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将正念韧性课程嵌入外科培训中,以应对住院医师倦怠并提高幸福感。

Embedding Mindfulness-Based Resiliency Curricula Into Surgical Training to Combat Resident Burnout and Improve Wellbeing.

机构信息

Department of Surgery, Emory University, Atlanta, GA, USA.

出版信息

Am Surg. 2024 May;90(5):954-958. doi: 10.1177/00031348221117046. Epub 2023 Apr 27.

Abstract

Surgery residents are at a higher-than-average risk of burnout syndrome, which is characterized by emotional exhaustion, depersonalization, and a sense of ineffectiveness. This risk of burnout can translate to increased stress and distress in trainees, poor performance, as well as worse patient outcomes. Therefore, developing and implementing burnout reduction strategies that are feasible, acceptable, and effective among surgical residents is paramount. Studies demonstrate that inherent mindfulness is associated with improved resiliency, reduced stress and burnout, as well as improved cognitive and motor skill performance. Fortunately, mindfulness is a skill that can be developed and maintained through targeted mindfulness-based interventions embedded within surgical education curriculum. Here, we present the data supporting the use of mindfulness as an integral part of burnout reduction efforts in surgical trainees as well as highlight evidence-based strategies for implementation in diverse surgical training environments.

摘要

外科住院医师有更高的倦怠综合征风险,其特征是情绪疲惫、去人性化和无效感。这种倦怠的风险可能会导致受训者的压力和痛苦增加,表现不佳,以及患者的结果更差。因此,制定和实施可行、可接受和有效的外科住院医师倦怠减少策略至关重要。研究表明,内在的正念与提高适应能力、减少压力和倦怠以及提高认知和运动技能表现有关。幸运的是,正念是一种可以通过在外科教育课程中嵌入有针对性的正念干预来培养和保持的技能。在这里,我们提供了支持将正念作为外科住院医师减少倦怠努力的一个组成部分的数据,并强调了在不同的外科培训环境中实施的基于证据的策略。

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