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Moral Injury | The crossroads of conscience

Jan 22, 2024

The podcast delves into the concept of moral injury in the medical field, discussing how healthcare professionals can experience psychological distress when their actions contradict their moral beliefs. It explores real-life scenarios where healthcare workers face moral dilemmas and emphasizes the importance of self-compassion, shared decision-making, and aligning personal values with work to combat burnout and moral injury.

50:28

Creator website

Episode guests

Kim Baumbach, MD

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Quick takeaways

Moral injury in healthcare results from conflicting actions against moral or ethical beliefs, leading to deep emotional wounds for clinicians.

Recognizing root causes like financial barriers can evoke profound moral stress among healthcare professionals, impacting patient care delivery.

Deep dives

Understanding Moral Injury in Healthcare

Moral injury in healthcare involves the discordance between expectations and reality, leading to deep emotional wounds for individuals like clinicians. Dr. Kim Bombak discusses how small but significant moments, such as financial obstacles preventing ideal patient care, can cause moral injury. Recognizing the root causes like social determinants of health can evoke a sense of profound moral stress among healthcare professionals.

The Power of Agency

01:30

The Importance of Compassion

01:30

Introduction

2min

Exploring the Concept of Moral Injury in Medicine and Introducing New Podcast Features

3min

Navigating Moral Injury in Healthcare

8min

Navigating Moral Distress and Injury in Healthcare Practice

8min

Exploring the Impact of Financial Incentives on Clinicians' Well-being

5min

Combatting Moral Injury in Healthcare

22min

Navigating Moral Distress and Social Determinants of Health in Healthcare

2min

Moral injury, a term initially used in the military context during the Vietnam War to describe the psychological trauma soldiers experienced, has become increasingly relevant in medicine. In this episode, we discuss how moral injury manifests as psychological distress when healthcare professionals' actions, or inactions, contradict their moral or ethical codes, leading to feelings of guilt, inadequacy, and a sense of betrayal.

Our conversation will navigate through the history of this term, its definition, relationship with burnout, PTSD, and moral distress. We'll examine real-life scenarios where healthcare workers face moral dilemmas, feeling trapped in a system that often works contrary to their values.

Moreover, we’ll explore individual and systemic actions that may help mitigate the impact of moral injury.

Guest Bio: Kim Bambach, MD is an Assistant Professor of Emergency Medicine at The Ohio State University and Assistant Director of the Kiehl Resident Wellness Endowment

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For full show notes of this episode and all sorts of other goodies, visit our podcast website

Mentioned in this episode:

1 on 1 Physician Coaching

I work with physicians to help them flourish in medical practice. If you're feeling stuck, burned out, or in trouble at work because of communication or conflict, check out our FAQ page for more info. Ready for real change? Book a discovery call. It’s free, low-pressure, and will give you clarity on your next steps.

Physician Coaching FAQ

The Driveway Debrief

A free resource to help you transition from work to home life. Developed from extensive experience with one-on-one physician clients, The Driveway Debrief is a structured exercise for decompression and processing the day's events. *Release work tension *Establish a boundary between professional and personal life *Be more present with your loved ones after a day's work

The Driveway Debrief

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