Medical students … need to build out reality-based curricula that equip future physicians to provide trauma-informed, harm-reductionist care. Patients need to be addressed in their context. Perhaps to do so, we need to take off our white coats and get our boots a little muddy. Rebecca Bromley-Dulfano reflects on street medicine and learning to care for patients who may be without basic resources outside the clinic setting. The essay read in this episode was published in the Teaching and Learning Moments column in the January 2023 issue of Academic Medicine. Read the essay at academicmedicine.org.

Medicine Where it Matters

Meet medical students and residents, clinicians and educators, health care thought leaders and researchers in this podcast from the journal Academic Medicine. Episodes chronicle the stories of these individuals as they experience the science and the art of medicine. Guests delve deeper into the issues shaping medical schools and teaching hospitals today. Subscribe to this podcast and listen as the conversation continues.

The journal Academic Medicine serves as an international forum to advance knowledge about the principles, policy, and practice of research, education, and patient care in academic settings.

Please note that the opinions expressed in this podcast are the guests’ alone, and do not necessarily reflect the opinions of the AAMC or its members.

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For those who do excellent work, but quietly, and sometimes under the radar, the simple phrase, confidently stated—“You are in good hands”—can make all the difference. You got this. Shailaja J. Hayden reflects on the importance of inspiring confidence in fellow members of the care team, which then inspires confidence in patients. The essay read in this episode was published in the Teaching and Learning Moments column in the April 2024 issue of Academic Medicine. Read the essay at academicmedicine.org.

What Cancer Did Not Teach Me

Rather than sheltering me from the rigors of doctoring, the museum has deepened my relationship to medicine by restoring its inherent mystery. It reminds me that the reality of our patients will always exceed our understanding of them. Kain Kim reflects on how teaching the humanities can help normalize uncertainty in medical training. The essay read in this episode was published in the Teaching and Learning Moments column in the March 2024 issue of Academic Medicine. Read the essay at academicmedicine.org.

Our Achilles’ Heel: Vulnerability and Medical Uncertainty

Through all the time I had known him, and through all the rounds and presentations, many voices were heard: my own, my senior resident, my attending, the ICU team, the consult teams, the family. But the softest voice, often overcome by dysphonia, came from the bed at the center of the room, and it needed to be amplified the most. Richard T. Tran reflects on a patient’s request for a vanilla Ensure and learning that sometimes the greatest comforts can come from the simplest of interventions. The essay read in this episode was published in the Teaching and Learning Moments column in the February 2024 issue of Academic Medicine. Read the essay at academicmedicine.org.

Pain, Palliative Care, and Practicing Empathy

Pilar Ortega, MD, MGM, Débora Silva, MD, MEd, and Bright Zhou, MD, MS, join host Toni Gallo to discuss strategies to address language-related health disparities and enhance language-appropriate training and assessment in medical education. They explore one specific language concordant education framework, Culturally Reflective Medicine, which recognizes and supports the lived experiences and expertise of multi-lingual learners and clinicians from minoritized communities.  A transcript of this episode is available at academicmedicineblog.org.

Language Equity in Medical Education

I started this letter with a question, but I pray not for an answer. I cannot accept one. Instead, please give me the strength to replace the wet mask soaked in my tears. Give me the power to continue the Sisyphean task of treating your ill and moving on to the next patient, especially on days like today. Norman R. Greenberg writes a letter to God asking why patients must suffer and how those who treat them can continue on amidst their grief. The essay read in this episode was published in the Teaching and Learning Moments column in the February 2024 issue of Academic Medicine. Read the essay at academicmedicine.org.

Medicine Where it Matters

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