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Physician empathy

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https://www.readbyqxmd.com/read/29354203/commentary-the-physician-as-person-framework-how-human-nature-impacts-empathy-depression-burnout-and-the-practice-of-medicine
#1
J Damon Dagnone
No abstract text is available yet for this article.
December 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29354202/the-physician-as-person-framework-how-human-nature-impacts-empathy-depression-burnout-and-the-practice-of-medicine
#2
Lester Liao
Troubling trends of depression, burnout, and declines in empathy have been demonstrated amongst residents. I argue that while interventions in medical education are helpful, a new perspective on the issue requires a more fundamental understanding of this problem. Rather than training physicians to act in certain ways, we must first recognize that physicians are first and foremost people. This core principle forms the basis of the framework that educators can use to help learners. Five areas of humanity with implications for physicians are discussed: 1) Physicians and patients share their humanity; 2) People are self-integrated in both personal and professional lives; 3) People are dynamic, thoughtful, and emotional; 4) People are finite; and 5) People are moral beings...
December 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29309320/chinese-anesthesiologists-have-high-burnout-and-low-job-satisfaction-a-cross-sectional-survey
#3
Hange Li, Mingzhang Zuo, Adrian W Gelb, Biao Zhang, Xiaohui Zhao, Dongdong Yao, Di Xia, Yuguang Huang
BACKGROUND: The Chinese health care system must meet the needs of 19% of the world's population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing-Tianjin-Hebei region focusing on job satisfaction and burnout to determine the incidence and associated factors. METHODS: A large cross-sectional study was performed in the Beijing-Tianjin-Hebei region of China...
January 5, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29306268/addressing-overuse-in-emergency-medicine-evidence-of-a-role-for-greater-patient-engagement
#4
REVIEW
Erika H Newton
Overuse of health care refers to tests, treatments, and even health care settings when used in circumstances where they are unlikely to help. Overuse is not only wasteful, it threatens patient safety by exposing patients to a greater chance of harm than benefit. It is a widespread problem and has proved resistant to change. Overuse of diagnostic testing is a particular problem in emergency medicine. Emergency physicians cite fear of missing a diagnosis, fear of law suits, and perceived patient expectations as key contributors...
December 2017: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29298187/evaluating-differential-effects-of-specific-pain-dismissal-interactions-with-physicians
#5
Amy C Lang, Eva C Igler, Ellen K Defenderfer, Julia Uihlein, Chasity T Brimeyer, W Hobart Davies
OBJECTIVES: Over 40% of adolescents with chronic pain report experiencing pain dismissal, which is a response from another individual that is perceived as diminishing, denying, or disbelieving an individual's report of pain. Pain dismissal by physicians often leaves patients feeling discredited, which may discourage them from seeking and receiving proper treatment for their pain. The purpose of this study was to investigate how the four most commonly reported types of physician pain dismissal differentially affect individuals' reactions...
January 2, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29287286/-arbitration-proceedings-caused-by-communication-problems
#6
Isabell Binter, Christian Herold, Sixtus Allert
INTRODUCTION: Functioning communication is one of the basic elements of a trusting doctor-patient relationship. Good medical communication is more important than ever in times of increasing personnel and time constraints. The aim of this study was to examine to what extent medical communication has an influence on the initiation of arbitration procedures. MATERIAL AND METHODS: The analysis was based on arbitration cases of plastic surgery, which were processed and completed by the Arbitration Board for Medical Liability Issues of North Germany between 2005 and 2015...
December 2017: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29286282/an-assessment-of-emotional-intelligence-in-emergency-medicine-resident-physicians
#7
Dimitrios Papanagnou, Kathryn Linder, Anuj Shah, Kory Scott London, Shruti Chandra, Robin Naples
Objectives: To define the emotional intelligence (EI) profile of emergency medicine (EM) residents, and identify resident EI strengths and weaknesses. Methods: First-, second-, and third-year residents (post-graduate years [PGY] 1, 2, and 3, respectively) of Thomas Jefferson University Hospital's EM Program completed the Emotional Quotient Inventory (EQ-i 2.0), a validated instrument offered by Multi-Health Systems. Reported scores included total mean EI, 5 composite scores, and 15 subscales of EI...
