Personal growth during internship

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• 作者：Dr. Rachel B. Levine MD ; MPH (1)
  Paul Haidet MD ; MPH (2)
  David E. Kern MD ; MPH (1)
  Brent W. Beasley MD (3)
  Lisa Bensinger MD (4)
  Donald W. Brady MD (5)
  Todd Gress MD ; MPH (6)
  Jennifer Hughes MD (7)
  Ajay Marwaha MD (8)
  Jennifer Nelson MD (9)
  Scott M. Wright MD (1)
  
• 关键词：graduate medical education ; personal growth ; qualitative research
• 刊名：Journal of General Internal Medicine
• 出版年：2006
• 出版时间：June 2006
• 年：2006
• 卷：21
• 期：6
• 页码：564-569
• 全文大小：109KB
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• 作者单位：Dr. Rachel B. Levine MD, MPH (1)
  Paul Haidet MD, MPH (2)
  David E. Kern MD, MPH (1)
  Brent W. Beasley MD (3)
  Lisa Bensinger MD (4)
  Donald W. Brady MD (5)
  Todd Gress MD, MPH (6)
  Jennifer Hughes MD (7)
  Ajay Marwaha MD (8)
  Jennifer Nelson MD (9)
  Scott M. Wright MD (1)
  
  1. Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Building B2N, Room 235, 21224, Baltimore, MD
  2. Houston Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA
  3. University of Missouri, Kansas City, MO, USA
  4. Mount Sinai School of Medicine, New York, NY, USA
  5. Emory University, Atlanta, GA, USA
  6. Marshall University Joan C. Edwards School of Medicine, Huntington, WV, USA
  7. Boston University Medical Center, Boston, MA, USA
  8. York Hospital, York, PA, USA
  9. Highland General Hospital, Oakland, CA, USA
  

文摘

BACKGROUND: During clinical training, house officers frequently encounter intense experiences that may affect their personal growth. The purpose of this study was to explore processes related to personal growth during internship. DESIGN: Prospective qualitative study conducted over the course of internship. PARTICIPANTS: Thirty-two postgraduate year (PGY)-1 residents from 9 U.S. internal medicine training programs. APPROACH: Every 8 weeks, interns responded by e-mail to an open-ended question related to personal growth. Content analysis methods were used to analyze the interns-writings to identify triggers, facilitators, and barriers related to personal growth. RESULTS: Triggers for personal growth included caring for critically ill or dying patients, receiving feedback, witnessing unprofessional behavior, experiencing personal problems, and dealing with the increased responsibility of internship. Facilitators of personal growth included supportive relationships, reflection, and commitment to core values. Fatigue, lack of personal time, and overwhelming work were barriers to personal growth. The balance between facilitators and barriers may dictate the extent to which personal growth occurs. CONCLUSIONS: Efforts to support personal growth during residency training include fostering supportive relationships, encouraging reflection, and recognizing interns-core values especially in association with powerful triggers.