Qualitative Research in Medicine and Healthcare 2020-05-25T14:27:20+00:00 Francesca Savio Open Journal Systems <p><strong>Qualitative Research in Medicine and Healthcare</strong> is an interdisciplinary and international forum for qualitative research in healthcare settings. The journal is conceived as a site for dialogues between researchers, academics, and healthcare practitioners; it allows an exchange between multiple parties in the health and social service professions, patients and clients as well as senior and junior researchers who believe in the ethos of qualitative approaches. Qualitative research is reflexive. It takes into account that the empirical insights and theoretical propositions it produces are ontologically consequential for all those involved in the research process. This journal publishes research that use many methods of data collection and numerous approaches to data analysis, ranging from systematic coding to mostly inductive, phenomenological and narrative approaches. Submissions can be either theoretical, empirical, or present state of the art reviews of important subject matter in the field, but they have to advance scholarly knowledge, and contribute to research practice in an original way. Each issue of <strong>Qualitative Research in Medicine and Healthcare</strong> provides readers with peer-reviewed articles that examine: the illness experience from multiple and varied perspectives; constructions of health, illness and healthcare that highlight relational and global contexts; healthcare policies in various organizational and institutional settings; the pressures of neoliberalism on healthcare; attention to the communicative dynamics of the patient-provider relationship; narrative approaches to health.</p> Editor’s introduction to the Guest Editor Pamela Wible 2020-05-25T14:27:15+00:00 Mariaelena Bartesaghi <p>I want to thank Dr. Wible for agreeing to act as guest editor of this issue. Dr. Pamela Wible is a family physician born into a family of physicians who warned her not to pursue medicine. She soon discovered why - to heal her patients she first had to heal her profession. (...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Introduction to the Special Issue on Physician Mental Health 2020-05-25T14:27:14+00:00 Pamela Wible <p>Amid tragedy, a doctor’s most heroic act may be to listen - to be a sacred witness to the suffering of patients. Yet where do heroic doctors go with their pain? Who listens to the suffering of physicians? The guilt of not being able to do more for patients. The burden of delivering devastating news to families. The work-related anxiety and depression due to unrealistic expectations of perfectionism. (...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Nevertheless, I have persisted 2020-05-25T14:27:18+00:00 Melissa J. Freeman <p>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. (...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Physician-Friendly States for Mental Health: A Comparison of Medical Licensing Boards 2020-05-25T14:27:17+00:00 Pamela Wible Arianna Palermini <p class="Default">Do medical boards undermine physician mental health by breaching physician confidentiality and privacy? We analyze the initial medical licensing process in each state to determine if qualified applicants who report mental illness experience discrimination. We then identify the most favorable states for physician mental health.</p> <p>&nbsp;</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Winding Down, Facing Up: Insights gained on the road to retirement 2020-05-25T14:27:20+00:00 Paul Pender <p>Before you can become a good storyteller, you first must be a good listener. Practicing clinical ophthalmology for 38 years allowed me to absorb the stories of my patients. Showing them signs of trust - a firm handshake, a smile, a facial expression of concern - let them know that I was there for them from the beginning. (...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Medical student wellness and professional development are harmed by the current state of medical licensing examination: a student perspective on Step 1 2020-05-25T14:27:18+00:00 Lucas Lebovitz Brian Wu <p>The first part of the United States Medical Licensing Examination, also known as Step 1, has stood since its inception in the 1990s as a requirement for prospective doctors to obtain a medical license. (...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## To heal or not to heal, physician, that is the question 2020-05-25T14:27:16+00:00 Kernan Thomas Manion <p>Physicians experience mental illness, substance abuse and burnout at comparable to considerably higher rates than the general population. However, they face great risk if they acknowledge on licensing and credentialing application queries the fact of their seeking help or that they have sought such in the past. Physicians also risk allegation of having such disorders, especially by any of three major regulatory powers which have authority over their professional licenses. These entities can mandate so-called Psychological Fitness- For-Duty Evaluations (PFFDE) by non-neutral evaluators and then compel acceptance of their findings and immediate and full compliance with their recommendations, doing so in an environment devoid of due process and with no discernible recourse for the subject physician. This article strives to highlight this previously unrecognized peril and encourage further exploration of these concerns and undertaking of collaborative measures to ensure that physicians can obtain professional help when needed without causing career jeopardy while also honoring the valid quality of care and patient safety concerns of the prevailing regulatory entities.</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## A physician’s descent into abject poverty for seeking help from a PHP 2020-05-25T14:27:17+00:00 Anne Louise Phelan-Adams <p>Dr. Robert Wilkie should have been a happy man. He was exactly what he wanted to be in life, an emergency physician and hospitalist in a small, close-knit community. His work was a source of pride and pleasure, as were his religious community, his family and ice hockey, the sport he played growing up in Canada. Yes, Dr. Wilkie should have been a happy man, and for the most part, he was. Yet an undertow of melancholy always tugged at him. He usually kept his head above water, but sometimes the tug was so strong he feared he might drown, and this fear would set off a severe bout of anxiety and agitation.</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement## Human rights violations in medicine: a-to-z action guide by Dr. Pamela Wible 2020-05-25T14:27:19+00:00 Erin Nissen Castelloe <p><em>To organize work in such a manner that it becomes meaningless, boring, stultifying, or nerve-racking for the worker would be little short of criminal; it would indicate a greater concern with goods than with people, an evil lack of compassion and a soul-destroying degree of attachment to the most primitive side of this worldly existence.</em></p> <p>E. F. Schumacher, Small Is Beautiful: Economics as if People Mattered</p> <p><em>And don’t make the mistake of calling us resilient. To not have been destroyed, to not have given up, to have survived, is no badge of honor. Would you call an attempted murder victim resilient?</em></p> <p>Tommy Orange, There There</p> <p>(...)</p> 2019-12-22T00:00:00+00:00 ##submission.copyrightStatement##