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虚拟专业发展辅导计划对女性外科住院医师职业成就感和幸福感的影响:一项随机对照试验。

Impact of a Virtual Professional Development Coaching Program on the Professional Fulfillment and Well-Being of Women Surgery Residents: A Randomized Controlled Trial.

作者信息

Palamara Kerri, McKinley Sophia K, Chu Jacqueline T, Merrill Andrea L, Yu Liyang, Parangi Sareh, Makowski Maryam S, Park Yoon Soo, Donelan Karen, Stein Sharon L

机构信息

Department of Medicine, Massachusetts General Hospital, Boston, MA.

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.

出版信息

Ann Surg. 2023 Feb 1;277(2):188-195. doi: 10.1097/SLA.0000000000005562. Epub 2022 Jun 29.

Abstract

OBJECTIVE

Evaluate the effect of a virtual coaching program offered to women surgery residents in a surgical society.

BACKGROUND

Randomized controlled experiments evaluating the effect of coaching on trainee well-being and burnout is lacking.

METHODS

Women surgery residents in the Association of Women Surgeons were recruited to participate in a randomized controlled trial of the effects of a virtual coaching program on trainee well-being. Attending surgeons served as coaches after completing in-person training. Residents (n=237) were randomized to intervention (three 1:1 coaching sessions over 9 mo) or control (e-mailed wellness resources). Participants were surveyed at baseline and postintervention using validated measures of well-being, burnout, and resilience. Changes in outcome measures between presurvey and postsurvey were compared between study arms.

RESULTS

Survey response rates were 56.9% (n=66) in the control group and 69.4% (n=84) in the intervention group ( P =0.05). The intervention group showed significant improvement in professional fulfillment ( P =0.021), burnout (0.026), work exhaustion (0.017), self-valuation (0.003), and well-being ( P =0.002); whereas the control group showed significant improvement in self-valuation ( P =0.015) and significant decline in resilience ( P =0.025). The intervention group had a significant improvement in well-being ( P =0.015) and intolerance of uncertainty ( P =0.015) compared to controls.

CONCLUSIONS

Women surgery residents who participated in a remote coaching program offered by a surgical society demonstrated improvement in aspects of well-being relative to peers who did not receive coaching. Therefore, remote coaching offered by a professional society may be a useful component of initiatives directed at trainee well-being.

摘要

目的

评估在一个外科学会中为女性外科住院医师提供的虚拟辅导项目的效果。

背景

缺乏评估辅导对学员幸福感和职业倦怠影响的随机对照实验。

方法

招募女性外科医师协会的女性外科住院医师参与一项关于虚拟辅导项目对学员幸福感影响的随机对照试验。主治外科医生在完成现场培训后担任辅导者。住院医师(n = 237)被随机分为干预组(在9个月内进行三次一对一辅导课程)或对照组(通过电子邮件发送健康资源)。在基线和干预后使用经过验证的幸福感、职业倦怠和恢复力测量方法对参与者进行调查。比较研究组之间调查前和调查后结果测量的变化。

结果

对照组的调查回复率为56.9%(n = 66),干预组为69.4%(n = 84)(P = 0.05)。干预组在职业成就感(P = 0.021)、职业倦怠(0.026)、工作疲惫(0.017)、自我评估(0.003)和幸福感(P = 0.002)方面有显著改善;而对照组在自我评估方面有显著改善(P = 0.015),恢复力有显著下降(P = 0.025)。与对照组相比,干预组在幸福感(P = 0.015)和对不确定性的不耐受性(P = 0.015)方面有显著改善。

结论

与未接受辅导的同行相比,参与外科学会提供的远程辅导项目的女性外科住院医师在幸福感方面有所改善。因此,专业学会提供的远程辅导可能是旨在提高学员幸福感的举措的一个有用组成部分。

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