A Scoping Review on the Concept of Physician Caring.
burnout
caring
physician-patient relationships
purpose
wellness
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
24
05
2021
accepted:
22
12
2021
pubmed:
9
4
2022
medline:
23
9
2022
entrez:
8
4
2022
Statut:
ppublish
Résumé
Physicians' interest in the health and well-being of their patients is a tenet of medical practice. Physicians' ability to act upon this interest by caring for and about their patients is central to high-quality clinical medicine and may affect burnout. To date, a strong theoretical and empirical understanding of physician caring does not exist. To establish a practical, evidence-based approach to improve health care delivery and potentially address physician burnout, we sought to identify and synthesize existing conceptual models, frameworks, and definitions of physician caring. We performed a scoping review on physician caring. In November 2019 and September 2020, we searched PubMed MEDLINE, Embase, PsycINFO, CINAHL, and CENTRAL Register of Controlled Trials to identify conceptual models, frameworks, and definitions of physician caring. Eligible articles involved discussion or study of care or caring among medical practitioners. We created a content summary and performed thematic analysis of extracted data. Of 11,776 articles, we reviewed the full text of 297 articles; 61 articles met inclusion criteria. Commonly identified concepts referenced Peabody's "secret of care" and the ethics of care. In bioethics, caring is described as a virtue. Contradictions exist among concepts of caring, such as whether caring is an attitude, emotion, or behavior, and the role of relationship development. Thematic analysis of all concepts and definitions identified six aspects of physician caring: (1) relational aspects, (2) technical aspects, (3) physician attitudes and characteristics, (4) agency, (5) reciprocity, and (6) physician self-care. Caring is instrumental to clinical medicine. However, scientific understanding of what constitutes caring from physicians is limited by contradictions across concepts. A unifying concept of physician caring does not yet exist. This review proposes six aspects of physician caring which can be used to develop evidence-based approaches to improve health care delivery and potentially mitigate physician burnout.
Sections du résumé
BACKGROUND
Physicians' interest in the health and well-being of their patients is a tenet of medical practice. Physicians' ability to act upon this interest by caring for and about their patients is central to high-quality clinical medicine and may affect burnout. To date, a strong theoretical and empirical understanding of physician caring does not exist. To establish a practical, evidence-based approach to improve health care delivery and potentially address physician burnout, we sought to identify and synthesize existing conceptual models, frameworks, and definitions of physician caring.
METHODS
We performed a scoping review on physician caring. In November 2019 and September 2020, we searched PubMed MEDLINE, Embase, PsycINFO, CINAHL, and CENTRAL Register of Controlled Trials to identify conceptual models, frameworks, and definitions of physician caring. Eligible articles involved discussion or study of care or caring among medical practitioners. We created a content summary and performed thematic analysis of extracted data.
RESULTS
Of 11,776 articles, we reviewed the full text of 297 articles; 61 articles met inclusion criteria. Commonly identified concepts referenced Peabody's "secret of care" and the ethics of care. In bioethics, caring is described as a virtue. Contradictions exist among concepts of caring, such as whether caring is an attitude, emotion, or behavior, and the role of relationship development. Thematic analysis of all concepts and definitions identified six aspects of physician caring: (1) relational aspects, (2) technical aspects, (3) physician attitudes and characteristics, (4) agency, (5) reciprocity, and (6) physician self-care.
DISCUSSION
Caring is instrumental to clinical medicine. However, scientific understanding of what constitutes caring from physicians is limited by contradictions across concepts. A unifying concept of physician caring does not yet exist. This review proposes six aspects of physician caring which can be used to develop evidence-based approaches to improve health care delivery and potentially mitigate physician burnout.
Identifiants
pubmed: 35391622
doi: 10.1007/s11606-021-07382-4
pii: 10.1007/s11606-021-07382-4
pmc: PMC8989128
doi:
Types de publication
Systematic Review
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
3134-3146Subventions
Organisme : AHRQ HHS
ID : HHSP233201500020I
Pays : United States
Organisme : NIA NIH HHS
ID : R33 AG057383
Pays : United States
Organisme : NIA NIH HHS
ID : R33 AG057395
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG059988
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG069762
Pays : United States
Organisme : AHRQ HHS
ID : R01 HS026506
Pays : United States
Organisme : AHRQ HHS
ID : R01 HS028127
Pays : United States
Informations de copyright
© 2022. The Author(s) under exclusive licence to Society of General Internal Medicine.
