Harvard South Shore Psychiatry Residency Training Program, VA Boston Healthcare System; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Harvard South Shore Psychiatry Residency Training Program, VA Boston Healthcare System; Department of Psychiatry, Harvard Medical School; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Educ Health (Abingdon). 2021 Sep-Dec;34(3):113-117. doi: 10.4103/efh.EfH_354_20.
Wellness in residency is increasingly considered a vital part of medical training. Yet to be widely explored are efforts that focus particularly on 1-year residents (i.e., interns), who likely experience unique professional changes. We developed and implemented, within a psychiatry residency training program, a process of individualized wellness check-ins with interns by chief residents throughout an academic year.
At the beginning of the academic year, a one-page baseline questionnaire was completed by interns anticipating how the chief residents can best support them. During check-ins, the chief residents asked about interns' residency experiences and wellness. The check-ins were conducted at frequencies requested by each intern. Chief residents sought open verbal feedback from the interns, and more structured feedback was collected 6 months into the academic year, using a brief four-question mid-year questionnaire.
Check-ins were conducted with all eight interns in the program. Baseline questionnaire responses indicated interns' preferences for more mentorship, communication across the program, and socialization. Regular check-ins started at intern-desired frequencies, and their content was guided by individual interns' questionnaire responses. Feedback from interns shaped the frequency/content of subsequent check-ins.
This regular check-in process is an early attempt to explicitly delineate what chief residents can do to support intern wellness. This process can be adapted to meet specific individual/program needs. Further work is warranted to rigorously (i) examine measurable impact of the process on intern wellness and (ii) compare the impact to those of other emerging practices that use regular check-ins to target intern wellness.
居住者的健康越来越被认为是医学培训的重要组成部分。然而，目前仍在探索的重点是针对 1 年居住者（即实习生）的努力，他们可能经历独特的专业变化。我们在精神病学住院医师培训计划中开发并实施了一个由住院医师主管在整个学年内对实习生进行个性化健康检查的过程。
在学年开始时，实习生填写了一页的基线问卷，预测住院医师主管如何最好地支持他们。在检查中，住院医师主管询问实习生的住院医师经历和健康状况。检查的频率由每个实习生要求。住院医师主管征求实习生的公开口头反馈，并在学年进行到 6 个月时，使用简短的四问题年中问卷收集更结构化的反馈。
该计划中的所有 8 名实习生都进行了检查。基线问卷的回复表明，实习生更喜欢更多的指导、整个计划的沟通和社交。定期检查从实习生期望的频率开始，并根据个别实习生问卷的回复指导其内容。实习生的反馈塑造了随后检查的频率/内容。
这种定期检查的过程是明确界定住院医师主管可以做些什么来支持实习生健康的早期尝试。这个过程可以根据具体的个人/计划需求进行调整。需要进一步的工作来严格（i）检查该过程对实习生健康的可衡量影响，以及（ii）将其影响与使用定期检查来针对实习生健康的其他新兴实践进行比较。
