On Becoming a Healer
Saul J. Weiner and Stefan Kertesz
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S6E73 "Dire Consequences": When students do not receive appropriate accommodations on the USMLE examinations
In last month's episode we learned that there is no evidence that time limits that impose any sort of pressure on even a small percentage of students improves test validity and that, in fact, there…
S6E72 Why it's time to remove time limits on tests, like the USMLE exam
There is a widely held misperception that being able to complete a test quickly is an indication of mastery when compared with those who need more time. As a result, it is often difficult to obtain…
S6E71 Why Good Primary Care Is Non-Negotiable
In a recent five-part series in the New England Journal of Medicine on the future of primary care, the author asks: "Has the long-term general doctor become obsolete? In other words, should the dying…
S6E70 Preventing Suicide: How can we do better?
Forty-five percent of patients who die by suicide saw a primary care physician in the prior month. Physicians screen for suicide risk just half the time when seeing patients under treatment of…
S6E69 Bad Leadership in Academic Medicine and Health Care: Let's Talk about It
Unfortunately, bad leadership is common, with 50% of American's leaving a job because of a bad boss, and medicine is no exception. Saul and Stefan, with a combined 60 years in academic medicine and…
S6E68 Poems about the wretched illness experience when your doctor is"clinically detached"
Writing about the illness experience, medical sociologist Richard Frank described an unspoken agreement with his doctor that if he adopted their detached and clinical language when discussing his…
S6E67 Assisted Dying: An End-of-Life Care Option or a Line Physicians Should Never Cross?
A growing number of US states and other nations are legalizing either voluntary euthanasia in which a physician (or designate) administers lethal drugs, or physician-assisted dying in which the drugs…
S6E66 Why are we addicted to talking about opioids rather than helping people with chronic pain?
For years, doctors and those learning to practice medicine were told pain is "the fifth vital sign" and to treat it aggressively – including with opioids, "if that's what it takes." A consequent rise…
S6E65 Despite It All: stories from women who found joy in medicine despite joining a less than welcoming profession
From the 1940 to the 1970's, medicine went from an almost exclusively male club to a profession in which women physicians were commonplace. Our physician guest is Dr. Anne Walling, who has written a…
S5E64 The biopsychosocial model: What would it take to really replace the biomedical model?
Medical educators generally acknowledge the importance of training doctors who care for the whole patient rather than just treat the disease. Most medical school curricula attempt to teach to that…
S5E63 "Disability is part of the human experience": So why not treat it that way?
Soon after Lisa Iezzoni MD was diagnosed with multiple sclerosis during her first year at Harvard Medical School, from which she graduated in 1984, faculty and administrators discouraged her from…
S5E62 The Extraordinary Dr. Richard Clarke Cabot
It is difficult to overstate the achievements of Richard Clarke Cabot (1868-1939) a relatively little-known, old-moneyed physician of the early 20th century who was far ahead of his time in how much…
S5E61 Emboldened Bullies Come for Medical Education
In an April 23rd executive order (EO), the president of the United States alleges that the Liaison Committee for Medical Education (LCME) and the Accreditation Council for Graduate Medical Education…
S5E60 Physicians and Authoritarians: Are We Too Obedient?
The record of physicians standing up for their values as healers under authoritarian regimes is not good, whether it's Nazi Germany, the former Soviet Union, or Iraq, with behaviors ranging from…
S5E59 Caring for Patients or Policing Them? Prescription Drug Monitoring, Doctors and Opioids
Prescription Drug Monitoring Programs (PDMPs) were originally designed for law enforcement to monitor patients and physicians for criminal behavior before it became available to health care…
S5E58 What can we learn from all those "Why I quit medicine" videos on YouTube?
There are a lot of videos on YouTube that feature typically young physicians explaining why they decided to leave the profession after years of dedication and hard work. For some it appears that they…
S5E57 The New Medical School Graduation Competencies and Why One of the Them Stands Out
In December 2024, the three organizations that oversee medical school (MD and DO) and residency education released a set of "Foundational Competencies for Undergraduate Medical Education," that…
S5E56 A Conversation with Pediatric Surgeon John Lawrence MD, Past Board President of Doctors Without Borders, USA
At a moment of increasing isolationism and xenophobia and -- for physicians – burnout, in a highly bureaucratic and profit driven health system, service in low resource high needs settings can be an…
S5E3 Addressing Social Drivers of Health: What is the role of the clinician?
In can be confusing and even demoralizing for a medical student or resident to understand what's expected of them when caring for patients with social needs. They already feel overwhelmed. Are they…
S5E2 "Simonisms": Revisiting the uncommon wisdom of a physician and educator who shaped us deeply
To commemorate the start of our fifth season, we revisit a conversation we had almost two years ago about the wisdom of Simon Auster, MD. Simon was a family physician and psychiatrist who inspired…
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On Becoming a Healer has published 74 episodes since September 2020, covering topics in Health & Fitness, Medicine.
On Becoming a Healer is currently highly active with new episodes monthly. Average episode length is 40m.
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