Shame in Medicine: The Lost Forest was created to inspire more conversations about shame in medical culture. Without talking about shame, we cannot address and heal from the harm it causes.
Below you’ll find reflections to the series, submitted by our listeners. Contribute your own written or recorded comment at our Reflections Portal.
Reflections
A Toxic Hospital System
“I had been a hospitalist fir the same system for 17 years. My supervising doc and I were solid. We were slow but good. We were slow for 2 reasons: we were older and we cared. It had been a terrible, understaffed weekend with too many codes and RRTs.”
The Radiologist Gaze
“Was it possible to have visual PTSD in the context of seeing atrocities unfold on the radiology image screen? If so, I had it. And I wondered how many others did, too.”
Quitting Was Not an Option
“As I binged listened to the entire shame series, the flashbacks to my career were at times eye opening, and other times scary. I found myself wishing that this series had been available when I was in medical school or in training in the 1980's.”
Am I Complicit with the Shame Culture in Medicine?
“The Shame In Medicine series touched me deeply. So many of the stories were so similar to experiences I have had, and yet, the voices were also not my own so I could reflect on the content in a different way…”
Letter From a Female Surgeon
“Thank you for creating this podcast. I appreciated the stories told throughout the series. While I realize the majority of stories were from women in medicine, I noticed that there were very few stories from surgeons -- and no stories from female surgeons…”
Thank you for This Journey Into the Forest of Shame
“I just listened to the final episode of the Shame series. The series has affected me profoundly and I want to thank Emily, Luna and Will for bringing together these amazing stories…”
Through the Looking-Glass
“One of the first (of many) images and talking points that resonated while I listened to episode 7, “On Trial” was Dr. Gita Pensa’s noting that she felt like Alice in Wonderland. In my professional career, I have never felt so unmoored and disoriented as I did during my experience with a malpractice suit…”
Shaming with Press Ganey Scores
“The shame and test scores episode, [Episode 4, “Pass/Fail”] made me reflect on one of the statements from the episode - that such a system does not exist once you are a professional practicing in the real world. But I have felt the opposite…”
The Illusion
“This episode [Ep. 8, “In Hiding”] truly felt like a warm hug. It was proof of something that has not been very apparent in medical school thus far, as I am taught by expert clinicians with 5 faculty positions, unique hobbies, and smiling family pictures included on their “About Me” slides…”
Social Conditions That Promote Shame & Anger
“I love this podcast and am loving listening to the shame series. I just finished the episode 7 of the shame series on lawsuits [Ep. 7 “On Trial”], and I feel an overwhelming need to step back and look at the broader cultural context that forces medical malpractice claims…”
The Surgery Rotation
“My most memorable experience in shame in medical school was during my surgery rotation in third-year, which is known to be the most brutal rotation of third year with not so nice residents, especially where I was going long, long hours, waking up at 3am in the morning…”
Turning Shame Into Opportunity
“The Shame in Medicine stories have given me fodder to reflect on my own experiences with shame in medical training. My internal medicine clerkship as a third-year medical student comes to mind. The complexity was intimidating, and the residents seemed so far ahead of me…”
My Emergency Plan
“Listening to this episode [Ep. 6 “The Mistake'] was at once both incredibly comforting and profoundly terrifying. I was comforted by the fact that I wasn’t alone in the utterly unpleasant concoction of guilt, self-doubt and self-hatred that seeped through my entire being…”
Clinging to Change
"As a medical student just embarking on clinical rotations, I cling to the reassurances that the culture of medicine is changing, that shame will figure less prominently in my training than it has for generations of physicians before me…”
The Test Doesn’t Write Your Future
“My Step 1 experience started out a lot like the one in the podcast; 0 hours and 0 minutes of sleep the night before, a sense of dread during and after, daydreams of getting into a *minor* car wreck on the way to the test. Only when my score came back, I had actually failed…”
The Untold Stories Behind Step 1
“This episode [Ep. 4 “Pass/Fail”] dug up some old anxieties for me. I vividly remember my dedicated study period leading up to Step 1…”
Packing for the Trip
"The image of boarding a train, with years of baggage and countless questions about the journey ahead, is a beautiful and apt metaphor for embarking on medical training…”
Shame & Weight
“I am really enjoying the series on Shame. I think it is an important topic that really needs to be talked about more in medical training and the practice of medicine…”