Références
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542.
pubmed: 29596592
doi: 10.1001/jama.2018.1331
Vachon DO. How Doctors Care: The Science of Compassionate and Balanced Caring in Medicine. 1
Hartzband P, Groopman J. Physician Burnout, InterruptedN Engl J Med. 2020;382(26):2485-7.
ABIM Foundation. American Board of Internal Medicine; ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine; European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243-6.
doi: 10.7326/0003-4819-136-3-200202050-00012
Quill TE, Cassel CK. Nonabandonment: a central obligation for physicians. Ann Intern Med. 1995;122(5):368-74.
pubmed: 7847649
doi: 10.7326/0003-4819-122-5-199503010-00008
Engel GL. The clinical application of the biopsychosocial model. J Med Philos. 1981;6(2):101-23.
pubmed: 7264472
doi: 10.1093/jmp/6.2.101
Peabody FW. The care of the patient. JAMA. 2015 12;313(18).
Ludmerer KM. Reflections on Learning to Heal, Time to Heal, and Let Me Heal. Acad Med. 2020;95(6):838-41.
pubmed: 31651437
doi: 10.1097/ACM.0000000000003054
Hajar R. The physician’s oath: Historical perspectives. Heart Views. 2017;18(4):154-9.
pubmed: 29326783
pmcid: 5755201
doi: 10.4103/HEARTVIEWS.HEARTVIEWS_131_17
Prasad K, Poplau S, Brown R, et al. Time Pressure During Primary Care Office Visits: A Prospective Evaluation of Data from the Healthy Work Place Study. J Gen Intern Med. 2020;35(2):465-72.
pubmed: 31797160
doi: 10.1007/s11606-019-05343-6
Sinsky CA, Privitera MR. Creating a "Manageable Cockpit" for Clinicians: A Shared Responsibility. JAMA Intern Med. 2018;178(6):741-2.
pubmed: 29582080
doi: 10.1001/jamainternmed.2018.0575
Linzer M, Poplau S, Prasad K, Khullar D, Brown R, Varkey A, Yale S, Grossman E, Williams E, Sinsky C; Healthy Work Place Investigators. Characteristics of Health Care Organizations Associated With Clinician Trust: Results From the Healthy Work Place Study. JAMA Netw Open. 2019;2(6):e196201.
Leiter MP, Frank E, Matheson TJ. Demands, values, and burnout: relevance for physicians. Can Fam Physician. 2009;55(12):1224-5, 1225.e1-6.
Fischer-Wright, H. Back to Balance: The art, science, and business of medicine. Disruption Books. 2017.
Crowley R, Atiq O, Hilden DHealth and Public Policy Committee of the American College of Physicians. Financial Profit in Medicine: A Position Paper From the American College of Physicians. Ann Intern Med. 2021;174(10):1447-1449.
pubmed: 34487452
doi: 10.7326/M21-1178
Rotenstein LS, Torre M, Ramos MA, et al. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018;320(11):1131-50.
pubmed: 30326495
pmcid: 6233645
doi: 10.1001/jama.2018.12777
Schwenk TL. Physician Well-being and the Regenerative Power of Caring. JAMA. 2018;319(15):1543-4.
pubmed: 29596590
doi: 10.1001/jama.2018.1539
Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory Manual. 3
Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017;12(10):e0185781.
pubmed: 28977041
pmcid: 5627926
doi: 10.1371/journal.pone.0185781
Oskrochi Y, Maruthappu M, Henriksson M, Davies AH, Shalhoub J. Beyond the body: A systematic review of the nonphysical effects of a surgical career. Surgery. 2016 Feb;159(2):650-64.
pubmed: 26431813
doi: 10.1016/j.surg.2015.08.017
Williams ES, Manwell LB, Konrad TR, Linzer M. The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev. 2007;32(3):203-12.
pubmed: 17666991
doi: 10.1097/01.HMR.0000281626.28363.59
Dewa CS, Loong D, Bonato S, Trojanowski L. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open. 2017;7(6):e015141.
pubmed: 28637730
pmcid: 5734243
doi: 10.1136/bmjopen-2016-015141
Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. 2017;32(4):475-82.
