Objective: 

The aim of this study was to obtain novel perspectives regarding the effects that surgical training has on the well-being of trainees.

Summary Background Data: 

Improving trainee well-being is a national concern given high rates of burnout, depression, and suicide among physicians. Supporters of surgical trainees may offer new perspectives regarding the effects of surgical training and point to strategies to optimize trainee wellness.

Methods: 

This qualitative study employs semi-structured interviews of 32 support persons of trainees at a single tertiary care center with multiple surgical training programs. Interviews focused on perspectives related to supporting a surgical trainee. Interview transcripts underwent qualitative analysis with semantic and conceptual coding. Themes related to effects of training on trainee wellness are reported.

Results: 

Four themes were identified: Who Can Endure the Most Hardship?—trainee attributes and programmatic factors contribute to trainees feeling the need to constantly endure the most hardship; Consequences of Hardship—constantly enduring hardships has significant negative effects on wellness; Trainees are Humans—trainees are people with basic human needs, especially the need for worth; Research Time as Refuge—dedicated research time is treated as an oasis away from clinical hardships.

Conclusions: 

Perspectives from support persons can offer valuable insight into the wellness needs of surgical trainees. According to support persons, surgical training profoundly negatively impacts trainee wellness. Unlike during clinical training, dedicated research time is a period during which wellness can be prioritized. Programs should provide greater attention to mitigating the negative ramifications of surgical training and promoting wellness in a longitudinal fashion throughout training.

中文翻译：

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艰辛与人性：从亲人的角度对外科训练及其对受训者的影响进行更深入的定性研究

客观的： 

本研究的目的是获得关于外科培训对受训者福祉影响的新观点。

摘要背景数据： 

鉴于医生的职业倦怠、抑郁和自杀率很高，改善实习生的幸福感是一个全国性的问题。外科实习生的支持者可能会就外科培训的效果提出新的观点，并指出优化实习生健康的策略。

方法： 

这项定性研究采用半结构化访谈，在一个具有多个外科培训计划的单一三级护理中心对受训人员的 32 名支持人员进行了采访。访谈的重点是与支持外科实习生相关的观点。访谈记录经过语义和概念编码的定性分析。报告了与培训对学员健康影响相关的主题。

结果： 

确定了四个主题：谁可以忍受最大的困难？——受训者的属性和计划因素使受训者感到需要不断地忍受最大的困难；苦难的后果——不断忍受苦难对健康有显着的负面影响；受训者是人——受训者是有基本人类需求的人，尤其是对价值的需求；研究时间作为避难所——专门的研究时间被视为远离临床困难的绿洲。

结论： 

支持人员的观点可以为外科实习生的健康需求提供有价值的见解。据支持人员称，外科培训对学员的健康产生了深远的负面影响。与临床培训不同，专门的研究时间是可以优先考虑健康的时期。计划应更加关注减轻手术培训的负面影响，并在整个培训过程中以纵向方式促进健康。