["I WOULD COME HOME WITH TEARS IN MY EYES:" THE CLINICIAN AS A SECOND VICTIM ON A DAY-TO-DAY ROUTINE AND AT THE COVID-19 PANDEMIC].

Background: Until the onset of the new millennium, the focus of medicine in general and patient safety in particular was the patient. In the past two decades, the well-being of the clinician is becoming more apparent in the professional literature. This article will focus on the physician who shows signs of distress, depression and burnout, or even trauma. This is the second victim of a medical error or adverse event.
Methods: The author will review the literature of the past decade dealing with this phenomenon, often related to as a syndrome, in day-to-day routine and at a pandemic and emergency situation. I will start by the definition and description of symptoms of the syndrome, then move on to its scope, risk factors and various sources.
Conclusions: I will conclude by describing the situation in Israel and provide some practical tools that have proved efficient for confronting the phenomenon.
Discussion: The author will focus on the four origins of stress leading to the syndrome: the physical-psychological, institutional-cultural, cognitive and moral. I will emphasize the latter, which deserves further exploration given the evidence to its significant contribution to stress and trauma of health professionals. I will then discuss the interventions and tools suggested and implemented for support of the second victim in relation to the four origins.