Windover AK, Martinez K, Mercer MB, Neuendorf K, Boissy A, Rothberg MB. Correlates and Outcomes of Physician Burnout Within a Large Academic Medical Center. JAMA Intern Med. 2018;178(6):856-8.
pubmed: 29459945
pmcid: 5885154
doi: 10.1001/jamainternmed.2018.0019
Willard-Grace R, Knox M, Huang B, Hammer H, Kivlahan C, Grumbach K. Burnout and Health Care Workforce Turnover. Ann Fam Med. 2019;17(1):36-41.
pubmed: 30670393
pmcid: 6342603
doi: 10.1370/afm.2338
Shanafelt TD, Balch CM, Dyrbye L, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62.
pubmed: 21242446
doi: 10.1001/archsurg.2010.292
Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149(5):334-41.
pubmed: 18765703
doi: 10.7326/0003-4819-149-5-200809020-00008
Agarwal SD, Pabo E, Rozenblum R, Sherritt KM. Professional Dissonance and Burnout in Primary Care: A Qualitative Study. JAMA Intern Med. 2020;180(3):395-401.
pubmed: 31904796
pmcid: 6990959
doi: 10.1001/jamainternmed.2019.6326
Morse JM, Solberg SM, Neander WL, Bottorff JL, Johnson JL. Concepts of caring and caring as a concept. ANS Adv Nurs Sci. 1990;13(1):1-14.
pubmed: 2122796
doi: 10.1097/00012272-199009000-00002
Beck CT. Quantitative measurement of caring. J Adv Nurs. 1999;30(1):24-32.
pubmed: 10403977
doi: 10.1046/j.1365-2648.1999.01045.x
Finfgeld-Connett D. Meta-synthesis of caring in nursing. J Clin Nurs. 2008;17(2):196-204.
pubmed: 17331089
Putra KR, Andayani T, Ningrum EH. Job satisfaction and caring behavior among nurses in a military hospital: A cross-sectional study. J Public Health Res. 2021;10(2):2212.
pmcid: 8129760
doi: 10.4081/jphr.2021.2212
Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, Niakas D, Papastavrou E. The impact of occupational stress on nurses' caring behaviors and their health related quality of life. BMC Nurs. 2016;15:56.
De Los Santos JAA, Labrague LJ. Job engagement and satisfaction are associated with nurse caring behaviours: A cross-sectional study. J Nurs Manag. 2021;29(7):2234-2242.
pubmed: 34021940
doi: 10.1111/jonm.13384
Burtson PL, Stichler JF. Nursing work environment and nurse caring: relationship among motivational factors. J Adv Nurs. 2010 Aug;66(8):1819-31.
pubmed: 20557389
doi: 10.1111/j.1365-2648.2010.05336.x
National Academies of Sciences, Engineering, and Medicine 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521 .
doi: 10.17226/25521
Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology. 2005 8(1):19-32.
doi: 10.1080/1364557032000119616
Daudt HM, van Mossel C, Scott SJ. Enhancing the scoping study methodology: a large, interprofessional teams’ experience with Arksey and O’Malley’s framework. BMC Med Res Methodol. 2014;13:48.
doi: 10.1186/1471-2288-13-48
Gillespie H, Kelly M, Duggan S, Dornan T. How do patients experience caring? Scoping review. Patient Educ Couns. 2017;100(9):1622-33.
pubmed: 28392179
doi: 10.1016/j.pec.2017.03.029
Patton MQ. Modules 67-68. Qualitative research & evaluation methods. 4
Pellegrino ED. Chapter 1: The Caring Ethic: The Relation of Physician to Patient. In Bishop AH, Scudder JR, Eds. Caring, curing, coping: Nurse, physician, and patient relationships. University of Alabama Press, 2009:8-30.
