为英国外科实习生提供增强的应激弹性培训;评估效果和演变
Oliver W Luton1, Osian P James2, Katie Mellor1
1Department of General Surgery, NHS Wales Health Education and Improvement Wales' School of Surgery, Tŷ Dysgu, Cefn Coed, Nantgarw, United Kingdom.
Journal of surgical education
|August 11, 2023
概括
增强的应激弹性训练 (ESRT) 在核心外科训练 (CST) 计划中显著减少了倦怠和压力. 这项培训还改善了正念和职业发展,证明了它对外科学员的价值.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 心理学 心理学 心理学
背景情况:
- 核心外科培训 (CST) 计划与学员中高燃烧率有关.
- 在外科教育中,研究减轻压力和倦怠的干预措施至关重要.
研究的目的:
- 评估ESRT对核心外科实习生在两年时间内的影响.
- 评估ESRT对职业发展,倦怠,压力和正念的影响.
主要方法:
- 为CST实施了为期5周的正式ESRT计划,以解决与工作有关的压力因素.
- 主要结果:职业发展 (课程指标,国家培训号 [NTN] 任命).
- 二次结果:使用经过验证的心理清单,燃烧,压力和正念水平.
主要成果:
- 完全参与ESRT (42名实习生中的31.0%) 与显著更好的NTN预约率 (61.5%与5.6%) 有关.
- 在ESRT的参与与减少燃烧 (aMBI) 和压力 (PSS-10) 水平相关.
- 与ESRT接触的实习生也报告了更高的正念 (CAMS-R) 分数.
结论:
- 增强压力弹性训练 (ESRT) 显示了与手术学员减少压力和倦怠的显著关联.
- 通过独立预测ESRT参与,国家培训号成功的可能性增加了13倍.
- 研究结果表明,ESRT在核心外科训练中是改善福祉和职业发展的有价值的干预措施.
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