Eps 2 - Medical School Part II: Abuse of Many Kinds | New Healthcare Podcast

Dear Healthcare, It's You: A new podcast about the failing U.S. medical system

Episode 2: Cohosts Dr. Elisha Yaghmai and Jo O’Hanlon continue with Elisha’s story through his medical education.

Elisha is finally able to transfer out of Tulane University after his medical school education was halted by Hurricane Katrina (and by backroom politics of the university stifling potential to keep learning elsewhere). But with a new school, he found himself in the of fire of an authority figure who used his position to abusive aims.

Elisha discusses how the environment of medical education in both medical schools he attended — including within the hospital and clinical settings — were hospital environments for abusive behavior to students. Ultimately, he argues, this type of abusive dynamic plays into the reason we have both bad doctors, and doctors who are jerks, to say it nicely.

Some highlights:

“The lesson you got was: Don’t say anything. You push back against these people, and they can ruin your career. You’re done, and no one will help you. They know what’s being done, they know why it’s being done, and no one is going to help you. So what do you learn from that? I'm either gonna stick my neck out there and potentially lose my head; or I'm just gonna shut up and keep trying to push, because someday I won't have to deal with this.”

“Within medical education, there is to this day, still a normalization of an abusive dynamic[…] It has always had that abusive element, at least in modern terms. It's this vibe where people may treat you well. If they don't treat you well, you just shut up and live with it.”

“It is a cycle of abuse thing. Almost undoubtedly, those people were abused going through their education. And as soon as they got in a position where they could hand down a beating, they decided to do the same thing to the people below them.”

“What it produces in the most pernicious part of it, is people [whose] best skill is hiding their weaknesses.”

0:00 Episode teaser
0:26 Intro
1:40 Lack of communication to students
4:20 Dirty politics - blocking student transfers
6:57 Administrative errors directly effect students
8:11 Losing trust in the institution
12:05 Transferring to a new med school
16:21 Culture of abuse in medical education
17:56 Example 1: No student say
26:01 Example 2: Sexual harassment goes unchecked
28:59 Example 3: Berating & humiliating med students
41:50 Example 4: Students not allowed to speak to attending physician
44:01 A medical system that rewards hiding flaws

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Credits:
Dr. Elisha Yaghmai, M.D. - Host, Executive Producer
Jo O'Hanlon - Host, Set Design, Producer
Monica Salmeron - Director, Producer
Ben Laffen - Videographer
Austin Engler - Video Editor
Harmony Marketing - Marketing & Production

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Correction Note: We're aware of a short video error at a little after the 2min mark where another clip was erroneously superimposed over the correct video and audio. As the audio is correct, we're leaving this as is to preserve existing views and metrics.

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Dear Healthcare, It’s You — A new podcast investigating the broken U.S. Healthcare system.

Why is it failing? How are you getting screwed over? Who is profiting? How can it change?

Season 1 starts off with Dr. Yaghmai's personal story of beginning to discover the systemic toxicity & failings of the US health care model as a medical student and how those discoveries have shaped his life's work and purpose: To find a better way.

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