Evidence map›Paper›PMID 39656371›Full record

ArticleJournal of general internal medicine2025

Brick Walls and Broken Hearts: Physicians Draw how they Feel About Treating Pain and Addiction.

Lisa R Villarroel, Aram S Mardian, Cynthia O Townsend, Steven R Brown

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Lisa R VillarroelPublic Health Services, Arizona Department of Health Services, Phoenix, USA. lisa.villarroel@azdhs.gov.ORCID 0000-0001-8906-6812
Aram S MardianChronic Pain Wellness Center, Phoenix Veterans Affairs Health Care System, Phoenix, USA.ORCID 0000-0001-6920-8537
Cynthia O TownsendDepartment of Psychiatry and Psychology, Mayo Clinic, Phoenix, USA.ORCID 0009-0004-7682-3836
Steven R BrownDepartment of Family, Community and Preventive Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, USA.ORCID 0009-0004-0395-2661

Funding

CDC HHS 6 NU17CE924965-01-02
6 · The paper itself

Abstract

As part of a continuing medical education activity, primary care physicians in Arizona were asked to draw how they feel about treating patients with chronic pain and addiction. Their drawings, complete with cliffs, walls, torn-out hair, and connected hearts, make for a harrowing look at burnout, angst, and empathy among physicians who treat this subset of patients. Public health and exercise facilitators were troubled, leading them to publish this essay along with a selection of the drawings that depict the feelings of the physicians who feel ill-prepared to treat this patient population, which is only growing in number and needs.

Indexed as

Attitude of Health PersonnelChronic PainPain ManagementPhysicians, Primary CareSubstance-Related DisordersBurnout, ProfessionalEmpathyHumansPhysician-Patient Relationsaddictionbiaspainphysician drawingprimary carestigma

Identifiers

PMID39656371
PMCPMC11968578

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.