Beauchamp TL, Childress JF. Chapter 2: Moral Character. In: Beachamp TL, Childress JF, Eds. Principles of biomedical ethics. 8
Woolf SH. Patient safety is not enough: targeting quality improvements to optimize the health of the population. Ann Intern Med. 2004;140(1):33-6.
pubmed: 14706970
doi: 10.7326/0003-4819-140-1-200401060-00009
Stergiopoulos E, Ellaway RH, Nahiddi N, Martimianakis MA. A Lexicon of Concepts of Humanistic Medicine: Exploring Different Meanings of Caring and Compassion at One Organization. Acad Med. 2019;94(7):1019-26.
pubmed: 30946128
doi: 10.1097/ACM.0000000000002732
McCabe MS. In defence of ethically caring physicians. Commun Med. 2008;5(1):15-23.
pubmed: 19363876
doi: 10.1558/cam.v5i1.15
Martinsen E Harm in the absence of care: Towards a medical ethics that cares. Nurs Ethics. 2011;18(2):174-83.
pubmed: 21372230
doi: 10.1177/0969733010392304
Rhodes R Love thy patient: justice, caring, and the doctor-patient relationship. Camb Q Healthc Ethics. 1995;4(4):434-47.
pubmed: 8563953
doi: 10.1017/S0963180100006253
Feinstein AR. Is "quality of care" being mislabeled or mismeasured? Am J Med. 2002;112(6):472-8.
pubmed: 11959058
doi: 10.1016/S0002-9343(02)01043-4
Blumgart HL. Caring for the patient. N Engl J Med. 1964;270:449-56.
pubmed: 14163225
doi: 10.1056/NEJM196402272700906
Balint JA. A caring partnership: can we gain control? Mt Sinai J Med. 2005;72(2):100-4.
pubmed: 15770339
Kleinman A. From illness as culture to caregiving as moral experience. N Engl J Med. 2013;368(15):1376-7.
pubmed: 23574117
doi: 10.1056/NEJMp1300678
Buetow S, Elwyn G. The window-mirror: a new model of the patient-physician relationship. Open Med. 2008;2(1):e20-5.
pubmed: 21602948
pmcid: 3091589
Catania C, Zagonel V Italian Society of Medical Oncology (AIOM) Working Group: "Humanization and Organization". "Care and self-care" "god as a mirror of the self". J Cancer Educ. 2009;24(1):80-2.
pubmed: 19259870
doi: 10.1080/08858190802665278
McLeod ME. The caring physician: a journey in self-exploration and self-care. Am J Gastroenterol. 2003;98(10):2135-8.
pubmed: 14572557
doi: 10.1111/j.1572-0241.2003.07719.x
Adler HM. The sociophysiology of caring in the doctor-patient relationship. J Gen Intern Med. 2002;17(11):874-81.
pubmed: 12406360
doi: 10.1046/j.1525-1497.2002.10640.x
Scott RA, Aiken LH, Mechanic D, Moravcsik J. Organizational aspects of caring. Milbank Q. 1995;73(1):77-95.
pubmed: 7898409
doi: 10.2307/3350314
Widdershoven GA. Care, cure and interpersonal understanding. J Adv Nurs. 1999;29(5):1163-9.
pubmed: 10320500
doi: 10.1046/j.1365-2648.1999.00985.x
Marcum JA. Care and competence in medical practice: Francis Peabody confronts Jason Posner. Med Health Care Philos. 2011;14(2):143-53.
pubmed: 20640516
doi: 10.1007/s11019-010-9257-0
Salmon P, Young B. Dependence and caring in clinical communication: the relevance of attachment and other theories. Patient Educ Couns. 2009;74(3):331-8.
pubmed: 19157761
pmcid: 3764431
doi: 10.1016/j.pec.2008.12.011
Charon R. The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001;286(15):1897-902.
pubmed: 11597295
doi: 10.1001/jama.286.15.1897
Sullivan LS. Trust, Risk, and Race in American Medicine. Hastings Cent Rep. 2020;50(1):18-26.
pubmed: 32068281
doi: 10.1002/hast.1080
Branch WT Jr. The ethics of caring and medical education. Acad Med. 2000;75(2):127-32.
pubmed: 10693842
doi: 10.1097/00001888-200002000-00006
Johnston SC. Anticipating and Training the Physician of the Future: The Importance of Caring in an Age of Artificial Intelligence. Acad Med. 2018;93(8):1105-6.
pubmed: 29443717
doi: 10.1097/ACM.0000000000002175
Patey P. Concepts and strategies for teaching caring. Can Fam Physician. 1987;33:2743-8.
