The practice of urine drug testing during pregnancy and then often reporting positive results to Child Protective Services triggers a... more

Direct, covert observation of health care is a novel and underutilized tool to assess health care trainees and clinicians. In... more

In the prior episode we learned that there is no evidence that time-limited testing improves test validity and that, in... more

There is a widely held perception that being able to complete a test quickly is an indication of mastery when... more

Stefan interviews co-host Saul about his experiences becoming a doctor with a learning disability.  This episode, first run in 2020,... more

A recent New York Times article, titled "When Doctors Use a Chatbot to Improve Their Bedside Manner," should raise questions... more

The narrative that getting patients with chronic pain off opioids makes them safer was reinforced by a recent paper... more

We might assume that a patient who is chained to their hospital bed must be restrained for good reason, but... more

In this second of a two-episode series on medical student mistreatment, we discuss its impact on burnout with a colleague... more

How is it that a healing profession -- medicine -- has such a deeply ingrained culture of harming its own? ... more

Simon Auster, MD, was a family physician, psychiatrist, and medical educator who had extraordinary insight about practicing medicine but absolutely... more

Medical training and practice habituates physicians to a culture that narrows the possibilities we see for finding joy and meaning... more

In October, the New York Times published the first of several articles about an eminent professor at NYU who was... more

Today, Stefan talks with Saul about his favorite topic (and life's work), contextualizing care. We're re-releasing this conversation (from January... more

Recent articles in mainstream media about "medical gaslighting" have struck a nerve with thousands of comments on social media platforms.... more

Urine drug screening (UDS) is used in the care of patients with opioid use disorder, and for patients receiving opioids for chronic pain.... more

Making it into and through medical school is tough even for those who have all the advantages: excellent schools starting... more

Medical students may be subject to professionalism review by committees, most commonly for “unreliability” such as not responding to emails,... more

Many residents are not doing well, psychologically, and sometimes physically -- and with good reason. High levels of mistreatment and... more

The opioid crisis was precipitated by physicians overprescribing opioid pain medication, egged on by the pharmaceutical industry, contributing to suffering... more