在线幸福小组辅导计划为女性医生实习生:一个随机临床试验
Adrienne Mann1,2, Ami N Shah3, Pari Shah Thibodeau4
1Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora.
JAMA network open
|October 4, 2023
概括
基于网络的专业指导显著减少了女性医生学员的倦怠和改善了他们的幸福感. 这项研究提供了可扩展干预措施的证据,以支持医生在培训期间的心理健康.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 心理干预 心理干预
背景情况:
- 医生倦怠不成比例地影响女性,并始于培训期间.
- 专业辅导对改善医生福祉充满希望,但可概括的证据有限.
研究的目的:
- 评估基于网络的女性医生实习生团体辅导计划的通用性.
- 评估该计划对倦怠和其他福祉指标的影响.
主要方法:
- 一个为期4个月的,基于网络的,小组指导干预,在26个机构向女性医生实习生提供.
- 使用随机临床试验设计,与1017名参与者.
- 主要结果包括使用Maslach Burnout Inventory的情绪疲劳,非个性化和个人成就的变化.
主要成果:
- 与对照组相比,干预组的情绪疲劳 (P<.001) 和非个性化 (P<.001) 显著下降.
- 观察到自我同情和勃发展的显著改善,以及欺骗者综合征和道德伤害的减少.
- 敏感性分析证实了这些发现的可靠性.
结论:
- 基于网络的专业团体指导是改善女性医生学员福祉和减轻倦怠的有效干预措施.
- 这种方法提供了一个可扩展的解决方案,以支持医生在培训期间的心理健康.
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