Daaleman Timothy P
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Ann Fam Med. 2020 Nov;18(6):558-560. doi: 10.1370/afm.2592.
A weekly habit of viewing my performance data led me to question the value of my doctoring. I tried to answer this quandary in my head for months, but it was a patient encounter that revealed what I had been searching for. As a doctor I am bound to the care of another, especially when disease, disability, or injury create any space between a patient and their personhood. I stand in the breach.To offset my data habit, I have adopted a practice that reviews my patient care and interior movements at the end of the day. The daily exercise has uncovered a pattern in which my anger, despair, or isolation are invariably are tied to those times when I have failed to stand in the breach with a patient. More importantly, the practice illuminates my finest hours, when I have entered into that chasm with an unstated and binding promise to my patient that they will not be abandoned.
每周查看自己绩效数据的习惯让我开始质疑自己行医的价值。几个月来,我一直在脑海中试图解答这个难题,但一次与患者的接触让我找到了一直在寻找的答案。作为一名医生,我肩负着照顾他人的责任,尤其是当疾病、残疾或伤痛在患者与他们的人格之间造成隔阂时。我挺身而出。为了抵消查看数据的习惯,我养成了一种在一天结束时回顾自己的患者护理情况和内心活动的做法。这种日常练习揭示了一种模式:我的愤怒、绝望或孤立总是与那些我未能与患者并肩作战的时刻有关。更重要的是,这种做法凸显了我最美好的时刻,即我带着对患者不言而喻且有约束力的承诺踏入那个鸿沟,承诺他们不会被抛弃。