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Physician Burnout: Coaching a Way Out

机译:医师倦怠:指导出路

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摘要

Twenty-five to sixty percent of physicians report burnout across all specialties. Changes in the healthcare environment have created marked and growing external pressures. In addition, physicians are predisposed to burnout due to internal traits such as compulsiveness, guilt, and self-denial, and a medical culture that emphasizes perfectionism, denial of personal vulnerability, and delayed gratification. Professional coaching, long utilized in the business world, provides a results-oriented and stigma-free method to address burnout, primarily by increasing one’s internal locus of control. Coaching enhances self-awareness, drawing on individual strengths, questioning self-defeating thoughts and beliefs, examining new perspectives, and aligning personal values with professional duties. Coaching utilizes established techniques to increase one’s sense of accomplishment, purpose, and engagement, all critical in ameliorating burnout. Coaching presumes that the client already possesses strengths and skills to handle life’s challenges, but is not accessing them maximally. Although an evidence base is not yet established, the theoretical basis of coaching’s efficacy derives from the fields of positive psychology, mindfulness, and self-determination theory. Using a case example, this article demonstrates the potential of professional coaching to address physician burnout.
机译:25%至60%的医生报告说所有专业都倦怠。医疗环境的变化产生了明显且不断增加的外部压力。此外,由于内在特征(例如强迫性,内and感和自我克制)以及强调完美主义,否认个人脆弱性和延迟满足感的医学文化,医生容易精疲力尽。在商业世界中长期使用的专业教练主要通过增加内部控制源来提供一种以结果为导向,无耻辱的方法来解决职业倦怠。教练可以增强自我意识,利用个人优势,质疑自欺欺人的思想和信念,研究新观点,并使个人价值观与专业职责保持一致。教练利用既定的技术来增强个人的成就感,目标感和参与感,这对缓解倦怠至关重要。教练认为客户已经具备了应对生活挑战的能力和技能,但没有最大限度地利用它们。尽管尚未建立证据基础,但是教练效力的理论基础来自积极心理学,正念和自决理论领域。本文以案例为例,展示了专业教练解决医师倦怠的潜力。

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