What, if anything, can medical ethics offer to assist in the care of the "difficult" patient? We begin with a discussion of virtue theory and its application to medical ethics. We conceptualize the "difficult" patient as an example of a "moral stress test" that especially challenges the physician's character, requiring the good physician to display the virtues of courage and compassion. We then consider two clinical vignettes to flesh out how these virtues might come into play in the care of "difficult" patients, and we conclude with a brief proposal for how medical educators might cultivate these essential character traits in physicians-in-training.
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http://dx.doi.org/10.1001/journalofethics.2017.19.4.medu2-1704 | DOI Listing |
J Surg Educ
January 2025
Department of Surgery, Duke University, Durham, North Carolina.
Objective: Previous simulation curricula of nontechnical skills have focused on communication skills or empathy in isolation from technical skills, using feedback from one rater. We aimed to develop and pilot an expanded simulation curriculum focused on situational performance of select character attributes with the goal of determining curricular feasibility, use of a novel psychometric rating tool, and receptivity of curriculum by participants.
Design: The simulation consisted of 2 contiguous parts requiring demonstration of both technical and nontechnical skills.
J Craniofac Surg
November 2024
Department of Plastic Surgery, Armed Forces Capital Hospital, Bundang-gu, Seongnam-City, Gyeonggi-do, and Department of Anatomy, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
The aim of this study is to analyze the role played by the appearance of female ghosts in their redemption. In the literature on ghosts, entries on female ghosts highlight their "beautiful appearance": Arang (Korean), Otsuyu (Japanese), The White Lady (Europe), Nie Xiaoqian (Chinese), and Maria Makiling (Filipino). Ghosts are women who died tragically, leaving behind unfulfilled desires-particularly those related to romantic or societal expectations such as marriage, love, and motherhood.
View Article and Find Full Text PDFDermatologie (Heidelb)
February 2025
Universität Potsdam, Potsdam, Deutschland.
Feelings of shame, self-stigmatization, and self-criticism are common among patients with chronic skin conditions. These psychological phenomena impact the course and recovery process of affected individuals in various ways. In therapeutic practice, approaches that emphasize compassion and self-compassion have proven particularly effective.
View Article and Find Full Text PDFJ Chem Educ
October 2024
Inorganic Chemistry and Catalysis Group, Institute for Sustainable and Circular Chemistry (ISCC), Department of Chemistry, Faculty of Science, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The Netherlands.
Sustainability transitions need professionals with specific skills and attitudes that students often do not develop in their regular chemistry education. To foster sustainability change-maker competencies, we suggest augmenting higher education curricula, e.g.
View Article and Find Full Text PDFCult Health Sex
September 2024
School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Emotional intimacy is key to intimate partner relationship quality and satisfaction. For sexual minority men, queer and feminist theorists consistently link emotional intimacy to diverse sexual practices and partnership dynamics formulated within the relationship. This Photovoice study adds to those insights by drawing on individual photovoice interviews with 16 sexual minority men to describe participant's experiences of, and strategies for emotional intimacy in their intimate relationships.
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