Evidence map›Paper›PMID 37563780›Full record

ArticleAustralasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists2023

Being a 'good' doctor: Understanding and managing professional boundaries is challenging and can lead to stress and burnout.

Lisa Lampe, Rita Hitching, Trent Ernest Hammond, Jeannie Park, Dominique Rich

Open access · hybridAbstract read
In one paragraph

Article in Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Lisa LampeSchool of Medicine and Public Health, University of Newcastle College of Health, Medicine and Wellbeing, New Lambton Heights, NSW, Australia.ORCID 0000-0001-5540-8810
Rita HitchingSchool of Medicine and Public Health, University of Newcastle College of Health, Medicine and Wellbeing, New Lambton Heights, NSW, Australia.
Trent Ernest HammondNepean Clinical School, Faculty of Medicine and Health, The University of Sydney, Penrith NSW 2751, Australia.ORCID 0000-0002-5341-6531
Jeannie ParkNorthern Sydney Local Health District, St Leonards, Australia.
Dominique RichSchool of Medicine and Public Health, University of Newcastle College of Health, Medicine and Wellbeing, New Lambton Heights, NSW, Australia.
University of Newcastle Australia · AUNorthern Sydney Local Health District · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim is to increase the understanding of non-sexual boundary challenges and potential personal and professional impacts on doctors and medical students.

methodWe examined peer-reviewed and grey literature and published commentary and cases from Australian health practitioner boards and medico-legal insurance companies. Key ideas relating to the objective of our study were subsequently framed into a narrative.

resultsCompared to 'sexual' boundary crossings, the literature examining 'non-sexual' boundaries is scanty, fragmented, and difficult to find. There are gaps in knowledge around the prevalence and consequences of non-sexual boundary challenges and crossings, although the safety and wellbeing of health professionals and patients are of concern. Non-sexual boundary crossings may represent a 'slippery slope' to boundary violations. Opportunities for doctors and medical students to access relevant training appear limited.

conclusionsWe identified several categories of boundary challenges based on context, the nature of the existing relationship, and the type of behaviour. Non-sexual boundary challenges may be related to stress, burnout, and risk for future boundary violations. Future research to investigate the impacts on doctors and medical students in maintaining professional boundaries in their relationships with patients and colleagues, their specific training needs, and the effectiveness of training in reducing work-related stress and burnout is needed.

Indexed as

Burnout, ProfessionalPhysiciansStudents, MedicalAustraliaBurnout, PsychologicalHumansboundary challengeboundary crossingboundary violationburnoutdoctormedical studentphysicianprofessional boundarywellbeing

Identifiers

PMID37563780
PMCPMC10725619
OpenAlexW4385752066

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.