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Groundwork

Residents’ Experiences of Negative Emotions toward Patients: Challenges to their Identities

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Pages 464-472 | Accepted 13 Sep 2021, Published online: 11 Nov 2021

References

  • Hahn SR, Kroenke K, Spitzer RL, et al. The difficult patient: prevalence, psychopathology, and functional impairment. J Gen Intern Med. 1996;11(1):1–8. doi:10.1007/BF02603477.
  • Jackson JL, Kroenke K. Difficult patient encounters in the ambulatory clinic: clinical predictors and outcomes. Arch Intern Med. 1999;159(10):1069–1075. doi:10.1001/archinte.159.10.1069.
  • Groves JE. Taking care of the hateful patient. N Engl J Med. 1978;298(16):883–887. doi:10.1056/NEJM197804202981605.
  • Jackson J, Kay C. Heartsink Hotel, or "Oh No, Look Who’s on My Schedule this Afternoon!. J Gen Intern Med. 2013;28(11):1385–1386. doi:10.1007/s11606-013-2447-8.
  • Najman JM, Klein D, Munro C. Patient characteristics negatively stereotyped by doctors. Soc Sci Med. 1982;16(20):1781–1789. doi:10.1016/0277-9536(82)90272-6.
  • Steinmetz D, Tabenkin H. The ‘difficult patient’ as perceived by family physicians. Fam Pract. 2001;18(5):495–500. doi:10.1093/fampra/18.5.495.
  • Mathers NJ, Gask L. Surviving the ‘heartsink’ experience. Fam Pract. 1995;12(2):176–183. doi:10.1093/fampra/12.2.176.
  • Smith S. Dealing with the difficult patient. Postgrad Med J. 1995;71(841):653–657. doi:10.1136/pgmj.71.841.653.
  • Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan C. Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA. 1997;278(6):502–509.
  • Hahn SR, Thompson KS, Wills TA, Stern V, Budner NS. The difficult doctor-patient relationship: somatization, personality and psychopathology. J Clin Epidemiol. 1994;47(6):647–657. doi:10.1016/0895-4356(94)90212-7.
  • Hall JA, Horgan TG, Stein TS, Roter DL. Liking in the physician–patient relationship. Patient Educ Couns. 2002;48(1):69–77. doi:10.1016/S0738-3991(02)00071-X.
  • Hinchey SA, Jackson JL. A cohort study assessing difficult patient encounters in a walk-in primary care clinic, predictors and outcomes. J Gen Intern Med. 2011;26(6):588–594. doi:10.1007/s11606-010-1620-6.
  • Kim SS, Kaplowitz S, Johnston MV. The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof. 2004;27(3):237–251. doi:10.1177/0163278704267037.
  • Chung RJ. The Value of "Heartsink". J Grad Med Educ. 2018;10(6):624–625. doi:10.4300/JGME-D-18-00424.1.
  • Gorlin R, Zucker HD. Physicians’ reactions to patients. A key to teaching humanistic medicine. N Engl J Med. 1983;308(18):1059–1063. doi:10.1056/NEJM198305053081804.
  • Kahn MW. What would Osler do? Learning from "difficult" patients. N Engl J Med. 2009;361(5):442–443. doi:10.1056/NEJMp0902021.
  • Oliver D. Teaching medical learners to appreciate "difficult" patients. Can Fam Physician. 2011;57(4):506–508.
  • Shapiro J, Rakhra P, Wong A. The stories they tell: How third year medical students portray patients, family members, physicians, and themselves in difficult encounters. Med Teach. 2016;38(10):1033–1040.
  • Shikino K, Ito S, Ohira Y, Noda K, Asahina M, Ikusaka M. Usefulness of a short training seminar on how to handle difficult patients in simulated education. AMEP. 2019;10:483–491. doi:10.2147/AMEP.S209573.
  • Strous RD, Ulman AM, Kotler M. The hateful patient revisited: Relevance for 21st century medicine. Eur J Intern Med. 2006;17(6):387–393. doi:10.1016/j.ejim.2006.04.002.
  • Wilson H. Reflecting on the ‘difficult’ patient. N Z Med J. 2005;118(1212):U1384.
  • Yaphe J. Difficult patients, difficult doctors, and difficult relationships: How do we cope? RPMGF. 2012;28(5):334–335. doi:10.32385/rpmgf.v28i5.10965.
  • Zaidi D. Duty, empathy, and hierarchy: healing "difficult patients". Camb Q Healthc Ethics. 2019;28(2):378–382. doi:10.1017/S0963180119000215.
  • Barnett DR, Bass PF, Griffith CH, 3rdCaudill TS, Wilson JF. Determinants of resident satisfaction with patients in their continuity clinic. J Gen Intern Med. 2004;19(5 Pt 1):456–459. doi:10.1111/j.1525-1497.2004.30125.x.
  • Dans PE. The use of pejorative terms to describe patients: "Dirtball" revisited. Proc (Bayl Univ Med Cent)). 2002;15(1):26–30. doi:10.1080/08998280.2002.11927811.
  • Edgoose JY, Regner CJ, Zakletskaia LI. Difficult patients: exploring the patient perspective. Fam Med. 2014;46(5):335–339.
