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Medical Professionalism and Physician Dignity: Are We at Risk of Losing It?

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Depression, Burnout and Suicide in Physicians

Abstract

A vast literature that includes the paradigm of dignity-in-care has repeatedly underlined the need for a patient-centered approach in medicine. The medical system is obligated to relate to patients in all the appropriate humanistic dimensions (i.e., biological, psychological, social, and spiritual) to provide quality healthcare. However, many healthcare systems across the globe are changing due to the despotism of bureaucracy, budgeting, and downsizing of resources. A transformation of the doctor-patient relationship has occurred to accommodate a sort of commercial trade between producers and consumers. The reduction of medicine to a technological evidence-based paradigm (e.g., rigid clinical methods with only objective perspectives and quantitative measurement searching for one absolute quantifiable objective “truth”) stands in opposition to a person-oriented value-based medicine (e.g., with flexible methods and subjective perspectives gained through qualitative approaches and awareness of the relativity of “truths”) and has undermined the long-standing and venerated humanistic approach in medicine. “Dignity” within the dyadic doctor-patient relationship means to recuperate the personhood of the physician as a human being. The nuances of person-centered medicine require the presence of the integrated, well-adjusted physician, capable of flexibility and fortitude. Therefore, the literature regarding burnout (as an occupational syndrome recognized by the WHO ICD-11) and the inter-related concepts of compassion fatigue, moral distress, and vicarious traumatization (or secondary traumatic stress) among physicians and healthcare professionals should be taken into careful consideration. The significant negative consequences of these conditions impact not only patient satisfaction and health outcomes but also the biopsychosocial health and quality of life of physicians. The corporatization and concomitant technological advances of medicine threaten its humanistic underpinnings as respect for patients and the physician is compromised.

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Authors and Affiliations

  1. Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. Department of Medicine, Northwell Health Cancer Institute, Lenox Hill Hospital, New York, NY, USA

    Daniel McFarland

  3. Department of Psychiatry, University of Michigan, Rogel Cancer Center, Ann Arbor, MI, USA

    Michelle B. Riba

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  1. Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. Department of Medicine, Northwell Health Cancer Institute Lenox Hill Hospital, New York, NY, USA

    Daniel McFarland

  3. Department of Psychiatry, University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA

    Michelle B. Riba

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Grassi, L., McFarland, D., Riba, M.B. (2022). Medical Professionalism and Physician Dignity: Are We at Risk of Losing It?. In: Grassi, L., McFarland, D., Riba, M.B. (eds) Depression, Burnout and Suicide in Physicians . Springer, Cham. https://doi.org/10.1007/978-3-030-84785-2_2

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