The Moral Distress Syndrome Affecting Physicians: How Current Healthcare is Putting Doctors and Patients at Risk, 1st Edition (Paperback) book cover

The Moral Distress Syndrome Affecting Physicians

How Current Healthcare is Putting Doctors and Patients at Risk, 1st Edition

By Eldo E. Frezza, MD, MBA, FACS

Productivity Press

184 pages

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Description

The rise of suicide and burn out among physicians has been brought a new syndrome to healthcare impacting physicians and clinicians alike. In the military world, this condition affects soldiers and is referred to PTSD. But in healthcare, this syndrome is called moral distress.

Moral Distress Syndrome includes any or all of the following: depression, PTSD, risk of suicide, divorce, emotional detachment, inability to build relationships, and empathy. The current healthcare system is putting more physicians at risk and therefore, patients. There is a trend in medical schools to train future physicians on how to recognize and balance mitigating circumstances which can cause this syndrome.

The intent of this book is to raise awareness of this problem and to start the conversation between physicians who are impacted by this. The book presents all aspects of the Moral Distress Syndrome in a format familiar to physicians: A Grand Rounds with a magistral lecture. Presented in a business novel format, it describes a Grand Rounds with a magistral lecture where the audience asks questions pertaining to this syndrome and provides the answer as provided by the instructor. This format allows the reader to feel as they are participating in the discussion. Each chapter begins with an outline of the points discussed, much like a speaker presenting a slide presentation to an audience.

The book is divided into two parts. The first part of the book includes the research, the data, and provides a discussion of the issues and what can cause them. Moral Distress Syndrome, PTSD, Burn Out, suicide, divorce rates, emotional detachment, legal destress syndrome, and physicians leaving medicine are all topics discussed.

The second part of the book describes the direct experiences of physicians impacted by moral distress. Through the main character and a lecture setting, the author describes the pain, the emotions, and the distress many physicians experience today. Focus in this section centers on physician empathy to try to point out problems, weaknesses, and issues, and attempts to find possible solutions for physicians facing the same issues. At the end of this section, the author discusses the societal, patients and physicians’ responsibilities, the birth of the Moral injury and the AMA’s recommendations for physicians suffering from Moral Distress Syndrome.

Table of Contents

PART I: THE ISSUES FUELING THE MORAL DISTRESS SYNDROME

  1. The Grand Round lecture
  2. Moral Distress Syndrome
  3. Litigation syndrome
  4. Burn out
  5. Suicide from Medical Student to residents to clinicians
  6. Why Physicians suffer more suicides?
  7. Malpractice: can create everlasting injury
  8. Why is Medicine burning out physicians?
  9. Broken system and corporate culture
  10. Physician Leaving Medicine
  11. Impossible Victory: working as a chain worker
  12. Emotional trauma: brain zapping and concussion
  13. Divorce among physicians
  14. Medical Malpractice Insurance crises
  15. Opioid crisis and relief
  16. PART II: THE DOCTOR, THE MAN

  17. Training hurdles
  18. Double Residencies
  19. How medicine can ruin a marriage
  20. The Legal Issues and hollow victory
  21. Inability to return to work: the apex of Moral distress
  22. PART III: THE SOCIETY AND THE SUFFERING PHYSICIANS

  23. Society responsibilities
  24. Emotional detachment and Patients responsibilities
  25. Do patients want to participate in their care?
  26. It is challenging to be a physician
  27. The loneliness of a Physician in moral distress
  28. Divorce because of moral distress
  29. The stress of the lawsuit breaks family
  30. The birth of moral distress: the syndrome
  31. Are physicians discriminated?
  32. The American Medical Association (AMA) Directions
  33. Safe space and final Introspections

About the Author

Eldo E. Frezza is aFellow of the American College of Surgeons (FACS), American Medical Association, American Medical Physician Leadership. He is now Chief of Surgery at Nashville General Hospital and Professor at Meharry Medical school.

Subject Categories

BISAC Subject Codes/Headings:
BUS041000
BUSINESS & ECONOMICS / Management
BUS053000
BUSINESS & ECONOMICS / Quality Control
BUS071000
BUSINESS & ECONOMICS / Leadership
MED002000
MEDICAL / Administration
MED014000
MEDICAL / Clinical Medicine
MED104000
MEDICAL / Physicians