KeyLIME+ Summer Rewind #1
Jul 8, 2025
Dr. Lisa Rosenbaum, a cardiologist and NEJM correspondent, dives deep into the conflict between excellence and well-being in medicine. She shares her insights on necessary versus unnecessary discomfort in training, drawing parallels to athletics. The conversation highlights the emotional toll of writing controversial pieces, the challenges of providing tough feedback, and the shifts in medical culture post-COVID. Lisa argues for a balance between grievance and mastery, emphasizing that true well-being in medicine comes from intrinsic motivation and the pursuit of excellence.
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Culture Shift Changed Views On Calling
- Cultural shifts and online debates changed trainees' views on medicine as a calling.
- Lisa Rosenbaum links these shifts to broader societal trends and rising disillusionment in medicine.
Student Shamed For Doing Routine Work
- A medical student described being shamed by peers for doing scut tasks during clerkships.
- He felt he had to speak off the record because classmates framed routine work as contributing to poor norms.
Backlash Silences Honest Conversation
- Social media and fear of backlash silence many educators and trainees from speaking openly.
- Rosenbaum found more people privately agreed but were unwilling to go on the record publicly.