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The Nocturnists

6 - Shame in Medicine: The Mistake

The Nocturnists

Emily Silverman

Medicine, Personal Journals, Society & Culture, Health & Fitness

4.8614 Ratings

🗓️ 18 October 2022

⏱️ 35 minutes

🧾️ Download transcript

Summary

For most clinicians, the idea of harming a patient is a worst nightmare. But in a high-stakes profession, practiced by humans in a dysfunctional system, errors are nearly inevitable. So how do we deal with the shame that follows?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

Transcript

Click on a timestamp to play from that location

0:00.0

Support for the Nocturness comes from the California Medical Association.

0:04.2

At the Nocturnist, we are careful to ensure that all stories comply with health care privacy laws.

0:09.1

Details may have been changed to ensure patient confidentiality.

0:12.5

All views expressed are those of the person speaking and not their employer.

0:17.4

Thanks for listening to the Nocturnous shame in medicine, the lost forest.

0:22.2

If this is your first time tuning in, welcome.

0:25.0

And I actually recommend you rewind and start at episode one.

0:29.1

This is a series that builds on itself over time, so starting at the beginning will definitely lead to the richest listening experience.

0:37.0

Enjoy the show.

0:41.8

So a few months ago, I was texting with a friend of mine who's a surgeon, and we were

0:46.4

joking about how when we were kids, we were such perfectionists. I mean, we had color-coded

0:52.9

notes, A-plus on every homework, and we were utterly devastated

0:57.7

when we got our SAT scores back and they were only in the 90th percentile.

1:02.7

And then my friend asked, what happens when you take a kid like that?

1:07.8

A kid who's a perfectionist and plop them into medical school and tell them to be

1:14.1

perfect or else someone dies.

1:18.3

And we were actually laughing about this over text because even though it sounds like an exaggeration,

1:23.7

it's also kind of true.

1:27.6

The stakes in the profession of medicine are so high

1:31.4

that it sometimes feels like perfection is the only acceptable way.

1:37.2

Of course, we know that nobody's perfect.

1:40.5

So how do we embrace that truth and still do our job?

...

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