Moral Matters

Today we're looking back to one of our favorite conversations from season 1 with Dr. Don Berwick, President Emeritus and Senior Fellow of the Institute for Healthcare Improvement. Dr. Berwick is a long-time advocate for improving healthcare for both patients and providers. During this conversation, we talk about the moral imperative of change in healthcare; how we can approach the challenges more effectively; and why working togeth...

This week’s episode is a look back at a conversation from our very first season, amid the complexities of Covid19, and stands as a stunning example of how administrators and physicians can come together to ensure the well-being of their staff, patients, and community, even during a global pandemic. Ed Tufaro, SVP of Operations at the Rothman Orthopaedic Institute, and his team prioritized placing people over profit, even before sta...

Today we are revisiting a conversation from Season 6 Episode 2 with Adam Beckman, former Special Advisor to the US Surgeon General. He and Dr. David Chokshi, former New York City Health Commissioner, called on hospitals to end five administrative practices that harm patients in their October 2022 article in JAMA Health Forum. In our conversation, we dove deep into that article, and talked about ways individuals can get engaged.

JAM...

Is organizing a solution to moral injury? Joe Crane has been a union organizer for two decades. When we spoke with him in 2021, Joe was the national organizer for the Doctors Council. He has since moved to UPAD.  Joe walks us through the basic steps of organizing, what it can achieve, and how long it might take.

CME: https://earnc.me/byuINF

More information about the Doctors Council: https://doctorscouncil.org/

Donate: https://www....

Understanding human development is an important part of leadership. In this conversation from Season 3, Dr. Will Torrey, then interim chair of psychiatry at Dartmouth Hitchcock Medical Center(he is now the chair), talks about helping people find their full selves, whether in clinical care, leadership, research or education, and how to channel your outrage toward change.

CME: https://earnc.me/7yXlMa

Donate: https://www.fixmoralinjur...

What we choose to measure can distort our organizations, impact our workforce, and hijack our attention and resources. Jerry Muller, professor emeritus of history at the Catholic University of America and the author of The Tyranny of Metrics, describes how that happens then offers a way to create metrics that matter.

CME link: https://earnc.me/1s88Dd

Twitter: @WDeanMD, @simontalbotmd, @fixmoralinjury

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The US went from small scale, local healthcare institutions to multibillion dollar megaproviders in barely a generation. Lawton R. Burns, MBA shares his perspective on how it happened, what the true costs are, and what we all can do about it.

Big Med:

Seemed Like a Good Idea:

If I Betray These Words:

To support the podcast:

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Rosemary Batt is the Alice Hanson Cook Professor of Women and Work at the Industrial Labor Relations School at Cornell University and a Professor in Human Resource Studies and International and Comparative Labor. Her research focuses on comparative international studies of management and employment relations, with particular attention to the impact of financialization on management and employment and the globalization and restructu...

In this episode, we look back at a conversation from Season 1 with Richard Lacquement, Dean of the US War College, about the idea of professionalism in the military and how that relates to some of the struggles in professionalism in healthcare.

Do us a favor? Let us know the tiniest bit about you, and who you want to hear from, so we can better plan future seasons: https://www.surveymonkey.com/r/9SBSMMF

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Welcome to Season 8 of Moral Matters! Today, we begin the new season by celebrating the 1-year anniversary of the release of our book If I Betray These Words. And we are going to do that by looking back and revisiting both episodes in which Wendy and Simon discuss the journey and their respective experiences which led to the making of the book.

Do us a favor? Let us know the tiniest bit about you, and who you want to hear from, so ...

Here’s a quick recap of Season 7, in which Wendy, Simon and Kimmy discuss the variety of guests we spoke with this season and how Season 8 will look back at the fabulous guests we've spoken with over the past three years.

Do us a favor? Let us know the tiniest bit about you, and who you want to hear from, so we can better plan future seasons: https://www.surveymonkey.com/r/9SBSMMF

To support the podcast: https://www.fixmoralinjury....

Today's episode, with Dr. Candice Chen, is about a new framework for health worker and first responder distress developed by the Workplace Change Collaborative through a federal grant. The WCC, which includes George Washington University, Moral Injury of Healthcare, the Institute for Healthcare Improvement, and the American Federation of Teachers union, thought it was critical to expand the work on distress and its solutions to inc...

On this episode, we’re talking about debt collection in American medicine. Lightly paraphrasing today’s guest: ‘The source of much disillusion in medicine is the fundamental tension between the widely held ideals and aims of medical care and the market fundamentalism that dominates American life, which leaves those of us who work in health care with a gnawing sense that we are being drawn away from our raison d’etre.’

Luke Messac, ...

We are super excited to share a brand new podcast, with our very own Wendy Dean cohosting with Matt Ramsey, MD. 43cc is an honest, fun, irreverent, <occasionally profane> and deadly serious podcast that exposes the truth about healthcare (with a shot to dull the pain). In this cross feed, we give you their very first episode. Be sure to like and follow at the links below. Cheers!

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More about the 43cc podcast and a link to li...

This week on Moral Matters, we’re sharing another episode from Searching for Medicine’s Soul.

In this episode, Dr. Rothstein talks with Dr. Elisabeth Rosenthal, a senior contributing editor at Kaiser Health News, former New York Times reporter and New York Times best selling author of American Sickness: How Healthcare Became Big Business and How You Can Take It Back.

Drs. Rothstein and Rosenthal talk about the failures of the Ameri...

Artificial intelligence is shifting how we communicate in every sector. We talk with journalist Carey Goldberg and physician informaticist Isaac Kohane about their book, The AI Revolution in Medicine: Chat GPT-4 and Beyond, and the promise and perils of the technology in healthcare.

Support the podcast: https://www.fixmoralinjury.org/get-started

Link to book: https://a.co/d/imMMCLY

Twitter - @fixmoralinjury

Instagram - @moralinjury

Leah Houston, MD practiced emergency medicine for nearly ten years - in 11 different health systems and 3 different states. But credentialing challenges and losing control of her professional identity drove her to build one potential solution. She hopes HPEC will put physicians back in control of their professional credentials.

For more information about HPEC: hpec.io

Support the podcast: www.fixmoralinjury.org

Twitter - @‌fixmoral...

Elena Perea, MD is a psychiatry residency director and practicing psychiatrist in Asheville, NC. We talk about mental health care in the wake of the worst of the pandemic; the specter of physician suicide; how she decided to change the focus of her work; and how she thinks about guiding the next generation of physicians, today and in the future.

Support the podcast:

Twitter - @fixmoralinjury

Instagr...

Ilana Yurkiewicz is a primary care internist and oncologist who recently published a very personal book about the perils of our unintentionally fragmented health care systems. She talks about her journey to this work, and how we all - patients and clinicians - can help reduce the gaps in our medical stories.

Link to Fragmented: https://a.co/d/0Qy6As1

To support the podcast: https://www.fixmoralinjury.org/get-started

Twitter - @‌fix...