Staying Steadfast in Challenging Times: Nurturing Resilience and Moral Courage and Avoiding Burnout



Margaret M Cottle, MD, CCFP (PC)

Assistant Clinical Professor; University of British Columbia, Faculty of Medicine; Division of Palliative Care

Session Description:

Dr. Margaret Cottle is a Palliative Care physician in Vancouver, BC, and a graduate of University of British Columbia Faculty of Medicine.  For over 30 years Dr. Cottle’s practice has been exclusively dedicated to the care of dying patients and their loved ones.  She is a clinical assistant professor at the UBC medical school where she teaches in many of the clinical skills courses and in palliative care.  Dr. Cottle has spoken in Canada, Mexico, the United States and Europe about ethical issues, caring for aging loved ones, and palliative care.  She has given invited presentations about end-of-life issues to members of the Canadian Parliament in Ottawa.  Dr. Cottle is a member of the American Academy of Hospice and Palliative Medicine, the Canadian Society of Palliative Care Physicians and the Latin American Palliative Care Association.



  1. Identify the signs and symptoms of physician burnout and moral distress and injury, especially in themselves.
  2. List--and put into practice--at least three practical, evidence-based strategies for increasing resilience in their own lives.
  3. Screen for and recognize burnout and moral distress in their patients, and then be able to provide some basic resources to help patients to address these issues themselves.


Recommended books:

  1. Walking with God Through Pain and Suffering; Tim Keller
  2. Sharing the Darkness; Sheila Cassidy
  3. Man’s Search for Meaning; Viktor Frankl