ArticleAcademic medicine : journal of the Association of American Medical Colleges2018
Medical Trainees' Experiences of Treating People With Chronic Pain: A Lost Opportunity for Medical Education.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 42 citations in OpenAlex.
- Perceptions of Fibromyalgia Across Career Stages: Survey Results From Internal Medicine Physicians and Medical Students.Musculoskeletal care · 2026Article
- Evaluation of an Invisible Illness Communication Strategy Curriculum Among Internal Medicine Interns.Cureus · 2026Article
- Towards a more equitable future: development, implementation, and evaluation of a novel e-course on racial disparities in pain management for medical students.BMC medical education · 2025Article
- Perceptions and attitudes of medical students toward opioid education: A qualitative study.Surgery open science · 2025Article
- Advancing pain education: a cross-sectional study in the Portuguese medical schools.BMC medical education · 2025Article
- Patients' Experiences with an Interdisciplinary Team Assessment of Chronic Pain: A Qualitative Interview Study.Journal of multidisciplinary healthcare · 2025Article
- What are medical students taught about persistent physical symptoms? A scoping review of the literature.BMC medical education · 2024Article
- Editorial to accompany the special issue: Social and health inequities in chronic pain across the life span.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- A Qualitative Follow-Up to a Survey of Program Directors on Wellness Programming at a Large Healthcare Organization: Interviews of High- and Low-Exemplar Programs.HCA healthcare journal of medicine · 2024Article
- Patient Responses to the Term Pain Catastrophizing: Thematic Analysis of Cross-sectional International Data.The journal of pain · 2023Article
- Supervised interprofessional student pain clinic program - efficacy with the utilization of zoom.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Continuing professional development needs in pain management for Canadian health care professionals: A cross sectional survey.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Flipping the hidden curriculum to transform pain education and culture.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- [The cross-sectional field "pain medicine" in medical studies at the University of Leipzig-What has been achieved? : An analysis of self-estimation of students before, during and 5 years after establishment of the cross-sectional field].Schmerz (Berlin, Germany) · 2022Article
- "It feels like an endless fight": a qualitative study exploring healthcare utilization of persons with rheumatic conditions waiting for pain clinic admission.BMC musculoskeletal disorders · 2022Article
- Effectiveness and Dissemination of the Interprofessional Pediatric Pain PRN Curriculum.The Journal of continuing education in the health professions · 2022Article
- The Pain Medicine Curriculum Framework-structured integration of pain medicine education into the medical curriculum.Frontiers in pain research (Lausanne, Switzerland) · 2022Review
- Changes in Opioid Prescribing Behaviors among Family Physicians Who Participated in a Weekly Tele-Mentoring Program.Journal of clinical medicine · 2019Article
- The mismeasurement of complexity: provider narratives of patients with complex needs in primary care settings.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
purposeEvidence suggests that physicians' opinions about patients with chronic pain become progressively negative over the course of medical training, leading to decline in empathy for these patients. Few qualitative studies have focused on this issue, and thus the experiences shaping this process remain unexplored. This study addressed how medical trainees learn about chronic pain management through informal and formal curricula.
methodThis study adopted a constructive qualitative approach informed by the theoretical lens of the hidden curriculum. Thirteen open-ended interviews were conducted with medical students and residents at various training stages; interviewees had experience treating patients with chronic pain, shadowing the care of these patients, or both. Interviews elicited information about stage of medical training, general descriptions of work, and concrete experiences of managing patients with chronic pain. All interviews were collected in Toronto between June and August 2015.
resultsMost interviewees described the management of chronic pain as challenging and unrewarding and attributed this at least in part to their perception that pain was subjective. Trainees also recounted that their inability to cure chronic pain left them confused about how to provide care, and voiced a perception that preceptors seemed to view these patients as having little educational value.
conclusionsSpecifically because chronic pain is subjective and incurable, listening and communication become crucial for patient care. Instead of sheltering trainees, medical educators should be offered the opportunity to reflect on the skills that are required to provide patient-centered care for this population. This approach has the potential to greatly benefit both trainees and patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.