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关于心胸外科实习生的虐待和幸福感的国家评估
Ammara A Watkins1, Dena G Shehata2, Emma Holler3
1Division of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, Mass; UMass Chan School of Medicine, Worcester, Mass.
The Journal of thoracic and cardiovascular surgery
|October 16, 2025
概括
在心胸外科实习生中,尤其是女性中,虐待是常见的,并且与倦怠和痛苦有关. 解决虐待问题对于学员的福祉和在外科手术课程中留守至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 职业健康 职业健康 职业健康
背景情况:
- 在外科培训期间的不当待遇可能会对学员的福祉和职业发展产生负面影响.
- 了解虐待的普遍性和后果对于改善培训环境至关重要.
研究的目的:
- 分析心胸外科手术学员中虐待的发生率.
- 评估虐待与实习生痛苦之间的关联,包括倦怠,自杀念头和计划流失.
主要方法:
- 一项国家横截面调查对心胸外科培训生进行了检查后的调查.
- 该调查包括关于虐待 (歧视,虐待,骚扰) 和学员痛苦的经历的问题.
- 多变量回归分析了虐待和受训者痛苦的复合结果之间的联系.
主要成果:
- 在440名实习生中,31%的人报告虐待,女性实习生的比例更高.
- 女性受训者比男性受训者更容易受到歧视,虐待和倦怠.
- 报告虐待的学员有明显更高的学员痛苦风险 (倦怠,自杀念头,消耗).
结论:
- 在心胸外科培训中,滥用治疗很普遍,不成比例地影响女性学员.
- 被认为的虐待是培训员痛苦的重要风险因素,影响心理健康和课程完成.
- 需要采取干预措施,为所有外科实习生创造更安全,更有支持的培训环境.
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