Medical Care


Planet Ecology

Some Topics

Students, Physicians, Bullying and Stess

The difficulties facing medical students and physicians are diverse and persistent. There is no escape from basic human tendencies. The competitive, critical disputatious nature of humans is amplified in medical institutions, despite a superficial appeal to collegiality. Physicians often face moral dilemmas and must cope with the least pleasant aspects of the human experience, often with little or no support from colleagues. As most medical care becomes concentrated in large, impersonal institutions, a sense of alienation prevails.

A pamphlet from the Canadian Medical Association for physicians talks about the “impact of stress on physician health and well being.” Canadian physicians are generally unhappy about the increasing demands on their time and energy while resources and rewards are shrinking. In Canada, physicians work in a government under-funded system that survives on budget cuts and rationing services.

The CMA pamphlet begins with a fuzzy statement that could win a prize in the annals of obfuscation: “Stress is part of everyone’s life. A certain level of stress contributes to optimal performance. However, when it is not managed properly, stress can become overwhelming, leading to physical, mental and spiritual difficulties.”I acknowledge that some readers would be more receptive to this kind of talk than I am.However, I would want them to ask what is really going on here? Physicians get tired, discouraged, frustrated and become angry like all other humans.

Physicians tend to be more tolerant and giving than most other humans, but each person has limited understanding and limited resources. When demand exceeds supply, physicians, like other people, get discouraged, tired and angry. They may feel and act badly in a variety of ways. If we really want to understand the plight of physicians, the first step would be to pledge never to use the word “stress” just as we have pledged never to use the word “psychological” or the word “spiritual.”These are nonsense words that obscure what is really going on.

Dr. Pamela L. Wible wrote about physicians' bullying medical students and each other. Increasing concerns about physician burnout and suicide have surfaced in the US. Medical students suffer bullying and some end their lives. Wiebe stated: "The truth is, doctors are suffering. Surrounded by sickness and death, we watch families wail, shriek, cry while we stand silently—sacred witness to their sorrow—until we're called to the next room for a heart attack, a gunshot wound, a stillborn. Week by week. Year by year. And when do we grieve? Never. Doctors are not allowed to grieve. Today a physician tells me she's been cited for unprofessional conduct. Why? She was seen crying. Her boss told her, "Unless you are dying, crying is unprofessional behavior and not to be tolerated." Doctors are not allowed to cry. So, what do we do with our sadness? We injure ourselves—and each other. When I speak to victims of physician bullying, I explain, "Your instructors are suffering from unprocessed grief—probably victims of bullying themselves. Medicine is an apprenticeship profession. Trained by wounded doctors, they're now wounding you. Your bright eyes, your enthusiasm, your idealism remind them of their loss. Rather than feel their own grief, they lash out at you." Pamela L. Wible. Physician Bullying: 'Not Allowed to Cry'. Medscape. Feb 20, 2015.)

There are few physicians who would not respond well to expressions of gratitude, respect and tender loving care. Each one needs more time off and an assistant or two to do all the extra chores demanded of them. Physicians spend much of their time caring for others but seldom receive care themselves.

The increasing tendency for hospital and government administrators is to treat physicians with disrespect and to blame them for the high cost of medical care. Physicians confront injury, disease, cruelty, ignorance and anger most days and often miss opportunities to celebrate the joyful, creative aspects of life. A basic imbalance for any human is receiving less than he or she is giving. Physicians become overtired, do not eat well or regularly and often fail to enjoy friendly and affectionate leisure time with family and friends…. our description can go on and on. The more we observe specific details of physicians lives (never using the term “stress”) the more we understand how these humans suffer, make mistakes, become dysfunctional and ill or, if they are smart, take a long vacation or quit medicine before they collapse from frustration, disillusionment and fatigue.

Resources for Medical Students

Is Stress Real?
Psychiatry versus Biology
Psychosomatic
See Brain Drug Warnings


  • You are at Alpha Online. Medical Care Perspectives and Planet Ecology is produced by Alpha Education Books and Persona Digital Books. These brief essays by Dr. Stephen Gislason are taken from his books and blogs.

    A Free Copy of the book Self Care for the 21st Century is available as a PDF file for download.
    Click to download the PDF file

    Alpha Nutrition ® is a registered trademark and a division of Environmed Research Inc., Sechelt, British Columbia, Canada. In business since 1984. Online since 1995. Alpha Nutrition Products and services are ordered at Alpha Online. All communication about orders is done by email. Send email to alphaonline@nutramed.com 

    Environmed Research Inc. makes medical information available online as a public service. We have in mind people who seek information and are accustomed to making their own decisions. We regularly receive requests for advice managing an illness. Many of these requests can be answered by a more careful reading of texts online and reading our books. If you are interested in solving a medical problem using nutritional therapy, consider reading the Alpha Nutrition Program.

    Alpha Education Books: The books in this series that give you clear directions and provide essential scientific information for the self management of common diseases.

    Persona Digital publishes a series of books on current topics in psychology, sociology, neuroscience and philosophy.

    eBooks and can be downloaded to many destinations on the planet. Printed books and eBooks are ordered from Alpha Online... print books and formulas are shipped only to Canada and the USA by postal services.

    Persona Digital Music Studio is a related website.

    Alpha Online