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Can Fam Physician
Vol. 54, No. 5, May 2008, pp.722 - 729
Copyright © 2008 by The College of Family Physicians of Canada
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Research

Building physician resilience

Phyllis Marie Jensen, RN PhD
Nurse and, at the time of the study, was a researcher in family medicine at McMaster University in Hamilton, Ont. She is now with the Interdisciplinary Primary Health Care Initiative of the Health Sciences Council at the University of Alberta in Edmonton

Karen Trollope-Kumar, MD PhD
Family physician in the Department of Family Medicine at McMaster University and teaches in the Department of Family Medicine and the Department of Anthropology

Heather Waters, MD CCFP
Assistant Professor in the Department of Family Medicine at McMaster University and practises at Stonechurch Family Health Centre and the Maternity Centre of Hamilton

Jennifer Everson, MD CCFP FCFP
Vice President, Medical, for Hamilton Health Sciences and is an Associate Clinical Professor in the Department of Family Medicine at McMaster University

Correspondence to: Dr Karen Trollope-Kumar, West End Clinic, 690 Main St W, Hamilton, ON L8S 1A4; e-mailkumarak{at}mcmaster.ca

OBJECTIVE To explore the dimensions of family physician resilience.

DESIGN Qualitative study using in-depth interviews with family physician peers.

SETTING Hamilton, Ont.

PARTICIPANTS Purposive sample of 17 family physicians.

METHOD An iterative process of face-to-face, in-depth interviews that were audiotaped and transcribed. The research team independently reviewed each interview for emergent themes with consensus reached through discussion and comparison. Themes were grouped into conceptual categories.

MAIN FINDINGS Four main aspects of physician resilience were identified: 1) attitudes and perspectives, which include valuing the physician role, maintaining interest, developing self-awareness, and accepting personal limitations; 2) balance and prioritization, which include setting limits, taking effective approaches to continuing professional development, and honouring the self;3) practice management style, which includes sound business management, having good staff, and using effective practice arrangements; and 4) supportive relations, which include positive personal relationships, effective professional relationships, and good communication.

CONCLUSION Resilience is a dynamic, evolving process of positive attitudes and effective strategies.




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W. J. Askin
Coaching for physicians: Building more resilient doctors
Can Fam Physician, October 1, 2008; 54(10): 1399 - 1400.
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