5-point Likert 10-Item Connor-Davidson Resilience Scale, German Version in a graduate survey posted to 5 medical schools and over 1610 eligible participants of whom 610 (60% female) filled out at least parts of the survey. To identify relationships to other aspects we posed further questionnaires.
The resilience status showed a mean resilience score of M = 37.1 (SD = 6.30). The score ranges from 3.22 (I am not easily discouraged by failure) to 4.26 (I am able to adapt to change). One third of the participants chose not to answer the item "I am able to handle unpleasant feeling". Relationships to job satisfaction, scientific competence and stress are presented in the article.
The study shows that the overall resilience status of medical graduates one year after their graduation is rather high, but subjectively they do not feel equivalently resilient for the different aspects they face in their job. Especially, how to handle their emotions seems to be challenging for some of the young physicians. In the article we sketch ideas how to handle the specific training needs the study has identified.
在过去几年中，“韧性”一词被广泛用于描述对生活心理压力的抵抗力，尤其是对于医疗保健工作者。韧性可以预防倦怠，这一承诺听起来很不错，也是我们大家都想要的：尽管有压力，但健康受损程度更低，工作满意度更高，最后但并非最不重要的是工作绩效更高。有研究表明，学生和医生的情绪困扰程度较高，韧性较低，但对于即将进入工作岗位的人员来说，韧性究竟在哪些方面受损，我们知之甚少。通过我们的研究，我们调查了来自五所医学院的医学毕业生在毕业后第一年的深入韧性状况。在这项研究中，除了评估整体韧性状况外，我们还调查了对单个项目的回答以及韧性状况与相邻结构的关系。
2018 年，我们邀请了来自巴伐利亚州五所医学院的 1610 名人类医学毕业生参加横断面巴伐利亚毕业生调查（Bayerische Absolventenstudie Medizin，MediBAS）。回应率为 38.07%，其中 60%的参与者为女性。为了确定深入的韧性状况，我们在向五所医学院和 1610 名符合条件的参与者中的 610 名（60%为女性）发布的毕业生调查中纳入了 5 点李克特 10 项康纳-戴维森韧性量表，德国版，以确定与其他方面的关系，我们提出了进一步的问卷。
韧性状况显示平均韧性评分为 M=37.1（SD=6.30）。分数范围从 3.22（我不容易因失败而气馁）到 4.26（我能够适应变化）。三分之一的参与者选择不回答“我能够处理不愉快的感觉”这一项目。文章中介绍了与工作满意度、科学能力和压力的关系。
该研究表明，医学毕业生毕业后一年的整体韧性状况相当高，但主观上他们对工作中面临的不同方面的韧性感觉并不相同。特别是，对一些年轻医生来说，如何处理自己的情绪似乎是一个挑战。在本文中，我们勾勒出了如何处理研究确定的特定培训需求的想法。
