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利用大规模纵向可穿戴设备记录来理解住院医师的压力、职业倦怠和行为模式。

Understanding Stress, Burnout, and Behavioral Patterns in Medical Residents Using Large-scale Longitudinal Wearable Recordings.

作者信息

Feng Tiantian, Narayanan Shrikanth

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2024 Jul;2024:1-7. doi: 10.1109/EMBC53108.2024.10782414.

DOI:10.1109/EMBC53108.2024.10782414
PMID:40040038
Abstract

Medical residency training is often associated with physically intense and emotionally demanding tasks, requiring them to engage in extended working hours providing complex clinical care. Residents are hence susceptible to negative psychological effects, including stress and anxiety, that can lead to decreased well-being, affecting them achieving desired training outcomes. Understanding the daily behavioral patterns of residents can guide the researchers to identify the source of stress in residency training, offering unique opportunities to improve residency programs. In this study, we investigate the workplace behavioral patterns of 43 medical residents across different stages of their training, using longitudinal wearable recordings collected over a 3-week rotation. Specifically, we explore their ambulatory patterns, the computer access, and the interactions with mentors of residents. Our analysis reveals that residents showed distinct working behaviors in walking movement patterns and computer usage compared to different years in the program. Moreover, we identify that interaction patterns with mentoring doctors indicate stress, burnout, and job satisfaction.

摘要

医学住院医师培训通常与高强度的体力任务和高要求的情感任务相关联,要求他们延长工作时间以提供复杂的临床护理。因此,住院医师容易受到负面心理影响,包括压力和焦虑,这可能导致幸福感下降,影响他们实现理想的培训成果。了解住院医师的日常行为模式可以指导研究人员确定住院医师培训中的压力来源,为改进住院医师培训项目提供独特的机会。在本研究中,我们使用在为期3周的轮转期间收集的纵向可穿戴记录,调查了43名处于不同培训阶段的医学住院医师的工作场所行为模式。具体而言,我们探讨了他们的走动模式、计算机使用情况以及与导师的互动情况。我们的分析表明,与培训项目中的不同年份相比,住院医师在行走运动模式和计算机使用方面表现出不同的工作行为。此外,我们发现与指导医生的互动模式表明了压力、倦怠和工作满意度。

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