The AMA has come to realize that MD is an accepted occurrence in work environments and has acknowledged that it is time to change the tolerance of MD. This likely mirrors the call to action by the AMA on Burnout, and it is wonderful news that in 2017 there is enough research and attention on MD in order to foster a call to action. While interventions to reduce MD are still largely being trialed and tested at various institutions during this time, it is nevertheless excellent to see a major institution acknowledge that MD continuing to exist is problematic for health systems, patients, and providers alike.
Helpfully, this article is somewhat of a primer on MD, containing the original definition of MD given by Dr. Andrew Jameton in 1984 "moral distress occurs when a clinician makes a moral judgment about a
case in which he or she is involved and an external constraint makes it
difficult or impossible to act on that judgment, resulting in 'painful
feelings and/or psychological disequilibrium' Moral distress has
subsequently been shown to be associated with burnout, which includes
poor coping mechanisms such as moral disengagement, blunting, denial,
and interpersonal conflict."
http://journalofethics.ama-assn.org/2017/06/fred1-1706.html
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