The suffering of physicians

Cole, Thomas R.; Carlin, Nathan

doi:10.1016/s0140-6736(09)61851-1

Cited by 86 publications

(52 citation statements)

References 4 publications

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“…Too much time spent thinking of what will best suit your own needs will lead to cynicism as much as to enhanced income [15]. If many pain specialists need to find more meaning in their professional life, spending more time listening to their patients and directing a multidisciplinary approach may be the best route.…”

Section: Physician Burnout In Pain Practicementioning

confidence: 99%

Ethical Challenges and Interventional Pain Medicine

Brenner

Kueppenbender

Mao

et al. 2011

Curr Pain Headache Rep

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The relief of suffering and the cure of disease must be seen as twin obligations of a medical profession that is truly dedicated to the care of the sick. Physicians' failure to understand the nature of suffering can result in medical intervention that (though technically adequate) not only fails to relieve suffering but becomes a source of suffering itself." -Eric J. Cassel [1] We must abandon those orientations that treat pain as an object independently of the being that it affects. -Giordano and Schatman [2]Early in their professional careers, virtually all physicians endeavor to practice medicine in an ethical manner motivated by a desire to help patients. It is also clear that a significant proportion of individuals and organizations involved in the delivery of health care in this country are centrally motivated by financial concerns. Our fee-for-service reimbursement system compensates for "doing things" to patients. Because of this, great attention must be applied to assure that medical care is focused on the patient's needs rather than that of the individual provider, their practice group, or a hospital system. Pain medicine, like most medical specialties, presents this challenge of maintaining patient-centered care. There are a variety of factors, patient-, provider-, and system-related, that can encourage overemphasis on maximization of financial reward. This type of practice, which is often procedurally focused (but also may occur in the form of inappropriate medical management, as exemplified by the "pill mills"), is inherently unethical and challenges the integrity of the field. Pain medicine must be multimodal and focused on doing what is in the best interest of the patient. The challenge over the next several years will be to utilize education and the coming changes in health care delivery to favor pain practice that is both ethical and sustainable. Case Reports Patient 1A 47-year-old woman (OC) presented for initial evaluation at a pain center with the chief complaint of persistent severe axial low back pain (LBP). OC was in a state of good health until 6 years prior, when this severe pain started after a strain

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Section: Physician Burnout In Pain Practicementioning

confidence: 99%

Ethical Challenges and Interventional Pain Medicine

Brenner

Kueppenbender

Mao

et al. 2011

Curr Pain Headache Rep

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“…C'est d'ailleurs Maslach [3] qui par le MBI, a permis de mieux appréhender les trois composantes du burnout : une fatigue émotionnelle, une dépersonnalisation, et une perte de la sensation d'accomplissement personnel. Cole [12] considère qu'il s'agit d'une crise d'identité de médecins qui se sont engagés dans leur vie professionnelle avec un certain nombre de valeurs. La souffrance vient de la sensation que ces valeurs sont bafouées.…”

Section: Discussionunclassified

Évaluation du niveau de stress et de ses principaux indicateurs chez les praticiens de bloc opératoire

2012

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“…17,18 There is now a growing, uncomfortable realisation that the final "product" of today's medical education has taken on many of the characteristics and paradigms of an "applied scientist", rather than those more humane characteristics Rather than deal with patients in a traditionally-detached fashion, Cohn 20 , and Scott et al, 21 emphasise the importance that clinicians develop therapeutic "clinician-patient healing relationships", with particular reference to the "I-Thou" concept of the existential philosopher, Martin Buber. 22 Reflecting on the depersonalised state of medical practice in the United States of America, Lown states "I am convinced that this situation will not be corrected by economic fixes.…”

Section: Introductionmentioning

confidence: 99%

Transformative Learning as the Basis for Teaching Healing

Kearsley

2015

IJWPC

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The author describes the nature of transformative education, and highlights the potential importance of its implementation in creating physician-healers and propagating whole person care. The author proposes that teaching courses in healing are integral to the professional identity formation of "doctors as healers".The teaching of Healing in workshop format for medical students is used as a template to suggest innovative teaching models which may be used to engender personal transformation in doctors and medical students.

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The suffering of physicians

Cited by 86 publications

References 4 publications

Ethical Challenges and Interventional Pain Medicine

Ethical Challenges and Interventional Pain Medicine

Évaluation du niveau de stress et de ses principaux indicateurs chez les praticiens de bloc opératoire

Transformative Learning as the Basis for Teaching Healing

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