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Medicine's Shame Problem.

Jennifer J Robertson1, Brit Long2

  • 1Emory University School of Medicine, Atlanta, Georgia.

The Journal of Emergency Medicine
|August 22, 2019
PubMed
Summary
This summary is machine-generated.

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Physician mental health is impacted by stressors like bullying and medical errors, often linked to shame. Addressing shame through empathy and support can improve well-being for healthcare professionals.

Area of Science:

  • Medical Education
  • Physician Well-being
  • Psychology of Healthcare Professionals

Background:

  • Physician mental health is a growing concern, with limited understanding of underlying causes.
  • Factors contributing to distress include bullying, the "hidden curriculum," error management, and shame.

Purpose of the Study:

  • To review literature on bullying, abuse, and shame in medicine.
  • To examine how medical errors and culture exacerbate shame.
  • To explore strategies for mitigating shame and improving physician mental health.

Main Methods:

  • This is a narrative review of existing literature.
  • The review synthesizes research on physician mental health, bullying, shame, and medical error.
  • It evaluates potential interventions and cultural shifts.
Keywords:
bullyingculturedepressionerrorresilienceshame

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Main Results:

  • Shame is identified as a potential underlying factor in physician depression and burnout.
  • Bullying, medical errors, and a disrespectful learning environment can intensify feelings of shame.
  • Shame contributes to poor self-esteem, depression, addiction, and other mental health issues.

Conclusions:

  • Shame can be overcome through acknowledgment, vulnerability, and empathy.
  • The medical community can foster resilience by promoting kindness, respect, and supportive error management.
  • Addressing shame is crucial for developing effective solutions to physician mental health challenges.