In the 21st century, academic medical centers across the United States continue to make scientific breakthroughs, to make improvements in patient care, and to p- vide the most advanced information and guidance in matters affecting public health. The signs of growth are everywhere—in new research buildings, new pa- nerships with industry, new forms of molecular medicine, and new sensitivity to the role of the human spirit in healing. This growth is due in large part to the dedication and productivity of our faculty, who are providing more patient care, more research, more teaching, and more community service than ever before. Today, there are roughly 135,000 physicians, scientists, and other faculty wo- ing at approximately 125 academic medical centers around the country. Increasingly, they are asked to do more with less. Since the 1990s, academic medical centers in the United States have lost the financial margin they once enjoyed, thereby putting new pressures on research, education, and clinical care. Medical school faculty, previously given funded time for teaching and research, are increasingly drafted to bring in clinical revenues to cover their salaries. Dedicated to the missions of research, teaching, and care, our faculty have responded well to these challenges and perform at a very high level. However, we are beginning to see the results of ongoing stress.

The ultimate survival guide for medical students, interns, residents, and fellows, Staying Human during Residency Training provides time-tested advice and the latest information on every aspect of a resident’s life – from choosing a residency program, to coping with stress, enhancing self-care, and protecting personal and professional relationships. Allan D. Peterkin, MD, provides hundreds of tips on how to cope with sleep deprivation, time pressures, and ethical and legal issues. This sixth edition is not only updated to reflect the latest research and resources, but also features new material on the latest issues in residency training, including social media use, patient-centred care, the medical humanities, and the “hidden curriculum” of residency. Presenting practical antidotes to cynicism, careerism, and burnout, Peterkin also offers guidance on fostering more empathic connection with patients and deepening relationships with colleagues, friends, and family. Acknowledged by thousands of doctors across North America as an invaluable resource, Staying Human during Residency Training has helped to shape notions of trainee well-being for medical educators worldwide. Offering wise, compassionate, and professional counsel, this new edition again shows why it is required reading for medical students and new physicians pursuing postgraduate training.

The case for a flexible work schedule for faculty has been repeatedly made, with one policy recommendation being part-time positions for tenure-track/tenured faculty (PTTT). Despite some of the benefits of this approach for both faculty and institutions, the PTTT concept is the least implemented policy for faculty flexibility and is poorly understood. This report offers the first comprehensive treatment of PTTT, suggesting that this mode of flexibility enhances recruitment, retention, and engagement of faculty, while offering value-added productivity, planning potential, and faculty loyalty for the institution. Herbers provides data that explore how a PTTT policy can lead to faculty success and satisfaction across the lifespan of a career, and likewise offers analogies and examples of well-established practices that administrators across institution types can adapt to create their own policies. Administrators and faculty will find the author’s policy recommendations, best practices, and solutions to common challenges to be a roadmap for stimulating change in their institutions. This is the 5th issue of the 40th volume of the Jossey-Bass series ASHE Higher Education Report. Each monograph is the definitive analysis of a tough higher education issue, based on thorough research of pertinent literature and institutional experiences. Topics are identified by a national survey. Noted practitioners and scholars are then commissioned to write the reports, with experts providing critical reviews of each manuscript before publication.

This exciting book draws on the insight and experience of 21 medical practitioners and researchers in the wider field of the medical humanities to ask fundamental questions related to illness, bodily experience, the experience and role of medical and healthcare professionals, and the contribution of language and communication to enable understanding. It opens up a range of conversations, reflections and research to present an innovative approach to the field of body studies, investigating complex questions that are associated with self and body and medical and healthcare professionals who work with bodies that are ill. Areas of pain, disability, vulnerability, life experienced through chronic conditions and the insights of listening to the ill and the dying are examined within the individual contributions. The chapters explore a range of key spaces, gaps and tensions between talk and bodies, from embodied experiences and patient-doctor relationships to negotiating institutional constraints and reading, looking and enacting as methods of improving intersubjective, relational and ethical practices.

This book aims to help identify pre-existing adaptive traits and positive perspectives in resident trainees, while challenging those that are less adaptive by building a formal curriculum for medical education that focuses on the humanistic aspects of medicine. Humanism in medicine is threatened by the false narrative that good physicians are superhumans who do not have their own needs. Written by experts in the field, this book is designed to be a concise, integrated guide to resilience during residency training. Through this guide, trainees learn (i) the usefulness of psychotherapeutic strategies for their own stress management and well-being; (ii) techniques and strategies that are useful in the practice of medicine; and (iii) to consider lifestyle modifications to improve physical and psychological health and well-being, through identification of positive and negative lifestyle factors influencing physicians’ response to stress. Since it is designed for busy trainees and physicians, this volume meticulously provides easy-to-use, evidence-based learning tools and therapeutic techniques, including case studies, skill-building exercises, self-test questionnaires, illustrations, useful practice-reminder tips, and other features. Humanism and Resilience in Residency Training is an excellent resource for all medical trainees and professionals who need to incorporate humanism and resilience in their practice, both for accreditation requirements and for personal well-being. This includes medical students and residents, psychiatrists, addiction medicine specialists, family physicians, medical education professionals, hospitalists, nurses, and all healthcare providers

Person-centred health care is increasingly endorsed as a key element of high-quality care, yet, in practice, it often means patient-centred health care. This book scrutinizes the principle of primacy of patient welfare, which, although deeply embedded in health professionalism, is long overdue for critical analysis and debate. It appears incontestable because patients have greater immediate health needs than clinicians and the patient-clinician encounter is often recognized as a moral enterprise as well as a service contract. However, Buetow argues that the implication that clinician welfare is secondary can harm clinicians, patients and health system performance. Revaluing participants in health care as moral equals, this book advocates an ethic of virtue to respect the clinician as a whole person whose self-care and care from patients can benefit both parties, because their moral interests intertwine and warrant equal consideration. It then considers how to move from values including moral equality in health care to practice for people in their particular situations. Developing a genuinely inclusive concept of person-centred care – accepting clinicians as moral equals – it also facilitates the coalescence of patient-centred care and evidence-based health care. This reflective and provocative work develops a constructive alternative to the taken-for-granted principle of primacy of patient welfare. It is of interest to students and academics in the health and caring sciences, philosophy, ethics, medical humanities and health management.

This book explores the important topic of mental health and related problems among physicians, including trainees. The all-too-common human response of “suffering in silence” and refusing to seek help for professional and personal issues has ramifications for physicians who work in safety-sensitive positions, where clear-headed judgment and proper action can save lives. Problems covered include burnout, disruptive and unprofessional behaviors, impaired performance, traumatic stress, addiction, depression and other mood disorders, and suicide. The authors of this work include psychologists, psychiatrists, and other physicians who diagnose and treat a range of patients with stress-related syndromes. Among their patients are physicians who benefit greatly from education, support, coaching, and treatment. The book's content is organized into three parts with interconnecting themes. Part I focuses on symptoms and how physicians’ problems manifest at the workplace. Part II discusses the disorders underlying the manifesting symptoms. Part III focuses on interventions at both the individual and organizational levels. The major themes investigated throughout the book are developmental aspects; mental health and wellbeing as a continuum; and the multifactorial contributions of individual, interpersonal, organizational, and cultural elements to physician health. This book is intended for anyone who works with, provides support to, or professionally treats distressed physicians. It is also intended for healthcare leaders and organizations that are motivated to improve the experience of providing care and to change the culture of silence, such that seeking help and counsel become normal activities while minimizing stigma. By writing this book, the authors aim to outline effective pathways to well-being and a healthy work-life balance among physicians, so that they may provide optimal and safe care to their patients.