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The Art and Science of Physician Wellbeing A Handbook for Physicians and Trainees

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The Art and Science of Physician Wellbeing

Laura Weiss Roberts Mickey Trockel Editors

The Art and Science of Physician Wellbeing A Handbook for Physicians and Trainees

Editors

Laura Weiss Roberts, MD, MA Stanford University School of Medicine Palo Alto, CA, USA

Mickey Trockel, MD, PhD Stanford University School of Medicine Palo Alto, CA, USA

ISBN 978-3-319-42134-6    ISBN 978-3-319-42135-3 (eBook) https://doi.org/10.1007/978-3-319-42135-3 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

For my mom, Anne L. Weisskopf, RN, who is always telling me to take better care of myself. Laura Weiss Roberts, MD, MA For my wife, Eva Yagues Pascual, whose wisdom inspires me to let go of fear and let love reign. Mickey Trockel, MD, PhD

Preface

In the past, physicians-in-training worked around the clock, making a few dollars a day. They lived in the hospital and were permitted to return home, briefly, on Sunday afternoons. Fully trained physicians commonly entered solo practice working 24/7, 365 days a year to care for patients in their communities and at the hospital. Doctors made home visits and took care of entire families across generations. The physician as an isolated, tireless, self-sacrificing, and perfect superhero became the cultural ideal. Doctors fulfilled their professional calling by sacrificing their more inclusive identities as complete, healthy, personally fulfilled people for their all-­ encompassing, all-demanding lives as physicians. The culture of medicine was built on a system of concepts, behaviors, and structures that implicitly and explicitly requi

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