Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Postgrad Med J. 2023 Jun 8;99(1171):428-432. doi: 10.1136/postgradmedj-2021-141493. Epub 2022 Apr 4.
To elicit internal medicine residents' perspectives on wellness through poetry writing, examining (1) response rates, (2) the tone/sentiment of their submissions and (3) the primary thematic content.
In academic year 2019-2020, a random sample of 88 residents from four internal medicine residency programmes was invited to participate in a year-long study of wellness. In December 2019, an open-ended prompt asked residents to write a poem reflecting on their well-being. Responses were inductively coded using content analysis techniques.
The response rate for the poetry prompt was 94%. The tone of the entries was most often neutral or contradictory (42%), followed by negative (33%) and positive (25%). There were three main themes: (1) Mindsets: most residents simply wanted to make it through their programme; (2) wellness influencers: the main wellness supporters were external to the programme such as vacationing and exercise; within hospitals, friendships with colleagues and boosted wellness and (3) scheduling/repetition: difficult schedules drained energy as did the monotony of administrative tasks.
Poetry appears to be an innovative and effective vehicle to elicit residents' perspectives without compromising response rate. Poetry survey techniques allow medical trainees to provide powerful messaging to leadership. Most of what is known about trainee wellness is derived from quantitative surveys. This study showed medicine trainees' willingness to engage in poetry and add richness and personal detail to highlight key drivers of wellness. Such information provides context and brings attention in a compelling manner to an important topic.
通过诗歌创作来了解内科住院医师对健康的看法，考察（1）回应率，（2）他们提交作品的语气/情绪，以及（3）主要主题内容。
在 2019-2020 学年，从四个内科住院医师培训计划中随机抽取 88 名住院医师参加一项为期一年的健康研究。在 2019 年 12 月，一个开放式的提示要求住院医师写一首反映他们健康状况的诗歌。使用内容分析技术对回复进行归纳编码。
诗歌提示的回复率为 94%。参赛作品的语气大多为中性或矛盾（42%），其次是负面（33%）和正面（25%）。有三个主要主题：（1）思维模式：大多数住院医师只想完成他们的计划；（2）健康影响因素：主要的健康支持者来自于计划之外，如度假和锻炼；在医院内部，与同事的友谊以及提高了他们的健康水平；（3）日程安排/重复：紧张的日程安排和行政任务的单调乏味消耗了能量。
诗歌似乎是一种创新而有效的工具，可以在不影响回应率的情况下引出住院医师的观点。诗歌调查技术使医疗受训人员能够向领导层提供有力的信息。关于受训人员健康状况的大部分知识都是来自于定量调查。这项研究表明，医学受训人员愿意参与诗歌创作，并增加丰富度和个人细节，以突出健康的主要驱动因素。这些信息提供了背景，并以一种引人注目的方式引起了人们对一个重要话题的关注。
