Promotion of Wellness and Mental Health Awareness Among Physicians in Training: Perspective of a National, Multispecialty Panel of Residents and Fellows.
Promotion of Wellness and Mental Health Awareness Among Physicians in Training: Perspective of a National, Multispecialty Panel of Residents and Fellows.
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DOI：
10.4300/jgme-07-01-42
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发表时间：
2015-03-01
影响因子：
--
通讯作者：
Harwood, Jared L
中科院分区：
文献类型：
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作者：
Daskivich, Timothy J;Jardine, Dinchen A;Harwood, Jared L
背景技术背景：接受培训的医生患抑郁症的风险很高，与普通人群相比，实践中的医生自杀的风险大大增加。研究生医学教育界目前正在动员努力，以提高居民wellness.Objective：我们试图提供一个实习生的角度来看，目前的资源，以支持居民的健康和资源，需要开发，以确保最佳的学习环境。ACGME审查委员会居民理事会，一个由29名居民和研究员组成的多专业小组，进行了一次评价性调查，以（1）确定解决居民健康问题的现有资源;（2）设想促进健康的理想学习环境;（3）确定如何修改现有基础设施以实现理想。结果：国家居民健康政策应（1）提高对住院医师压力的认识，消除学员抑郁症的污名化;（2）制定系统，以保密的方式识别和治疗学员抑郁症，以减少获得帮助的障碍;（3）加强资深同行和教师的指导;（4）促进支持性文化;（5）加强对住院医师的培训。和（5）鼓励更多的问题研究，以加深我们对这个问题的理解。结论：一个多专业的，全国性的受训者小组确定了可操作的目标，以扩大在项目和赞助机构，以促进居民的健康和心理健康意识的努力。研究生医学教育界所有利益相关者的参与对于制定这一重要问题的全面解决方案至关重要。
BACKGROUND: Physicians in training are at high risk for depression, and physicians in practice have a substantially elevated risk of suicide compared to the general population. The graduate medical education community is currently mobilizing efforts to improve resident wellness.OBJECTIVE: We sought to provide a trainee perspective on current resources to support resident wellness and resources that need to be developed to ensure an optimal learning environment.METHODS: The ACGME Council of Review Committee Residents, a 29-member multispecialty group of residents and fellows, conducted an appreciative inquiry exercise to (1) identify existing resources to address resident wellness; (2) envision the ideal learning environment to promote wellness; and (3) determine how the existing infrastructure could be modified to approach the ideal. The information was aggregated to identify consensus themes from group discussion.RESULTS: National policy on resident wellness should (1) increase awareness of the stress of residency and destigmatize depression in trainees; (2) develop systems to identify and treat depression in trainees in a confidential way to reduce barriers to accessing help; (3) enhance mentoring by senior peers and faculty; (4) promote a supportive culture; and (5) encourage additional study of the problem to deepen our understanding of the issue.CONCLUSIONS: A multispecialty, national panel of trainees identified actionable goals to broaden efforts in programs and sponsoring institutions to promote resident wellness and mental health awareness. Engagement of all stakeholders within the graduate medical education community will be critical to developing a comprehensive solution to this important issue.