Voices from the Front Lines: An Analysis of Physicians' Reflective Narratives about Flaws with the 'System'.

ABSTRACT: Physicians often express frustration with the 'system' in which they work. Over time, this frustration may put them at risk of burnout and disengagement, which may impact patient care. In this study, we aimed to understand the nature of the system flaws that physicians identified in their published narratives and to explore their self-representation as agents of change. We reviewed all reflective narratives published in four medical journals (NEJM, JAMA, CMAJ, Annals IM) between January 2015 and December 2017 (n = 282). By consensus, we identified those that addressed system flaws (n = 87). Using content and narrative analysis, we analyzed the types of flaws and the physicians' orientation to the flawed system. We identified seven recurring system flaws-five related to medical culture: fai

SUBMITTER: Moniz T 

PROVIDER: S-EPMC8021932 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature