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feelings that surround a difficult or tragic medical event like the death of a
child.
HUMANISM VIA SELF-CARE
Important to any discussion of humanism is the aspect of self-care. The ED
physician must feel well in order to help others. The physician who is
burned out, fatigued, or depressed is not in a good position to help others.
Thus, self-care must be included in any consideration of humanism. Selfcare means healing or resolving relationships that are frayed or in danger. It
also means making sure one is physically healthy. Mental health issues are
also prevalent in the ED physician such as posttraumatic stress syndrome,
anxiety, and depression. It is important to work in an environment where
these conditions are recognized and cared for without shame or humiliation.
Narrative medicine has been suggested as a way to help sort through
thoughts and feelings that arise in the workplace. Writing about events,
relationships with patients and colleagues, and internal feelings is often
therapeutic and helpful in keeping the physician’s humanism alive and well.
SUMMARY
While we strive for the utmost in professional behavior in our colleagues
and ourselves, we also recognize that we are human beings filled with
emotions, thoughts, and feelings. Patients expect both our highest
professional standards but they also long for the human connection between
their care providers and themselves in order that they feel safe, secure, and
their fears are addressed. Balancing professionalism and humanism is what
makes for the art of medicine.
Suggested Readings and Key References
ABIM Foundation. American Board of Internal Medicine; ACP-ASIM
Foundation. American College of Physicians-American Society of
Internal Medicine; European Federation of Internal Medicine. Medical
professionalism in the new millennium: a physician charter. Ann Intern
Med 2002;136(3):243–246.