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本科医学教育福祉项目指导模型。

A Guiding Model for Undergraduate Medical Education Well-Being Programs.

出版信息

Acad Med. 2024 Sep 1;99(9):946-952. doi: 10.1097/ACM.0000000000005755. Epub 2024 May 7.

Abstract

Most medical schools have instituted undergraduate medical education (UME) well-being programs in recent years in response to high rates of medical student distress, but there is currently significant variability in the structure of UME well-being programs and limited guidance on how to best structure such programs to achieve success. In this article, the authors, all leaders of medical student well-being programs at their home institutions and members of the Association of American Medical Colleges Group on Student Affairs Committee on Student Affairs Working Group on Medical Student Well-Being between 2019 and 2023 offer guidance to the national community on how best to structure a UME well-being program. They use the current literature and their professional experiences leading well-being efforts at 7 different institutions to review the case for addressing medical student well-being, propose a guiding model, and make recommendations for strategies to implement this model.The proposed guiding model emphasizes the importance of the learning environment and efficiency of learning to medical student well-being, as well as personal resilience. Based on this model, the authors recommend specific and tangible well-being strategies to implement systemic interventions to improve the learning environment, efficiency of learning, and personal resilience, including formalizing the well-being program; hiring qualified, dedicated, and empowered well-being leadership with clear responsibilities; acting as a central hub for resources and as a liaison with mental health care; and establishing robust program evaluation methods.

摘要

近年来,大多数医学院都设立了本科医学教育(UME)健康计划,以应对医学生压力过大的问题,但目前 UME 健康计划的结构存在很大差异,如何最好地构建这些计划以取得成功也缺乏指导。在本文中,所有作者均为其所在机构的医学生健康计划负责人,同时也是美国医学协会学生事务委员会学生事务工作组医学生健康工作组的成员,他们就如何最好地构建 UME 健康计划向全国社区提供指导。他们利用当前的文献和他们在 7 个不同机构领导健康工作的专业经验,回顾了解决医学生健康问题的理由,提出了一个指导模型,并为实施该模型的策略提出了建议。该模型强调学习环境和学习效率对医学生健康的重要性,以及个人韧性。基于这一模型,作者推荐了具体而切实可行的健康策略,以实施系统性干预措施,改善学习环境、学习效率和个人韧性,包括使健康计划正式化;聘请合格、专注和有能力并明确责任的健康领导层;充当资源中心,并与精神保健服务建立联系;以及建立健全的方案评估方法。

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