Professional barriers
Physician identity conflictI still believe we over treat, I still believe we don’t have goals of care discussions enough, and I still think we don’t do a good job of educating our patients. However, I’m looking at this through a different lens where I’m also at the same time trying to provide a sense of hope to patients and balancing this idea of not completely deflating them at the time of diagnosis while also being realistic (specialist physician).
Lack of comfort/trainingI just never know if I am up to speed with what is current. That’s my biggest fear, I just don’t know if I am current on it… I just don’t feel comfortable doing it (primary care physician).