pubmed: 20469471
pmcid: 2218269
MacLeod R. Learning to care: a medical perspective. Palliat Med. 2000;14(3):209-16.
pubmed: 10858829
doi: 10.1191/026921600673888167
Janssen AL, Macleod RD, Walker ST. Recognition, reflection, and role models: critical elements in education about care in medicine. Palliat Support Care. 2008;6(4):389-95.
pubmed: 19006594
doi: 10.1017/S1478951508000618
Petersdorf RG, Turner K. Are we educating a medical professional who cares? Am J Dis Child. 1992;146(11):1338-41.
pubmed: 1415075
Irby DM, Hamstra SJ. Parting the Clouds: Three Professionalism Frameworks in Medical Education. Acad Med. 2016;91(12):1606-11.
pubmed: 27119331
doi: 10.1097/ACM.0000000000001190
Branzetti J, Gisondi MA, Hopson LR, Regan L. Aiming Beyond Competent: The Application of the Taxonomy of Significant Learning to Medical Education. Teach Learn Med. 2019;31(4):466-478.
pubmed: 30686049
doi: 10.1080/10401334.2018.1561368
Reuben DB, Sinsky CA. From Transactional Tasks to Personalized Care: A New Vision of Physicians' Roles. Ann Fam Med. 2018;16(2):168-9.
pubmed: 29531111
pmcid: 5847358
doi: 10.1370/afm.2203
Buetow SA. To care is to coprovide. Ann Fam Med. 2005;3(6):553-5.
pubmed: 16338920
pmcid: 1466944
doi: 10.1370/afm.342
Herr KD, Hanna TN, Restauri N. Cultivating Physician Character in Diagnostic Radiology Through Virtuous Caring and Collaborative Professionalism. Acad Radiol. 2018;25(11):1497-1502.
pubmed: 29805063
doi: 10.1016/j.acra.2018.04.013
Gutmann EJ. Ships that pass in the night: The cancer cytopathologist and the patient - caring and communication. Cancer Cytopathol. 2017;125(S6):446-8.
pubmed: 28609006
doi: 10.1002/cncy.21820
Jecker NS, Self DJ. Separating care and cure: an analysis of historical and contemporary images of nursing and medicine. J Med Philos. 1991;16(3):285-306.
pubmed: 1880465
doi: 10.1093/jmp/16.3.285
Gelhaus P. The desired moral attitude of the physician: (III) care. Med Health Care Philos. 2013;16(2):125-39.
pubmed: 22270800
doi: 10.1007/s11019-012-9380-1
Webb C. Caring, curing, coping: towards an integrated model. J Adv Nurs. 1996;23(5):960-8.
pubmed: 8732524
doi: 10.1046/j.1365-2648.1996.09715.x
Hall JA, Roter DL, Katz NR. Task versus socioemotional behaviors in physicians. Med Care. 1987;25(5):399-412.
pubmed: 3695653
doi: 10.1097/00005650-198705000-00004
Apesoa-Varano EC, Barker JC, Hinton L. Curing and caring: the work of primary care physicians with dementia patients. Qual Health Res. 2011;21(11):1469-83.
pubmed: 21685311
doi: 10.1177/1049732311412788
Bamberg M, Budwig N. Therapeutic misconceptions: when the voices of caring and research are misconstrued as the voice of curing. Ethics Behav. 1992;2(3):165-84.
pubmed: 11651363
doi: 10.1207/s15327019eb0203_3
Reyes Nieva H, Ruan E, Schiff GD. Professional-Patient Boundaries: a National Survey of Primary Care Physicians' Attitudes and Practices. J Gen Intern Med. 2020;35(2):457-64.
pubmed: 31755012
doi: 10.1007/s11606-019-05543-0
Pergert P, Ekblad S, Enskär K, Björk O. Obstacles to transcultural caring relationships: experiences of health care staff in pediatric oncology. J Pediatr Oncol Nurs. 2007;24(6):314-28.
pubmed: 18003591
doi: 10.1177/1043454207308066
Wong WT, Broom A, Kirby E, Lwin Z. What lies beneath? Experiencing emotions and caring in oncology. Health (London). 2020;24(4):348-65.
