Video

I guarentee you that the resident didnt tell the attending how you told him your ‘preference’

This channel is a cool concept, but I wish every video wasn't just tidbits of an interview with just one doctor. Like interview multiple doctors and have some sort of overarching theme.

This is a huge problem. It allows the medical schools to treat studenta like dirt.

I never experienced this level of toxicity. I really enjoyed med school.

This is not representative of normal medical school

After passing the USMLE I realized this profession isn't worth it

I would like to take a quick second to address those of you who are currently medical students, residents, or even aspiring medical students. I am completing my pulmonary and critical care fellowship after doing my internal medicine residency at UT Southwestern. UT Southwestern had a notorious reputation of being “malignant“ many years ago when my attending Positions were going through their residency training and fellowship training. UT Southwestern was a very prestigious place to train and it attracted a lot of big heads and narcissists. however, this is very much not the same environment that is currently present at UT Southwestern, nor is it present at most any other medical school or academic teaching hospital. Medicine is a prestigious field that requires students and physicians to be self driven and motivated to continue learning, as medicine continues to evolve. medicine is a field, where even a small mistake could result in a detrimental outcome for your patient(s). it is for these reasons that we hold each other to such a high standard. When you are a medical student, Resident, or fellow, you will inevitably be faced with notorious “rounds.” This is where you will likely be “PIMPed” for the first time. We used to joke and say PIMP meant “Put In My Place” because the questions being asked of you could range from simple questions to the most difficult and intricate of questions. When you are being asked questions, whether it be on rounds or individually, all you can do is your best to answer the question with the knowledge you have to draw from. this is not to say that if you get it wrong, you will not be called out for it, regardless you should use this as a learning opportunity and make time to study that topic later in the day - you WILL be asked about this same question later on and if you still don’t know the answer, then the resulting ass chewing was earned. Medicine isn’t meant for individuals with thin skin who cannot take criticism. I don’t agree with bullying or creating a hostile work environment, however, I do believe in keeping each other accountable when you’re not rising to the standard. I say all of this to say that medicine is a unique and very rewarding field that should not be pursued lightly. You need to do your due diligence and scope out your interests and shadow with other physicians before you make this your journey. Many people have said, “if you could see yourself loving ANY other career, do that instead.” I agree with this, because medicine is a field that will grind you to a pulp…if you aren’t passionate about medicine and you aren’t sure about choosing this are your career, then moments like that will make you second guess yourself and you WILL enter into a state of depression and resentment. You are going to acquire a massive load of debt, miss out on most family/friend events, delay life goals, and work in excess of 80-hour work weeks for less than minimum wage. Medicine is a path that takes many years to complete, in fact, it is nearly the same as restarting at kindergarten and graduating high school all over again in terms of the duration of schooling and training. HOWEVER, it is worth it if it is your true calling. I love what I do and couldn’t imagine doing anything else. The hospital is my home and the nursing staff and physicians are my family. I have a wife and kids, which are my primary family and my primary responsibility, but the hospital is right in line.

If this is a podcast about healthcare in general, let’s talk about the joint commission and magnet status and how it’s all a massive scam.

This was incredibly entertaining and sad as a new physician slogging through first year of residency.

As a medical student. I feel seen 🥲

4th year medical student here. There are some improvements in hours and explicit discriminatory comments, but the culture of pimping, humiliation, and hierarchy is very much still present.

Please get a nurse on your show

The craziness of having medical personnel routinely work through the night without properly shifting their sleep cycle, is a recipe for unnecessarily killing people.

Thank you for making this podcast! ❤

I had a similar experience with working in private practice versus in a hospital as a physio student. I found the hierarchy and chaos of hospital too much whereas being respected and given a lot of autonomy in private practice encouraged me to grow without being constantly worried about getting told off (or doing something seriously wrong, as the clinic patients problems were generally less acute). It would be hard to replicate this type of learning environment in a hospital but it is something that educators should consider when trying to bring out the best in students. Being constantly afraid of being judged or failing doesn't facilitate creativity or the ability to learn effectively. Emotional safety is essential part of effective education

I can’t stand the way he ends almost every sentence with “right”, RIGHT?

That sounds about right...

That senior resident was a liar.

This is a cogent description of how the American healthcare system is both fragmented & critically interdependent. The absurdity of how it’s been determined that the administrative burden for providers is about 2 hours for each hour of care delivered, which is of course inefficient & contributory to pt & provider dissatisfaction. But lack of interoperability, increase in illness acuity & chronicity alike, & the regs & ins rules don’t leave many options, at least under the current reimbursement model. Yet ie lobbyists keep the matter of an alternative system off the table. …Meanwhile patient (not to mention clinician-) trajectories to deaths of despair (DoD) go on complicated by & complicating the healthcare/system that is there to take care of people...

