Keeping doctors happy and productive requires a thorough understanding of the systemic causes and consequences of physician stress, as well as the role of resilience in maintaining a healthy mental state. The pressure of making life-or-death decisions along with those associated with the day-to-day challenges of doctoring can lead to poor patient care and communication, patient dissatisfaction, absenteeism, reductions in productivity, job dissatisfaction, and lowered retention.
This edited volume will provide a comprehensive tool for understanding and promoting physician stress resilience. Specifically, the book has six interrelated objectives that, collectively, would advance the evidence-based understanding of (1) the extent to which physicians experience and suffer from work-related stress; (2) the various manifestations, syndromes, and reaction patterns directly caused by work-related stress; (3) the degree to which physicians are resilient in that they are successful or not successful in coping with these stressors; (4) the theories and direct evidence that account for the resilience; (5) the programs during and following medical school which help to promote resilience; and (6) the agenda for future theory, research, and intervention efforts for the next generation of physicians.
Recenzijos
The final chapter... looks forward to a time when there will be a worldwide debate about physician stress and resilience in order to better understand, prevent and manage the destructive, negative effects of stress that undoubtedly accompanies the delivery of medical services. It is in everyone's interest - doctors and patients alike - that such a debate takes place and this book should be essential reading in working towards that aim. * Occupational Safety and Health Journal *
Foreword |
|
xi | |
|
|
Acknowledgments |
|
xv | |
Contributors |
|
xix | |
Introduction |
|
xxiii | |
|
Section 1 Stress Of Being A Medical Student: Introduction |
|
|
|
|
1 Distributed Emotional Intelligence: A Resource to Help Medical Students Learn in Stressful Settings |
|
|
5 | (19) |
|
|
|
2 First Clinical Attachments: Informal Learning and Stressors in the Clinical Environment |
|
|
24 | (20) |
|
|
3 Between Two Worlds: Medical Students Narrating Identity Tensions |
|
|
44 | (23) |
|
|
|
4 Laughter for Coping: Medical Students Narrating Professionalism Dilemmas |
|
|
67 | (21) |
|
|
|
5 Bringing Complexity Thinking to Curriculum Development: Implications for Faculty and Medical Student Stress and Resilience |
|
|
88 | (25) |
|
|
|
Section 2 Stress Of Being A Physician: Introduction |
|
|
|
|
6 Maintaining a Balance: Doctors Caring for People Who Are Dying and Their Families |
|
|
113 | (14) |
|
|
7 Physician Stress: Compassion Satisfaction, Compassion Fatigue and Vicarious Traumatization |
|
|
127 | (19) |
|
|
|
|
8 The Medico-Legal Environment and How Medico-Legal Matters Impact the Doctor: Research Findings from an Australian Study |
|
|
146 | (14) |
|
|
|
|
|
|
160 | (11) |
|
|
10 How Doctors Become Patients |
|
|
171 | (22) |
|
|
11 Healthy Docs = Healthy Patients: Arguably the Most Important Reason to Care about Physician Health |
|
|
193 | (10) |
|
|
|
|
|
Section 3 Management Of Physician Stress: Introduction |
|
|
|
|
12 Overcopers: Medical Doctor Vulnerability to Compassion Fatigue |
|
|
203 | (13) |
|
|
|
13 Stress and Coping: Generational and Gender Similarities and Differences |
|
|
216 | (31) |
|
|
|
|
14 Treatment and Prevention Work: Center for Practitioner Renewal |
|
|
247 | (18) |
|
|
|
|
|
15 Promoting Resilience and Posttraumatic Growth in Physicians |
|
|
265 | (16) |
|
|
16 Ethical Decisions: Stress and Distress in Medicine |
|
|
281 | (20) |
|
|
|
Section 4 Personal Reflections: Introduction |
|
|
|
|
|
301 | (4) |
|
|
18 The Gifts of Palliative Care: Sometimes Awkward, Always Wholesome |
|
|
305 | (7) |
|
|
19 Pediatrics: If Only It Was Just the Kids |
|
|
312 | (7) |
|
|
20 Psychiatrists in Distress: When Work Becomes a Problem |
|
|
319 | (7) |
|
|
21 Medical Students and Residents |
|
|
326 | (2) |
|
|
22 Family Medicine: I Will Never Fly in a Helicopter Again |
|
|
328 | (3) |
|
|
23 Anesthesiology: Personal Reflections |
|
|
331 | (8) |
|
|
|
339 | (13) |
|
|
|
352 | (9) |
|
|
|
Index |
|
361 | |
Charles Figley, The Paul Henry Kurzweg, MD Distinguished Chair and Professor in Disaster Mental Health at Tulane University and Graduate School of Social Work Professor and Associate Dean for Research, New Orleans, Louisiana
Peter Huggard, Senior Lecturer and Academic Advisor, Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand
Charlotte Rees, Associate Professor in Medical Education, Centre for Innovation in Professional Health Education and Research, Faculty of Medicine, University of Sydney, Australia