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DiscussionReflection

The Mid-Career Demon

Timothy P. Daaleman
The Annals of Family Medicine May 2018, 16 (3) 264-266; DOI: https://doi.org/10.1370/afm.2232
Timothy P. Daaleman
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
DO, MPH
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    The Mid-Career Demon

    Timothy P. Daaleman

    Background When family physician Timothy Daaleman felt a "greyness" shading his practice of medicine--a restlessness and lack of meaning in his work--he sought insight in the ancient concept of acedia. Acedia, which dates back to the fourth-century, is characterized by lack of caring and typically afflicts those in mid-life.

    What This Study Found Dr. Daaleman, a mid-career physician, found that other physicians in his cohort reported the lowest satisfaction with their specialty choice and work-life balance and highest rates of emotional exhaustion and burnout. He reasoned that acedia and burnout could be part of a continuum of professional and personal challenges facing doctors across their careers. As he continued caring for patients, however, he developed a new understanding of hope, one that strengthened his capacity to trust and helped him "see light in the midst of such darkness."

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The Annals of Family Medicine: 16 (3)
The Annals of Family Medicine: 16 (3)
Vol. 16, Issue 3
May/June 2018
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The Mid-Career Demon
Timothy P. Daaleman
The Annals of Family Medicine May 2018, 16 (3) 264-266; DOI: 10.1370/afm.2232

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The Mid-Career Demon
Timothy P. Daaleman
The Annals of Family Medicine May 2018, 16 (3) 264-266; DOI: 10.1370/afm.2232
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  • The Day I Almost Walked Away: Trust, Gratitude, and the Power of Teamwork
  • What Are Doctors For? A Call for Compassion-Based Metrics as a Measure of Physician Value
  • The Shoeshine Stand and the Renaissance of Primary Care
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