Training Physicians as Healers

Sajja, Aparna; Puchalski, Christina M.

doi:10.1001/amajethics.2018.655

Cited by 17 publications

(11 citation statements)

References 16 publications

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“…The right to entertain such religious beliefs as a person chooses, the right to declare religious beliefs openly and without fear of hindrance or reprisal, and the right to manifest religious belief by worship and practice or by teaching and dissemination. (p. 868) Medicine, religion, and spirituality share an extended narrative, including priests' historical role as healers, hospitals founded by religious organizations, and the values of compassionate service (Sajja & Puchalski, 2018).…”

Section: Freedom Of Religion and Conscience And Moral Convictionsmentioning

confidence: 99%

“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

et al. 2021

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Medical assistance in dying (MAID) processes are complex, shaped by legislated directives, and influenced by the discourse regarding its emergence as an end-of-life care option. Physicians and nurse practitioners (NPs) are essential in determining the patient’s eligibility and conducting MAID provisions. This research explored the exogenous factors influencing physicians’ and NPs’ non-participation in formal MAID processes. Using an interpretive description methodology, we interviewed 17 physicians and 18 NPs in Saskatchewan, Canada, who identified as non-participators in MAID. The non-participation factors were related to (a) the health care system they work within, (b) the communities where they live, (c) their current practice context, (d) how their participation choices were visible to others, (e) the risks of participation to themselves and others, (f) time factors, (g) the impact of participation on the patient’s family, and (h) patient–HCP relationship, and contextual factors. Practice considerations to support the evolving social contact of care were identified.

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Section: Freedom Of Religion and Conscience And Moral Convictionsmentioning

confidence: 99%

“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

et al. 2021

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“…In this regard, Sajia and Puchalski [ 74 ], for instance, advocated the development of educational competencies for the spiritual dimension of healthcare and proposed guidelines for developing this skill as part of a physician’s curriculum in addition to the other scientific–technical skills required for their normal clinical practice. On the other hand, Koenig [ 31 , 36 , 75 ] advocated for improving the quality of clinical care by incorporating spiritual care into health systems, as well as assessing and offering solutions for the possible barriers encountered by medical teams when considering this dimension in practice.…”

Section: Discussionmentioning

confidence: 99%

Spirituality in a Doctor’s Practice: What Are the Issues?

López-Tarrida¹,

Diego‐Cordero

Lima-Rodríguez

2021

JCM

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Introduction: It is becoming increasingly important to address the spiritual dimension in the integral care of the people in order to adequately assist them in the processes of their illness and healing. Considering the spiritual dimension has an ethical basis because it attends to the values and spiritual needs of the person in clinical decision-making, as well as helping them cope with their illness. Doctors, although sensitive to this fact, approach spiritual care in clinical practice with little rigour due to certain facts, factors, and boundaries that are assessed in this review. Objective: To find out how doctors approach the spiritual dimension, describing its characteristics, the factors that influence it, and the limitations they encounter. Methodology: We conducted a review of the scientific literature to date in the PubMed, Scopus, and CINAHL databases of randomised and non-randomised controlled trials, observational studies, and qualitative studies written in Spanish, English, and Portuguese on the spiritual approach adopted by doctors in clinical practice. This review consisted of several phases: (i) the exclusion of duplicate records; (ii) the reading of titles and abstracts; (iii) the assessment of full articles and their methodological quality using the guidelines of the international Equator Network. Results: A total of 1414 publications were identified in the search, 373 of which were excluded for being off-topic or repeated in databases. Of the remaining 1041, 962 were excluded because they did not meet the inclusion criteria. After initial screening, 79 articles were selected, from which 17 were collected after reading the full text. A total of 8 studies were eligible for inclusion. There were three qualitative studies and five cross-sectional observational studies with sufficient methodological quality. The results showed the perspectives and principal characteristics identified by doctors in their approach to the spiritual dimension, with lack of training, a lack of time, and fear in addressing this dimension in the clinic the main findings. Conclusions: Although more and more scientific research is demonstrating the benefits of spiritual care in clinical practice and physicians are aware of it, efforts are needed to achieve true holistic care in which specific training in spiritual care plays a key role.

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“…According to Balboni et al, primary religious/spiritual resources prior to medical socialization may be a buffer against the hidden curriculum’s destructive sides. Sajja and Puchalski41 suggest “training physicians as healers” in order to overcome the discrepancy between medicine’s scientific and spiritual sides. For people with different cultural backgrounds, SC may foster a spirit of empathy42 and “hospitality” in medical schools in spite of scientifically or personally motivated “hostilities” 43.…”

Section: Discussionmentioning

confidence: 99%

<p>A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties</p>

Taverna¹,

Berberat²,

Sattel³

et al. 2019

AMEP

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ObjectiveTeaching about spirituality and health is recommended by the American Association of Medical Colleges and partially implemented in some US medical schools as well as in some faculties of other countries. We systematically surveyed Medical School Associate Deans for Student Affairs (ADSAs) in three German-speaking countries, assessing both projects on and attitudes towards Spiritual Care (SC) and the extent to which it is addressed in undergraduate (UME), graduate (GME), and continuing (CME) medical education (in this article, UME is understood as the complete basic medical education equivalent to college and Medical School. GME refers to the time of residency).MethodsWe executed a cross-sectional qualitative complete online-survey, addressing ADSAs of all accredited 46 medical schools in these countries. Anonymized responses could be analyzed from 25 (54.3%).ResultsNo faculty provides a mandatory course exclusively dedicated to SC. Fourteen medical schools have UME courses or contents on SC, and 9 incorporate SC in mandatory classes addressing other topics. While most of the respondents indicate that spirituality is important for (a) the patients for coping and (b) for health care in general and thus, support the teaching of SC in UME, only half of them indicate a need for an SC curriculum in UME. Even if funding and training support were available, only a few of the respondents would agree to provide more of the sparse curricular time.ConclusionA majority of the participating medical schools have curricular content on SC, predominantly in UME. However, most of the content is based on voluntary courses. Despite acknowledging its importance to patients, ADSAs and medical teachers are still reflecting on the divergences in patients’ and doctors’ spiritual orientations and its consequences for implementing spirituality into the medical education.

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Training Physicians as Healers

Cited by 17 publications

References 16 publications

“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

Spirituality in a Doctor’s Practice: What Are the Issues?

<p>A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties</p>

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