The rise of suicide and burnout among physicians has brought a new
disease to the healthcare provider, which we previously thought
only affected the soldier: moral distress syndrome, second only to
moral injury. In this book we introduce the concept of moral
distress syndrome, which includes any or all of the following:
depression, PTSD, risk of suicide, divorce, emotional detachment,
and the inability to build healthy relationships and empathy. While
veterans can report to veteran hospitals for treatment, the
physician cannot find treatment or support without fear of losing
their license, their hospital privileges, and their job. Therefore,
they are stuck dealing with the issue themselves, along with their
family or their circle of friends. To raise decisive awareness of
the problems related to moral distress, we wrote this book. This
book is designed around physicians talking to other physicians
about their moral distresses in a safe space. It brings all the
aspects of the moral distress syndrome in a format familiar to the
physician: grand rounds with a magistral lecture, where the
audience asks the question and directly participates on the
subject. The reader will feel like part of the audience and may
want to ask their own questions as the book progresses. The format
of the book is divided into three parts. In the first part, the
research, data, and a crude number of problems are given: moral
distress syndrome, PTSD, burnout, suicide, divorce rates, emotional
detachment, legal distress syndrome, physicians leaving medicine,
and the feeling of being a hamster in a wheel. In the second part,
we embellish on real life experiences of physicians to highlight
the pain and depth of the moral distress they feel. We share
stories around the character-their family, love life, divorce,
etc.-to show the individual person behind the doctor. In the third
part, we focus on society and physician suffering and the birth of
moral distress. This part focuses on the physician's empathy as a
way to point out his problems, weaknesses, and issues, and find
possible solutions for him and other physicians facing the same
issues. At the end of the third part, we discuss how it is the
responsibility of physicians, patients, and society as a whole to
heal in the face of moral injury, as recommended by the American
Medical Association. We finish with the search for good friends and
safe spaces, the cornerstones for the healing process. Structure of
the Chapters. To make it easier to follow the material, at the
beginning of each chapter we outline the points discussed, as a
speaker outlines the material, summarizing it in the first slide of
each topic. We hope that this way the readers can focus on the
issues quickly throughout the book. This book is formatted as a
business novel and therefore the characters and situations are
drawn from liberally. As well as reading like a novel, the reader
can read each chapter separately and still understand the points.
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