KeyLIME+ [1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being?
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Sep 17, 2024 Dr. Lisa Rosenbaum, a cardiologist and New England Journal of Medicine correspondent, dives into the balance between excellence and well-being in medicine. She discusses her NEJM essay, highlighting the conflicts between wellness ideals and the traditional ethic of sacrifice in training. Lisa shares insights from medical students about the pressures they face and the challenge of distinguishing between necessary discomfort and harmful experiences. The conversation also touches on the evolving culture of feedback and the importance of open dialogue to reclaim passion in the medical profession.
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Wellness Rhetoric Can Obscure Real Harms
- Rosenbaum argues wellness rhetoric can obscure structural problems and blur distinctions between serious harms and normal training stress.
- That conflation risks diverting attention from trainees with true mental illness or discrimination.
Cultural Shift Alters Views On Calling
- Cultural shifts and social media changed how trainees view medicine as a calling and perceive sacrifice.
- Lisa Rosenbaum suggests this shift partly explains heightened sensitivity to traditional training discomforts.
Student Felt Pressure To Avoid Scut Work
- A medical student told Rosenbaum peers discouraged him from doing routine tasks, calling them harmful norms.
- He felt he had to stay anonymous because fellow students criticized contributing to 'scut work'.
