Frush Benjamin W, Eberly John Brewer
Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
Vanderbilt University Medical Center, Nashville, TN, USA.
Linacre Q. 2022 Aug;89(3):319-326. doi: 10.1177/00243639211003697. Epub 2021 Apr 16.
While many of the challenges of contemporary medical training are characterized uniformly as "burnout," such a diagnosis is nonspecific and overlooks the degree to which the flourishing of medical practitioners depends on the development and exercise of virtue. The virtue of hope, in particular, is indispensable to sound medical practice generally and the flourishing of trainees. It is only through sound apprehension of the nature of the virtue of hope, the challenges to the cultivation of hope that residency poses, and practices that allow such cultivation, that contemporary trainees can learn to care well for patients and flourish in their own right.
While the general term "burnout" is used to describe many of the challenges of contemporary medical training, a more precise characterization that unifies these challenges is a deficiency of the virtue of hope. Medical trainees face many obstacles to the cultivation of hope during training, but learning both to correctly identify this deficiency, and practices which prove a fitting response, offers a way forward.
虽然当代医学培训面临的许多挑战都被一概而论地描述为“职业倦怠”，但这样的诊断并不具体，而且忽视了医学从业者的成长在多大程度上依赖于美德的培养与践行。尤其是希望这一美德，对于良好的医疗实践以及实习生的成长而言不可或缺。只有通过正确理解希望这一美德的本质、住院医师培训对培养希望所构成的挑战以及有助于这种培养的实践，当代实习生才能学会悉心照料患者并实现自身成长。
虽然“职业倦怠”这一笼统的术语被用来描述当代医学培训面临的许多挑战，但一个更精确且能统一这些挑战的描述是希望美德的缺失。医学实习生在培训期间培养希望面临诸多障碍，但学会正确识别这种缺失以及能做出恰当应对的实践方法，才是前进的方向。
