Month: March 2025

Solving medicine’s moral injury

There is clearly no quick fix to the underlying causes of moral injury in healthcare. This is not a war where a ceasefire can be declared.

So, how do we try to move from the collective moral injury experience of physicians to a systematic change in the structure of medical practice?

Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury. Moral injury is frequently mischaracterized. In combat veterans it is diagnosed as post-traumatic stress; among physicians it’s portrayed as burnout. But without understanding the critical difference between burnout and moral injury, the wounds will never heal and physicians and patients alike will continue to suffer the consequences.

Physician moral injury – not burnout

“Front-line”, “battle”, “the trenches”. These terms are all too familiar when talking about modern medicine. Why are we referencing war when we should be talking about healing?

A serene, peaceful scene reflecting the Japanese concept of Wabi Sabi

Wabi-Sabi and Medicine

The Japanese concept of Wabi Sabi beautifully captures the essence of life: appreciating the imperfect, the impermanent, and the incomplete. It reminds us to cherish the journey, with all its ups and downs – especially in medicine – instead of obsessing over destinations or goals.

female physician overwhelmed by administration

Physician Burnout: An Administrative Disorder

Physician burnout is not a result of individual physician characteristics, but is significantly influenced by systemic factors within the healthcare system. In this blog, we will delve into the concept that physician burnout is more accurately described as an administrative or systemic disorder rather than an individual problem disorder, emphasizing the organizational, cultural, and economic factors that contribute to burnout in doctors.