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First Do No Self HarmUnderstanding and Promoting Physician Stress Resilience$
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Charles Figley, Peter Huggard, and Charlotte Rees

Print publication date: 2013

Print ISBN-13: 9780195383263

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780195383263.001.0001

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If only it was just the kids

(p.312) 19 Pediatrics
First Do No Self Harm

Terry L. Dise

Oxford University Press

The author of this chapter notes that stress management was not an issue until well into her practice, and when it did emerge she was not sufficiently prepared for it. In contrast to today, stress and its management were a “personal matter.” Yet the impact of stress is easy to see: smoking, drinking, weight problems, and tense relationships with colleagues. The author sees her role of guiding medical students as not just diagnosing ear infections and plotting growth points on charts, but much more: how to thrive doing it while learning to be more focused on compassion, service, joy, love, caring, clinical detachment, and helpfulness to others. “Opening the heart to feel the love and fondness that we have toward our patients is a wonderful surprise, first, because it can feel so good, and second, to recognize how right it is to do so. No one tells you this in medical school.”

Keywords:   physician stress, self-awareness, clinical detachment, resilience, compassion, forgiveness, patience, joy, service, caring

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