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Assessing levels of support for residents following adverse outcomes: A national survey of anesthesia residency programs in the United States

机译：评估不良后果后对居民的支持水平：美国麻醉住院医师计划的全国调查

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Aim: The impact of physician burnout is becoming apparent in the medical community, especially among anesthesiologists and young physicians. Anesthesia residents will experience emotionally charged adverse events during their training. The objective was to determine the prevalence, efficacy and utilization of support structures in place for residents following adverse events in order to develop a best-practices model of resident support. Methods: We sent an anonymous internet-based survey to program directors (PDs) at all American College of Graduate Medical Education (ACGME)-approved Anesthesia Residency programs, with an optional secondary survey of residents. Results: There was a 53% response rate among PDs with most reporting resource availability. The strongest support programs were the anesthesia support programs, morbidity and mortality (M&M) conference, and "individual meetings with department leadership." These results were mirrored in the responses of residents at the 32 programs who opted to participate in the secondary survey. Both also cited M&M conference as being highly utilized, but not efficacious. The strongest support programs had a low prevalence. Conclusions: These data suggest that a best-practices model of resident support entails establishing a department-based support program, facilitating comfortable meetings with departmental leadership and optimizing M&M conference.
机译：目的：医师倦怠的影响在医学界变得越来越明显，尤其是在麻醉师和年轻医师中。麻醉期间，住院医师会经历情绪激动的不良事件。目的是确定发生不良事件后为居民提供的支持结构的发生率，功效和利用率，以便开发居民支持的最佳实践模型。方法：我们向所有美国研究生医学教育学院（ACGME）批准的麻醉住院医师计划的项目主任（PD）发送了基于互联网的匿名调查，并进行了居民的可选二次调查。结果：PD中报告资源最多的响应率为53％。最强大的支持计划是麻醉支持计划，发病率和死亡率（M＆M）会议以及“与部门领导的个人会议”。这些结果反映在选择参加二次调查的32个计划的居民的回应中。双方都认为M＆M会议被充分利用，但没有效果。最强有力的支持计划的患病率较低。结论：这些数据表明，居民支持的最佳实践模型需要建立一个基于部门的支持程序，以促进与部门领导的舒适会议并优化M＆M会议。

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