The Nocturnists

When healthcare workers put on their uniforms to go to work, what other roles, masks, or disguises do they put on as well? The norms and standards of our workplace culture are often more implicit than explicit, but many of us still go to great lengths to present a curated version of self at work that fits into this unspoken code of conduct. The right mask, we tell ourselves, will win the respect and trust of our colleagues and protect us from painful judgments and feelings of alienation. But what are the side effects of hiding parts of ourselves at work? And what about the parts of ourselves that remain exposed?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

1 in 10 physicians will get sued at some point in their career – but physicians rarely discuss this, much less prepare for it. How do we bring litigation, and all the stress and shame associated with it, out of the shadows?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

For most clinicians, the idea of harming a patient is a worst nightmare. But in a high-stakes profession, practiced by humans in a dysfunctional system, errors are nearly inevitable. So how do we deal with the shame that follows?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

In medical culture, shame is often wielded as a teaching tool. We shame learners for not knowing, for forgetting, for making mistakes. When does this serve us? When is it harmful? Is there a better way?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

On the path to medicine, we're constantly taking tests: MCAT, shelf exams, step exams, boards, and more. What are these numbers good for? What are they not good for? What is the emotional impact of these tests, and their scores, on medical learners?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

We all arrive at the gateway to medicine carrying baggage from our past. We've had different hopes, hurts, and childhood arcs. How do these early life experiences guide us toward our careers? And once we "arrive," how do they impact the way we experience shame in the workplace?

Find show notes, discussion guide, transcript, and more at thenocturnists-shame.org.

Medical culture is filled with impossible ideals: the resident expected to work a 28-hour shift without complaint or error; the surgeon with the steel bladder; the doctor with perfect bedside manner; the student with all the answers. How should a doctor look, act, think, speak, dress, feel? What should they value?

In this episode, we explore the concept of "The Ideal Doctor." Where do these "ideals" come from? How are they communicated? And what do they have to do with shame?

Find show notes, transcript, and more at thenocturnists-shame.org.

What is shame? And how does it manifest in medical culture? In this episode, The Nocturnists teams up with two shame experts to investigate these questions. From a pool of over 200 stories submitted to The Nocturnists from healthcare workers across the US, the UK, and beyond, we'll explore the tension between who we are, and what the culture expects of us.

Find show notes, transcript, and more at thenocturnists-shame.org.

A 10-part audio documentary series on The Nocturnists podcast, "Shame in Medicine: The Lost Forest" explores how shame manifests in medical culture.

Shame is ubiquitous in healthcare. Shame experiences in healthcare workers contribute to burnout, depression, suicidality, impaired empathy, disengagement from learning, social isolation, diminished physical wellness, unprofessional behavior, and altered professional identity formation — all challenges that continue to vex the medical community and lead to poor health outcomes.

Hosted by Emily Silverman, MD and produced in collaboration with the Shame and Medicine project at the University of Exeter, this podcast series breaks the silence about shame in medical practice, sharing intimate stories told by healthcare workers from across the globe.

"Shame in Medicine: The Lost Forest" starts on September 13. Listen to the series trailer and follow The Nocturnists wherever you listen to podcasts.

In this episode, Emily speaks with pediatrics resident Nina Shevzov-Zebrun about movement, medicine, and the creation of The Ten Tensions Project, which explores core dilemmas of the physician experience through photography and dance

The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode.

Find show notes, transcript, and more at thenocturnists.com.