The COVID‐19 pandemic has transformed healthcare for both clinicians and patients. This conceptual article uses ideas from the moral distress literature to understand the challenges MedFTs and physicians face during the COVID‐19 pandemic. The authors highlight earlier themes from the moral distress literature and share current reflections to illustrate similar challenges. Some clinicians who were already experiencing a rise in burnout due to the mass digitization of healthcare are now facing increased moral distress due to ethical dilemmas, pervasive uncertainty, boundary ambiguity, isolation, and burnout brought about by emerging COVID‐19 policies. Fears about personal safety, exposing loved ones, financial concerns, self‐doubt, and frustrations with telehealth have contributed to increased moral distress during the COVID‐19 pandemic. Building resilience by setting one's personal moral compass can help clinicians avoid the pitfalls of moral distress. Five steps for developing resilience and implications for guiding trainees in developing resilience are discussed.

中文翻译：

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过渡到COVID-19期间医疗家庭治疗师及其医师同事的道德困境

COVID-19大流行已经改变了临床医生和患者的医疗保健。这篇概念文章使用道德苦恼文献中的思想来理解MedFTs和医生在COVID-19大流行期间面临的挑战。作者强调了道德困境文献中较早的主题，并分享了当前的反思来说明类似的挑战。由于医疗保健的大规模数字化，一些已经经历了倦怠的临床医生现在由于道德困境，普遍的不确定性，界限模糊，孤立和孤立，以及新出现的COVID-19政策带来的倦怠而面临着越来越大的道德困扰。在COVID-19大流行期间，对人身安全，对亲人的暴露，对财务的担忧，自我怀疑以及对远程医疗的挫败感的恐惧加剧了道德上的困扰。通过设定个人道德指南针来增强适应能力，可以帮助临床医生避免道德困扰的陷阱。讨论了开发弹性的五个步骤，以及对指导学员发展弹性的意义。