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Voice of a Shadow: Reflections on Wellbeing
1Resident Wellbeing Specialist, Center for WorkLife Wellbeing, ChristianaCare; Certified Group Psychotherapist; Clinical Assistant Professor, Psychiatry and Human Behavior, Sidney Kimmel Medical College, Thomas Jefferson University.
Delaware Journal of Public Health
|May 7, 2025
Summary
A psychologist observed physicians at various training levels, revealing surprising effects on medical culture, patient health, and physician wellbeing. This qualitative study highlights the need for supportive environments in medical training.
Area of Science:
- Medical Education
- Psychology
- Healthcare Management
Background:
- Physician training involves distinct stages: residents, fellows, and attending physicians.
- Understanding the physician experience is crucial for improving healthcare systems.
Purpose of the Study:
- To explore the impact of a psychologist's immersive observation on physicians' culture, health, and wellbeing.
- To identify unexpected consequences of shadowing in a clinical setting.
Main Methods:
- Qualitative research methodology.
- Participant observation (shadowing) of physicians.
- Psychologist's reflective field notes and analysis.
Main Results:
- Observations revealed significant impacts on the professional culture within the medical environment.
- Physician health and wellbeing were unexpectedly affected by the shadowing experience.
- The study identified specific stressors and coping mechanisms.
Conclusions:
- Immersive observation provides unique insights into the physician experience.
- Addressing the complex interplay of culture, health, and wellbeing is essential for medical professionals.
- Further research is needed to develop targeted interventions.
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