伊鹏格 is a 医学专业的学生 在渥太华大学的2020年班上

 

谦卑。我真的很谦卑,我开始工作,并从这么多热情的医学生中学习,具有如此强大和精致的价值观,道德,道德和奉献给他们的原因。

我特别谈到医学学习者社区的转变,以更加积极和富有同情心的方式回应;承认健康和社会不平等的重要性,因为它们影响和通知我们的医学教育和专业,更重要的是 - 他们最终如何影响我们当前和未来的患者。患者不经历卫生系统不是作为孤立的实体(尽管我们在医疗保健领域的许多人中,但它肯定会觉得我们的援助仅限于诊所房间);相反,它们受到临床医生在医疗环境中的直接控制和影响的健康和福祉的许多决定因素的影响。

我们知道倦怠可能是在医疗保健官僚机构中被束缚的结果,而不是能够通过我们希望的方式通过我们的工作影响和影响他人。我们也知道要解决倦怠,我们应该组织和问自己,“什么可以 我们 做?”在解决我们灵魂中发火的问题。(1)

我看到医学生动员,加入声音和努力,以盟友在公共重要性问题上。学习者和倡导者,学生和专业人士,提供者和公民 - 都同时。

今年2月,一个 国家医学生的行动日被持有土着心理健康.(2,3) 我们对我们的事业途中有一种急剧转变,咨询过程,咨询了领导者,临床医生,研究人员和导师帮助指导我们找到适当,建设性,尊重的方式来利用我们的集体声音。(4)

来自17所医学院的70多名学生会见了60多名议会成员,政策要求从25多个访谈和40页从土着领导人,临床医生和研究人员提供的书面指导和证词。我们呼吁联邦政府1)通过加拿大的土着人民提出的框架和战略,以指导联邦自杀危机的联邦反应,2)全面审查目前通过国家原住民青年自杀的资金分配。预防策略(Naysps)与土着社区合作,3)直接卫生加拿大重新评估哪些方案和服务根据非保险卫生福利计划(NIHB)。

在会议之后,一个 联合虚拟论坛土着精神健康 随着第一国健康档案的大会和安大略省区域首席Inadore日举行,探索文化能力培训,医学院土着代表的坦率对话,并成为盟友。(5) allyship经常在建立愿意和兴趣的社区建设联盟的地方,通过在合作,互惠,尊重和能力建设中基于基础的流程解决问题。

回顾一下,医学生展示了持续的参与和承诺,谈到影响所有人的不公平。医学生对两层医疗保健谈到 2007,(6) 加拿大对非洲的药物制度的访问 2009,(7) 增加医学的多样性 20102011,(8,9) 农村获得医疗保健 2012,(10) 适当的健康人力资源 2013,(11) 难民健康削减 2013,(12) 进入住房 2014,(13) 一种经济高效的通用药物计划 20142016,(14,15) 和阿片类药物危机 2017.(16)

这项工作很重要,因为它不仅将我们定义为更大的盟友,而且还致以象征职业转变为基于社会问责制和责任的价值观。这是我们很多人的工作,并在医疗培训和实践的混乱中提供了一些安慰 - 永远不要停止学习,思考更深,难以令人感情,并询问,“什么可以 我们 做?”要完成满足您的工作,并为您提供能源和意义,在与同事和患者合作。花点时间反思并受到启发,争取更好,更常见的世界,即固有地培育权益而非相反的世界。

我已经看到并听说过医学学习者社区的伟大工作和变化 - 我,对于一个,对我们所能在一起的事情充满希望和兴奋。让我们组织,动员,说,说话,并创造和展示我们想要看到的职业和现实。

 

参考

  1. Eisenstein L. To Fight Burnout, Organize. N Engl J Med [Internet]. 2018 Aug 9 [cited 2018 Sep 3];379(6):509–11. Available from: http://www.nejm.org/doi/10.1056/NEJMp1803771
  2. CNW | Canadian Medical Students Urge The Government of Canada to Strengthen Response to Indigenous Mental Health and Suicide Crisis [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/canadian-medical-students-urge-the-government-of-canada-to-strengthen-response-to-indigenous-mental-health-and-suicide-crisis-673773613.html
  3. Ge Y, Yin C. 2018 CFMS National Day of Action Indigenous Mental Wellness, Follow-Up Summary Report [Internet]. [cited 2018 Sep 3]. Available from: //www.cfms.org/files/day-of-action/2018-day-of-action-report.pdf
  4. Ge Y, Yin C. Approaching health advocacy with a new model for the 2018 National Day of Action – CFMS Annual Review 2018, Indigenous Health. 2018 [cited 2018 Sep 3];9–10. Available from: //www.cfms.org/resources/annual-review.html
  5. Ge Y. AFN/CFMS Joint Virtual Forum on Indigenous Mental Wellness Summary Document [Internet]. [cited 2018 Sep 3]. Available from: //www.cfms.org/files/day-of-action/Summary-Report-of-AFN-CFMS-Joint-Virtual-Forum-on-Indigenous-Mental-Wellness.pdf
  6. CNW | Medical Students Divided at the Prospect of Two-Tiered Health Care in Canada [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/medical-students-divided-at-the-prospect-of-two-tiered-health-care-in-canada-533643551.html
  7. CNW | Canada’s medical students urge the federal government to deliver on its pledge to Africa [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/canadas-medical-students-urge-the-federal-government-to-deliver-on-its-pledge-to-africa-537730991.html
  8. CNW | Future Doctors Call on Politicians to Help Broaden the Make-up of Canada’s Medical Schools [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-doctors-call-on-politicians-to-help-broaden-the-make-up-of-canadasmedical-schools-539662051.html
  9. CNW | Future doctors visit Parliament Hill to lobby for extended access to Canadian medical schools [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-doctors-visit-parliament-hill-to-lobby-for-extended-access-to-canadian-medical-schools-507604731.html
  10. CNW | Future Physicians call upon Government of Canada to remove barriers to rural practice [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-upon-government-of-canada-to-remove-barriers-to-rural-practice-509566211.html
  11. CNW | Future Physicians call upon Government of Canada to Improve Access to Health Human Resources [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-upon-government-of-canada-to-improve-access-to-health-human-resources-511914971.html
  12. CNW | Canadian Medical Students Speak Up Against Refugee Health Cuts [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/canadian-medical-students-speak-up-against-refugee-health-cuts-512593811.html
  13. CNW | Future Physicians call upon Government of Canada to ensure Canadians have access to housing and medical care [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-upon-government-of-canada-to-ensure-canadians-have-access-to-housing-and-medical-care-513658701.html
  14. CNW | Future Physicians call for Federal Interest in Pharmacare [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-for-federal-interest-in-pharmacare-516502701.html
  15. CNW | Future Physicians Call for Federal Interest in Pharmacare [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-for-federal-interest-in-pharmacare-569657161.html
  16. CNW | Future Physicians call upon Government of Canada to strengthen fight against opioid crisis [Internet]. [cited 2018 Sep 3]. Available from: //www.newswire.ca/news-releases/future-physicians-call-upon-government-of-canada-to-strengthen-fight-against-opioid-crisis-613575253.html