Succeed in Medicine

How Physicians Survive Medical Mistakes without Losing Themselves, with Danielle Ofri, MD, PhD | Ep500

Jan 13, 2026
Join Dr. Danielle Ofri, a primary care internist and renowned author, as she explores the emotional landscape of medical mistakes. She shares a harrowing story from her residency, emphasizing the distinction between guilt and shame in error recovery. Ofri advocates for supportive responses to errors, suggests immediate actions for clinicians, and stresses the importance of genuine apologies to patients. She also discusses the need for mentorship and highlights the value of wisdom in medicine over mere technical skill.
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ANECDOTE

Early-Career DKA Mistake

  • Danielle Ofri recounts a PGY2 DKA case where she failed to give long-acting insulin before stopping the drip and the patient returned to DKA.
  • She describes being publicly reprimanded in the emergency ward and feeling mortified and close to quitting medicine.
ADVICE

Debrief Privately Before Shaming

  • If you're the senior, pull the person aside privately and ask what happened after ensuring patient safety.
  • Take a breath, attend to the patient, then discuss causes and system factors calmly to enable learning.
ADVICE

Take A Pause And Seek A Colleague

  • If you feel too distraught to continue, ask a colleague to cover you for a short break.
  • Confide in a trusted medical colleague to walk through the error and normalize the experience.
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