『On Becoming a Healer』のカバーアート

On Becoming a Healer

On Becoming a Healer

著者： Saul J. Weiner and Stefan Kertesz
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 Doctors and other health care professionals are too often socialized and pressured to become "efficient task completers" rather than healers, which leads to unengaged and unimaginative medical practice, burnout, and diminished quality of care. It doesn't have to be that way. With a range of thoughtful guests, co-hosts Saul Weiner MD and Stefan Kertesz MD MS, interrogate the culture and context in which clinicians are trained and practice for their implications for patient care and clinician well-being. The podcast builds on Dr. Weiner's 2020 book, On Becoming a Healer: The Journey from Patient Care to Caring about Your Patients (Johns Hopkins University Press).Saul Weiner and Stefan Kertesz 2020 人間関係 社会科学 衛生・健康的な生活 身体的病い・疾患
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  • Why are we addicted to talking about opioids rather than helping people with chronic pain?

    Why are we addicted to talking about opioids rather than helping people with chronic pain?
    2025/10/21

    For years, doctors and those learning to practice medicine were told pain is "the fifth vital sign" and to treat it aggressively – including with opioids, "if that's what it takes." A consequent rise in opioid prescribing contributed to the devastating opioid crisis.

    Then the pendulum swung in the opposite direction, hard, with physicians cutting off opioid prescribing to patients, often without their consent. That too led to suffering with many deaths by suicide. What do these two seemingly opposing trends share in common? Both reflect a failure to embrace current knowledge about chronic pain and to bring compassion and caring to people who are suffering.

    Co-hosts Saul Weiner and Stefan Kertesz discuss the implications from two perspectives: Medical learners are still taught to treat chronic pain like a simple bodily injury ("somatically") with the caveat to avoid opioids, spurring apathy and frustration. Stefan, an addiction medicine specialist who has been conducting a national study of suicides related to forced opioid tapers, argues that we have "become addicted to talking about opioids" rather than about all the good we could do if we applied current knowledge and compassion to help people who are suffering.

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    52 分
  • Despite It All: stories from women who found joy in medicine despite joining a less than welcoming profession

    Despite It All: stories from women who found joy in medicine despite joining a less than welcoming profession
    2025/09/16

    From the 1940 to the 1970's, medicine went from an almost exclusively male club to a profession in which women physicians were commonplace.

    Our physician guest is Dr. Anne Walling, who has written a book about the experiences of 37 women who attended a Midwestern medical school, Women in Medicine: Stories from the Girls in White

    This was a time when pornographic images appeared in lecture slides, and sexual harassment and discrimination in the job market were ubiquitous.

    Despite the misogyny, the women interviewed nearly all expressed gratitude that they were able to have such meaningful, rewarding, and stimulating careers.

    Our guest told us that her interviewees described reunions where male colleagues seemed burned out and cynical, while many of these women remained upbeat and excited about their medical work.

    What can we learn from the story of women's entry into mainstream medicine? How has the profession been changed (or not) by their presence?
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    42 分
  • The biopsychosocial model: What would it take to really replace the biomedical model?

    The biopsychosocial model: What would it take to really replace the biomedical model?
    2025/08/19
    Medical educators generally acknowledge the importance of training doctors who care for the whole patient rather than just treat the disease. Most medical school curricula attempt to teach to that philosophy, but how successful are they, really? Our guest, Robert C. Smith, is a physician and author, who trained with Dr. George Engel, founder of the biopsychosocial model. In his new book, Dr. Smith argues that medical education mostly pays "lip service" when it comes to training physicians who are ready and comfortable serving patients who struggle with unaddressed psychosocial and psychological needs. He calls for a complete overhaul of medical education. What would that take? Is an overhaul feasible, or are the market forces that now drive medicine as big business too overpowering to allow for transformative change?

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    46 分
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