Building emotional resilience can help mitigate emotional responses.
LAS VEGAS — Early in his career as a physician associate in dermatology, Joe Cari, MPAS, PA-C, received a negative online review from a patient that really got under his skin.
"It said something like, 'Do not see Joe the fake doctor. Joe should have his medical license pulled. He didn't listen to me. He threw drugs at me and he only talked to me for 5 minutes,'""Being early in my practice, that hurt; it was a jab to the heart. I had about 20-30 five-star reviews, but I laser-focused on the bad one."
When a review questions competence, it can feel personal, he continued, even though it often reflects the reviewer's emotions or experience. Cari, a former Marine, said that clinicians can mitigate emotional responses to negative reviews by building emotional resilience. He draws inspiration from, which emphasizes developing inner resilience, managing emotions,"and cultivating virtues such as wisdom, courage, and self-discipline," he said.
Cari often cites a quote from Marcus Aurelius, the former Roman Emperor and Stoic philosopher:"You have power over your mind — not outside events. Realize this, and you will find strength." Another quote that changed his perspective comes from the Stoic Epictetus:"We cannot control the external events around us, but we can control our reactions to them."
On a practical level, Cari shared several ways that clinicians can cultivate emotional resilience when faced with a negative review.Reading reviews in a nonjudgmental way"allows us to pause, reflect, and respond thoughtfully rather than react emotionally," he explained. He also recommended setting clear boundaries between work and personal life to prevent burnout and maintain a healthy work–life balance.
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