一个创新的计划来跟踪和解决医生学员的倦怠问题
Deborah J Snyder1, Emily P Guinee2, Angela K M Lipshutz3
1Faculty Psychiatry Consultation Liaison Service, National Institute of Mental Health, Bethesda, Maryland, USA.
一项新的倡议,以追踪医生实习生燃烧和其原因是可行的和有帮助的. 该计划可以作为医疗保健系统的模型,以解决学员和教师的倦怠问题.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 医生福利 医生福利
背景情况:
- 医疗保健系统面临着越来越大的压力,需要解决医生实习生倦怠问题.
- 开发了一项新的倡议,以主动评估倦怠并确定其驱动因素.
- 该倡议旨在为预防和减少倦怠提供资源和建议.
研究的目的:
- 为医生实习生试点一个倦怠跟踪计划.
- 评估系统方法的可行性和实用性,以跟踪和解决学员倦怠问题.
主要方法:
- 一个由两个问题组成的倦怠调查对医生学员进行了管理.
- 开发了一个算法,根据调查答复推干预措施.
- 培训计划提供了关于该倡议有效性的年度反.
主要成果:
- 项目参与率很高 (第1年和第2年分别为70%和80%).
- 燃烧程度和司机在各个项目中各不相同,所有已识别的司机都被至少一个项目引用.
- 项目报告说,他们提高了追踪和减少倦怠的能力,并发现实习生对话有帮助.
结论:
- 系统地追踪倦怠和有针对性的干预措施是可行的和有效的.
- 这一举措可以作为一项模式,为整个机构的努力,以打击医生实习生燃烧.
- 该模型可适应其他临床医疗保健机构和学术医学院.
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