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It appears the system is indeed broken. It is stunning JAMA even published this piece. Yet the solution proposed by the authors puts the onus on the physicians and not the system.
Source: JAMA: Stories Doctors Tell
Source: JAMA: Stories Doctors Tell
We identified five recurring lessons: (1) Practicing medicine is a privilege, (2) Patients are vulnerable, (3) Physicians are fallible, (4) Humanity matters, and (5) The “system” is flawed. These last two lessons—humanity matters (focused on physician and patient as “person”) and the system is flawed (focused on systematic challenges and the need for change in care delivery)—were the most common, together constituting nearly two-thirds of all published narratives.
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Collectively, physicians’ stories become shared laments over flaws in the health care system and shared awakenings to the importance of humanity in medicine—shared among the physicians who continually write these stories as well as with (and perhaps by) the medical audience that reads and connects with them.
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Physicians may find it challenging to have these conversations in-the-moment or in ways that maintain collegiality or respect hierarchy. The need for these conversations appears undeniable, and the profession may benefit from creating more spaces in which they can safely take place.
Moniz T, Lingard L, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518
[....]
Collectively, physicians’ stories become shared laments over flaws in the health care system and shared awakenings to the importance of humanity in medicine—shared among the physicians who continually write these stories as well as with (and perhaps by) the medical audience that reads and connects with them.
[....]
Physicians may find it challenging to have these conversations in-the-moment or in ways that maintain collegiality or respect hierarchy. The need for these conversations appears undeniable, and the profession may benefit from creating more spaces in which they can safely take place.
Moniz T, Lingard L, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518
