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应对外科学习环境中的微侵犯和煤气灯效应

Coping With Microaggressions and Gaslighting in the Surgical Learning Environment.

作者信息

Nguyen Daryn, Thrikutam Nikhitha, Bialowas Christie

机构信息

From the Division of Plastic and Reconstructive Surgery, Albany Medical Center, Albany, NY.

Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, WA.

出版信息

Plast Reconstr Surg Glob Open. 2025 Jan 29;13(1):e6435. doi: 10.1097/GOX.0000000000006435. eCollection 2025 Jan.

DOI:10.1097/GOX.0000000000006435
PMID:39882429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11778087/
Abstract

Plastic surgery and plastic surgical training programs are institutions rife with rewards. However, these rewards can be tempered by general physical and psychosocial stressors inherent to a surgical specialty. Although progress has been made in addressing the physical demands of training, less attention is given to the psychosocial and interpersonal challenges faced by plastic surgeons and trainees. Two key stressors are microaggressions and gaslighting. Microaggressions are generally unintentional but highly impactful expressions of bias, whereas gaslighting involves deliberate psychological manipulation. The purpose of our article is to explain the influence of microaggressions and gaslighting on plastic surgery providers. Most importantly, we aim to provide a framework for recognizing and addressing them professionally.

摘要

整形手术和整形外科学培训项目是充满回报的机构。然而,这些回报可能会受到外科专业固有的一般身体和心理社会压力源的影响。尽管在应对培训的身体要求方面已经取得了进展,但对于整形外科医生和学员所面临的心理社会和人际挑战关注较少。两个关键的压力源是微侵犯和煤气灯效应。微侵犯通常是无意的,但却是极具影响力的偏见表现,而煤气灯效应则涉及蓄意的心理操纵。我们文章的目的是解释微侵犯和煤气灯效应对外科整形从业者的影响。最重要的是,我们旨在提供一个专业地识别和应对它们的框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbc/11778087/e9c57ae61886/gox-13-e6435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbc/11778087/5e7125cae823/gox-13-e6435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbc/11778087/e9c57ae61886/gox-13-e6435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbc/11778087/5e7125cae823/gox-13-e6435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbc/11778087/e9c57ae61886/gox-13-e6435-g002.jpg

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本文引用的文献

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The Current State of Plastic Surgery Residency Wellness Programs: Benefits and Barriers.整形外科学术住院医师健康项目的现状:益处与障碍
Plast Reconstr Surg Glob Open. 2024 Feb 2;12(2):e5567. doi: 10.1097/GOX.0000000000005567. eCollection 2024 Feb.
2
Effectiveness of Self-Affirmation Interventions in Educational Settings: A Meta-Analysis.自我肯定干预在教育环境中的有效性:一项元分析。
Healthcare (Basel). 2023 Dec 19;12(1):3. doi: 10.3390/healthcare12010003.
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Operating in the margins: Women's lived experience of training and working in orthopaedic surgery in South Africa.
处于边缘地带:南非女性在骨科手术领域接受培训和工作的生活经历。
Qual Res Med Healthc. 2023 Apr 27;7(1):10902. doi: 10.4081/qrmh.2023.10902.
4
Staying in bounds: A framework for setting workplace boundaries to promote physician wellness.保持在界限内:一个设定工作场所界限以促进医生健康的框架。
J Hosp Med. 2023 Dec;18(12):1139-1143. doi: 10.1002/jhm.13102. Epub 2023 Apr 10.
5
Gaslighting in academic medicine: where anti-Black racism lives.学术医学中的煤气灯效应:反黑人种族主义的藏身之处。
CMAJ. 2022 Oct 31;194(42):E1451-E1454. doi: 10.1503/cmaj.212145.
6
Interpreting Microaggression as a Determinant of Wellbeing.将微侵犯解读为幸福感的决定因素。
J Racial Ethn Health Disparities. 2023 Oct;10(5):2470-2481. doi: 10.1007/s40615-022-01426-z. Epub 2022 Oct 12.
7
Assessing the Prevalence of Microaggressions in Plastic Surgery Training: A National Survey.评估整形外科学培训中微侵犯行为的发生率:一项全国性调查。
Plast Reconstr Surg Glob Open. 2021 Dec 22;9(12):e4062. doi: 10.1097/GOX.0000000000004062. eCollection 2021 Dec.
8
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Med Educ. 2022 Jan;56(1):91-97. doi: 10.1111/medu.14659. Epub 2021 Sep 15.
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The toxic power dynamics of gaslighting in medicine.医学中煤气灯效应的有害权力动态。
Can Fam Physician. 2021 May;67(5):367-368. doi: 10.46747/cfp.6705367.
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Nurs Forum. 2021 Jul;56(3):640-647. doi: 10.1111/nuf.12588. Epub 2021 May 3.