Where's Waldo? Moral Formation in the Hidden Curriculum (Ep 7)

Today, Ben chats with professor of sociology Dr. Jonathan Imber about his book "Trusting Doctors, the Decline of Moral Authority in American Medicine" which examines how American physicians in the early 20th century acquired an unprecedented level of trust that was subsequently lost.  They touch on some of the themes from the book, the importance of reflection and character for medical trainees, and Ben asks Dr. Imber if the medical profession can regain some of the trust it previously held.  Listen to find out where some of that trust remains!

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Show Notes:
18:44 - "The Finest Traditions of My Calling: One Physician's Search for the Renewal of Medicine" by Abraham Nussbaum
18:53 - "What Matters in Medicine: lessons from a life in primary care" And, "A Measure of My Days: the Journal of a Country Doctor," by David Loxterkamp
19:57 - "Treatment Kind and Fair: Letters to a Young Doctor" by Perri Klass

20:40 - "Taking Care of the Hateful Patient" NEJM article by James Groves

33:10 - "Forgive and Remember: Managing Medical Failure" Charles Bosk

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Show Notes: (Books mentioned during this episode)

2:48 The Disappearance of Moral Knowledge by Dallas Willard
17:25 Knowing Christ Today by Dallas Willard
18:27 The Making of the Modern University by Dr. Julie Reuben
22:19 The Closing of the American Mind by Allen Bloom
44:38 The Ruthless Elimination of Hurry by John Mark Comer

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Part 1/5 of Sir William Osler's "A Way of Life".

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Become a Wayfarer for access to a bonus segment where Ben clarifies everything lost in translation over the 108 years from the original speech.

Ben sits down with Dr. Kain Weaver a 3rd year psychiatry resident in Charlotte North Carolina and friend from medical school.  Kain shares his own medical journey through residency.  Plus, they touch on margins, habits, as well as the one trait that Kain says makes a good physician. 

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This week Ben approached physician spiritual wellness from a Christocentric perspective.

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This week Ben chats with Dr. Warren Kinghorn to talk about medical education as moral formation from an Aristotelian perspective. We touch on the question, "what is health?" And how we - knowingly or not - bring our own commitments & experiences to answer that question. Dr. Kinghorn explains how medical education is viewed and treated as a technical project and what step we can take to become a person of practical wisdom who brings their whole self to the patient encounter.

Show Notes:
18:44 - Back to the Rough Ground by Joseph Dunne 

Duke University's Theology, Medicine, and Culture Initiative 

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This week, Ben introduces a conceptual framework for the components of a "good physician" and touches on how this may be useful as we are framing "bad apples" in medicine.

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The Weekly Reflection: What are the essential components of becoming a good physician?   Ask someone this week - a fellow resident, attending, a patient, a nurse, your friend, or your mom.  You may be surprised with their response.

Mentioned in this episode:

1. Krupat, E; Dienstag, J; Padrino, S et al.  Do Professionalism Lapses in Medical School Predict Problems in Residency and Clinical Practice?, Academic Medicine: June 2020 - Volume 95 - Issue 6 - p 888-895  doi: 10.1097/ACM.0000000000003145
2. Aequinimitas by Sir William Osler
3. Duke TMC Episode with Dr. Walter Lee

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Ben introduces his framework for reclaiming your margins by asking one simple question.

Here's a simple app for tracking your margins:  Toggl Track  

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