BookSarah Webber, Jessica Babal, Megan A. Moreno, editors.
Summary: With growing attention surrounding the importance of physician well-being, organizations are institutionalizing physician well-being efforts. Promoting well-being requires a understanding of the components, barriers and promoters of physician well-being, While other books exist in this space, many are focused on individual resilience-building strategies or are too broad to apply to specific groups of physicians, such as pediatricians. A critical gap in the existing literature is a book that uses an evidence-based model of well-being and applying this model to unique experience of pediatricians. Rather than a work-centric approach, the physician well-being model we describe in this book takes a comprehensive approach to well-being, integrating evidence and expertise from a broad body of well-being research and translating this knowledge to the lives and work of pediatricians. Further, while other texts focus on negative consequences of a lack of well-being, such as burnout, this text is organized around defining, understanding and optimizing well-being. Each chapter will provide strategies for both individual pediatricians and healthcare organizations to consider to improve pediatrician well-being at their institution. This book integrates well-being science from disciplines outside of medicine, offering innovative strategies to addressing this important issue. This is a book designed for pediatricians, health care leaders, and organizations looking to better understand and implement strategies for pediatrician well-being. The authors will take readers on a journey through the history of physician well-being leading to the current state of well-being in the context of modern medical practice, technology, society, policy and family life. Using an integrated model of physician well-being, readers will learn about the current state, solutions, tensions and future directions of physician well-being.
Contents:
Intro
Preface
Acknowledgments
Contents
Part I: Introduction to Pediatrician Well-Being
Chapter 1: Physician Well-Being Challenges: An Historical Perspective
Introduction
Part 1: The Foundation of Organized US Medicine
Early Century Physician Factions Develop, Creating Divisions and Hierarchies
Regular Physicians
Homeopathic Physicians
Eclectic Physicians
Physician Factions Enabled Philosophical Divides and Hierarchies in Medicine
Regulars Fuel Scientific Reductionism and Emotional Minimization
Homeopaths and Eclectics Assimilate Part 2: The Influence of the Flexner Report (1910)
Flexner and the Triple-Threat
Flexner and Mind-Body Dualism in Medicine
Part 3: Physician Leaders Cultivate Structural Inequities
Impact of Gender Discrimination, Racism, and Ethnocentrism on Physician Well-Being
Flexner and Inequities in Medicine
Part 4: Foundational Shifts in Twentieth Century Healthcare
Major Shifts in Public Trust of Medicine
The Boom and the Bust in Twentieth Century Public Trust in Medicine
Physicians Begin to Advocate for Patient-Centered Care but Mistrust Remained The Corporatization of Medicine
Personalized Medicine
The Electronic Health Record (EHR)
Conclusions
References
Chapter 2: Defining and Conceptualizing Pediatrician Well-Being
Part 1: What Is Well-Being?
"Western" Medicine's Conceptualization of Well-Being
Key Issues in Current Well-Being Constructs
The Diversity Problem
The Individual and the Collective
Critiques of Happiness
Where Does Suffering Fit in?
Toward a More Holistic and Inclusive Model of Well-Being
The Ecologic System
Equanimity
Re-defining Self-Care Part 2: Pediatrician and Physician Well-Being
The Evolution of Physician Well-being
Part 3: A Model of Pediatrician Well-being
Sources and Roots of Our Model
Foundations of Well-Being
Activities
Identity
Environment
The System
Physical Environment
Psychosocial Environment: Culture and Climate
Well-Being Domains
Emotional and Psychological Well-Being
Physical Well-Being
Connection
Meaning and Purpose
Authenticity
Conclusion
References
Part II: Challenges to Pediatrician Well-Being
Chapter 3: Acute and Chronic Illness in the Physician Some Herons
My Story: The Diagnosis
28 August 2017 10:00 AM
20 September 2017 08:00 AM
26 September 2017 12:00 PM
27 September 2017 12:00 PM
Illness in the Physician
Barriers to Care
Lack of Support for Physicians with Mental Illness
Lack of Assistance for Identifying and Treatment of Substance Use Disorders in Physicians
My Story: The Treatment
October 2017
8 October 2017-4 July 2018
Paid Sick Leave and FMLA
My Story: Working while in Treatment, Working while Ill
1 March 2018
My Morning Daily Meditation
Burden of COVID
Conclusion