{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T04:12:08Z","timestamp":1743912728995,"version":"3.40.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["6 NU17CE924965-01-02"],"award-info":[{"award-number":["6 NU17CE924965-01-02"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>As part of a continuing medical education activity, primary care physicians in Arizona were asked to draw how they feel about treating patients with chronic pain and addiction. Their drawings, complete with cliffs, walls, torn-out hair, and connected hearts, make for a harrowing look at burnout, angst, and empathy among physicians who treat this subset of patients. Public health and exercise facilitators were troubled, leading them to publish this essay along with a selection of the drawings that depict the feelings of the physicians who feel ill-prepared to treat this patient population, which is only growing in number and needs.<\/jats:p>","DOI":"10.1007\/s11606-024-09205-8","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T16:21:35Z","timestamp":1733847695000},"page":"1194-1196","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Brick Walls and Broken Hearts: Physicians Draw how they Feel About Treating Pain and Addiction"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8906-6812","authenticated-orcid":false,"given":"Lisa R.","family":"Villarroel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6920-8537","authenticated-orcid":false,"given":"Aram S.","family":"Mardian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7682-3836","authenticated-orcid":false,"given":"Cynthia O.","family":"Townsend","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0395-2661","authenticated-orcid":false,"given":"Steven R.","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"issue":"6","key":"9205_CR1","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1177\/0033354920954505","volume":"135","author":"L Villarroel","year":"2020","unstructured":"Villarroel L, Mardian AS, Christ C, Rehman S. Redefining Pain and Addiction: Creation of a Statewide Curriculum. Public Health Rep. 2020 Nov\/Dec;135(6):756-762. https:\/\/doi.org\/10.1177\/0033354920954505. Epub 2020 Sep 22. PMID: 32962529; PMCID: PMC7649998.","journal-title":"Public Health Rep."},{"issue":"8","key":"9205_CR2","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1080\/10826084.2022.2069264","volume":"57","author":"LY Dhanani","year":"2022","unstructured":"Dhanani, L. Y., Harris, E. L., Mirto, J., & Franz, B. (2022). Barriers to Working with Patients Who Misuse Opioids and Physician Burnout: Implications for Medical Education. Substance Use & Misuse, 57(8), 1177\u20131184. https:\/\/doi.org\/10.1080\/10826084.2022.2069264","journal-title":"Substance Use & Misuse"},{"issue":"1","key":"9205_CR3","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s11606-021-06917-z","volume":"37","author":"AEC White","year":"2022","unstructured":"White AEC, Hood-Medland EA, Kravitz RL, Henry SG. Visit Linearity in Primary Care Visits for Patients with Chronic Pain on Long-term Opioid Therapy. J Gen Intern Med. 2022 Jan;37(1):78-86. https:\/\/doi.org\/10.1007\/s11606-021-06917-z. Epub 2021 Jun 22. PMID: 34159543; PMCID: PMC8738805.","journal-title":"J Gen Intern Med."},{"issue":"1\u20132","key":"9205_CR4","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.drugalcdep.2013.02.018","volume":"131","author":"LC van Boekel","year":"2013","unstructured":"van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HF. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013 Jul 1;131(1-2):23-35. https:\/\/doi.org\/10.1016\/j.drugalcdep.2013.02.018. Epub 2013 Mar 13. PMID: 23490450.","journal-title":"Drug Alcohol Depend."},{"issue":"7","key":"9205_CR5","doi-asserted-by":"publisher","first-page":"e2420837","DOI":"10.1001\/jamanetworkopen.2024.20837","volume":"7","author":"M Campopiano von Klimo","year":"2024","unstructured":"Campopiano von Klimo M, Nolan L, Corbin M, et al. Physician Reluctance to Intervene in Addiction: A Systematic Review. JAMA Netw Open. 2024;7(7):e2420837. https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.20837","journal-title":"JAMA Netw Open."}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-024-09205-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-024-09205-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-024-09205-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T09:50:34Z","timestamp":1743846634000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-024-09205-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,10]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["9205"],"URL":"https:\/\/doi.org\/10.1007\/s11606-024-09205-8","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"type":"print","value":"0884-8734"},{"type":"electronic","value":"1525-1497"}],"subject":[],"published":{"date-parts":[[2024,12,10]]},"assertion":[{"value":"5 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 December 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Only the named authors of this manuscript contributed to the content and writing of this manuscript. None of the authors received financial compensation from an external source in return for writing or publishing this paper. The views in this manuscript do not communicate the official position of the Arizona Department of Health Services, VA Phoenix Health Care, University of Arizona - College of Medicine, or Mayo Clinic.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations:"}},{"value":"This project was determined as non-research by the ADHS Human Subjects Review Board, determination #23\u20130034.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval:"}},{"value":"The authors declare that they do not have a conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest:"}}]}}