Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia

María Adelaida Posada Uribe , Verónica Vargas González , Clara Orrego Morales , Carolina Cataño , Elsa María Vásquez , Diana Restrepo
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引用次数: 1

Abstract

Introduction

One of the most important moments in a doctor’s life occurs when they do a medical residency. This period imposes stress and academic demands, which, together with the educational environment, allows for greater or lesser mental wellbeing. The objective of this study was to determine how the educational environment and mental wellbeing of medical residents are related.

Methods

Analytical cross-sectional study, in residents of clinical-surgical specialties. The educational environment was assessed using the Postgraduate Hospital Educational Environment Measure (PHEEM), and mental wellbeing was assessed with the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS). Pearson’s linear correlation was determined. Informed consent and approval by the university ethics committee were obtained.

Results

The study population comprised 131 students, 43.8% male, with a median age of 28 years (interquartile range 4). In total, 87.9% of residents answered the survey. Of these, 65.9% were doing medical residencies and 34.1% surgical residencies. The mean PHEEM score was 107.96 ± 18.88, the positive emotions subscale was 29.32 ± 5.18 and positive functioning 23.61 ± 3.57, with a mean total mental wellbeing of 52.96 ± 8.44. A positive and moderate correlation was found between the total PHEEM score and each of the two mental wellbeing subscales (p < 0.001).

Conclusions

A positive correlation was found between a better perception of the educational environment and mental wellbeing by residents of clinical and surgical specialties with greater mental wellbeing.

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哥伦比亚麦德林医疗和外科研究生住院医师的教育环境和心理健康
医生一生中最重要的时刻之一发生在他们做住院医生的时候。这一时期的压力和学业要求,加上教育环境,使心理健康或多或少。本研究旨在探讨教育环境与住院医师心理健康的关系。方法对临床外科专科住院医师进行横断面分析研究。采用研究生医院教育环境量表(PHEEM)评估教育环境,采用沃里克-爱丁堡心理健康量表(WEMWBS)评估心理健康。Pearson线性相关测定。获得了学校伦理委员会的知情同意和批准。结果研究对象为学生131人,其中男性43.8%,年龄中位数28岁(四分位差4),总应答率为87.9%。其中65.9%是内科住院医师,34.1%是外科住院医师。平均PHEEM得分为107.96 ± 18.88,积极情绪得分为29.32 ± 5.18,积极功能得分为23.61 ± 3.57,总心理健康得分为52.96 ± 8.44。PHEEM总分与两个心理健康亚量表均存在正相关和中度相关(p < 0.001)。结论心理幸福感较高的临床和外科专科住院医师对教育环境的感知与心理幸福感呈正相关。
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