Physician Humility: A Review and Call to Revive Virtue in Medicine

被引:2
作者
Matchett, Caroline L. [1 ]
Usher, Ellen L. [1 ]
Ratelle, John T. [1 ]
Suarez, Diego A. [1 ]
Hunderfund, Andrea N. Leep [1 ]
Sierra, Ana M. Aragon [2 ]
Sawatsky, Adam P. [1 ]
机构
[1] Mayo Clin, Rochester, MN USA
[2] Mayo Clin, Alix Sch Med, Scottsdale, AZ USA
关键词
HEALTH-CARE; DISPOSITIONAL HUMILITY; HUMBLE; COMPETENCE; EDUCATION; TRUST; PROFESSIONALISM; COMMUNICATION; ASSOCIATION; HUMILIATION;
D O I
10.7326/M24-0842
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physician virtues, including humility, are crucial for shaping a physician's identity and practice. The health care literature offers varied views on humility, and the rising call for discussing virtues as a framing for professional identity formation underscores the need for a clearer understanding of physician humility. This review aimed to develop a cohesive conceptualization of physician humility and to define how it functions in medical practice. To achieve this, a comprehensive search was done across PubMed, Ovid MEDLINE, Web of Science, Embase, ERIC, and PsycInfo, covering all records up to 30 October 2023. Articles were included if they discussed physician humility and excluded if they were unrelated to physician humility, focused on nonphysician health professionals, lacked conceptual depth, or focused solely on cultural humility. An applied thematic analysis was conducted. The results provide a synthesized conceptualization of physician humility across stances toward self, others, and the profession. The included articles identified the pivotal role of physician humility within the following 5 domains of medical practice: learning and professional growth, navigating error, uncertainty tolerance, trust and entrustment, and teamwork and communication. The authors highlight some of the intrapersonal, interpersonal, and sociocontextual challenges to cultivating and practicing physician humility. These findings highlight the importance of promoting humility in shaping physicians' actions, thoughts, and relationships with patients, colleagues, and their profession. Integrating such virtues as humility into medical education is essential for upholding the ideals of the medical profession and cultivating moral agents who engage in self-reflection and embody the principles of exemplary physicians.
引用
收藏
页码:1251 / 1258
页数:9
相关论文
共 75 条
  • [1] Reflective Writing as a Window on Medical Students' Professional Identity Development in a Longitudinal Integrated Clerkship
    Adams, Jennifer
    Ari, Mim
    Cleeves, Michelle
    Gong, Jennifer
    [J]. TEACHING AND LEARNING IN MEDICINE, 2020, 32 (02) : 117 - 125
  • [2] [Anonymous], 2023, CLINICIAN FUTURE
  • [3] Trust in Health Care in the Time of COVID-19
    Baker, David W.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 324 (23): : 2373 - 2375
  • [4] Checklists for improving rigour in qualitative research: a case of the tail wagging the dog?
    Barbour, RS
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7294): : 1115 - 1117
  • [5] Arrogance among physicians
    Berger, AS
    [J]. ACADEMIC MEDICINE, 2002, 77 (02) : 145 - 147
  • [6] BIGELOW WG, 1969, SURGERY, V65, P1
  • [7] Braun V., 2001, THEMATIC ANAL PRACTI
  • [8] What's trust got to do with it? Revisiting opioid contracts
    Buchman, Daniel Z.
    Ho, Anita
    [J]. JOURNAL OF MEDICAL ETHICS, 2014, 40 (10) : 673 - 677
  • [9] Sir William Osler's 'Influences' for the Successful Physician, A Reappraisal After 126 Years
    Castillo-Torres, Sergio A.
    Estrada-Bellmann, Ingrid E.
    Lees, Andrew J.
    [J]. ARCHIVES OF MEDICAL RESEARCH, 2018, 49 (06) : 418 - 420
  • [10] On the Road to Professionalism
    Chestnut, David H.
    [J]. ANESTHESIOLOGY, 2017, 126 (05) : 780 - 786