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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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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 26 January 2021

Emergency Medicine

Emergency Medicine

(p.339) 24 Emergency Medicine
First Do No Self Harm

Lisa Moreno-Walton

Oxford University Press

Lisa Moreno-Walton, a Tulane University emergency physician, associate professor and medical educator, writes about her profession in Chapter 24, addressing three fundamental questions. Why do emergency physicians choose emergency medicine? What are the stressors? Her final question is addressed at the end of this power essay: How can I see what is worst about people and still retain my faith in humanity? The author wryly notes that emergency physicians (EPs) are like no other for their love of action and challenge, acute care, and the life and death of practicing medicine in “real time.” Emergency medicine provides exhilaration for those who seek and thrive in it. EPs must endure an extraordinary amount of pressure to perform. Answering her final question of how one deals with the bad as well as the good, Moreno-Walton talks about the need for perspective taking and doing so with humor and sufficient self-monitoring and the help of trusted colleagues.

Keywords:   House of Medicine, EP characteristics, EP stressors, patient advocacy, personal life tolls, protective factors

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