Skip to main content

When Should Your Doctor Say 'I'm Sorry'?


For many people throughout the world, this past week provided an opportunity to reflect on one’s life and to invest in one’s soul.   While self-examination should be an ongoing task,  the Day of Atonement is a singular opportunity to meditate deeply on this process.  While this day culminates a 10 day period of intense reflection – or so it should – once again, this does not relieve us of our obligation to pursue this task on all other days.

Atonement is a tough business and I admit that I am no expert.  Consider how challenging this process is.
  • Personal reflection.
  • Acknowledging personal flaws and transgressions.
  • Approaching those whom we have wronged to make it right.
  • Forgiving those who seek our pardon with grace.
  • Committing not to repeat our offenses if placed in the same circumstance again.
Sounds easy?   Hardly.  Changing our traits and actions are very difficult.  Why do you think so many of us have the same list of New Year’s resolutions every year? 




But, change is possible.

Here are some actions that many in the medical profession might seek atonement for.  I am judging no one here, and I admit that as I construct this list that I am not without sin.
  • A diagnosis is missed because a physician was not sufficiently diligent.
  • Privileged health information was inadvertently disclosed.
  • A physician is habitually late and is indifferent to his patients’ time.
  • A doctor disparages a colleague.
  • A physician fails to return phone calls from concerned patients.
  • A doctor berates one of his staff who made an error.
  • A doctor berates one of his staff who did not make an error.
  • A doctor modifies a medical record for the wrong reasons.
  • An impaired physician does not seek professional assistance.
  • A physician has a lapse in his bedside manner and doesn’t demonstrate the empathy the patient deserves.
  • A physician thinks of his own interest over the patient’s interest.

I don’t ask any reader to pay any heed to this post penned by a confessed imperfect and flawed man.






Comments

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and studying, two longstanding personal pleasures, could be ext

Should Doctors Wear White Coats?

Many professions can be easily identified by their uniforms or state of dress. Consider how easy it is for us to identify a policeman, a judge, a baseball player, a housekeeper, a chef, or a soldier.  There must be a reason why so many professions require a uniform.  Presumably, it is to create team spirit among colleagues and to communicate a message to the clientele.  It certainly doesn’t enhance professional performance.  For instance, do we think if a judge ditches the robe and is wearing jeans and a T-shirt, that he or she cannot issue sage rulings?  If members of a baseball team showed up dressed in comfortable street clothes, would they commit more errors or achieve fewer hits?  The medical profession for most of its existence has had its own uniform.   Male doctors donned a shirt and tie and all doctors wore the iconic white coat.   The stated reason was that this created an aura of professionalism that inspired confidence in patients and their families.   Indeed, even today

The VIP Syndrome Threatens Doctors' Health

Over the years, I have treated various medical professionals from physicians to nurses to veterinarians to optometrists and to occasional medical residents in training. Are these folks different from other patients?  Are there specific challenges treating folks who have a deep knowledge of the medical profession?   Are their unique risks to be wary of when the patient is a medical professional? First, it’s still a running joke in the profession that if a medical student develops an ordinary symptom, then he worries that he has a horrible disease.  This is because the student’s experience in the hospital and the required reading are predominantly devoted to serious illnesses.  So, if the student develops some constipation, for example, he may fear that he has a bowel blockage, similar to one of his patients on the ward.. More experienced medical professionals may also bring above average anxiety to the office visit.  Physicians, after all, are members of the human species.  A pulmon