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与医疗学员相比,外科医生对心理健康资源的访问障碍的看法
Jamaica A Westfall-Snyder1, Hope A Feldman1, Erin Walker2
1Geisinger Medical Center, Department of General Surgery, 100 N Academy Ave, Danville, PA, USA.
American journal of surgery
|January 8, 2025
概括
住院医师培训要求限制了获得心理健康资源 (MHR) 的机会. 关键的障碍包括缺乏时间,内在的耻辱感,以及缺乏自我同情心,特别是对于外科实习生来说.
科学领域:
- 医学教育 医学教育
- 医生健康 医生健康
- 心理健康服务研究 心理健康服务研究
背景情况:
- 住院医生面临着巨大的培训需求,这阻碍了获得健康计划的机会.
- 现有的健康计划可能无法充分解决医疗学员遇到的独特障碍.
研究的目的:
- 评估医疗实习生 (MT) 和外科实习生 (ST) 获得心理健康资源 (MHR) 的障碍.
- 确定MT和ST之间的这些障碍是否存在显著差异.
主要方法:
- 在一个单一的卫生系统内进行了横截面调查.
- 该调查评估了MHR的认识和访问MHR的障碍.
- 参与者包括整体外科/外科子专业实习生 (ST) 和内科/专业实习生 (MT).
主要成果:
- 时间限制是MHR访问的主要障碍 (71%),ST (85%) 显著高于MT (64%).
- 大多数ST (63%) 无法找到额外的每周时间MHR,不管他们的情绪状态,与MT (35%) 相比.
- 由于害怕显得软弱,学员避免分享脆弱的情绪,并且在使用MHR方面表现出缺乏自我同情.
结论:
- 缺乏时间,内在的耻辱感和缺乏自我同情心是阻止住院医生利用MHR的重大障碍.
- 外科实习生比医疗实习生寻求咨询的可能性较小,即使在经历情绪困扰时也是如此.
- 了解这些障碍对于为住院医生开发有针对性的健康干预措施至关重要.
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