Nevertheless, I have persisted


Submitted: 24 October 2019
Accepted: 3 January 2020
Published: 22 December 2019
Abstract Views: 3052
PDF: 3592
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Authors

In the early morning hours of one night, when I am a neurology resident on call at the hospital, I am paged to a stroke alert. This means I had to run to the emergency room to see, assess, and treat a critically ill patient. (...)


Mata DA, Ramos MA, Bansal N, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA 2015;314:2373-83. DOI: https://doi.org/10.1001/jama.2015.15845

Wright J. In the belly of the american society of addiction medicine beast. The Stanton Peele Addiction Website 2000. Available from: https://www.peele.net/lib/talbott.html. Accessed: November 2019.

Gold KJ, Andrew LB, Goldman EB, Schwenk TL. I would never want to have a mental health diagnosis on my record: a survey of female physicians on mental health diagnosis, treatment, and reporting. Gen Hosp Psy 2016;43:51-7. DOI: https://doi.org/10.1016/j.genhosppsych.2016.09.004

Miles SH. A piece of my mind. A challenge to licensing boards: the stigma of mental illness. JAMA 1998;280:865. DOI: https://doi.org/10.1001/jama.280.10.865

Rose KD, Rosow I. Physicians who kill themselves. Arch Gen Psych 1973;29:800-5. DOI: https://doi.org/10.1001/archpsyc.1973.04200060072011

Andrew LB. Physician Suicide. Medscape 2018. Available from: https://emedicine.medscape.com/article/806779-overview. Accessed: November 2019.

Lindeman S, Laara E, Hakko H, Lonnqvist J. A systematic review on gender-specific suicide mortality in medical doctors. BJP 1196;168:274-9. DOI: https://doi.org/10.1192/bjp.168.3.274

Giles SM. Insurance helps to brush physician depression under the rug. CMAJ 2018;190:E227. DOI: https://doi.org/10.1503/cmaj.68615

Collier R. Physician suicide too often “brushed under the rug”. CMAJ 2017;189:E1240-1. DOI: https://doi.org/10.1503/cmaj.1095498

Gavin K. Study: physicians don’t report or treat their own mental illness due to stigma. University of Michigan Health 2016. Available from:

https://labblog.uofmhealth.org/industry-dx/study-physicians-dont-report-or-treat-their-own-mental-illness-due-to-stigma Accessed: November 2019.

Sinha P. Why do doctors commit suicide? New York Times 2014. Available from: https://www.nytimes.com/2014/09/05/opinion/why-do-doctors-commit-suicide.html Accessed: November 2019.

Anderson P. Physician health programs: more harm than good? Medscape 2015. Available from: https://www.medscape.com/viewarticle/849772. Accessed: November 2019.

The Lancet. Physician burnout: the need to rehumanise health systems. Lancet 2019;394:1591. DOI: https://doi.org/10.1016/S0140-6736(19)32669-8

Devitt M. Massachusetts groups call physician burnout public health crisis. American Association of Family Physicians 2019. Available from: https://www.aafp.org/news/focus-on-physician-well-being/20190208burnoutcrisis.html. Accessed: November 2019.

American Society for Suicide Prevention. Healthcare professional burnout, depression and suicide prevention. Available from: https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention/ Accessed: November 2019.

Dagnone JD. Commentary: the physician as person framework: how human nature impacts empathy, depression, burnout, and the practice of medicine. Can Med Educ J 2017;8:e97-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766225/ DOI: https://doi.org/10.36834/cmej.43186

Wake Forest Baptist Health [Internet]. About the press ganey survey. Available from: https://lexington.wakehealth.edu/Press-Ganey-Survey.htm Accessed: November 2019.

Pearson R. When doctors can’t afford to feel. Daily Beast 2017. Available from: https://www.thedailybeast.com/when-doctors-cant-afford-to-feel Accessed: November 2019.

Emmons RS, Manion K, Andrew LB. Systematic abuse and misuse of psychiatry in the medical regulatory-therapeutic complex. J Am Physic Surg 2018;23:110-4. Available from: https://www.jpands.org/vol23no4/emmons.pdf

Lawson ND, Boyd JW. How broad are state physician health program descriptions of physician impairment? Subst Abuse Treat Prev Policy 2018;13:30. DOI: https://doi.org/10.1186/s13011-018-0168-z

Disrupted Physician 2015 [Internet]. Gay doctor coerced by Physician Health Program (PHP) into mandated 12-step treatment and monitoring for sex addiction: The slippery slope begins. Available from: https://disruptedphysician.com/2015/05/20/gay-doctor-coerced-by-physician-health-program-php-into-mandated-12-step-treatment-and-monitoring-for-sex-addiction-the-slippery-slope-begins-2/ Accessed: November 2019.

Bundy C. WPHP report: setting the record straight, part 1. Washington Medical Commission 2019. Available from: https://wmc.wa.gov/sites/default/files/public/Newsletter/4.WPHpReport.pdf Accessed: November 2019.

Glaser G. American doctors are killing themselves and no one is talking about it. Daily Beast 2015. Available from: https://www.thedailybeast.com/american-doctors-are-killing-themselves-and-no-one-is-talking-about-it. Accessed: November 2019.

Doctor left destitute after seeking help from physician health program. KSDK 2019. Available from: https://www.ksdk.com/article/news/local/doctor-left-destitute-after-seeking-help-from-physician-health-program/63-99720f38-5c5c-43c6-9c4c-c0f522ddc8c4 Accessed: November 2019

Med School Tutors 2017 [Internet]. (MedEd)itorial: The dark side of physician health programs. Available from: https://www.medschooltutors.com/blog/the-dark-side-of-physician-health-programs. Accessed: November 2019.

Disrupted Physician [Internet]. Letters from those abused and afraid. Available from: https://disruptedphysician.com/letters/ Accessed: November 2019.

Wible P. Beloved doctor dies in physician health program. Her husband wants to know why. Ideal Medical Care 2019. Available from: https://www.idealmedicalcare.org/beloved-doctor-dies-in-physician-health-program-her-husband-wants-to-know-why/ Accessed: November 2019.

Disrupted Physician 2014 [Internet]. Three shells and a pea-ASAM, FSPHP, and LMD. Available from: https://disruptedphysician.com/2014/03/16/three-shells-and-a-pea-asam-fsphp-and-lmd/ Accessed: November 2019.

Freeman, Melissa J. 2019. “Nevertheless, I Have Persisted”. Qualitative Research in Medicine and Healthcare 3 (3). https://doi.org/10.4081/qrmh.2019.8638.

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