This was a really interesting conversation but I feel like it got cut off when they were only getting started.

I will be going for clerkship in 2 weeks

so glad the toxicity in the medical field is being spoken about

Doctors who are trained to be snide and dismissive of each other are even better at being snide and dismissive of patients.

Very interesting stories ! Thanks for the sharing

The unfortunate opposite of treating people with no hope or quality of life does happen occasionally, elsewhere. I had a great-great-aunt in New Zealand who was in her late 80s. She was in extremely good health...I'm not saying she ran marathons or anything, but she did vigorous exercise every day, had looked after herself her whole life, and based on family history, she had a decent chance of hitting 100. In her 70s, she got breast cancer, but she beat it. And then, ~10 years later, it came back. I believe she was clinically Stage 2 (not sure of the variety of cancer). And yet she *_could not access treatment._* It wasn't that there wasn't treatment available, that it wouldn't have worked, or even that it would have been so destructive to her well-being that it wasn't even worth considering. She wanted the chemo, because in every other way, she was fine, and there was a high probability that with the treatment, even if the cancer eventually claimed her life, she could have gotten many additional, high-quality years before a medically-assisted death might become prudent. But, it was policy at the time (no idea about now, this was about 10-15 years ago) to deny care and just provide for such a patient's quality of life in this circumstance, and let them die. And she did. To me that's just as bad as the alternative. I do know, however, that the other side is FAR more common...and I have seen it in my own more immediate family, here in Canada. I had an uncle who beat stage 3 colon cancer in 2014, but who, about 7 years later (just before his 62nd birthday), was diagnosed with stage 4 non-small cell lung cancer (which, when it was discovered, had already spread to his bones and his brain). His oncologists put him on one of those impressive, ~10-grand-a-month drug regimens (it was Osimertinib, which, as a Canadian, he did not have to pay for), and gave him radiation therapy for the metastases. Still, *_every single doctor who saw him knew that he would not be cured, that his cancer was a death sentence._* However, like a lot of patients in that situation, he heard what he wanted to hear, that there was still hope for him - that people in his situation have been cured (or at least have lived beyond 5 years)...which is true (albeit made more unlikely in his case due to other complications - obesity, atherosclerosis, untreated diabetes, untreated sleep apnea...unlike my great great aunt, he was NOT an otherwise healthy person). What he NEEDED to hear was "you are dying. With these treatments, we can help give you another year, maybe 1.5 years of life. The first few months of that will be hard, but probably still worth living, but towards the end of this time, you will be weak, your cognitive abilities will disappear entirely, and you will spend your last days-to-weeks drooling in a care home (ideally), or waiting for placement." He needed to know that he had a limited time to get his affairs in order. And he needed to know that it's okay to stop treatment at any time, indeed that it may become the preferable option. But his doctors would always couch their messaging in optimism. Doctors can't lie to patients, but they can emphasize certain true things while barely discussing others (especially when it's clear that the patient doesn't want to hear those other things...it's human nature to tell people what they want to hear...although *_DOCTORS SHOULD KNOW BETTER_* ). "There are always miracles" was a phrase he heard a lot, and he latched onto it like a wood tick on a border collie. Rather than going through the 5 stages of grief (if such a thing is truly...a thing, and not a mere construction of coincidence), he stalled out at denial. And being that personal medical information is private and cannot legally be shared with others without a patient's consent, his message to his friends, to his family, to his common-law partner was "I'm sick, but I will get better. I beat cancer before and my doctors say I can beat it again." Now my mother (his sister) is a retired nurse and I'm an x-ray technologist - we both got some training in the severity of cancer at various stages, what can be done (in general terms), and what the probabilities are (5-year survival rates, etc.). Furthermore, we both have a strong science background, and therefore possess the skills to parse the nonsense from the real science available online and thus learn what we could about his specific diagnosis, and the medical interventions he was receiving. We knew the truth (though we could not get him to see it). But the rest of the people in his life were absolutely bamboozled by his attitude. It was only about a month before his death, approximately 16 months post-diagnosis (turns out the doctors DO know what they're talking about, because 12-18 months was what the studies gave him...any longer, and the odds just dropped off completely) that it became clear to the rest of them, even as my uncle still sat firmly in denial. *_His mind degenerated to the point where he literally COULDN'T understand that he was dying BEFORE he ever accepted his fate._* This could all have been avoided with a simple and consistent message from his healthcare team. In situations like this, it is extremely obvious what is going on - their patient is not truly coming to an understanding of the medical consensus on their condition. And as difficult as it must be, the medical professionals who treat such patients need to be as kind as they can be while delivering a BLUNT message, over and over again, until it sinks in. Hope is great when it's real. Hope can also lead to an incredible amount of suffering. Fortunately, he did not actually suffer all that much...physically. The adverse side effects from his treatments were probably worse than the cancer ever did to him. But mentally...to degenerate to the point where you know you are losing your mind, and are still asking the doctors to zap your brain again and again, to try and re-claim it (because you believe in the cure). That never should have happened. We have medical assistance in dying in Canada, and he would have been a textbook candidate, 2-4 months before the cancer itself claimed his life. But the thought never entered his brain...because his doctors couldn't get him to face reality.

