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“在实习年蓬勃发展”:一项促进医学生身心健康的课程

"Flourish in the Clerkship Year": a Curriculum to Promote Wellbeing in Medical Students.

作者信息

Flickinger Tabor E, Kon Rachel H, Jacobsen Beck, Schorling John, May Natalie, Harrison Madaline, Plews-Ogan Margaret

机构信息

Division of General, Geriatric, Palliative & Hospital Medicine, Department of Medicine, University of Virginia School of Medicine, P.O. Box 800744, VA 22908 Charlottesville, USA.

University of Virginia School of Medicine, Charlottesville, VA USA.

出版信息

Med Sci Educ. 2022 Feb 26;32(2):315-320. doi: 10.1007/s40670-022-01522-z. eCollection 2022 Apr.

DOI:10.1007/s40670-022-01522-z
PMID:35528301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9054975/
Abstract

UNLABELLED

The stresses of medical training can lead to burnout and other adverse outcomes. The Flourish curriculum was designed to mitigate negative effects of stress among clerkship students through debriefing and skills-building activities that foster practical wisdom: mindfulness, appreciative practice, story-telling/listening, and reflection. Students rated the curriculum highly, felt it addressed common concerns about clerkships, and were able to apply techniques from the curriculum to their clinical work. This framework can help students process their experiences and benefit from peer support, mentorship, and reflection. Fostering medical students' wisdom capacities for reflection and compassion may be protective against burnout during their training.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-022-01522-z.

摘要

未标注

医学培训的压力可能导致职业倦怠和其他不良后果。“蓬勃发展”课程旨在通过促进实践智慧的汇报和技能培养活动(正念、欣赏性实践、讲故事/倾听和反思)来减轻实习学生压力的负面影响。学生对该课程评价很高,认为它解决了对实习的常见担忧,并且能够将课程中的技巧应用到临床工作中。这个框架可以帮助学生处理他们的经历,并从同伴支持、指导和反思中受益。培养医学生反思和同情的智慧能力可能有助于预防他们在培训期间出现职业倦怠。

补充信息

在线版本包含可在10.1007/s40670-022-01522-z获取的补充材料。

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本文引用的文献

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Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial.正念干预对医学生和心理学学生正念、应对方式和幸福感的六年积极影响;一项随机对照试验的结果。
PLoS One. 2018 Apr 24;13(4):e0196053. doi: 10.1371/journal.pone.0196053. eCollection 2018.
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Abridged mindfulness intervention to support wellness in first-year medical students.简化的正念干预以支持一年级医学生的健康。
Teach Learn Med. 2014;26(4):350-6. doi: 10.1080/10401334.2014.945025.
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Preserving third year medical students' empathy and enhancing self-reflection using small group "virtual hangout" technology.运用小组“虚拟聚会”技术保持三年级医学生的同理心并增强自我反思能力。
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Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population.美国医学生、住院医师和早期职业医生与美国普通人群相比的倦怠情况。
Acad Med. 2014 Mar;89(3):443-51. doi: 10.1097/ACM.0000000000000134.
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Mindfulness training for stress management: a randomised controlled study of medical and psychology students.正念训练用于压力管理:对医学生和心理学学生的随机对照研究。
BMC Med Educ. 2013 Aug 13;13:107. doi: 10.1186/1472-6920-13-107.
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Defining and assessing wisdom: a review of the literature.定义和评估智慧:文献综述。
Am J Geriatr Psychiatry. 2013 Dec;21(12):1254-66. doi: 10.1016/j.jagp.2012.11.020. Epub 2013 Apr 15.
8
Perspective: the negativity bias, medical education, and the culture of academic medicine: why culture change is hard.观点:负面偏差、医学教育和学术医学文化:为什么文化变革如此艰难。
Acad Med. 2012 Sep;87(9):1205-9. doi: 10.1097/ACM.0b013e3182628f03.
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Wisdom in medicine.医学中的智慧。
Pharos Alpha Omega Alpha Honor Med Soc. 2011 Summer;74(3):12-7.
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The Mindfulness-based Stress Reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals.正念减压疗法(MBSR)可减轻医护人员的压力相关心理困扰。
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