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在住院医师培训项目中营造积极文化的重要概念。

Important Concepts in Building a Positive Culture in a Residency Program.

作者信息

Fisch Robert, Kuchakulla Manish, Tzeng Michael, Gurayah Aaron A, Ma Runzhuo, Pearce Robert, Lee Richard, Davuluri Meenakshi

机构信息

Department of Urology, NewYork-Presbyterian Hospital, New York, NY, USA.

Department of Urology, Weill Cornell Medical Center, New York, NY, USA.

出版信息

Curr Urol Rep. 2025 Jun 3;26(1):48. doi: 10.1007/s11934-025-01273-5.

DOI:10.1007/s11934-025-01273-5
PMID:40459811
Abstract

PURPOSE OF REVIEW

Despite recent increased focus on urology resident wellbeing, rates of burnout remain high. Addressing this requires a multifaceted approach. This review examines recent literature to identify key strategies for fostering a positive urology residency culture to optimize training and minimize burnout.

RECENT FINDINGS

We identified 5 key strategies for fostering a positive residency culture: wellness, safety, mentorship, education, and traditions. Proactive wellness initiatives involve providing access to health resources as well as social programming. Ensuring resident safety requires minimizing physical and psychological mistreatment while ensuring access to basic needs. Formal mentorship strengthens professional growth and personal fulfilment. Advancing resident education through structured learning models and access to key resources improves wellbeing. Institutional traditions build camaraderie, unity, and a shared sense of purpose. Creating a strong urology residency culture requires a multidimensional approach. Integrating these elements can improve resident satisfaction, reduce burnout, and strengthen both resident professional growth and patient care.

摘要

综述目的

尽管近期对泌尿外科住院医师的身心健康愈发关注,但职业倦怠率仍然很高。解决这一问题需要采取多方面的方法。本综述研究了近期文献,以确定培养积极的泌尿外科住院医师培训文化的关键策略,从而优化培训并最大限度地减少职业倦怠。

最新发现

我们确定了培养积极的住院医师培训文化的5项关键策略:健康、安全、指导、教育和传统。积极的健康倡议包括提供健康资源以及社交活动。确保住院医师安全需要尽量减少身体和心理上的虐待,同时确保他们能满足基本需求。正式的指导可促进职业成长和个人成就感。通过结构化学习模式和获取关键资源来推进住院医师教育可改善身心健康。机构传统可建立起同志情谊、团结和共同的使命感。营造强大的泌尿外科住院医师培训文化需要采取多维度方法。整合这些要素可提高住院医师满意度,减少职业倦怠,并加强住院医师的职业成长和患者护理。

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本文引用的文献

1
Perceptions of a faculty-trainee group mentorship program, the mentorship families program, in a residency training program: results from a cross-sectional survey.住院医师培训项目中对师生小组指导计划(即导师家庭计划)的认知:横断面调查结果
BMC Med Educ. 2024 Dec 18;24(1):1430. doi: 10.1186/s12909-024-06447-2.
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Flipping the Classroom in Residency Didactics Leads to Higher American Board of Surgery in-Training Examination Scores.住院医师教学中的翻转课堂可提高美国外科学委员会住院医师培训考试成绩。
J Surg Educ. 2024 Jun;81(6):786-793. doi: 10.1016/j.jsurg.2023.10.016. Epub 2024 Apr 24.
3
How Female Is the Future of Urology? Projecting Various Trajectories of the United States Urology Workforce.
女性在未来的泌尿科中占比有多大?预测美国泌尿科劳动力的各种轨迹。
Urology. 2023 Aug;178:180-186. doi: 10.1016/j.urology.2023.04.028. Epub 2023 May 25.
4
Innovative Approaches to Battling Resident Burnout in a Urology Residency Program.泌尿外科住院医师培训项目中应对住院医师职业倦怠的创新方法。
Urol Pract. 2021 May;8(3):387-392. doi: 10.1097/UPJ.0000000000000215. Epub 2021 Mar 22.
5
Mentorship Programs in Residency: A Scoping Review.住院医师指导计划:范围综述。
J Grad Med Educ. 2023 Apr;15(2):190-200. doi: 10.4300/JGME-D-22-00415.1. Epub 2023 Apr 17.
6
Creating and Implementing a Novel Wellness-Inspired Resident Educational RG (WIRE) Curriculum.创建并实施一门新颖的以健康为灵感的住院医师教育RG(WIRE)课程。
J Surg Educ. 2023 May;80(5):629-632. doi: 10.1016/j.jsurg.2023.02.004. Epub 2023 Mar 17.
7
Burnout: A Call to Action From the AUA Workforce Workgroup. burnout:AUA 工作组的行动呼吁。
J Urol. 2023 Mar;209(3):573-579. doi: 10.1097/JU.0000000000003108. Epub 2023 Jan 4.
8
A Review of Mentorship in Urology: Are We Satisfied?泌尿科导师制综述:我们满意吗?
Curr Urol Rep. 2022 Dec;23(12):383-392. doi: 10.1007/s11934-022-01122-9. Epub 2022 Dec 2.
9
Bullying, Discrimination, Harassment, Sexual Harassment, and the Fear of Retaliation During Surgical Residency Training: A Systematic Review.外科住院医师培训期间的欺凌、歧视、骚扰、性骚扰和报复恐惧:系统评价。
World J Surg. 2022 Jul;46(7):1587-1599. doi: 10.1007/s00268-021-06432-6. Epub 2022 Jan 10.
10
Dear Program Director: Solutions for Handling and Preventing Abusive Behaviors During Surgical Residency Training.致项目主任:处理和预防外科住院医师培训期间虐待行为的解决方案。
J Am Acad Orthop Surg. 2022 Jul 1;30(13):594-598. doi: 10.5435/JAAOS-D-21-00630. Epub 2021 Dec 16.