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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 >An Evolving Identity: How Chronic Care Is Transforming What it Means to Be a Physician
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An Evolving Identity: How Chronic Care Is Transforming What it Means to Be a Physician

机译：一种不断发展的身份：长期关怀如何转变为医生意味着什么

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摘要

Physician identity and the professional role physicians play in health care is rapidly evolving. Over 130 million adults and children in the USA have complex and chronic diseases, each of which is shaped by aspects of the patient's social, psychological, and economic status. These patients have lifelong health care needs that require the ongoing care of multiple health care providers, access to community services, and the involvement of patients' family support networks. To date, physician professional identity formation has centered on autonomy, authority, and the ability to "heal." These notions of identity may be counterproductive in chronic disease care, which demands interdependency between physicians, their patients, and teams of multidisciplinary health care providers. Medical educators can prepare trainees for practice in the current health care environment by providing training that legitimizes and reinforces a professional identity that emphasizes this interdependency. This commentary outlines the important challenges related to this change and suggests potential strategies to reframe professional identity to better match the evolving role of physicians today.
机译：医生身份和专业角色医生在医疗保健中发挥的迅速发展。美国超过1.3亿人和儿童拥有复杂和慢性疾病，每个人都是患者社会，心理和经济地位的方面。这些患者有终身保健需求，需要持续处理多个医疗保健提供者，获得社区服务以及患者家庭支持网络的参与。迄今为止，医生专业身份形成已集中在自主权，权威和“愈合”的能力。这些身份的概念可能对慢性疾病护理进行适得其反的药物，这需要医生，他们的患者和多学科医疗保健提供者团队之间的相互依赖性。通过提供合法化和强调这种相互依存的专业身份，通过提供培训，医疗教育工作者可以在目前的医疗环境中制定实践的实践。该评论概述了与这种变革相关的重要挑战，并提出了让专业身份的潜在策略更好地匹配当今医师的不断发展作用。

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