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精神科住院医师的倦怠问题与一个项目创造健康文化的方法

Burnout Among Psychiatry Residents and One Program's Approach to Creating a Culture of Wellness.

机构信息

Department of Psychiatry, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.

出版信息

Perm J. 2023 Jun 15;27(2):137-141. doi: 10.7812/TPP/23.012. Epub 2023 May 22.

Abstract

Psychiatry residency training includes unique characteristics that can predispose trainees to burnout, including vicarious traumatization, prevalence of patient suicide and violence in the workplace, and social stigma surrounding mental health. For the purposes of this article, the authors examine these contributing factors and address how psychiatry residency training programs, specifically the Kaiser Permanente Oakland program, are responding to these unique challenges with wellness initiatives. Initiatives to promote wellness at Kaiser Permanente Oakland include a resident and faculty-led wellness committee, work-hour limits, reasonable call schedules, a robust mentorship program, funded social and networking events programs, and comprehensive mental health services.

摘要

精神病学住院医师培训包括一些独特的特征,这些特征可能使受训者容易出现倦怠,包括替代性创伤、患者自杀和工作场所暴力的普遍存在,以及心理健康方面的社会耻辱。本文作者研究了这些促成因素,并探讨了精神病学住院医师培训计划,特别是 Kaiser Permanente Oakland 计划,如何通过健康计划来应对这些独特的挑战。在 Kaiser Permanente Oakland,促进健康的举措包括由住院医师和教员领导的健康委员会、工作时间限制、合理的值班安排、强大的指导计划、有资金支持的社交和网络活动计划以及全面的心理健康服务。

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