Stress training for the surgical resident
Stress training for the surgical resident
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DOI：
10.1016/j.amjsurg.2012.10.007
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发表时间：
2013-02-01
影响因子：
3
通讯作者：
Goldberg, Amy J.
中科院分区：
文献类型：
--
作者：
Maher, Zoe;Milner, Richard;Goldberg, Amy J.
背景：外科教育的大部分精力都放在临床判断和技术熟练程度的培养上。然而，很少有人关注与手术表现相关的压力管理。无法管理压力可能会导致患者护理不佳、住院医生流失和外科医生倦怠。方法：进行了一项盲法匹配比较组研究，以评估旨在提高外科住院医师在压力情况下表现的教育计划的效果。实验组（n = 11）参加压力训练课程，而对照组（n = 15）则没有参加。然后两组都完成了模拟，在此期间使用客观和主观措施评估压力，并使用标准化检查表对住院医生的表现进行评分。结果：实验组的表现检查表分数比对照组高 5% (P = .54)。根据状态特质焦虑量表（P = .34），各组之间的焦虑状态或压力下的心率（P = .17）没有变化。结论：压力训练后表现得分有提高的趋势，但焦虑水平没有差异。然而，91%的居民认为压力训练很有价值。 (C) 2013 Elsevier Inc. 保留所有权利。
BACKGROUND: Much effort in surgical education is placed on the development of clinical judgment and technical proficiency. However, little focus is placed on the management of stress associated with surgical performance. The inability to manage stress may lead to poor patient care, attrition from residency, and surgeon burnout.METHODS: A blinded, matched, comparison group study to evaluate the efficacy of an educational program designed to improve surgical resident performance during stressful scenarios was conducted. The experimental group (n = 11) participated in stress training sessions, whereas the control group (n = 15) did not. Both groups then completed a simulation during which stress was evaluated using objective and subjective measures, and resident performance was graded using a standardized checklist.RESULTS: Performance checklist scores were 5% higher in the experimental group than the control group (P = .54). No change existed in anxiety state according to the State Trait Anxiety Inventory (P = .34) or in heart rate under stress (P = .17) between groups.CONCLUSIONS: There was a trend toward improved performance scoring but no difference in anxiety levels after stress training. However, 91% of residents rated the stress training as valuable. (C) 2013 Elsevier Inc. All rights reserved.