{"id":"https://openalex.org/W439017112","doi":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","title":"An Intergenerational Conversation about Frustrations, Lessons, and Hope in Physician Activism","display_name":"An Intergenerational Conversation about Frustrations, Lessons, and Hope in Physician Activism","publication_year":2015,"publication_date":"2015-05-01","ids":{"openalex":"https://openalex.org/W439017112","doi":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","mag":"439017112","pmid":"https://pubmed.ncbi.nlm.nih.gov/25986092"},"language":"en","primary_location":{"id":"doi:10.1001/journalofethics.2015.17.5.mnar1-1505","doi":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","is_oa":true,"landing_page_url":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","pdf_url":"https://journalofethics.ama-assn.org/sites/journalofethics.ama-assn.org/files/2018-05/mnar1-1505.pdf","source":{"id":"https://openalex.org/S4210180425","display_name":"The AMA Journal of Ethic","issn_l":"1937-7010","issn":["1937-7010","2376-6980"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AMA Journal of Ethics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journalofethics.ama-assn.org/sites/journalofethics.ama-assn.org/files/2018-05/mnar1-1505.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063078066","display_name":"Shira Heisler","orcid":"https://orcid.org/0000-0002-6286-335X","observed_orcids":["https://orcid.org/0000-0002-6286-335X"]},"institutions":[{"id":"https://openalex.org/I185443292","display_name":"Wayne State University","ror":"https://ror.org/01070mq45","country_code":"US","type":"education","lineage":["https://openalex.org/I185443292"]},{"id":"https://openalex.org/I2800326109","display_name":"Detroit Medical Center","ror":"https://ror.org/05gehxw18","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800326109"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shira  Heisler","raw_affiliation_strings":["Internal medicine and pediatrics resident at the Detroit Medical Center and Wayne State University in Detroit"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal medicine and pediatrics resident at the Detroit Medical Center and Wayne State University in Detroit","institution_ids":["https://openalex.org/I185443292","https://openalex.org/I2800326109"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068708746","display_name":"Gordon D. Schiff","orcid":"https://orcid.org/0000-0002-2821-3994","observed_orcids":["https://orcid.org/0000-0002-2821-3994"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2799932517","display_name":"John H. Stroger, Jr. Hospital of Cook County","ror":"https://ror.org/05626m728","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799932517"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gordon D. Schiff","raw_affiliation_strings":["Primary care physician who works as a safety and quality improvement researcher at Harvard Medical School's Center for Primary Care and Brigham and Women's Center for Patient Safety Research and Practice in Boston, and a longtime activist and former advocate at Chicago's John H. Stroger, Jr. Hospital of Cook County"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary care physician who works as a safety and quality improvement researcher at Harvard Medical School's Center for Primary Care and Brigham and Women's Center for Patient Safety Research and Practice in Boston, and a longtime activist and former advocate at Chicago's John H. Stroger, Jr. Hospital of Cook County","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I2799932517"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.01403481,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":"5","first_page":"465","last_page":"468"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.37380000948905945,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.37380000948905945,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10843","display_name":"Diversity and Career in Medicine","score":0.19519999623298645,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13099","display_name":"Health, Medicine and Society","score":0.11949999630451202,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/physician-activism","display_name":"physician activism","score":0.9980000257492065},{"id":"https://openalex.org/keywords/systemic-injustice","display_name":"systemic injustice","score":0.6809999942779541},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.8730000257492065},{"id":"https://openalex.org/keywords/physician-frustration","display_name":"physician frustration","score":0.515999972820282},{"id":"https://openalex.org/keywords/intergenerational-dialogue","display_name":"intergenerational dialogue","score":0.671999990940094},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.40700000524520874}],"concepts":[{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.8277397751808167},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.7483048439025879},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.4437127113342285},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.40841200947761536},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39697688817977905},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3683777451515198},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.35703733563423157},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3209817409515381},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.23200225830078125},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000533","descriptor_name":"Altruism","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007588","descriptor_name":"Job Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010344","descriptor_name":"Patient Advocacy","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D011369","descriptor_name":"Professional-Patient Relations","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D024382","descriptor_name":"Professional Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1001/journalofethics.2015.17.5.mnar1-1505","doi":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","is_oa":true,"landing_page_url":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","pdf_url":"https://journalofethics.ama-assn.org/sites/journalofethics.ama-assn.org/files/2018-05/mnar1-1505.pdf","source":{"id":"https://openalex.org/S4210180425","display_name":"The AMA Journal of Ethic","issn_l":"1937-7010","issn":["1937-7010","2376-6980"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AMA Journal of Ethics","raw_type":"journal-article"},{"id":"pmid:25986092","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25986092","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AMA journal of ethics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/journalofethics.2015.17.5.mnar1-1505","doi":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","is_oa":true,"landing_page_url":"https://doi.org/10.1001/journalofethics.2015.17.5.mnar1-1505","pdf_url":"https://journalofethics.ama-assn.org/sites/journalofethics.ama-assn.org/files/2018-05/mnar1-1505.pdf","source":{"id":"https://openalex.org/S4210180425","display_name":"The AMA Journal of Ethic","issn_l":"1937-7010","issn":["1937-7010","2376-6980"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AMA Journal of Ethics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.5676000118255615,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.46810001134872437,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W439017112.pdf","grobid_xml":"https://content.openalex.org/works/W439017112.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W162904109","https://openalex.org/W2010762993","https://openalex.org/W2073979423"],"related_works":["https://openalex.org/W2323695257","https://openalex.org/W7047900707","https://openalex.org/W2747169020","https://openalex.org/W4297259970","https://openalex.org/W7038681372","https://openalex.org/W135205287","https://openalex.org/W2038583480","https://openalex.org/W81694297","https://openalex.org/W4389554062","https://openalex.org/W3170189137"],"abstract_inverted_index":{"SH:":[0],"There":[1],"is":[2,55,67],"a":[3,52],"common":[4],"narrative":[5],"among":[6,44],"interns":[7],"and":[8,23,70],"residents.":[9],"We":[10,14],"work":[11],"crazy":[12],"hours.":[13],"often":[15],"feel":[16],"like":[17],"we\u2019re":[18,27],"in":[19,47,76],"over":[20],"our":[21,48,73],"heads":[22],"don\u2019t":[24],"know":[25],"what":[26],"doing.":[28],"And":[29],"yet,":[30],"somehow,":[31],"we":[32],"are":[33],"expected":[34],"to":[35,58],"be":[36,59],"taking":[37],"good":[38],"care":[39],"of":[40,62],"very":[41],"sick":[42],"patients,":[43,74],"the":[45,63],"sickest":[46],"cities.":[49],"While":[50],"being":[51],"first-year":[53],"intern":[54],"well":[56],"understood":[57],"overwhelming,":[60],"one":[61],"most":[64],"significant":[65],"challenges":[66],"rarely":[68],"discussed":[69],"confronted:":[71],"that":[72,83],"especially":[75],"distressed":[77],"environments,":[78],"have":[79],"urgent":[80],"nonmedical":[81],"problems":[82],"stem":[84],"from":[85],"systemic":[86],"injustices.":[87]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}