ReviewJournal of general internal medicine2026
The Healer's Heartache: Reforming Medicine from the Rough Ground.
Review in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Current and future clinicians are experiencing a malaise that is at once deeply felt yet difficult to articulate. While "burnout" and "moral injury" have come to dominate many accounts, these terms do not fully capture the experience of clinicians who struggle to name a sense of loss, lament, and love for a beloved profession. Therefore, we propose "heartache" as a more fitting description. While burnout comes from the world of industry and moral injury from the world of war, heartache comes from the world of love. Burnout depends on individuals to cultivate resilience, and moral injury encourages systems-level change. By contrast, heartache moves the healer toward local communities of virtue and friendship where the healer's heartache is most deeply felt and from which creative responses can best emerge. We name several examples of such communities at different academic medical training programs and hospital systems, exploring the "family resemblances" shared among these projects. In these examples, we show how such efforts engage healers not merely as burnt-out workers or morally injured agents, but as friends-through an emphasis on hospitality, a capacity for teaching new ways of speaking and seeing, and deep wells of ethical, spiritual, and practical resources which nourish the heart.
Indexed as
Identifiers
42834284What OpenQuestion holds
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.