Understanding Experiences of Moral Distress in End-of-Life Care Among US and UK Physician Trainees: a Comparative Qualitative Study

Sarah Rosenwohl-Mack, Daniel Dohan, Thea Matthews, Jason Neil Batten, & Elizabeth Dzeng

Journal of General Internal Medicine. 
27 October 2020

Moral distress is a state in which a clinician cannot act in accordance with their ethical beliefs because of external constraints. Physician trainees, who work within rigid hierarchies and who lack clinical experience, are particularly vulnerable to moral distress. We examined the dynamics of physician trainee moral distress in end-of-life care by comparing experiences in two different national cultures and healthcare systems.

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