The Woke Docs
-
Bari Weiss:
What Happens When Doctors Can't Tell the Truth?
I’ve heard from doctors who’ve been reported to their departments for criticizing residents for being late. (It was seen by their trainees as an act of racism.) I’ve heard from doctors who’ve stopped giving trainees honest feedback for fear of retaliation. I’ve spoken to those who have seen clinicians and residents refuse to treat patients based on their race or their perceived conservative politics.
Some of these doctors say that there is a “purge” underway in the world of American medicine: question the current orthodoxy and you will be pushed out. They are so worried about the dangers of speaking out about their concerns that they will not let me identify them except by the region of the country where they work.
“People are afraid to speak honestly,” said a doctor who immigrated to the U.S. from the Soviet Union. “It’s like back to the USSR, where you could only speak to the ones you trust.” If the authorities found out, you could lose your job, your status, you could go to jail or worse. The fear here is not dissimilar.
When doctors do speak out, shared another, “the reaction is savage. And you better be tenured and you better have very thick skin.”
“We’re afraid of what's happening to other people happening to us,” a doctor on the West Coast told me. “We are seeing people being fired. We are seeing people's reputations being sullied. There are members of our group who say, ‘I will be asked to leave a board. I will endanger the work of the nonprofit that I lead if this comes out.’ People are at risk of being totally marginalized and having to leave their institutions.”
A long article, but deserving of a skim, at least.
-
Fortunately here residents remain the pond scum they truly are.
-
@george-k said in The Woke Docs:
Bari Weiss:
What Happens When Doctors Can't Tell the Truth?
I’ve heard from doctors who’ve been reported to their departments for criticizing residents for being late. (It was seen by their trainees as an act of racism.) I’ve heard from doctors who’ve stopped giving trainees honest feedback for fear of retaliation. I’ve spoken to those who have seen clinicians and residents refuse to treat patients based on their race or their perceived conservative politics.
…Doctors holding their tongues when providing feedback to trainees … not so different from Hollywood celebrities holding their tongues w.r.t. China.
:::
But still better than Republican politicians wagging their tongues to service Trump’s big lie about voter fraud, right?
:::
-
I was working a post with our chief pathologist, when he stopped and told me to phone Dr. Doofus and have him report to the morgue. Turned out Dr. Doofus was in surgery. The path had me call back to Surgery and he talked to the the OR nurse manager. He had her tell the attending and senior surgical resident they could do without the services of Dr. Doofus on this case and he needed him to break scrub and come to the morgue.
For those who don't know, this is about as rare as the second coming of Jesus.
When Dr. Doofus arrived, the path had him don his gloves and show him where he had tied off the bleeders on a cholecystectomy. Turned out, he hadn't tied one off properly and that's why this woman had a belly full of blood. As I became a very tiny mouse in a far corner, I witnessed a first rate, old-timey dressing down, with all the contempt and scorn a doctor can heap on a resident.
What was the end result? I don't know, it was above my pay grade.
But there sure was some honesty and feedback going on in that room on that day...
-
@jolly in the days of open cholecystectomies, a surgical attending told the junior resident to go see Mrs. Jones on post-op day #2 and pull her drain.
The resident pulled the t-tube.
(Jolly and @bachophile will understand this)
There was a lot of weeping there as well. I don't know the outcome, sad to say.
-
Another thing...The last couple of years of my full-time career, I was invited to go on Med-Surg Grand Rounds. Yes, the conversation would often get over my head, but it was a fun experience.
I don't see how it could work without open and frank dialogue...
-
@george-k said in The Woke Docs:
@jolly in the days of open cholecystectomies, a surgical attending told the junior resident to go see Mrs. Jones on post-op day #2 and pull her drain.
The resident pulled the t-tube.
(Jolly and @bachophile will understand this)
There was a lot of weeping there as well. I don't know the outcome, sad to say.
Hahaha.
Poor patient. and poor resident. Probably color blind. Can’t see the difference between green and yellow. (Bike is green, serous fluid is yellow)