pubmed: 30244612
doi: 10.1177/1363459318800168
Flynn S. Who cares? A critical discussion of the value of caring from a patient and healthcare professional perspective. Int J Orthop Trauma Nurs. 2016;20:28-39.
pubmed: 26772765
doi: 10.1016/j.ijotn.2015.06.001
Salmon P, Mendick N, Young B. Integrative qualitative communication analysis of consultation and patient and practitioner perspectives: towards a theory of authentic caring in clinical relationships. Patient Educ Couns. 2011;82(3):448-54.
pubmed: 21111558
doi: 10.1016/j.pec.2010.10.017
Peter E, Gallop R. The ethic of care: a comparison of nursing and medical students. Image J Nurs Sch. 1994;26(1):47-51.
pubmed: 8200679
doi: 10.1111/j.1547-5069.1994.tb00293.x
Jacobsen F, Lindqvist S. A two-week stay in an Interprofessional Training Unit changes students' attitudes to health professionals. J Interprof Care. 2009;23(3):242-50.
pubmed: 19280378
doi: 10.1080/13561820902739858
Wheatley-Price P, Laurie K, Zhang T, Bossé D, Chowdhury D. The most important attribute: stakeholder perspectives on what matters most in a physician. Curr Oncol. 2020;27(2):100-6.
pubmed: 32489252
pmcid: 7253743
doi: 10.3747/co.27.5489
Dobrowolska B, Ślusarska B, Zarzycka D, McGonagle I, Pawlikowski J, Cuber T. Care concept in medical and nursing students' descriptions--philosophical approach and implications for medical education. Ann Agric Environ Med. 2014;21(4):854-60.
pubmed: 25528934
doi: 10.5604/12321966.1129946
MacLeod A. Caring, competence and professional identities in medical education. Adv Health Sci Educ Theory Pract. 2011;16(3):375-94.
pubmed: 21188513
doi: 10.1007/s10459-010-9269-9
Konkin J, Suddards C. Creating stories to live by: caring and professional identity formation in a longitudinal integrated clerkship. Adv Health Sci Educ Theory Pract. 2012;17(4):585-96.
pubmed: 22052211
doi: 10.1007/s10459-011-9335-y
Self DJ, Jecker NS, Baldwin DC Jr. The moral orientations of justice and care among young physicians. Camb Q Healthc Ethics. 2003;12(1):54-60.
pubmed: 12625201
doi: 10.1017/S0963180103121068
Leffel GM, Oakes Mueller RA, Ham SA, Curlin FA, Yoon JD. Project on the Good Physician: A Proposal for a Moral Intuitionist Model of Virtuous Caring. Teach Learn Med. 2017;29(1):75-84.
doi: 10.1080/10401334.2016.1205497
Leffel GM, Oakes Mueller RA, Ham SA, Karches KE, Curlin FA, Yoon JD. Project on the Good Physician: Further Evidence for the Validity of a Moral Intuitionist Model of Virtuous Caring. Teach Learn Med. 2018;30(3):303-16.
pubmed: 29351403
doi: 10.1080/10401334.2017.1414608
De Valck C, Bensing J, Bruynooghe R, Batenburg V. Cure-oriented versus care-oriented attitudes in medicine. Patient Educ Couns. 2001;45(2):119-26.
pubmed: 11687325
doi: 10.1016/S0738-3991(00)00201-9
Tsai TC, Lin CH, Harasym PH, Violato C. Students' perception on medical professionalism: the psychometric perspective. Med Teach. 2007;29(2-3):128-34.
pubmed: 17701622
doi: 10.1080/01421590701310889
McCormack WT, Lazarus C, Stern D, Small PA Jr. Peer nomination: a tool for identifying medical student exemplars in clinical competence and caring, evaluated at three medical schools. Acad Med. 2007;82(11):1033-9.
pubmed: 17971688
doi: 10.1097/01.ACM.0000285345.75528.ee
Krupat E, Hiam CM, Fleming MZ, Freeman P. Patient-centeredness and its correlates among first year medical students. Int J Psychiatry Med. 1999;29(3):347-56.
pubmed: 10642908
doi: 10.2190/DVCQ-4LC8-NT7H-KE0L
Stern DT. Practicing what we preach? An analysis of the curriculum of values in medical education. Am J Med. 1998;104(6):569-75.
