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  Vol. 5 No. 2, February 1996 TABLE OF CONTENTS
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The Emotional Impact of Mistakes on Family Physicians

Marc C. Newman, MD

Arch Fam Med. 1996;5(2):71-75.


Abstract

Objective
To explore the emotional impact of the most memorable mistake on family physicians, the support they needed and received, and their response to a hypothetical scenario in which a colleague's decision was associatedh a fatal outcome.

Setting and Participants
Randomly selected memmembersbersunty chapter of a midwestern state academy of family physicians.

Design
Qualitative cross-secross-in-nal depth interviews subject to content analysis.

Methods
Iaudiotapeds with each of the physiciansir offices. Two medical sociologists and I first independently, and then consensually, categorized the data based on the frequency with which a word or idea appeared in the text.

Results
Thirty (75%) of the 40 physicians originally contacted participated in the study. Twenty-three (77%) of the 30 physicians admitted to making a mistake. The physicians experienced emotional adversity. Of 27 physicians, 17 (63%) needed someone to talk to, 13 (48%) needed to review their case management, 16 (59%) needed professional reaffirmation, and eight (30%) needed personal reassurance. Having someone to talk to was the support that 12 (44%) of the 27 physicians most. Eighteen (67%) of 27 received this support from someone other than their peers. Although all subjects recognized their colleague's pain and need for support in the hypothetical scenario, only nine (32%) of 28 physicians would have unconuncon-ditionally Making mistakes unfavorably affects familyysicians and creates a strong need for support. Familyysicians may benefit from sharing experiences that diminish perfectionism and recognize mistakes as a naturalrt of practicing medicine. Further research needs to address how physicians can be encouraged toward therapeutic self-disclosurert.



Author Affiliations

From the Department of Family Medicine, Medical College of Pennsylvania and Hahnemann University, Philadelphia.



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