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Intro
Preface
Acknowledgments
Contents
Part I: Introduction to Pediatrician Well-Being
Chapter 1: Physician Well-Being Challenges: An Historical Perspective
Introduction
Part 1: The Foundation of Organized US Medicine
Early Century Physician Factions Develop, Creating Divisions and Hierarchies
Regular Physicians
Homeopathic Physicians
Eclectic Physicians
Physician Factions Enabled Philosophical Divides and Hierarchies in Medicine
Regulars Fuel Scientific Reductionism and Emotional Minimization
Homeopaths and Eclectics Assimilate

Part 2: The Influence of the Flexner Report (1910)
Flexner and the Triple-Threat
Flexner and Mind-Body Dualism in Medicine
Part 3: Physician Leaders Cultivate Structural Inequities
Impact of Gender Discrimination, Racism, and Ethnocentrism on Physician Well-Being
Flexner and Inequities in Medicine
Part 4: Foundational Shifts in Twentieth Century Healthcare
Major Shifts in Public Trust of Medicine
The Boom and the Bust in Twentieth Century Public Trust in Medicine
Physicians Begin to Advocate for Patient-Centered Care but Mistrust Remained

The Corporatization of Medicine
Personalized Medicine
The Electronic Health Record (EHR)
Conclusions
References
Chapter 2: Defining and Conceptualizing Pediatrician Well-Being
Part 1: What Is Well-Being?
"Western" Medicine's Conceptualization of Well-Being
Key Issues in Current Well-Being Constructs
The Diversity Problem
The Individual and the Collective
Critiques of Happiness
Where Does Suffering Fit in?
Toward a More Holistic and Inclusive Model of Well-Being
The Ecologic System
Equanimity
Re-defining Self-Care

Part 2: Pediatrician and Physician Well-Being
The Evolution of Physician Well-being
Part 3: A Model of Pediatrician Well-being
Sources and Roots of Our Model
Foundations of Well-Being
Activities
Identity
Environment
The System
Physical Environment
Psychosocial Environment: Culture and Climate
Well-Being Domains
Emotional and Psychological Well-Being
Physical Well-Being
Connection
Meaning and Purpose
Authenticity
Conclusion
References
Part II: Challenges to Pediatrician Well-Being
Chapter 3: Acute and Chronic Illness in the Physician

Some Herons
My Story: The Diagnosis
28 August 2017 10:00 AM
20 September 2017 08:00 AM
26 September 2017 12:00 PM
27 September 2017 12:00 PM
Illness in the Physician
Barriers to Care
Lack of Support for Physicians with Mental Illness
Lack of Assistance for Identifying and Treatment of Substance Use Disorders in Physicians
My Story: The Treatment
October 2017
8 October 2017-4 July 2018
Paid Sick Leave and FMLA
My Story: Working while in Treatment, Working while Ill
1 March 2018
My Morning Daily Meditation
Burden of COVID
Conclusion

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