Y’all are doing great work by having these conversations. A lot needs to change; we can no longer be operating in particular ways due to long held tradition. We must be bold and evolve and also prioritize healthcare professionals well-being from the bottom-up to top-down.

Which school/hospital? makes no sense to say all this and not sat names... other ppl probably going through same thing because youre silent

The funny thing is that residency is way way worse than this😂😂

It is criminal that this only has 208 views

As a fourth year med student, more people need to listen to these videos

Listening is so important before speaking.

Healthcare as a whole is filled with a Lord of the Flies type of nature, everyone just wants to feel superior to the other, when patient care, ethics, and empathy should be top priority.

And water is wet

Sounds like this doctor had a rough go and needs a place to vent. Fair enough but might not be the most accurate representation of the current state of medical training for those who are looking

Don’t forget the abuse med students undergo from the nurses, also, who are mainly women. Most med students are treated like b#tche$ since their career(life) depends on it, and so are forced to go through this hazing.

"It produces people whose best skill becomes hiding their weaknesses". That was gold. I'm a medical student in the UK and I can confirm we have this same culture of bullying across our healthcare system. My worst experiences have always been in theatre - it seems surgery attracts the worst of the egotistical. I'm very thick skinned, but some of those instances made me genuinely cry when I got home. Good on you guys for spreading awareness. Maybe one day, those other medical professionals who stand back and let it happen will speak up.

A profession that preaches teamwork, yet, carries a culture of perpetuate beat-down and power scaling towards future doctors. Obviously, the more experienced are going to know more than incoming students. Quite sad.

Omg I'm starting medical school at Tulane in 2 weeks!

Great video!

Yea uh same thing in an orchestra, there are age old hierarchical systems still in place.

Yup... the medical field is filled with nothing but narcissists these days. It didn't use to be like that 😢

2020 definitely do our medical system any favors. 😬

It’s so frustrating that we didn’t have to end up in the dire state we’re in now in terms of our healthcare system. Cracks grow. Our current nurse staffing shortage is only one of the direct resulting problems we’re facing today because of what wasn’t taken care of long before 2020 😣

"That sounds like a compelling podcast. The state of American healthcare is such an important topic. What did you think of the assessment? Would you recommend giving it a listen?"

What’s the matter with American Healthcare? It’s an affordability problem. YES. But it’s not JUST an affordability problem.

America is a joke anymore.

Stop putting cancer into our food and make helth care, especially dental, more affordable. Obama care wanted more than 2k a month just for me and my young child for only medical, so no vision no dental. That's a scam. Add in the co pays would have been outrageous and it's more of a scam. Morbid obesity wouldn't be as much an issue if the FDA actually did their jobs and stopped letting companies put toxic crap in out food. The food differences of the exact same brand in America vs say the EU is staggering and sickening.

Cheap food isn't a choice for a lot of people. Coping mechanism? More like survival mechanism.

American food is the absolute worst. Carbs, sugar, seed oils, chemicals galore. Food made in factories is NOT food. That’s why we have endless health epidemics…. Cancer, heart disease, diabetes, IBS, autoimmune, dementia, Alzheimer’s, arthritis, autism, etc. …. These are all metabolic illness. We are what we eat. Eat meat, and get all the essential amino acids that will build muscle and heal your organs and hormones and feed your brain!!!!

Of course our other failing systems all play into America’s health crisis, which also is effected by America’s HEALTHCARE crisis… and that’s not even diving into the issue of the things in our food and beverages that surely also contribute to the whole thing 😥🫠