
Not Otherwise Specified
In “Not Otherwise Specified,” Dr. Lisa Rosenbaum, cardiologist and national correspondent for the New England Journal of Medicine, defies our sound-bite culture to go deep with some of medicine’s most innovative thinkers. Her guests’ stories and ideas about health care’s toughest challenges and greatest promise may change the way you think about medicine, health, and society.
Latest episodes

Apr 17, 2024 • 39min
Injured, Not Sidelined
This season finale examines the moral injury that the current U.S. health care system inflicts on physicians and trainees — and how they may be able to offer care that aligns with their values.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400700.

Apr 10, 2024 • 45min
Walking the Dog
This episode considers what happens when the rigors of training and the pursuit of excellence in in medicine collide with the mental health needs of trainees.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400698.

Apr 3, 2024 • 45min
Building Up without Breaking Down
This episode asks how medical educators should navigate between demanding intense commitment and hard-won excellence from trainees and seriously threatening their well-being.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400697.
Source from this episode:
https://www.culturalcomplications.com/

Mar 20, 2024 • 33min
Whatever It Takes
This episode takes a sobering look at the mental health of U.S. medical students and trainees, in an era when the pressures can be intolerable but the culture still treats depression as weakness.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400696.
Notes from this episode:
https://www.nytimes.com/2020/07/11/nyregion/lorna-breen-suicide-coronavirus.html
https://www.ama-assn.org/practice-management/physician-health/encourage-physicians-healing-make-it-ok-ask-help

Mar 13, 2024 • 39min
Debt Et Cetera
In this episode, host Lisa Rosenbaum talks with two trainees whose lives and careers have been changed by educational debt, and to an economist who has a rather different take on the problem.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400695.

Mar 6, 2024 • 37min
OK, Boomer
In this episode, Lisa Rosenbaum talks with an expert on generational change and a member of the current trainee cohort about generational values and the need for cross-generational dialogue.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400693.

8 snips
Feb 21, 2024 • 38min
Unions at the Tip of the Iceberg
In this episode, Lisa Rosenbaum talks with physician trainees and a former residency program director to weigh the benefits and risks of the new wave of trainee unionization.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400692.

13 snips
Feb 14, 2024 • 40min
Tough Love
Exploring the tensions between well-being and education in medical training, addressing challenges in accreditation processes, the impact of social media on residency experiences, embracing discomfort for growth, and the rise of training unionization in medical education.

4 snips
Feb 7, 2024 • 41min
Why We Work
Exploring the evolving perspectives of medical trainees on work as a profession or vocation, impact of pandemic on healthcare workers, personal struggles in healthcare, overcoming weight issues, redefining work in pandemic era, tension between calling and job in medicine.

Jan 31, 2024 • 28min
Revolutionary Rumblings
Host Lisa Rosenbaum discusses the quiet revolution in medical training and the challenges faced by trainees during the pandemic. The episode explores the 'kids these days' effect and changing attitudes in medical training, highlighting the importance of collaboration between educators and trainees.