中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (8): 634-640.DOI: 10.3760/cma.j.cn115259-20240829-00895

• 国外医学与比较医学教育 • 上一篇    

美国保障和提升住院医师和临床教师幸福感的理论研究与实践探索

冯黎1, 匡铭2, 杨达雅3, 陈崴4   

  1. 1中山大学附属第一医院神经科 广东省重大神经疾病诊治研究重点实验室 国家临床重点专科和国家重点学科,广州 510080;
    2中山大学附属第一医院肝胆胰外科,广州 510080;
    3中山大学附属第一医院教育处医学教师发展中心,广州 510080;
    4中山大学附属第一医院肾内科 国家卫生健康委员会肾脏病临床研究重点实验室(中山大学) 广东省肾脏病重点实验室,广州 510080
  • 收稿日期:2024-08-29 发布日期:2025-07-30
  • 通讯作者: 陈崴, Email: chenwei99@mail.sysu.edu.cn
  • 基金资助:
    广东省科技厅海外名师项目(207201091014);中山大学教学质量与教学改革工程项目(80000-12220011)

A narrative review of maintaining and promoting the well-being of residents and faculty in the United States

Feng Li1, Kuang Ming 2, Yang Daya 3, Chen Wei 4   

  1. 1Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases & National Key Clinical Department and Key Discipline of Neurology, Guangzhou 510080, China;
    2Center of Hepato-pancreato-biliary Surgrery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China;
    3Faculty Development Center for Health Professions Education, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China;
    4Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University & NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) & Guangdong Provincial Key Laboratory of Nephrology, Guangzhou 510080, China
  • Received:2024-08-29 Published:2025-07-30
  • Contact: Chen Wei, Email: chenwei99@mail.sysu.edu.cn
  • Supported by:
    Guangdong Provincial Overseas Master Teacher Program of Department of Science and Technology (207201091014); Teaching Quality and Teaching Reform Project of Sun Yat-sen University (80000-12220011)

摘要: 幸福感是个体对自身生命质量的满意程度和积极情绪的主观体验。美国作为住院医师规范化培训的引领者,在其住院医师培训体系发展过程中,发现住院医师和临床教师的幸福感水平直接影响培训的效果和医疗质量。本文综述了美国自1981年对住院医师规范化培训进行全国统一管理以来,各主要教育研究和管理机构推动开展的一系列关于住院医师和临床教师幸福感的理论模型和促进幸福感的实践探索,并就其保障和提升幸福感的措施进行了个体、机构、行政多维度的分析总结,以期为我国住院医师培训的优化提供参考和借鉴。

关键词: 美国, 幸福感, 住院医师规范化培训, 临床教师, 住院医师

Abstract: Well-being refers to the individual satisfaction and emotion towards life quality and professional experience. The United States, as the initiator of national standardized residency training, proposes that the well-being of residents and faculty is positively correlated with the residency training quality and outcomes of healthcare services. A series of studies on the theories of well-being of residents and faculty has been conducted, and measures promoting well-being have been explored with the support of themajor medical education organizations since the national standardized residency training in 1981 in the USA. We conducted a narrative review of the primary outcomes from theoretical research and programmatic practices related to well-being in residency training, with the aim of informing residency training in China.

Key words: United States, Well-being, Standardized residency training, Faculty, Residents

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