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When I read articles like this, I have simultaneous contradictory reactions. A lot of them.
Positive, because somebody is speaking out, trying to do science, and proposing substantive active cultural change and intervention.
Angry, because why do we wait until somebody dies? How do you reconcile this with the idiots who just voted to roll back work hour restrictions? Hypocrisy everywhere with what we impose on the profession versus what we recommend to patients not in the profession.
None of this is new, but the medical boards and the peculiar medical machismo continue to push a culture of you are weak if you have a normal reaction to stress; you are a danger to patients - which is not so much a concern for patients but code for lawsuit alert, and this physician could make us look bad!; and if you can't handle it, get out!
It's a truly toxic example of every man for himself, compete to the death, there can be only one culture. Even since the supposed implementation of "team" oriented training and practice, it isn't really a team. There's no mutual responsibility and support, there's no learn the difference between constructive feedback and abusive criticism training, there's no leave no man behind attitude. You're not all in it together. It's all about who's the weakest member of the heard, who do we throw under the bus. Nobody goes with we're only as good as the worst of us, so it's in everybody's interest to invest in us all becoming better. Nope. Ditch the loser to make us all better.
The system only evaluates and rewards people as individuals. It encourages and reinforces individual over group in how you are paid, what positions or responsibilities or titles you are offered, how your performance is evaluated. Peer review isn't about group support, it's about high school popularity.
Further, it does not teach people what signs of problems are and how to recognize them. In fact, it frequently punishes those signs and symptoms.
It's the most unbelievable, willful lack of self-insight.
Every time somebody dies, well, somebody who gets noticed, there's a big hue and cry. And then nothing.
So, yeah. It'd be great if something substantive really changed out of this, but history says otherwise.
https://www.statnews.com/2017/07/24/physicians-depression-suicide-prevention/
https://www.statnews.com/2017/07/24/physicians-depression-suicide-prevention/
When I read articles like this, I have simultaneous contradictory reactions. A lot of them.
Positive, because somebody is speaking out, trying to do science, and proposing substantive active cultural change and intervention.
Angry, because why do we wait until somebody dies? How do you reconcile this with the idiots who just voted to roll back work hour restrictions? Hypocrisy everywhere with what we impose on the profession versus what we recommend to patients not in the profession.
None of this is new, but the medical boards and the peculiar medical machismo continue to push a culture of you are weak if you have a normal reaction to stress; you are a danger to patients - which is not so much a concern for patients but code for lawsuit alert, and this physician could make us look bad!; and if you can't handle it, get out!
It's a truly toxic example of every man for himself, compete to the death, there can be only one culture. Even since the supposed implementation of "team" oriented training and practice, it isn't really a team. There's no mutual responsibility and support, there's no learn the difference between constructive feedback and abusive criticism training, there's no leave no man behind attitude. You're not all in it together. It's all about who's the weakest member of the heard, who do we throw under the bus. Nobody goes with we're only as good as the worst of us, so it's in everybody's interest to invest in us all becoming better. Nope. Ditch the loser to make us all better.
The system only evaluates and rewards people as individuals. It encourages and reinforces individual over group in how you are paid, what positions or responsibilities or titles you are offered, how your performance is evaluated. Peer review isn't about group support, it's about high school popularity.
Further, it does not teach people what signs of problems are and how to recognize them. In fact, it frequently punishes those signs and symptoms.
It's the most unbelievable, willful lack of self-insight.
Every time somebody dies, well, somebody who gets noticed, there's a big hue and cry. And then nothing.
So, yeah. It'd be great if something substantive really changed out of this, but history says otherwise.
https://www.statnews.com/2017/07/24/physicians-depression-suicide-prevention/
https://www.statnews.com/2017/07/24/physicians-depression-suicide-prevention/
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