pubmed: 9674721
doi: 10.1016/S0002-9343(98)00109-0
Lown BA, Chou CL, Clark WD, et al. Caring attitudes in medical education: perceptions of deans and curriculum leaders. J Gen Intern Med. 2007;22(11):1514-22.
pubmed: 17786522
pmcid: 2219796
doi: 10.1007/s11606-007-0318-x
Easter MM, Henderson GE, Davis AM, Churchill LR, King NM. The many meanings of care in clinical research. Sociol Health Illn. 2006;28(6):695-712.
pubmed: 17184413
doi: 10.1111/j.1467-9566.2006.00537.x
Hall JA, Schwartz R. Empathy present and future. J Soc Psychol. 2018;159(3):225-43.
pubmed: 29781776
doi: 10.1080/00224545.2018.1477442
Noddings M. Caring: a feminine approach to ethics and moral education. Berkeley, CA: University of California Press, 1984.
Gilligan C. In a Different Voice. Cambridge, MA: Harvard University Press, 1982.
Dohrenwend AM. Defining Empathy to Better Teach, Measure, and Understand Its Impact. Acad Med. 2018;93(12):1754-6.
pubmed: 30134271
doi: 10.1097/ACM.0000000000002427
Sinclair S, Norris JM, McConnell SJ, Chochinov HM, Hack TF, Hagen NA, McClement S, Bouchal SR. Compassion: a scoping review of the healthcare literature. BMC Palliat Care. 2016;15:6.
Wild HB. There's No Algorithm For Empathy. Health Aff (Millwood). 2020;39(2):339-342.
pubmed: 32011932
doi: 10.1377/hlthaff.2019.00571
VanderWeele TJ. Suffering and response: Directions in empirical research. Soc Sci Med. 2019;224:58-66.
pubmed: 30743193
doi: 10.1016/j.socscimed.2019.01.041
Vroom, V. (1964). Work and motivation. New York City, NY: John Wiley and Sons
Dean W, Talbot S, Dean A. Reframing Clinician Distress: Moral Injury Not Burnout. Fed Pract. 2019;36(9):400-2.
pubmed: 31571807
pmcid: 6752815
Dean W, Talbot SG, Caplan A. Clarifying the Language of Clinician Distress. JAMA. 2020;323(10):923-924.
pubmed: 32003769
doi: 10.1001/jama.2019.21576
Linzer M, Poplau S. Eliminating burnout and moral injury: Bolder steps required. EClinicalMedicine. 2021;39:101090.
pubmed: 34466795
pmcid: 8385149
doi: 10.1016/j.eclinm.2021.101090
Zulman DM, Haverfield MC, Shaw JG, Brown-Johnson CG, Schwartz R, Tierney AA, Zionts DL, Safaeinili N, Fischer M, Thadaney Israni S, Asch SM, Verghese A. Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter. JAMA. 2020;323(1):70-81.
Khullar D, Darien G, Ness DL. Patient Consumerism, Healing Relationships, and Rebuilding Trust in Health Care. JAMA. 2020;324(23):2359-2360.
pubmed: 33320232
doi: 10.1001/jama.2020.12938
Empathy and the Practice of Medicine. Spiro HM, McCrea Curnen MG, Peschel E, St. James D, eds. New Haven : Yale Univ. Press, 1993.
McWilliams JM. Professionalism revealed: rethinking quality improvement in the wake of the pandemic.
Shapiro DE, Duquette C, Abbott LM, Babineau T, Pearl A, Haidet P. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 2019 May;132(5):556-63.
pubmed: 30553832
doi: 10.1016/j.amjmed.2018.11.028
Johnson SB, Butcher F. Doctors during the COVID-19 pandemic: what are their duties and what is owed to them? J Med Ethics. 2021;47(1):12-15.
pubmed: 33060186
doi: 10.1136/medethics-2020-106266
Kaur AP, Levinson AT, Monteiro JFG, Carino GP. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21.
pubmed: 30951924
doi: 10.1016/j.jcrc.2019.03.001
Bohnen JD, Lillemoe KD, Mort EA, Kaafarani HMA. When Things Go Wrong: The Surgeon as Second Victim. Ann Surg. 2019;269(5):808-809.
pubmed: 30480564
doi: 10.1097/SLA.0000000000003138