"Professionalism, Physicianhood, and Psychiatric Practice": Conceptualizing and Implementing a Senior Psychiatry Resident Seminar in Reflective and Inspired Doctoring
"Professionalism, Physicianhood, and Psychiatric Practice": Conceptualizing and Implementing a Senior Psychiatry Resident Seminar in Reflective and Inspired Doctoring
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DOI：
10.1016/j.psym.2018.12.005
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发表时间：
2019-05-01
期刊：
影响因子：
3.4
通讯作者：
Kontos, Nicholas
中科院分区：
文献类型：
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作者：
Freudenreich, Oliver;Kontos, Nicholas
背景：尽管专业精神被广泛认为是医学教育的重要目标，但需要很好地教授。目的：我们描述了马萨诸塞州总医院精神病学高级学员选修专业研讨会的内容选择和结构。方法：我们批判性地评估课程内容的基础上参与者的反馈。结果：我们成功地实施和持续了8年，每月10次会议的精神病学高级学员的专业研讨会。参与者的平均人数是4-8名居民或研究员，可能有12-16人。课程涵盖3个广泛的领域：内科医生，生物伦理学和医疗精神病学实践。参与者认为他们更能反映他们的实践，并得到了这样做的词汇。医生职业倦怠成为一个关键的专业问题。结论：医学可以在研讨会上教授，但需要接触其他学科（医学史，哲学和社会学），使其有意义和实用性。咨询联络精神科医生通过他们的跨学科和基于团队的工作是理想的位置，以教授专业精神，强调精神病学与其他医学专业的共性，并培养领导能力。
Background: Professionalism, although broadly acknowledged to be an important goal of medical education, needs to be taught well. Objective: We describe the content selection and structure of an elective professionalism seminar for advanced trainees in psychiatry at the Massachusetts General Hospital. Method: We critically evaluate the curriculum content based on participant feedback. Results: We successfully implemented and sustained for 8 years a monthly, 10-session professionalism seminar for advanced trainees in psychiatry. The average number of participants was 4-8 residents or fellows out of a possible 12-16. The curriculum covers 3 broad domains: physicianhood, bioethics, and medicallpsychiatric practice. Participants felt that they were more reflective of their practice and that were given a vocabulary to do so. Physician burnout emerged as a key professional concern. Conclusion: Professionalism can be taught in a seminar but requires reaching to other disciplines (history of medicine, philosophy, and sociology) to make it meaningful and utile. Consultation-liaison psychiatrists through their interdisciplinary and team-based work are ideally situated to teach professionalism that emphasizes commonalities of psychiatry with the other medical specialties and fosters leadership.