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Engagement and practical wisdom in clinical practice: a phenomenological study

  • Michael Saraga
  • Donald Boudreau
  • Abraham Fuks
Scientific Contribution
  • 104 Downloads

Abstract

In order to understand the lived experiences of physicians in clinical practice, we interviewed eleven expert, respected clinicians using a phenomenological interpretative methodology. We identified the essence of clinical practice as engagement. Engagement accounts for the daily routine of clinical work, as well as the necessity for the clinician to sometimes trespass common boundaries or limits. Personally engaged in the clinical situation, the clinician is able to create a space/time bubble within which the clinical encounter can unfold. Engagement provides an account of clinical practice as a unitary lived experience. This stands in stark contrast to the prevailing notion, referred to as a dual discourse, that describes medicine as the addition of humanism to science. Drawing on Aristotle’s notion of phronesis and Sartre’s definition of the situation, we illustrate how this novel perspective entwines clinical practice, the person of the clinician, and the clinician’s situation.

Keyword

Clinical practice Health care professionals Hermeneutic phenomenology Qualitative research Phronesis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Centre Hospitalier Universitaire VaudoisLausanneSwitzerland
  2. 2.Faculty of Medicine, Center for Medical EducationMcGill UniversityMontrealCanada
  3. 3.Department of MedicineMcGill UniversityMontrealCanada

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