December 27, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/29283621/-joy-in-practice-requires-workforce-well-being
#8
Christine N Runyan
In this column, the president of the Collaborative Family Healthcare Association notes that the national conversation about physician burnout has recently shifted to discussing the importance of finding joy in practice. However, she is concerned the current culture of medicine, hidden curricula in medical training, a draconian financial system, and an emotionally ill-prepared workforce may preclude sustained joy in practice. Formal curricula do not include resiliency skills, mindfulness, cognitive flexibility and reframing, conflict-resolution skills, emotional-regulation skills, or how to practice empathy and compassion without crumbling from vicarious trauma...
December 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29279069/reconsidering-the-decline-of-dental-student-empathy-within-the-course-in-latin-america
#9
Víctor Patricio Díaz-Narváez, Ana María Erazo Coronado, Jorge Luis Bilbao, Farith González, Mariela Padilla, Aracelis Calzadilla-Nuñez, Maria Guadalupe Silva-Vetri, Joel Arboleda, Mirian Bullen, Robert Utsman, Elizabeth Fajardo, Luz Marina Alonso, Marcos Cervantes, Teresa Varela
INTRODUCTION: The controversy over the presence of empathic decline within the course in students of medicine, dentistry and health sciences in general, has not fully been studied. This controversy could be partially solved if massive studies of empathy levels are made in similar cultural, social and economic contexts. MATERIAL AND METHODS: Empathy levels within the course were studied in eighteen dental schools from six countries in Latin America (2013). The mean of the empathy levels were used to study the behavior between first and fifth academic years...
November 29, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29261540/looking-back-to-move-forward-first-year-medical-students-meta-reflections-on-their-narrative-portfolio-writings
#10
Hetty Cunningham, Delphine Taylor, Urmi A Desai, Samuel C Quiah, Benjamin Kaplan, Lorraine Fei, Marina Catallozzi, Boyd Richards, Dorene F Balmer, Rita Charon
The day-to-day rigors of medical education often preclude learners from gaining a longitudinal perspective on who they are becoming. Furthermore, the current focus on competencies, coupled with concerning rates of trainee burnout and a decline in empathy, have fueled the search for pedagogic tools to foster students' reflective capacity. In response, many scholars have looked to the tradition of narrative medicine to foster "reflective spaces" wherein holistic professional identity construction can be supported...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29246258/palliative-care-and-the-arts-vehicles-to-introduce-medical-students-to-patient-centred-decision-making-and-the-art-of-caring
#11
Carlos Centeno, Carole Robinson, Antonio Noguera-Tejedor, María Arantzamendi, Fernando Echarri, José Pereira
BACKGROUND: Medical Schools are challenged to improve palliative care education and to find ways to introduce and nurture attitudes and behaviours such as empathy, patient-centred care and wholistic care. This paper describes the curriculum and evaluation results of a unique course centred on palliative care decision-making but aimed at introducing these other important competencies as well. METHODS: The 20 h-long optional course, presented in an art museum, combined different learning methods, including reflections on art, case studies, didactic sessions, personal experiences of faculty, reflective trigger videos and group discussions...
December 16, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29235909/the-role-of-balint-group-training-in-the-professional-and-personal-development-of-family-medicine-residents
#12
Marty Player, John R Freedy, Vanessa Diaz, Clive Brock, Alexander Chessman, Carolyn Thiedke, Alan Johnson
This paper presents a study based on the participation of PGY2 and PGY3 family medicine residents in Balint seminars that occurred twice monthly for 24 months. Balint groups were cofacilitated by leader pairs experienced with the Balint method. Prior to residency graduation, 18 of 19 eligible resident physicians (94.5%) completed 30- to 60-min semistructured interviews conducted by a research assistant. Resident physicians were told that these individual interviews concerned "…how we teach communication in residency...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29225482/the-relationship-between-empathy-and-burnout-lessons-for-paramedics-a-scoping-review
#13
REVIEW
Brett Williams, Rosalind Lau, Emma Thornton, Lauren S Olney
Background: The concepts of empathy and burnout are critical for practicing paramedics and the profession. While there has been an increasing body of research on the relationship between empathy and burnout with physicians and nurses, surprisingly, no research has been undertaken with paramedics. The aim of this scoping review was to explore the relationship between empathy and burnout. Method: A scoping review was performed based on Arskey and O'Malley's framework...
