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Published in: Perspectives on Medical Education 5/2019

Open Access 01-10-2019 | Health Care and the Arts

Spinning the lens on physician power: narratives of humanism and healing

Authors: Mercedes Chan, Laura Nimmon

Published in: Perspectives on Medical Education | Issue 5/2019

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Abstract

Divisive, disabling and dangerous power has featured heavily in health professions literature, social media and medical education. Negative accounts of the wielding of power have discoloured the lens through which the public sees medicine and distorted the view of a profession long associated with healing, humanism and heart. What has been buried in the midst of this discourse are positive accounts of power where the yielding of power is encouraging, empathetic and empowering. This article offers three personal vignettes illustrating the ability of power to positively affect lives in the practice of medicine, for patients and doctors alike. More of these stories are needed to uplift and rebalance the conversation on physician power and how it can be used for good. It is necessary to provide a narrative framework of what it looks like to be a healer and a humanistic doctor to satisfy the general public through a commitment to cultivate multidimensional future healthcare providers.
Literature
1.
go back to reference Goodyear-Smith F, Buetow F. Power issues in the doctor-patient relationship. Health Care Anal. 2001;9:449–62.CrossRef Goodyear-Smith F, Buetow F. Power issues in the doctor-patient relationship. Health Care Anal. 2001;9:449–62.CrossRef
2.
go back to reference Crowe S, Clarke N, Brugha R. ‘You do not cross them’: hierarchy and emotion in doctors’ narratives of power relations in specialist training. Soc Sci Med. 2017;186:70–7.CrossRef Crowe S, Clarke N, Brugha R. ‘You do not cross them’: hierarchy and emotion in doctors’ narratives of power relations in specialist training. Soc Sci Med. 2017;186:70–7.CrossRef
3.
go back to reference Boler M. Feeling power: emotions and education. New York: Routledge; 1999. Boler M. Feeling power: emotions and education. New York: Routledge; 1999.
4.
go back to reference Nimmon L, The S‑HT. “handling” of power in the physician-patient encounter: perceptions from experienced physicians. BMC Med Educ. 2016;16(114):1–9. Nimmon L, The S‑HT. “handling” of power in the physician-patient encounter: perceptions from experienced physicians. BMC Med Educ. 2016;16(114):1–9.
5.
go back to reference Nimmon L, Regehr G. The complexity of patients’ health communication social networks: a broadening of physician communication. Teach Learn Med. 2017;30(4):352–66.CrossRef Nimmon L, Regehr G. The complexity of patients’ health communication social networks: a broadening of physician communication. Teach Learn Med. 2017;30(4):352–66.CrossRef
7.
go back to reference Mahood SC. Medical education. Beware the hidden curriculum. Can Fam Physician. 2011;57(9):983–5. Mahood SC. Medical education. Beware the hidden curriculum. Can Fam Physician. 2011;57(9):983–5.
8.
go back to reference Sternszus R, Regehr G. When I say … healing. Med Educ. 2018;52:148–9.CrossRef Sternszus R, Regehr G. When I say … healing. Med Educ. 2018;52:148–9.CrossRef
9.
go back to reference Crellin J. Public expectations and physician responsibilities: voices of medical humanities. Boca Raton (FL): Taylor and Francis; 2005. Crellin J. Public expectations and physician responsibilities: voices of medical humanities. Boca Raton (FL): Taylor and Francis; 2005.
10.
go back to reference Frank JR, editor. The CanMEDS. hysician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada; 2005. p. 2005. Frank JR, editor. The CanMEDS. hysician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada; 2005. p. 2005.
11.
go back to reference Foucault M. The birth of the clinic. New York: Pantheon Books; 1973. Foucault M. The birth of the clinic. New York: Pantheon Books; 1973.
12.
go back to reference Freidson E. Professional dominance: The social structure of medical care. New York: Atherton Press; 1970. Freidson E. Professional dominance: The social structure of medical care. New York: Atherton Press; 1970.
13.
go back to reference Freund PE, McGuire MB, Podhurst LS. Health, illness, and the social body: a critical sociology. Upper Saddle River (NJ): Prentice Hall; 2003. Freund PE, McGuire MB, Podhurst LS. Health, illness, and the social body: a critical sociology. Upper Saddle River (NJ): Prentice Hall; 2003.
14.
15.
go back to reference Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014;89(5):749–54.CrossRef Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014;89(5):749–54.CrossRef
16.
go back to reference Mavis B, Sousa A, Lipscomb W, Rappley MD. Learning about medical student mistreatment from responses to the medical school graduation questionnaire. Acad Med. 2014;89(5):705.CrossRef Mavis B, Sousa A, Lipscomb W, Rappley MD. Learning about medical student mistreatment from responses to the medical school graduation questionnaire. Acad Med. 2014;89(5):705.CrossRef
Metadata
Title
Spinning the lens on physician power: narratives of humanism and healing
Authors
Mercedes Chan
Laura Nimmon
Publication date
01-10-2019
Publisher
Bohn Stafleu van Loghum
Published in
Perspectives on Medical Education / Issue 5/2019
Print ISSN: 2212-2761
Electronic ISSN: 2212-277X
DOI
https://doi.org/10.1007/s40037-019-00537-4

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