Doctors’ experience of becoming patients and its influence on their medical practice: A literature review

• Published in: Explore (New York, N.Y.) N.Y.), 2020-05, Vol.16 (3), p.145-151
• Main Authors: Morishita, Mariko, Iida, Junko, Nishigori, Hiroshi
• Format: Article
• Language: English
• Subjects: Doctor–patient; Illness experience; Illness narratives; Literature review
• ISSN: 1550-8307; 1878-7541
• DOI: 10.1016/j.explore.2019.10.007

•When doctors become patients, they experience drastic life changes.•Some noted the difficulty in being a patient with a pervasive identity as a doctor.•Others likened doctors to wounded healers who gained insight from their experiences.•Previous studies lacked an analysis of doctors' contexts and biomedical viewpoints.•Further research addressing and integrating this lacking analysis is recommended. Doctors’ illness experiences can deeply influence not only their perceptions of illness and roles but also their medical practice. Researchers and doctors have sought to understand what happens when doctors become patients. However, currently, literature reviews focused exclusively on their illness experiences are lacking. This review examines academic literature and combines it with illness narratives (i.e., pathographies) written by doctors to elucidate the unknown about doctors’ experiences and its subsequent influence on medical practice. An electronic search of the databases Academic Search Complete, Google Scholar, PubMed, ProQuest, and Ichushi-Web was conducted using relevant keywords. The literature reviewed included studies that described doctors’ illness experiences or doctors’ perspectives on their experiences of being patients. Previous studies showed that doctors’ disease prognoses are generally better than or similar to those of patients belonging to the general population. However, doctors’ documented illness experiences are multi-dimensional and have several common themes. These include the concept of the ‘medical self’ (behaving as a doctor despite being a patient) and ‘role reversal’ (the doctor adjusting to the patient role). The other elements of their experiences include barriers to health care, self-treatment and self-doctoring, presenteeism, and ‘wounded healers’ (those who can heal others using the wisdom from their illness experiences). Most previous literature has omitted the sociocultural and historical dispositions of doctors and their biomedical perspectives of their own afflictions, even though these strongly impact their illness experiences. Further research that re-contextualises the meaning of illness for doctors is necessary.