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医学生的幸福感和倦怠感:挑战与解决方案。

Well-being and burnout in medical students: challenges and solutions.

机构信息

Professor Emeritus, Mental Health & Cultural Diversity, IoPPN, Kings College, LondonSE5 8AF, UK.

Oxford Health NHS Foundation Trust, Oxford, UK.

出版信息

Ir J Psychol Med. 2024 Jun;41(2):175-178. doi: 10.1017/ipm.2022.26. Epub 2022 May 30.

Abstract

Medicine (like many others) can be an extremely stressful profession. The pressures faced by clinicians are often related to 'life and death' situations that can lead to high levels of stress and distress. Students and trainees in a variety of allied health professions face similar pressures related to study or work environments. The practice of medicine continuously evolves and changes, and so too do the pressures. If the correct support is not accessible, this can result in burnout. Medical students are generally at a vulnerable stage in life (18-24 years) when they are more likely to develop mental health problems. A recent focus on the mental health and well-being of medical students has highlighted various worrying trends with a series of studies from around the world highlighting surprisingly high rates of stress and burnout among medical students, and fairly similar contributory factors. Despite the challenge of defining and measuring burnout, these studies indicate an urgent need for changes in methods of teaching, alongside rapid access to support. In this editorial, we make some proposals that could help the next generation of doctors to look after themselves and their patients. Medical schools have a moral and ethical obligation to ensure the well-being of their students in these stressful times.

摘要

医学(和许多其他学科一样)可能是一个压力极大的职业。临床医生面临的压力通常与“生死攸关”的情况有关,这些情况可能导致高度的压力和困扰。各种辅助医疗专业的学生和实习生也面临着与学习或工作环境相关的类似压力。医学实践在不断发展和变化,压力也是如此。如果无法获得正确的支持,这可能会导致倦怠。医学生通常处于生命的脆弱阶段(18-24 岁),更容易出现心理健康问题。最近对医学生心理健康和福祉的关注突显了各种令人担忧的趋势,世界各地的一系列研究表明,医学生的压力和倦怠率惊人地高,而且促成因素相当相似。尽管在定义和衡量倦怠方面存在挑战,但这些研究表明,迫切需要改变教学方法,并提供快速获得支持的途径。在这篇社论中,我们提出了一些建议,这些建议可能有助于下一代医生照顾自己和他们的病人。医学院在这个充满压力的时代有道德和伦理义务确保学生的福祉。

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