Department of Graduate Medical Education at Community Memorial Healthcare in Ventura, California, USA.
Internal Medicine Residency Program at Community Memorial Healthcare in Ventura, California, USA.
Perspect Med Educ. 2024 Oct 3;13(1):460-468. doi: 10.5334/pme.1396. eCollection 2024.
Physicians moving through training experience changes in personal and professional relationships, which can increase stress, uncertainty, and burnout. Social connection can be an important resource but can introduce complexity and conflict. This study aimed to explore how early-career attendings navigate and manage changing organizational and friendship roles with recent resident peers (near-peers) through this critical transition.
We conducted a reflexive thematic analysis of interviews with early-career attendings working with near-peers from the same institution where they trained. Twenty three of 27 (85%) eligible attendings from two United States health systems participated in semi-structured interviews between April and June 2023.
Familiarity from working at the same institution where new attendings completed training made it more difficult to command authority. Early-career attendings at times struggled with insecurities about their ability to fulfill their new role and challenges from others in recognizing their new attending identity. These tensions could heighten emotions in the clinical setting and spill over into relationships with residents outside the workplace, impacting social lives and well-being. Early-career attendings engaged in strategies to manage the social realm of their transition with near-peers, including prioritizing their organizational role in the clinical setting and mitigating risks to their professional reputation by creating stronger boundaries between their personal and professional lives.
This study provides new insight into how attendings navigate changing personal and professional relationships with recent resident peers and offers strategies on how to manage the social realm of this liminal transition.
医师在培训过程中会经历人际关系的变化，这可能会增加压力、不确定性和倦怠感。社会联系可以成为一种重要的资源，但也可能带来复杂性和冲突。本研究旨在探讨在这个关键的过渡时期，初级主治医生如何与同期受训的住院医师（近邻）一起，应对和管理组织和友谊角色的变化。
我们对在美国两个医疗系统工作的、与同期受训的近邻一起工作的初级主治医生进行了反思性主题分析。27 名符合条件的主治医生中有 23 名（85%）参加了 2023 年 4 月至 6 月期间进行的半结构化访谈。
由于在新主治医生完成培训的同一机构工作，熟悉程度使得他们更难发号施令。初级主治医生有时会对自己履行新角色的能力感到不安，也会对其他人不认可自己新主治医生身份的情况感到不安。这些紧张局势可能会在临床环境中加剧情绪，并蔓延到工作场所之外与住院医师的关系，影响社交生活和幸福感。初级主治医生与近邻一起采取了策略来管理过渡时期的社交领域，包括在临床环境中优先考虑自己的组织角色，并通过在个人生活和职业生活之间建立更强的界限来减轻职业声誉受损的风险。
这项研究提供了关于主治医生如何与同期受训的住院医师应对人际关系变化的新见解，并提供了关于如何管理这个过渡时期社交领域的策略。