2017: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/29204755/teaching-empathy-the-implementation-of-a-video-game-into-a-psychiatry-clerkship-curriculum
#14
Andrew Chen, Jessie J Hanna, Adithya Manohar, Anthony Tobia
OBJECTIVE: Empathy plays an important role for physicians, but the literature demonstrates that it often deteriorates during medical school. The purpose of this study is to investigate the use of the interactive video game "That Dragon, Cancer" as a tool to teach empathy to third-year medical students. METHODS: The authors gave a modified, Jefferson Scales of Physician Empathy (JSPE) to 84 third-year medical students in their psychiatry clerkship before and after they played and completed "That Dragon, Cancer" during the 2016-2017 academic calendar year...
December 4, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29173841/improving-perceptions-of-empathy-in-patients-undergoing-low-yield-computerized-tomographic-imaging-in-the-emergency-department
#15
Michelle P Lin, Marc A Probst, Michael A Puskarich, Erin Dehon, Damon R Kuehl, Ralph C Wang, Erik P Hess, Katie Butler, Michael S Runyon, Hao Wang, D Mark Courtney, Brandon Muckley, Cherri D Hobgood, Cassandra L Hall, Jeffrey A Kline
OBJECTIVE: We assessed emergency department (ED) patient perceptions of how physicians can improve their language to determine patient preferences for 11 phrases to enhance physician empathy toward the goal of reducing low-value advanced imaging. METHODS: Multi-center survey study of low-risk ED patients undergoing computerized tomography (CT) scanning. RESULTS: We enroled 305 participants across nine sites. The statement "I have carefully considered what you told me about what brought you here today" was most frequently rated as important (88%)...
November 22, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29142560/changes-in-empathy-during-medical-education-an-example-from-turkey
#16
Fusun Artiran Igde, Mustafa Kursat Sahin
Objective: Empathy is a key element of patient- physician communication; it is relevant to and positively influences patients' health. In this study we aimed to present the Turkey example for the empathy change during the medical faculty training. Methods: This cross-sectional study was carried out at Ondokuz Mayis University, Faculty of Medicine, Department of Family Medicine, Samsun, Turkey. in first three years students of medicine during September 2014 to June 2015...
September 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29140917/medical-trainees-experiences-of-treating-people-with-chronic-pain-a-lost-opportunity-for-medical-education
#17
Kathleen Rice, Jae Eun Ryu, Cynthia Whitehead, Joel Katz, Fiona Webster
PURPOSE: Evidence suggests that physicians' opinions about chronic pain patients become progressively negative over the course of medical training, leading to a decline in empathy for these patients. Few qualitative studies have focused on this issue and thus the experiences shaping this process remain unexplored. This study addressed how medical trainees learn about chronic pain management through informal and formal curricula. METHOD: This study adopted a descriptive qualitative interview-based approach informed by the theoretical lens of the hidden curriculum...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29137720/improving-surgical-residents-communication-in-disclosing-complications-a-qualitative-analysis-of-simulated-physician-and-patient-surrogate-conversations
#18
Carolina Fernandez Branson, Jeffrey G Chipman
BACKGROUND: In this study, we explore surgical resident communication with simulated patient surrogates (SPs), in an Objective Structured Clinical Examination (OSCE). METHODS: We use discourse analysis (DA), a qualitative approach to analyzing language, to evaluate our residents' interactions with simulated patient surrogates. After identifying problematic communication patterns, we apply communication theory to discuss our findings and provide suggestions for improvement...
November 7, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29126410/more-than-visual-literacy-art-and-the-enhancement-of-tolerance-for-ambiguity-and-empathy
#19
Miriam Ethel Bentwich, Peter Gilbey
BACKGROUND: Comfort with ambiguity, mostly associated with the acceptance of multiple meanings, is a core characteristic of successful clinicians. Yet past studies indicate that medical students and junior physicians feel uncomfortable with ambiguity. Visual Thinking Strategies (VTS) is a pedagogic approach involving discussions of art works and deciphering the different possible meanings entailed in them. However, the contribution of art to the possible enhancement of the tolerance for ambiguity among medical students has not yet been adequately investigated...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29099108/una-aproximaci%C3%A3-n-a-la-fenomenolog%C3%A3-a-de-la-enfermedad
#20
Carlos Alva Espinosa
Modern medicine has undergone technological progress, undoubtedly with better results, but the doctor-patient relationship has been undermined in its most important aspect, human contact. The patient experiences and confronts in solitude his adverse experience. This experience is complex, not only are the symptoms of the disease, they also include disability, isolation, fear, dependence and sometimes guilt. Phenomenology attaches a paramount importance to the data in the consciousness of the patient, as facts given with absolute value...
2017: Gaceta Médica de México
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