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Dana Zappetti - Medical Student Well-Being: An Essential Guide

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Book:
Medical Student Well-Being: An Essential Guide
Author:
Dana Zappetti / Jonathan D Avery
Publisher:
Springer
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Books / Home and family
Year:
2019
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This book tackles the most common challenges that medical students experience that lead to burnout in medical school by carefully presenting guidelines for assessment, management, clinical pearls, and resources for further references. Written by national leaders in medical student wellness from around the country, this book presents the first model of care for combating one of the most serious problems in medicine. Each chapter is concise and follows a consistent format for readability. This book addresses many topics, including general mental health challenges, addiction, mindfulness, exercise, relationships and many more of the important components that go into the making of a doctor. Medical Student Well-being is a vital resource for all professionals seeking to address physician wellness within medical schools, including medical students, medical education professionals, psychiatrists, addiction medicine specialists, hospitalists, residents, and psychologists.

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Editors

Dana Zappetti and Jonathan D. Avery

Medical Student Well-Being An Essential Guide

Editors

Dana Zappetti

Weill Cornell Medical College, New York, NY, USA

Jonathan D. Avery

Cornell University, Weill Cornell Medical College, New York, NY, USA

ISBN 978-3-030-16557-4 e-ISBN 978-3-030-16558-1

https://doi.org/10.1007/978-3-030-16558-1

Springer Nature Switzerland AG 2019

This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.

The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To current and future students may you find your way to a wonderful life in medicine

Preface

Medicine finds itself at crossroads. Technology and advances in biomedical science allow us to practice sophisticated medicine using precision techniques and ever-evolving pharmaceuticals to fight disease more successfully than our predecessors. We can cure more, comfort more, and offer more hope to those facing illness. In many ways, it is more satisfying to practice medicine now than ever before. Yet the physician workforce is increasingly burned out and frustrated. Attrition, depression, and suicide are frequent topics of discussion at national meetings, in all specialties of medicine. Why now?

As our profession focuses on the systems issues of medical practice in 2019 the pros and cons of the electronic medical record, the debate over fee-for-service insurance plans, and how to accomplish the ever-increasing need and interest in access to timely care our students need to learn skills that will allow them to work within this complicated system and still love the practice of medicine.

It is a privilege to watch students grow from wide-eyed first-year students to seasoned house staff. It is clear that the energy, enthusiasm, and altruism common among our students are the bases for their strength as physicians. We hope that the suggestions and discussions within this book help students to build skills for a successful and happy life in medicine.

Dana Zappetti

Jonathan D. Avery

New York, NY, USA New York, NY, USA

Contents

Josphine Cool and Dana Zappetti

Lisa M. Meeks and Joseph F. Murray

Kristopher A. Kast and Jonathan D. Avery

Chiti Parikh

Kerri I. Aronson and Dana Zappetti

Paulette Posner , Muhammad Ali and Stephen Douglas

Elizabeth Wilson-Anstey , W. Marcus Lambert and Heather Krog

James M. Dahle

Janna S. Gordon-Elliott

List of Contributors

Muhammad Ali MM, MSS, MA

Pastoral Care and Education Department, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA

Kerri I. Aronson MD

Pulmonary and Critical Care Medicine, New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

Jonathan D. Avery MD

Cornell University Weill Cornell Medical College, New York, NY, USA

Josphine Cool MD

New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

James M. Dahle MD, FACEP

The White Coat Investor, LLC, Salt Lake City, UT, USA

Stephen Douglas MDiv, MFA

Pastoral Care and Education Department, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA

Janna S. Gordon-Elliott MD

New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

Kristopher A. Kast MD

New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

Heather Krog MA

Cultural Mentor and Inclusion Facilitator, Copenhagen, Denmark

W. Marcus Lambert PhD, MS

Weill Cornell Medicine, New York, NY, USA

Lisa M. Meeks PhD, MA

University of Michigan Medical School, Department of Family Medicine, Ann Arbor, MI, USA

Joseph F. Murray MD

Weill Cornell Medical College, Department of Psychiatry, New York, NY, USA

Chiti Parikh MD

Weill Cornell Medicine/New York Presbyterian Hospital/Integrative Health and Wellbeing, New York, NY, USA

Paulette Posner MA

Pastoral Care and Education Department, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA

Elizabeth Wilson-Anstey MA, EdD

Weill Cornell Medicine, New York, NY, USA

Dana Zappetti MD

Weill Cornell Medical College, New York, NY, USA

Springer Nature Switzerland AG 2019

Dana Zappetti and Jonathan D. Avery (eds.) Medical Student Well-Being https://doi.org/10.1007/978-3-030-16558-1_1

1. The Physiology of Stress

Josphine Cool

(1)

New York Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

(2)

Weill Cornell Medical College, New York, NY, USA

Josphine Cool

Email:

Dana Zappetti (Corresponding author)

Email:

Keywords

Stress Allostasis Allostatic load Allostatic load index

Allostasis: The Normal Stress Response and the Reason that Stress Exists

All human beings occasionally feel stress. Healthcare workers have jobs that are often demanding physically, mentally, and emotionally and can often be overwhelmed by stress. However, it is important to remember that the stress response exists for a reason. This chapter will review the normal physiologic stress response, examine how this stress response can become dysfunctional and lead to disease, and finally explore the ways that stress can be studied in human beings. This will be framed throughout the chapter with the concepts of allostasis, allostatic load, and allostatic load index.

To start, we will define some terms that will be referred back to throughout this chapter.

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