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Roles, Quandaries, and Remedies: Teaching Professional Boundaries to Medical Students.

Duckworth, Kenneth S. MD; Kahn, Michael W. MD; Gutheil, Thomas G. MD
Harvard Review of Psychiatry: January/February 1994
doi: 10.3109/10673229409017089
Review Article: PDF Only

: This article conceptualizes a predictable set of tensions that medical students experience in their new roles with patients on clinical clerkships: empathy versus overidentification, objectivity versus avoidance, collaboration versus coercion, and self-confidence versus "specialness." These tensions are framed in a developmental context for students and are used to highlight potential boundary difficulties. The role of supervision in teaching students and other beginning trainees about possible boundary issues is discussed.

(C) 1994 President and Fellows of Harvard College

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