Acad Med. 2023 Dec 1;98(12):1402-1405. doi: 10.1097/ACM.0000000000005438. Epub 2023 Jul 11.
Failure is a powerful teacher but an emotionally stressful experience. Before residency, when failure in clinical training is inevitable, medical students should learn to talk about and cope with failure. However, medical school curricula rarely include this topic, and physicians seldom share their mistakes and failures with trainees. This report describes and evaluates a workshop on dealing with failure in medicine.
Two attending surgical consultants and a life coach facilitated the workshop between February 2021 and February 2022, which consisted of different educational approaches, such as presentations, small group discussions, and journal clubs. The sessions aimed to enable medical learners to identify and analyze actual and potential failure events in everyday clinical practice and learn from them, disclose and communicate medical failures and "speak up," reflect on failure and develop coping strategies, and understand the moderating role of fear of failure.
Thirty medical students participated in the workshop. Dealing with failure in a productive manner was the medical learners' key learning objective and anticipated takeaway from the workshop. After the workshop, 19 of the 30 participants anonymously completed the standard university evaluation form. The medical students gave the workshop a mean (SD) rating of 8.59 (0.98) on a Likert scale ranging from 1 to 10. They felt better prepared to approach future challenges in a constructive manner after being equipped with strategies to deal with failure. Listening to the failure experiences of faculty and peers in a safe environment helped them accept that failure is inevitable.
The findings suggest that medical students appreciated a safe environment to discuss failure. By promoting a safe learning environment early in the medical career, medical schools could make an important contribution to reducing the stigma of failure and eliminating the shame and blame culture, thus contributing to students' well-being.
失败是一位强有力的老师，但也是一种情绪压力很大的经历。在住院医师之前，当临床培训中的失败不可避免时，医学生应该学会谈论和应对失败。然而，医学院的课程很少包含这个主题，医生也很少与学员分享他们的错误和失败。本报告描述和评估了一个关于应对医学失败的研讨会。
两位主治外科顾问和一位生活教练在 2021 年 2 月至 2022 年 2 月期间主持了这个研讨会，该研讨会采用了不同的教育方法，如演讲、小组讨论和期刊俱乐部。这些会议旨在使医学学习者能够识别和分析日常临床实践中的实际和潜在的失败事件，并从中吸取教训，公开和交流医疗失败和“直言不讳”，反思失败并制定应对策略，并了解失败恐惧的调节作用。
30 名医学生参加了该研讨会。以富有成效的方式处理失败是医学生参加该研讨会的主要学习目标和预期收获。研讨会结束后，30 名参与者中有 19 名匿名填写了标准的大学评估表。医学生在 1 到 10 的李克特量表上对研讨会的平均（SD）评分为 8.59（0.98）。他们感到在被赋予应对失败的策略后，更有准备以建设性的方式应对未来的挑战。在安全的环境中倾听教师和同行的失败经验，帮助他们接受失败是不可避免的。
研究结果表明，医学生欣赏一个安全的环境来讨论失败。通过在医学生涯早期促进安全的学习环境，医学院可以为减少失败的耻辱感和消除羞耻和指责文化做出重要贡献，从而促进学生的幸福。
