Krall Edward J
Department of Behavioral Health, Marshfield Clinic, Marshfield, WI 54449, USA.
WMJ. 2008 Sep;107(6):279-84.
Treating one's self, treating one's family, being a physician-patient, and taking care of colleagues and their families are aspects of the practice of medicine that are not often taught or discussed in any type of venue. They are not new issues. They have been considered since the earliest days of medicine. They are sometimes controversial issues, since physicians have been reluctant to set standards for themselves. This article reviews the prevalence of physicians' treatment of self and their families and the problems that may arise, as well as the regulations that have been developed. It also examines the reluctance of physicians to seek care and the consequences and the special needs of physician-patients. Finally, guidelines for providing care to self and colleagues are suggested. Further education for students and house staff is needed to enable physicians to appreciate the risks of self treatment and to know how to best care for themselves and their colleagues.
自我治疗、治疗家人、成为医患关系中的患者以及照顾同事及其家人,这些都是医学实践中的一些方面,在任何类型的场合中都不常被教授或讨论。它们并非新问题。从医学的早期就开始被考虑了。它们有时是有争议的问题,因为医生一直不愿为自己设定标准。本文回顾了医生自我治疗及其家人的普遍性以及可能出现的问题,以及已制定的相关规定。它还探讨了医生不愿寻求治疗的情况、后果以及医患的特殊需求。最后,提出了为自己和同事提供护理的指导方针。需要对学生和住院医生进行进一步教育,以使医生认识到自我治疗的风险,并知道如何最好地照顾自己和同事。