  • Goldsmith ES, Krebs EE. Roles of Physicians and Health Care Systems in "Difficult" Clinical Encounters. AMA J Ethics. 2017;19(4):381–390.
  • Mota P, Selby K, Gouveia A, et al. Difficult patient-doctor encounters in a Swiss university outpatient clinic: cross-sectional study. BMJ Open. 2019;9(1):e025569. doi:10.1136/bmjopen-2018-025569.
  • Steinauer JE, O’Sullivan P, Preskill F, Ten Cate O, Teherani A. What Makes "Difficult Patients" Difficult for Medical Students? Acad Med. 2018;93(9):1359–1366.
  • Steinauer JE, Teherani A, Preskill F, Ten Cate O, O’Sullivan P. What do medical students do and want when caring for "difficult patients”? Teach Learn Med. 2018; 31(3):238–249.
  • Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into the medical education discourse. Acad Med. 2012;87(9):1185–1190. doi:10.1097/ACM.0b013e3182604968.
  • Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718–725. doi:10.1097/ACM.0000000000000700.
  • Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. doi:10.1191/1478088706qp063oa.
  • Steinauer JE, Turk JK, Fulton MC, Simonson KH, Landy U. The benefits of family planning training: a 10-year review of the Ryan Residency Training Program. Contraception. 2013;88(2):275–280. doi:10.1016/j.contraception.2013.02.006.
  • The Ryan Residency Training Program. https://ryanprogram.org/. Accessed Oct, 2019.
  • Charmaz K. Constructing Grounded Theory. 2nd ed. Thousand Oaks: Sage Publications; 2014.
  • Nelson J. Using conceptual depth criteria: addressing the challenge of reaching saturation in qualitative research. Qualitative Research. 2017;17(5):554–570. doi:10.1177/1468794116679873.
  • Bowen GA. Grounded theory and sensitizing concepts. Int J Qual Methods. 2006;5(3):12–23. doi:10.1177/160940690600500304.
  • Kennedy TJ, Regehr G, Baker GR, Lingard LA. Progressive independence in clinical training: a tradition worth defending? Acad Med. 2005;80(10 Suppl):S106–S111.
  • Kennedy TJ, Regehr G, Baker GR, Lingard L. Preserving professional credibility: grounded theory study of medical trainees’ requests for clinical support. BMJ. 2009;338:b128. doi:10.1136/bmj.b128.
  • Kennedy TJ, Regehr G, Baker GR, Lingard L A. ‘It’s a cultural expectation.’ The pressure on medical trainees to work independently in clinical practice. Med Educ. 2009;43(7):645–653. doi:10.1111/j.1365-2923.2009.03382.x.
  • Lave J, Wenger E. Situated Learning: Legitimate Peripheral Participation. Cambridge, UK: Cambridge University Press; 1991.
  • Klein D, Najman J, Kohrman AF, Munro C. Patient characteristics that elicit negative responses from family physicians. J Fam Pract. 1982;14(5):881–888.
  • Katz RC. "Difficult patients" as family physicians perceive them. Psychol Rep. 1996;79(2):539–544. doi:10.2466/pr0.1996.79.2.539.
  • Krebs EE, Garrett JM, Konrad TR. The difficult doctor? Characteristics of physicians who report frustration with patients: an analysis of survey data. BMC Health Serv Res. 2006;6(1):128. doi:10.1186/1472-6963-6-128.
  • Reddy ST, Iwaz JA, Didwania AK, et al. Participation in unprofessional behaviors among hospitalists: a multicenter study. J Hosp Med. 2012;7(7):543–550. doi:10.1002/jhm.1946.
  • Roberts NK, Dorsey JK, Wold B. Unprofessional behavior by specialty: a qualitative analysis of six years of student perceptions of medical school faculty. Med Teach. 2014;36(7):621–625. doi:10.3109/0142159X.2014.899690.
  • Steinauer JE, Turk JK, Pomerantz T, Simonson K, Learman LA, Abortion LU. training in US obstetrics and gynecology residency programs. Am J Obstet Gynecol. 2018;219(1):86.e81–86.e86.
  • AAMC. Physician Specialty Data Report. Washington, D.C.: Association of American Medical Colleges; 2018.
  • Breuner CC, Moreno MA. Approaches to the difficult patient/parent encounter. Pediatrics. 2011;127(1):163–169. doi:10.1542/peds.2010-0072.
  • Evans RW, Evans RE, Evans RI. A survey of neurologists on bothersome patient behaviors. MedGenMed. 2006;8(4):35.
  • Malakouti M, Brown G, Wang E, Leon A, Koo J. How to optimally manage unhappy, anxious, and difficult patients. Clin Dermatol. 2014;32(5):697–700. doi:10.1016/j.clindermatol.2014.01.001.
  • Moukaddam N, Flores A, Matorin A, Hayden N, Tucci VT. Difficult patients in the emergency department: personality disorders and beyond. Psychiatr Clin North Am. 2017;40(3):379–395. doi:10.1016/j.psc.2017.05.005.

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