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Self-care, support may lower physician stress.(Practice Trends)
TUCSON, ARIZ. -- Medicine is a high-risk profession for psychiatric morbidities. But several strategies can help reduce the risk of hitting bottom, Dan Shapiro, Ph.D., said at a psychopharmacology conference sponsored by the University of Arizona.
"Physicians are like big ships," said Dr. Shapiro, a psychologist at the university who specializes in treating physicians. "By the time you can see that they are sinking, it's too late."
One of his more radical solutions is the creation of a no-fault malpractice system in which physicians would be granted no-fault judgments in exchange for disclosing mistakes. Physicians and patients would share the cost of reimbursing injured patients by contributing to a shared local fund. Serious mistakes would be voluntarily reported to a local commission, which would also have the duty of compensating injured patients according to preestablished guidelines. State boards would investigate physicians and nurses who failed to come forward.
The system would improve the dismal rate of medical error reporting and address one of the biggest stresses for physicians. "Many physicians who are defendants say that being sued was the worst experience of their life," said Dr. Shapiro, who is also an author and cancer survivor. Being lied about in court or characterized as an uncaring, negligent physician is emotionally traumatic to physicians. For those who did cause harm, the scars can last for years. His efforts to treat one such physician are detailed in his book "Delivering Doctor Amelia."
Medical errors are a common topic when Dr. Shapiro asks physicians to take 15 minutes to write openly and honestly to a patient about something left unresolved. The patient need not be living, and the letter is never sent. Most physicians start writing immediately, about 10% have trouble getting started, and 5% ultimately never write a letter. The letters are read aloud, which can be cathartic for a group of people who in large part have been competing rather than ...
- Physician Profiling: Using Software to Refine the Art
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...expectations (eg, by physician and by clinical service...the degree to which all physicians have benefited equally from the IDS's physician strategy. A strategy...inadvertently alienate primary care physicians. Or an IDS's decision...
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...of primary care clinics in...Medalia's physician network was...private-sector physicians ever to join...c) The physicians reportedly...to patient care practices and physician contract terms...early 1999, physicians working for...
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...operated by physicians among the...quality of care received at physician owned and...with a health care option that...notes that physician owned hospitals...Reports. Physician Hospitals...operated by physicians themselves...
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- Magazine article from: Medical Marketing & Media McKillen, Dan July 1, 2001 700+ words
...AMA) found that physician use of the Internet...70 percent of physicians reported using...Using the AMA's Physician Masterfile, the...interviews with physicians in the United States...51 percent). Physicians consider the Web...21 percent). * Physician perception of how...
