The Covenant.

Burnout among doctors appears to be at epidemic proportions these days, with concomitant gushing prescriptions for wellness and resilience. But in reality, most doctors are not burned out in the traditional sense of the word: Most love taking care of patients and want nothing more than to be able to do just that. The source of the agony is the profession-or rather the corporatization of the profession-that has so impinged upon doctors' ability to practice medicine. Doctors placed their trust in the medical profession, but that trust has been roundly trounced. So, rather than prescribe Pilates classes for overstressed doctors, it is time for the medical profession-and the health care industry that has subsumed it-to get a checkup.

Medical Humanities: The Rx for Uncertainty?

While medical students often fear the avalanche of knowledge they are required to learn during training, it is learning to translate that knowledge into wisdom that is the greatest challenge of becoming a doctor. Part of that challenge is learning to tolerate ambiguity and uncertainty, a difficult feat for doctors who are taught to question anything that is not evidence based or peer reviewed. The medical humanities specialize in this ambiguity and uncertainty, which are hallmarks of actual clinical practice but rarely addressed in medical education. The humanities also force reflection and contemplation-skills that are crucial to thoughtful decision making and to personal wellness. Beyond that, the humanities add a dose of joy and beauty to a training process that is notoriously frugal in these departments. Well integrated, the humanities can be the key to transforming medical knowledge into clinical wisdom.

Adding Spice to the Slog: Humanities in Medical Training.

Writing from personal experience, physician and author Danielle Ofri asks what evidence is needed to justify trying to humanize medical training via the power of literature.

The passion and the peril: storytelling in medicine.

Medical caregivers are always telling stories because stories provide meaning to much of their working lives. Although there is surely an element of shock value in the stories that medical professionals choose to share, the compulsion to tell a story is largely motivated by the profound emotions kindled by the clinical experience. This impulse needs to be recognized by the profession, even nurtured. However, as Wells and colleagues highlight in this issue, social media adds a new twist to storytelling. Exponential amplification combined with lack of space for nuance is a toxic brew. This needs to be explicitly emphasized with medical trainees. Although privacy rules already exist, the meaning of professionalism is to cleave to the spirit of the law, not just the letter of the law. Caregivers' primary duty is toward patients, not to writing careers or to online following. Consent should be obtained wherever possible. Identifying characteristics must be changed. Any story that might be damaging, hurtful, or embarrassing to a patient does not belong in the public sphere. Nevertheless, those in medicine need to recognize that the impulse to tell a story is innate in the human race, especially so in the caregiving professions. Experienced caregivers need to help students understand that stories provide depth and meaning to medicine but, when broadcast inappropriately, can cause harm.