■众所周知,医学的研究和实践会导致医学生和初级医生的职业倦怠。关于澳大利亚医学生和培训医生(DiT)的心理健康负担程度的数据有限。本范围审查旨在探讨医学培训对澳大利亚医学生和DiT心理健康的影响。探索不同培训阶段的心理健康格局将有助于确定该人群中精神病合并症的假定因素。
■利用了乔安娜·布里格斯研究所(JBI)的范围审查框架,涉及人口/概念/背景(PCC)标准,以确定目标人口并制定搜索策略。同行评议的文章,2012年至2022年以英语出版,重点关注澳大利亚医学生和培训中的心理健康医生。
■在确定的177篇文章中,24项研究纳入审查。大多数研究集中在DiT(n=19),其中实习生和住院医师的代表性最强(n=12),其次是外科培训(n=5),全科医生(GP)(n=2)和医师专业(nil)的代表性较差。大多数研究是定量的(n=18),定性研究(n=6)如下。确定的常见心理健康主题是整体心理困扰,倦怠,以及抑郁/自杀意念,工作场所的骚扰和歧视表现不佳。
■澳大利亚DiT在文献中并没有平等地代表不同的专业培训途径如何影响他们的心理健康。大多数研究是横断面的,防止对倦怠和与工作相关的心理困扰进行详细的纵向评估。
UNASSIGNED: The study and practice of medicine are known to contribute to burnout in medical students and junior doctors. There is limited data on the degree of mental health burden for Australian medical students and doctors-in-training (DiT). This scoping
review aims to explore the impact of medical training on the mental health of Australian medical students and DiT. Exploring the mental health landscape across different stages of training will help to establish putative factors underlying psychiatric comorbidities in this demographic.
UNASSIGNED: The Joanna Brigs Institute (JBI) framework for scoping
review was utilized, involving the Population/Concept/Context (PCC) criteria to identify the target population and develop the search strategy. Peer-reviewed articles, published in English from 2012 to 2022 focusing on Australian medical students\' and doctors-in-training mental health were considered.
UNASSIGNED: Of the 177 articles identified, 24 studies were included in the
review. The majority of the studies focused on DiT (n = 19) of which
interns and residents were most well represented (n = 12) followed by surgical training (n = 5), with general practice (GP) (n = 2) and physician specialties (nil) being poorly represented. Most studies were quantitative (n = 18), with qualitative studies(n = 6) under represented. Common mental health themes identified were overall psychological distress, burnout, and depression/suicidal ideation with workplace harassment and discrimination being less well represented.
UNASSIGNED: Australian DiT are not equally represented in the literature with how different specialty training pathways impact their mental health. Most studies were cross-sectional, preventing a detailed longitudinal assessment of burnout and work-associated psychological distress.