Rossiter Brianna, Farkas Amy, Kolehmainen Christine, McNeil Melissa, Merriam Sarah
Veterans Affairs Pittsburgh Health Care System, Pennsylvania.
Milwaukee Veterans Affairs Medical Center, Wisconsin.
Fed Pract. 2025 Mar;42(3):128-132. doi: 10.12788/fp.0565. Epub 2025 Mar 18.
Burnout and disengagement are common among primary care practitioners (PCPs), particularly those who provide women's health care at the Veterans Health Administration. The shift to virtual care forced by the COVID-19 pandemic exacerbated this issue, which may also impact clinician attrition, the patient-clinician relationship, and ultimately, patient health.
Physicians who participate in the medical humanities have more empathy and experience less burnout. To improve satisfaction and engagement among PCPs who care for women veterans, this large-scale, virtual, interprofessional narrative medicine event was implemented to gain a deeper appreciation of the impact of deployments on women veterans, describe the social and emotional challenges faced by women veterans postdeployment, and identify strategies to support veterans during reintegration. This novel use of medical media resulted in high attendance (> 800 participants) and engagement (> 1700 unique chat messages, with > 80 spontaneous replies). Findings suggest a potential shift in clinician appreciation and a positive impact on the patient-clinician relationship.
Medical humanities interventions are feasible on a large-scale virtual implementation. This curriculum demonstrates the successful utilization of women veterans' stories for demonstrating a positive clinician impact as evidenced by the extensive participation, engagement, and participant satisfaction.
职业倦怠和工作投入度下降在初级保健从业者(PCP)中很常见,尤其是那些在退伍军人健康管理局提供女性医疗保健服务的从业者。由新冠疫情迫使转向的虚拟医疗加剧了这一问题,这也可能影响临床医生的流失、医患关系,最终影响患者健康。
参与医学人文的医生更有同理心,职业倦怠程度更低。为提高照顾女性退伍军人的初级保健从业者的满意度和工作投入度,举办了这次大规模的、虚拟的、跨专业的叙事医学活动,以更深入地了解部署对女性退伍军人的影响,描述女性退伍军人部署后面临的社会和情感挑战,并确定在重新融入过程中支持退伍军人的策略。这种对医学媒介的新颖运用带来了高参与度(超过800名参与者)和高互动度(超过1700条独特的聊天信息,其中超过80条自发回复)。研究结果表明临床医生的认知可能发生转变,并对医患关系产生积极影响。
医学人文干预在大规模虚拟实施中是可行的。这一课程展示了成功利用女性退伍军人的故事来证明对临床医生产生的积极影响,广泛的参与度、互动度和参与者满意度就是明证。