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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >Interventions to Prevent and Reduce Burnout Among Undergraduate and Graduate Medical Education Trainees: a Systematic Review
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Interventions to Prevent and Reduce Burnout Among Undergraduate and Graduate Medical Education Trainees: a Systematic Review

机译：预防和减少本科和研究生医学教育学员中倦怠和减少倦怠的干预措施：系统审查

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ObjectiveThe authors conducted a systematic review of the published literature to identify interventions to prevent and/or reduce burnout among medical students and residents.MethodsThe authors searched 10 databases (from the start of each through September 21, 2016) using keywords related to burnout, medical education, and prevention. Teams of two authors independently reviewed the search results to select peer-reviewed, English language articles describing educational interventions to prevent and/or reduce burnout among medical students and/or residents that were evaluated using validated burnout measures. They assessed study quality using the Medical Education Research Study Quality Instrument and the Cochrane Risk of Bias Tool.ResultsFourteen studies met inclusion criteria and all used the Maslach Burnout Inventory as at least one measure of burnout. Four were single group pre-post studies, 6 non-randomized two-group studies, and 4 randomized controlled trials. None of the studies were designed specifically to target burnout prevention. In 12 studies, residents were the targeted learners. Six of the 14 studies reported statistically significant changes in burnout scores: 5 reported improvement and 1 reported worsening of burnout. Of the 5 studies that reported statistically significant benefit, 1 studied a complementary and alternative medicine elective, 1 studied the Respiratory One Meditation method, and 3 studied duty hour changes.ConclusionsThis review highlights the need for rigorously designed studies in burnout prevention and reduction among residents and especially medical students.
机译：Objectivethe作者对发表文献进行了系统审查，以确定预防和/或减少医学生和居民之间的倦怠的干预.TheDsthe作者搜索了10个数据库（从2016年9月21日开始）使用与Burnout相关的关键字，医疗教育和预防。两位作者的团队独立地审查了搜索结果，以选择对等审查的英语语言文章，描述使用经过验证的倦怠措施评估的医学生和/或居民之间预防和/或减少倦怠的教育干预措施。他们使用医学教育研究学习质量仪器和偏见工具的Cochrane风险评估了学习质量。讨厌的研究符合纳入标准，所有使用Maslach Burnout Inventory至少为倦怠的速度。四个是单组初期研究，6项非随机双组研究，以及4项随机对照试验。没有专门设计用于瞄准倦怠的预防。在12项研究中，居民是有针对性的学习者。 14项研究中有六项研究报告倦怠评分的统计学变化：5报告的改善，1次报告的倦怠恶化。在统计上显着益处的5项研究中，研究了互补和替代药物的选择，1研究了呼吸道一种冥想方法，3个学习的职责时间变化。结论旨在突出居民的倦怠预防和减少的必要研究特别是医学生。

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