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创伤后反应:继发性创伤如何影响个人和职业生活。

Trauma Exposure Response: How Secondary Trauma Affects Personal and Professional Life.

机构信息

Medical Director, Office of Physician and APP Fulfillment, Internal Medicine-Pediatrics, Spectrum Health/Michigan State University.

Behaviorist/Assistant Program Director of Family Medicine Residency, Spectrum Health/Michigan State University.

出版信息

MedEdPORTAL. 2021 Nov 22;17:11192. doi: 10.15766/mep_2374-8265.11192. eCollection 2021.

DOI:10.15766/mep_2374-8265.11192
PMID:34869852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8607743/
Abstract

INTRODUCTION

Well-being, both psychological and emotional, is crucial to the development of the competent, caring physician. The ACGME calls on sponsoring institutions to educate learners about topics related to well-being. Trauma exposure response, also known as secondary trauma, is a common phenomenon experienced by physicians. It is important to recognize and mitigate the effects of trauma exposure response, as it can have profound effects on personal and professional lives. We found no resources on trauma exposure response or secondary trauma that include physicians as the audience.

METHODS

This 1-hour, interactive session was developed to embed a wellness program into protected time for residents and fellows across the institution. The session was led by a faculty member and consisted of an interactive presentation and a small-group discussion.

RESULTS

Twenty-eight of 32 programs at our institution participated in the sessions. This included a total of 292 residents and fellows to whom this session was offered. The session was successful in meeting the educational objectives and was rated as valuable or extremely valuable by most residents and fellows. Trainees appreciated protected time for this discussion and valued the opportunity to have open, honest conversations with their colleagues.

DISCUSSION

This effective session delivered meaningful content about trauma exposure response and reviewed coping strategies. Institutional support of protected time was a success factor. The sessions were well received by residents and fellows and can be used across disciplines.

摘要

简介

无论是心理上还是情感上的幸福感,对于培养有能力、有爱心的医生都至关重要。ACGME 呼吁主办机构教育学习者了解与幸福感相关的主题。创伤反应,也称为二次创伤,是医生经常经历的一种常见现象。认识和减轻创伤反应的影响很重要,因为它会对个人和职业生活产生深远的影响。我们没有发现任何将医生作为受众的关于创伤反应或二次创伤的资源。

方法

这个 1 小时的互动课程旨在将健康计划嵌入到机构内的住院医师和研究员的受保护时间中。该课程由一名教师领导,包括互动演示和小组讨论。

结果

我们机构的 32 个项目中有 28 个参加了课程。这包括总共 292 名住院医师和研究员,他们都有机会参加这个课程。该课程成功地达到了教育目标,并且大多数住院医师和研究员都认为它非常有价值或极其有价值。学员们非常感谢有这个讨论的保护时间,并重视与同事进行开放、诚实的对话的机会。

讨论

这个有效的课程提供了关于创伤反应的有意义的内容,并回顾了应对策略。机构对受保护时间的支持是一个成功因素。这些课程受到住院医师和研究员的欢迎,可以在不同学科中使用。

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本文引用的文献

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Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis.控制干预措施以减少医生的倦怠感:系统评价和荟萃分析。
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Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout.行政领导与医生福祉:促进参与度和减少职业倦怠的九种组织策略。
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