Should Wellness Be a Core Competency for Physicians?

Academic Medicine : Journal of the Association of American Medical Colleges
Erene StergiopoulosMaria Athina Tina Martimianakis

Abstract

There has been a recent rise in calls for action around wellness and physician health. In medical education, wellness has been proposed as a physician competency. In this article, the authors review the history of the "wellness as a competency" concept within U.S. and Canadian residency programs and medical schools. Drawing from literature on the discourses of wellness and competence in medical education, they argue that operationalizing wellness as a physician competency holds profound implications for curricula, admissions, evaluation, and licensure. While many definitions of "wellness" and "competency" are used within medical training environments, the authors argue that the definitions institutions ultimately use will have significant impacts for trainees who are considered "unwell." In particular, medical learners with disabilities-including those with mental health, chronic health, learning, sensory, and mobility disabilities-may not conform to dominant conceptions of "wellness," and there is a risk they will become further stigmatized or even be considered unsuitable to practice in the profession. The authors conclude that framing wellness as a competency has the potential to legitimize support-seeking and prioritize phy...Continue Reading

References

Nov 26, 1997·Journal of the Royal Society of Medicine·C McKevitt, M Morgan
Oct 27, 2011·Medical Education·Fiona E FoxMichael O'Connor
May 2, 2013·Social Science & Medicine·Maria Athina Tina Martimianakis, Frederic W Hafferty
Nov 12, 2014·Annals of Family Medicine·Thomas Bodenheimer, Christine Sinsky
May 5, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Jonathan A RippHasan Bazari
Jun 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Christopher E Gaw
Jun 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Arianna F Yanes
Apr 19, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Emma K EdmondsonStephanie M Smith
May 26, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Erene StergiopoulosMaria Athina Martimianakis
Jan 27, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Liselotte N DyrbyeMark B Stephens
Nov 27, 2019·JAMA : the Journal of the American Medical Association·Lisa M MeeksBonnielin K Swenor

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