Tag Archives: hidden curriculum

Criminal Charges for Medical Mistakes: A Bad Idea?

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Medical errors are an unfortunate and sometimes tragic fact of life. Jailing nurses without addressing root causes compounds the tragedy

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  • Nurse RaDonda Vaught faces jail time for an error that killed her patient, and the crew discusses what they learn and know about dealing with medical errors.
  • While Vaught (convicted later on the day we recorded this episode) made some pretty terrible errors that justifiably ended her career, her employer bears responsibility, too…but so far is getting off without meaningful consequence.
  • Threatening jail for nurses who make medical errors isn’t going to help attract people to the profession, especially when their employers create conditions that lead to errors.

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Continue reading Criminal Charges for Medical Mistakes: A Bad Idea?

Recess Rehash: This Student’s Shame is Changing Our Curriculum

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shame photo
Photo by Joe Gatling

[Happy New Year!  We are taking a break from recording, and our next new show is out on January 14.  In the meantime, enjoy this rerun.  This episode was sponsored by Pattern. We hope you’ll check out their disability insurance offerings for docs at http://patternlife.com/partner/shortcoat.]

Doctors and medical students often have an identity based on perfection and infallibility.  Often it that identity comes from their own expectations of themselves, and sometimes it comes from external sources.  Whatever the source, it’s both motivating and problematic to feel shame when mistakes are made,  or when knowledge is imperfect.

Fourth-year student and future OB/Gyn doc Luci Howard visited with MD/PhD student Aline Sandouk and M1s Caitlin Matteson, Morgan Kennedy, and Emerald Dohleman to talk about her project to create a curriculum about shame and medical student identity.  Her shame–as a first-gen college graduate, as a perfectionist, and as someone who’s made mistakes–was holding her hostage in some ways, but now her curriculum works to illuminate and combat the negative effects of shame in medical education, and it will soon be integrated into the College of Medicine’s curriculum. Her work means that future medical learners will learn how to react productively and rationally when they inevitably achieve less-than-perfection.


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Would you be willing to share experiences that have felt shameful in order to help others? Call us at 347-SHORTCT anytime or email theshortcoats@gmail.com.

Continue reading Recess Rehash: This Student’s Shame is Changing Our Curriculum

This Student’s Shame is Changing Our Curriculum

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shame photo
Photo by Joe Gatling

[This episode is brought to you by Pattern. We hope you’ll check out their disability insurance offerings for docs at http://patternlife.com/partner/shortcoat.]

Doctors and medical students often have an identity based on perfection and infallibility.  Often it that identity comes from their own expectations of themselves, and sometimes it comes from external sources.  Whatever the source, it’s both motivating and problematic to feel shame when mistakes are made,  or when knowledge is imperfect.

Fourth-year student and future OB/Gyn doc Luci Howard visited with MD/PhD student Aline Sandouk and M1s Caitlin Matteson, Morgan Kennedy, and Emerald Dohleman to talk about her project to create a curriculum about shame and medical student identity.  Her shame–as a first-gen college graduate, as a perfectionist, and as someone who’s made mistakes–was holding her hostage in some ways, but now her curriculum works to illuminate and combat the negative effects of shame in medical education, and it will soon be integrated into the College of Medicine’s curriculum. Her work means that future medical learners will learn how to react productively and rationally when they inevitably achieve less-than-perfection.  


Buy Our Merch and Give At The Same Time

You care about others, or you wouldn’t be into this medicine thing. Our #merchforgood program lets you to give to our charity of the semester and get something for yourself at the same time!

We Want to Hear From You

Would you be willing to share experiences that have felt shameful in order to help others? Call us at 347-SHORTCT anytime or email theshortcoats@gmail.com.  

Continue reading This Student’s Shame is Changing Our Curriculum

The Value of Coaching in Medicine.

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achievment photoCoaching is an integral part of sports, it’s often used by corporate executives, and even helps people manage ADHD.  But until recently coaching wasn’t something physicians used to achieve their goals.  For this show, Mark Moubarek, Aline Sandouk, and Amy Young talk with Georgetown University faculty member Maggi Cary and Georgetown student Jack Penner.  Dr. Cary is a certified coach specializing in leadership coaching for healthcare professionals. But a serendipitous acquaintance with Jack lead to him becoming a client.  Recognizing its value for him as a student–in dealing with the so-called hidden curriculum and impostor syndrome, among other things–they have put together a  pro-bono arrangement for twelve Georgetown student with area coaches.  These relationships have allowed students to address areas of concern for them without the fears they may have in reaching out to faculty or peers, such as raising red flags or competitive issues.  It has also allowed them to get some of the individual attention they may be missing in education systems that are focused more on mass production of doctors.  And as medicine itself moves away from the idea that the doctor is the captain of the ship and towards a more integrative model of cooperation between medical professionals, more doctors are excited about learning leadership, management, and even surgical skills that encourage and value the input of their teammates.  Dr. Cary and Jack also help us consider an idea sent in by listener JW–that burnout among physicians might be addressed by adopting a less martyred approach to their work in favor of understanding that “it’s just a job.”

Listeners, share your thoughts with us on this episode and ideas for future episodes.  Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every week.

Continue reading The Value of Coaching in Medicine.

Keenan’s Final Rant

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Grrr. Photo by JelleS

This time, Lisa Wehr, Aline Sandouk, Keenan Laraway, and John Pienta have a wide ranging discussion on evaluations and med school’s fascination with data (and how poorly written evaluations lead to poor data);  weather social media’s emotional content is a true reflection of reality; and Dave’s desire to have the opportunity to decide for himself that having a lot of money will not make him happy.  And as Keenan’s time in medical school draws to a close, and he has nothing to lose, he decides to get something off his chest–do students who are disagreeable really deserve to be tarred with the “unprofessional” brush?

Continue reading Keenan’s Final Rant