Finally, and most importantly, multi-dimensional relationships are at an increased risk for blurred personal and professional boundaries especially when there is more access to care outside usual working hours. Challenges for physicians spousal partners were also discussed. Medicine can be a demanding profession with unpredictable interruptions and intrusions into family life. The role of the medical healer in many cultures engenders respect and high expectations. Emotional buffering and distancing from patients illnesses can spill over into personal life.
Doctors spousal partners and families are in a unique position as patients themselves.
Through small group discussion of the participants examples as well as of sample scenarios, strategies were developed to deal with these challenges, and to enjoy this aspect of family medicine. The most important one is awareness, reflection, communication, and negotiation by the physician with his or her family, staff, and patients regarding expectations, obligations, and the setting of boundaries. The conscious setting of a framework for these issues with room for flexibility is the most livable solution in most circumstances. Being upfront with patients re the effect of the personal friendship on the professional relationship and vice versa, and defining the rules of engagement helps to avoid misunderstandings and bad feelings. Self-awareness, independence, commitment to overcoming challenges, and a sense of humour were also keys to enjoyment for both physicians and their families.