Unions at the Tip of the Iceberg

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.

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.

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/

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

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.

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.

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.

In this episode, a medical educator goes on the record with widespread but rarely publicly voiced concerns about the slippery slope from “wellness days” to inadequate medical training. A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400690.

In this episode, Lisa Rosenbaum explores the shift in people’s perceptions of work’s role in our lives and its effects on medical training and the psychological satisfaction of physicians. A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400689.

In the first podcast episode of NOS Season 2, “The Quiet Revolution in Medical Training,” host Lisa Rosenbaum talks with trainees, educators, and experts about the seeds of the current upheaval. A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2303616.