居民倦怠,健康,专业发展和参与,在新培训计划实施之前和之后
Daniel Heppe1, Amiran Baduashvili2, Julia E Limes3
1University of Colorado Internal Medicine Residency, Department of Hospital Medicine, University of Colorado School of Medicine, Aurora.
JAMA network open
|February 28, 2024
概括
对于内科医生来说,新的4+4区块时间表与减少倦怠,特别是减少情绪疲劳和非个性化有关. 这一计划还改善了居民的专业,教育和健康结果.
科学领域:
- 医学教育 医学教育
- 医生健康 医生健康
- 内部医学培训培训 内部医学培训
背景情况:
- 情绪疲,非个性化和个人成就低等特征的倦怠,在内科医生中很常见.
- 以前针对居民倦怠的干预措施表现出有限的成功.
- 新型排班模式,如4+4街区排班,对居民福祉的影响仍然未被评估.
研究的目的:
- 评估4+4街区时间表与居民倦怠之间的关联.
- 评估4+4计划对居民健康和专业参与的影响.
- 为了比较4+4时间表与传统的4+1时间表.
主要方法:
- 一项非随机的,干预前后干预调查研究是在内科住院计划中进行的.
- 在PGY1和PGY2的居民参与了分类,医院和初级保健轨道的参与.
- 燃烧被测量使用马斯拉赫燃烧库存 (情绪疲,非个人化,个人成就),统计分析包括多变量后勤回归和ANOVA.
主要成果:
- 经调整的情绪疲劳和非个性化得分在使用4+4计划的干预后队列中明显较低.
- 在个人成就得分上没有观察到显著的变化.
- 与专业,教育和健康结果相关的15项中的11项显示出了很大的积极关联,而培训期间考试成绩保持不变.
结论:
- 4+4区块培训计划与内部医学专科医生减少倦怠和改善自我报告的专业,教育和健康结果有关.
- 与4+1计划相比,4+4区块计划的特定配置可能为居民福祉提供更好的好处.
- 这种安排模式需要考虑,以改善整体体验并减少在住院计划中的倦怠.
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