For an introduction to SPR, click here. For a history of SPR, click here. To learn how to distinguish real vs. sham peer review, click here.
We don’t hear about SPR as often as it occurs because those who have experienced it have likely signed nondisclosure agreements or self-isolated in shame after …
Sham peer review (SPR): strategies for saving your career and soul
For an introduction to SPR, read this overview. Additionally, you can explore the history of SPR.
When summoned for a peer review, how can you tell if it’s a sham? The biggest clue is whether the peer review process seems intended to help or harm you. If you feel sincerely supported by colleagues and the peer review proceedings are uniformly applied throughout your practice, you have less cause for …
Legitimate vs. sham peer review (SPR): Is there a difference?
It’s estimated that up to 10 percent of all peer reviews are “shams,” thus, it’s worth a few minutes of education so you’re not left grappling if you suspect you might be the target of one.
As physicians, we purchase malpractice insurance (or it’s provided by an employer) to protect us from patients who file suits claiming negligence or harmful treatment decisions. The tacit understanding is that we’ve worked hard …
Sham peer review: Why is there no malpractice insurance for this?
Imagine you’ve worked in a clinical environment for an extended period. You might be a resident or fellow getting ready to graduate, an attending who has been operating for years, or a full-fledged partner in private practice. As your morning alarm sounds, you check your email and see: “Informal Meeting–Mandatory.” The content of the email is vague, but it seems you’re being asked to meet with several colleagues in your …
The sham peer review: a hidden contributor to the doctor shortage
Toward the end of my third year of medical school, I was 25, newly married, and overwhelmed by responsibility. I hadn’t enjoyed the clinical rotations. The hours and the degree of human suffering were just too much. My husband and I fought about how unavailable I was. I had to complete my 6-week psychiatry rotation 3 hours away from home. I wasn’t sleeping well, so I went to student health …
Medical professional gaslighting: the lack of psychological safety in medicine
On June 4, 2022, CNN.com published an Opinion piece written by Carolyn Chen: “Why ‘do what you love’ is the worst graduation advice.” As a mother of a recent college graduate, with two others close behind, I read it to garner insights into which encouraging words to use with my own babies entering the adult workforce. The target audience is college graduates, narrowing the relevance to those privileged to …
Who do we become when we love work more than we love ourselves?
When my boys were little, they responded to frustration differently. One would get angry, throw toys, yell, bite, refuse to cooperate. The other would become pitifully sad, appearing abandoned or lonely.
The sad one received more attention because when we see someone who’s sad, it pulls on our heartstrings and evokes innate compassion. Seeing another in a low energy, low pleasantness state makes us want to reach out and offer comfort. …
What do we do with our sadness and anger?
In her book Daring Greatly, Brené Brown says, “If we want to be fully engaged, to be connected, we have to be vulnerable. In order to be vulnerable, we need to develop resilience to shame.”
If you’re a physician who is “not good at being vulnerable,” then it’s likely you’re steeped in shame and you’ll never be able to admit it.
Given the social capital that comes with being a doctor, it …
Why we deny our imperfections in medicine
About a year ago, before the pandemic hit, I was at the local fitness center, having just completed a group exercise class, when my former residency program director entered the room. I hadn’t seen him in 20 years. He looked exactly the same, give or take a few grey hairs. We smiled and heartily greeted each other. We’d known each other since I was a medical student. When I did …
What if the hierarchy in medicine was dismantled?
It’s a Friday in January 1997. Another two-week block of nights behind me, 75 hours a week with a weekend off in between. However, working 5 p.m. to 8 a.m. means waking at 4 p.m. to dress, grab 15 hours-worth of food, drive 20 minutes to the parking deck, and run 10 minutes to the reading room by 5 p.m.
As a second-year resident, working alone covering all radiology services for …
Long-term sequelae of a life in medicine
Brené Brown’s book, The Gifts of Imperfection, has recently been re-released with a new cover and subtitle: 10th Anniversary edition, Including New Tools to Make the Work Your Own. I’ve had my original paperback copy for 8 years. It’s dog-eared, highlighted in three different colors, with lots of hot pink Post-It notes sticking out of all sides. Brené has published five other books, yet The Gifts of Imperfection continues to …
Can physicians live wholehearted lives?
What are you doing to take care of your mental health on World Mental Health Day? Tell me, is something eluding you, sunshine?
Today, I’m listening to Pink Floyd for 2 reasons:
1. This morning, I did a 10-minute yoga flow with Denis Morton, who played Pink Floyd’s Us & Them. It set my whole mood on this cool, rainy day, comforting me and making me feel ridiculously alive.
2. …
Despite struggles with my own mental health, I’d never exchange them for an ordinary existence.
I know you don’t know me, but I feel like I know you from your transparency and radical honesty in all of your public communications. I know that you speak truth to bullsh*t while remaining civil. I know that you are more than aware of the lack of adequate mental health services across the nation. I know you see the catastrophic toll medicine takes on the mental health needs of …
A revolution in health care needs physician coaching
Many radiologists choose the specialty because they don’t like interacting with sick people. As a highly sensitive person, I went into radiology to distance myself from patient suffering, as a means of self-protection. Radiology has allowed me to compartmentalize, sort of.
It allowed me to have three healthy babies: one in residency, one at the end of fellowship, and one two years into private practice. I went back to work after …
If you’re falling apart, should you still perform the pancreas biopsy?
This concept comes up in Glennon Doyle’s new #1 best-selling book, Untamed. In this memoir, she looks at her unhappy marriage through the eyes of her daughter. She has been staying in the marriage for her children, believing that getting a divorce would be bad for her kids. As she is combing her daughter’s hair, she has an epiphany: I am staying in this marriage for my little girl. But …
Are physicians martyrs or models?
As someone trained in Brené Brown’s curriculum for helping professionals, vulnerability is my jam.
As a physician? Not so much.
The COVID-19 pandemic has thrown already burned-out health care providers into the arena with more than just a shortage of equipment. We are now expected to risk our own lives caring for others, which was not part of the original job description. Medical providers are not Marines, nor do we work for …
Vulnerability is challenging but necessary for health care professionals
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