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feelings that surround a difficult or tragic medical event like the death of a child HUMANISM VIA SELF-CARE Important to any discussion of humanism is the aspect of self-care The ED physician must feel well in order to help others The physician who is burned out, fatigued, or depressed is not in a good position to help others Thus, self-care must be included in any consideration of humanism Selfcare means healing or resolving relationships that are frayed or in danger It also means making sure one is physically healthy Mental health issues are also prevalent in the ED physician such as posttraumatic stress syndrome, anxiety, and depression It is important to work in an environment where these conditions are recognized and cared for without shame or humiliation Narrative medicine has been suggested as a way to help sort through thoughts and feelings that arise in the workplace Writing about events, relationships with patients and colleagues, and internal feelings is often therapeutic and helpful in keeping the physician’s humanism alive and well SUMMARY While we strive for the utmost in professional behavior in our colleagues and ourselves, we also recognize that we are human beings filled with emotions, thoughts, and feelings Patients expect both our highest professional standards but they also long for the human connection between their care providers and themselves in order that they feel safe, secure, and their fears are addressed Balancing professionalism and humanism is what makes for the art of medicine Suggested Readings and Key References 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):243–246 Baker DP, Salas E, King H, et al The role of teamwork in the professional education of physicians: current status and assessment recommendations Jt Comm J Qual Patient Saf 2005;31(4):185–202 Bendapudi NM, Berry LL, Rayburn WL, et al Patients perspectives on ideal physician behaviors Mayo Clinic Proc 2006;81(3):338–344 Ceriani Cernadas JM Loss of humanism and ethics in the medical profession: is it a utopia to restore them? Arch Agent Pedicatr 2017;115(6):522–523 Charon R Narrative Medicine, A model for empathy, reflection, profession and trust JAMA 2001;286(15):1897–1902 Cohen JJ Association of American Medical Colleges presidential address November 10th, 2002 Acad Med 2007;82:1029–1031 Cohen LG, Sherif YA Twelve tips on teaching and learning humanism in medical education Med Teach 2014;36:680–684 Dudley NC, Hansen KW, Furnival RA, et al The effect of family presence on the efficiency of pediatric trauma resuscitations Ann Emerg Med 2009;53(6):777–784.e3 Liebowitz J A year at the bedside with Osler JAMA Intern Med 2017;177(7):911–912 Linn LS, DiMatteo MR, Cope DW, et al Measuring physicians humanistic attitudes, values and behaviors Med Care 1987;25(6):504–515 Markakis KM, Beckman HB, Suchman AL, et al The path to professionalism: cultivating humanistic values and attitudes in residency training Acad Med 2000;75(2):141–150 Martimianakis MA, Michalec B, Lam J Humanism, the hidden curriculum, and education reform: a scoping review and thematic analysis Acad Med 2015;90(11 Suppl):S5–S13 Mauksch LB, Dugdale DC, Dodson S, et al Relationship, communication, and efficiency in the medical encounter: creating a clinical model from a literature review Arch Intern Med 2008;168(13):1387–1395 McKee A, Wiens K Prevent burnout by making compassion a habit Harvard Business Review, 2017 Moniz T, Lingard L, Watling C A piece of my mind JAMA 2017;318(2):124–125 O’Connell KJ, Fara MM, Spandorder P, et al Family presence during pediatric trauma team activation: an assessment of a structured program Pediatrics 2007;120(3):e565–e574 Regis T, Steiner MJ, Ford CA, et al Professionalism expectations seen through the eyes of resident physicians and patient families Pediatrics 2011;127(2):317–324 Rose S, Bisson J, Churchill R, et al Psychological debriefing for preventing post-traumatic stress disorder (PTSD) Cochrane Database Syst Rev 2012;(2):CD000560 Shanafelt TD, Noseworthy JH Executive leadership and physician wellbeing: nine organizational strategies to promote engagement and reduce burnout Mayo Clinic Proc 2017;92(1):129–146 Wright AA, Katz IT Beyond burnout—Redesigning care to restore meaning and sanity for physicians N Engl J Med 2018;378(4):309–311 SECTION II Resuscitation and Stabilization ... of my mind JAMA 2017 ;318 (2):124–125 O’Connell KJ, Fara MM, Spandorder P, et al Family presence during pediatric trauma team activation: an assessment of a structured program Pediatrics 2007;120(3):e565–e574... Professionalism expectations seen through the eyes of resident physicians and patient families Pediatrics 2011;127(2) :317 –324 Rose S, Bisson J, Churchill R, et al Psychological debriefing for preventing... Association of American Medical Colleges presidential address November 10th, 2002 Acad Med 2007;82:1029–1 031 Cohen LG, Sherif YA Twelve tips on teaching and learning humanism in medical education Med Teach
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