{"id":100,"date":"2007-02-28T08:22:13","date_gmt":"2007-02-28T08:22:13","guid":{"rendered":"https:\/\/lucarinfo.com\/czblog\/100\/"},"modified":"2025-10-12T09:49:46","modified_gmt":"2025-10-12T09:49:46","slug":"100","status":"publish","type":"post","link":"https:\/\/lucarinfo.com\/czblog\/100\/","title":{"rendered":"Shame and the medical profession"},"content":{"rendered":"<p><a href=\"https:\/\/lucarinfo.com\/czblog\/wp-content\/uploads\/2007\/02\/medical-1006787_960_720.jpg\" rel=\"attachment wp-att-396\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-396\" src=\"https:\/\/lucarinfo.com\/czblog\/wp-content\/uploads\/2007\/02\/medical-1006787_960_720-300x200.jpg\" alt=\"medical-1006787_960_720\" width=\"300\" height=\"200\" srcset=\"https:\/\/lucarinfo.com\/czblog\/wp-content\/uploads\/2007\/02\/medical-1006787_960_720-300x200.jpg 300w, https:\/\/lucarinfo.com\/czblog\/wp-content\/uploads\/2007\/02\/medical-1006787_960_720-768x512.jpg 768w, https:\/\/lucarinfo.com\/czblog\/wp-content\/uploads\/2007\/02\/medical-1006787_960_720.jpg 960w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Shame, an emotion that&#8217;s too uncomfortable for most people to even recognize, let alone&nbsp;process.&nbsp;The following makes so much sense.<\/p>\n<blockquote><p><span style=\"color: #006699; font-size: large;\">Shame: A Major Reason Why Most Medical Doctors Don&#8217;t Change Their Views<\/span><span style=\"font-family: Verdana;\"><br \/>\n<\/span><span style=\"color: #006699; font-family: Verdana; font-size: xx-small;\">&nbsp;&nbsp;&nbsp;&nbsp; <\/span><span style=\"font-size: 11pt; font-family: Verdana;\"><br \/>\n<\/span><strong><span style=\"color: #006699; font-family: Verdana; font-size: small;\">by Frank Davidoff<\/span><\/strong><span style=\"font-size: 11pt; font-family: Verdana;\"> &#8211; from <\/span><a href=\"https:\/\/www.health-care-reform.net\/shame.htm\">https:\/\/www.health-care-reform.net\/shame.htm<\/a><\/p>\n<p><strong>&#8220;&#8230; Doctors may, in fact, be <\/strong>particularly vulnerable to shame, since they are self-selected for perfectionism when they choose to enter the profession.&nbsp;&nbsp; Moreover, the use of shaming as punishment for shortcomings and &#8220;moral errors&#8221; committed by medical students and trainees such as lack of sufficient dedication, hard work, and a proper reverence for role obligations probably contributes further to the extreme sensitivity of doctors to shaming.<\/p>\n<p><strong>What are the lessons here for those working to improve the quality and<\/strong> safety of medical care?&nbsp; Firstly, we should recognize that shame is a powerful force in slowing or preventing improvement and that unless it is confronted and dealt with progress in improvement will be slow.&nbsp; Secondly, we should also recognize that shame is a fundamental human emotion and not about to go away.&nbsp; Once these ideas are understood, the work of mitigating and managing shame can flourish.<\/p>\n<p><strong>This work has, of course, been under way for some time.&nbsp; The move<\/strong> away from &#8220;cutting off the tail of the performance curve&#8221; that is, getting rid of bad apples towards &#8220;shifting the whole curve&#8221; as the basic strategy in quality improvement and the recognition that medical error results as much from malfunctioning systems as from incompetent practitioners are important developments in this regard.<\/p>\n<p><strong>They have helped to minimize challenges to the integrity of healthcare<\/strong> workers and support the transformation of medicine from a culture of blame to a culture of safety&#8230;&#8221;<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Shame, an emotion that&#8217;s too uncomfortable for most people to even recognize, let alone&nbsp;process.&nbsp;The following makes so much sense. Shame: A Major Reason Why Most Medical Doctors Don&#8217;t Change Their Views &nbsp;&nbsp;&nbsp;&nbsp; by Frank Davidoff &#8211; from https:\/\/www.health-care-reform.net\/shame.htm &#8220;&#8230; Doctors may, in fact, be particularly vulnerable to shame, since they are self-selected for perfectionism when &#8230; <a title=\"Shame and the medical profession\" class=\"read-more\" href=\"https:\/\/lucarinfo.com\/czblog\/100\/\" aria-label=\"Read more about Shame and the medical profession\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-100","post","type-post","status-publish","format-standard","hentry","category-czblog"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.9 - aioseo.com -->\n\t<meta name=\"description\" content=\"Shame, an emotion that&#039;s too uncomfortable for most people to even recognize, let alone process. 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