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女性外科实习医生的职业倦怠;是时候考虑采取更全面的方法来解决这个问题了吗?

Burnout in the female surgical trainee; is it time to consider a more global approach to tackle this issue?

作者信息

Sabih Quratulain, Cappuccino Helen, Edge Stephen, Takabe Kazuaki, Young Jessica

机构信息

Department of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo NY, 14263, United States.

Department of Breast Surgery, Magee-Womens Surgical Associates, University of Pittsburgh Medical Center, Pittsburgh PA, 15213 USA.

出版信息

Surg Pract Sci. 2023 Apr 5;13:100162. doi: 10.1016/j.sipas.2023.100162. eCollection 2023 Jun.

DOI:10.1016/j.sipas.2023.100162
PMID:39845385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749983/
Abstract

Workplace related burnout is rampant in medicine. Prevalence is even higher in surgical specialties, higher during various stages of training, and higher still in females in these specialties. There has been a concerted effort by various deliberative bodies to institute policies to combat this. Efforts at institutional levels as well as community levels are encouraged. Some guidelines about techniques individuals can use have been reviewed recently in literature, i.e., resilience training, actively seeking mentorship, advocating for time for self-care, attention to medical needs etc. However, most of the published literature tackles different singular aspects of burnout. For female surgical trainees, we propose a comprehensive approach to tackling burnout. This paper outlines the various causes and the solutions currently in practice and hopes to act as a guide for female surgeons at various stages of their professional lives.

摘要

职场相关的职业倦怠在医学领域十分普遍。在外科专业中患病率更高,在培训的各个阶段都较高,而在这些专业的女性中患病率更高。各个审议机构已齐心协力制定政策来应对这一问题。鼓励在机构层面和社区层面做出努力。最近文献中回顾了一些个人可以采用的技巧指南,即恢复力训练、积极寻求指导、争取自我护理时间、关注医疗需求等。然而,大多数已发表的文献只涉及职业倦怠的不同单一方面。对于女性外科实习生,我们提出一种应对职业倦怠的综合方法。本文概述了各种原因以及目前实践中的解决方案,希望能为处于职业生涯不同阶段的女外科医生提供指导。

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本文引用的文献

1
Safe and Supported Pregnancy: A Call to Action for Surgery Chairs and Program Directors.安全且有保障的孕期:对外科主任和项目负责人的行动呼吁。
Ann Surg. 2022 Jan 1;275(1):e1-e2. doi: 10.1097/SLA.0000000000005181.
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Experiences of Gender Discrimination and Sexual Harassment Among Residents in General Surgery Programs Across the US.美国普通外科住院医师项目中性别歧视和性骚扰的经历。
JAMA Surg. 2021 Oct 1;156(10):942-952. doi: 10.1001/jamasurg.2021.3195.
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National Evaluation of Surgical Resident Grit and the Association With Wellness Outcomes.外科住院医师毅力的全国评估及其与健康结果的关联。
JAMA Surg. 2021 Sep 1;156(9):856-863. doi: 10.1001/jamasurg.2021.2378.
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We Must Normalize and Better Support Parenting During Medical Training.我们必须规范并更好地支持医学培训期间的育儿行为。
Acad Med. 2021 Jul 1;96(7):935-936. doi: 10.1097/ACM.0000000000004100.
5
Seeking Help in the "Perfect Storm": Why Residents and Faculty Access an On-Site Wellness Program.在“完美风暴”中寻求帮助:住院医师和教员为何使用现场健康计划。
Glob Adv Health Med. 2021 May 22;10:21649561211017471. doi: 10.1177/21649561211017471. eCollection 2021.
6
The Suicide Prevention, Depression Awareness, and Clinical Engagement Program for Faculty and Residents at the University of California, Davis Health.加州大学戴维斯分校健康分校的教师和住院医师的预防自杀、抑郁意识和临床参与计划。
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How have women health care adjusted their approach to work-life balance as the world adapts to the "new normal ?随着世界适应“新常态”,女性医疗保健行业是如何调整其工作与生活平衡的方法的?
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Foster Well-being Throughout the Career Trajectory: A Developmental Model of Physician Resilience Training.培养整个职业轨迹中的幸福感:医师韧性培训的发展模型。
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Pregnancy and Fertility Concerns: A Survey of United States Obstetrics and Gynecology Residents.妊娠与生育问题关注:美国妇产科住院医师调查
Matern Child Health J. 2021 Jan;25(1):172-179. doi: 10.1007/s10995-020-03027-w. Epub 2020 Nov 26.
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Childbearing Decisions in Residency: A Multicenter Survey of Female Residents.住院医师的生育决策:一项多中心的女性住院医师调查。
Acad Med. 2020 Oct;95(10):1550-1557. doi: 10.1097/ACM.0000000000003549.