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Article
Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields
Journal of General Internal Medicine (2019)
  • Rachel Schwartz, Stanford University School of Medicine
  • Marie C. Haverfield, Stanford University School of Medicine
  • Cati Brown-Johnson, Stanford University School of Medicine
  • Amrapali Maitra, Harvard Medical School
  • Aaron Tierney, Stanford University School of Medicine
  • Shreyas Bharadwaj, Stanford University School of Medicine
  • Jonathan G. Shaw, Stanford University School of Medicine
  • Farzad Azimpour, Stanford University School of Medicine
  • Sonoo Thadaney Israni, Stanford University School of Medicine
  • Abraham Verghese, Stanford University School of Medicine
  • Donna M. Zulman, Stanford University School of Medicine
Abstract
Background
While barriers to physician wellness have been well detailed, concrete solutions are lacking.

Objective
We looked to professionals across diverse fields whose work requires engagement and interpersonal connection with clients. The goal was to identify effective strategies from non-medical fields that could be applied to preserve physician wellness.

Design
We conducted semi-structured interviews with 30 professionals outside the field of clinical medicine whose work involves fostering effective connections with individuals.

Participants
Professionals from diverse professions, including the protective services (e.g., police officer, firefighter), business/finance (e.g., restaurateur, salesperson), management (e.g., CEO, school principal), education, art/design/entertainment (e.g., professional musician, documentary filmmaker), community/social services (e.g., social worker, chaplain), and personal care/services (e.g., massage therapist, yoga instructor).

Approach
Interviews covered strategies that professionals use to initiate and maintain relationships, practices that cultivate professional fulfillment and preserve wellness, and techniques that facilitate emotional presence during interactions. Data were coded using an inductive thematic analysis approach.

Key Results
Professionals identified self-care strategies at both institutional and individual levels that support wellness. Institutional-level strategies include scheduling that allows for self-care, protected time to connect with colleagues, and leadership support for debriefing after traumatic events. Individual strategies include emotionally protective distancing techniques and engagement in a bidirectional exchange that is central to interpersonal connection and professional fulfillment.

Limitations
In this exploratory study, the purposive sampling technique and single representative per occupation could limit the generalizability of findings.

Conclusion
Across diverse fields, professionals employ common institutional and personal wellness strategies that facilitate meaningful engagement, support collegiality, and encourage processing after intense events. The transdisciplinary nature of these wellness strategies highlights universal underpinnings that support wellbeing in those engaging in people-oriented professions.
Keywords
  • doctor-patient relationships,
  • medical humanities,
  • professional burnout,
  • physician satisfaction,
  • qualitative research
Publication Date
July, 2019
DOI
10.1007/s11606-019-04913-y
Publisher Statement
SJSU users: use the following link to login and access the article via SJSU databases.
Citation Information
Rachel Schwartz, Marie C. Haverfield, Cati Brown-Johnson, Amrapali Maitra, et al.. "Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields" Journal of General Internal Medicine Vol. 34 Iss. 7 (2019) p. 1251 - 1257
Available at: http://works.bepress.com/marie-haverfield/5/