Department of Surgery, Washington University in St Louis, St Louis, Missouri.
Department of Surgery, Washington University in St Louis, St Louis, Missouri.
J Surg Educ. 2024 Nov;81(11):1798-1806. doi: 10.1016/j.jsurg.2024.08.014. Epub 2024 Sep 24.
To improve the well-being and sense of community of surgical trainees.
Residents were invited to participate in confidential discussion groups during protected education time to have a safe space to support each other through common struggles. The groups were facilitated by licensed mental health professionals with experience working with medical trainees. An anonymous voluntary wellness survey and a qualitative feedback survey were used to understand residents' experience participating in these discussion groups.
Single large academic institution.
General surgery and obstetrics and gynecology residents.
677 resident responses to the wellness survey were collected between 2020 and 2023. Compared to residents who participated in < 5 discussion group sessions, residents participating in ≥ 5 sessions reported improved self-perception of their own competency and capability (p = 0.012), and in their ability to contribute to others' well-being (p = 0.045). They also reported considering more of their co-residents as friends (p = 0.002), increased willingness to discuss personal problems with their co-residents (p < 0.001), and were more likely to report recently working with peers to solve a common problem (p = 0.041). In a second qualitative survey (n = 53), resident feedback revealed an appreciation for the opportunity to discuss shared experiences, creating community, having a safe space and dedicated time for introspection, and receiving input from a therapist. Opportunities for improvement included providing more structure to the discussion, increasing the frequency of group meetings, and focusing on developing coping skills.
Therapist-facilitated discussion groups can improve aspects of trainees' mental well-being and help foster relatedness, community, and shared problem solving with peers. Residency programs should consider incorporating similar programs into their wellness initiatives.
提高外科受训者的幸福感和社区意识。
在受保护的教育时间内，邀请住院医师参加机密讨论小组，为他们提供一个安全的空间，通过共同的奋斗来互相支持。这些小组由有执照的心理健康专业人员主持，他们有与医学受训者合作的经验。使用匿名自愿健康调查和定性反馈调查来了解居民参与这些讨论小组的经验。
单一大专院校。
普通外科和妇产科住院医师。
2020 年至 2023 年期间，共收集了 677 名居民对健康调查的回复。与参加<5 次讨论小组会议的居民相比，参加≥5 次会议的居民报告说，他们对自己的能力和能力有了更好的自我认知（p=0.012），并且更有能力促进他人的健康（p=0.045）。他们还报告说，更多地将同事视为朋友（p=0.002），更愿意与同事讨论个人问题（p<0.001），并且更有可能报告最近与同事合作解决共同问题（p=0.041）。在第二次定性调查（n=53）中，居民反馈表明他们很欣赏有机会讨论共同的经历、建立社区、有一个安全的空间和专门的时间进行内省，以及从治疗师那里获得意见。需要改进的机会包括为讨论提供更多的结构、增加小组会议的频率以及专注于培养应对技能。
治疗师主持的讨论小组可以改善受训者的心理健康的各个方面，并有助于培养与同事的关联性、社区意识和共同解决问题的能力。住院医师培训计划应考虑将类似的计划纳入其健康计划。
