RESOURCES
Podcasts
Academic Medicine Podcast, Shame Experiences in Premedical and Medical Students with Dr. Will Bynum
Educator’s Podcast, Shame Resilience in Medical Education with Dr. Will Bynum
Life After Medicine Podcast, Are You Living Up to the "Healthcare Hero" Ideal? with Dr. Emily Silverman.
See Hear Feel Podcast, Dr. Luna Dolezal on Shame in Medicine
The Nocturnists, Conversations: Cathy O’Neil on The Shame Machine
Thales Well Podcast, On Shame with Luna Dolezal
Articles & Books
A Better NHS – Blog by UK National Health Service (NHS) General Practitioner Jonathan Tomlinson exploring the relationships between doctors and patients and health policy. See posts on Shame, Empathy and Shame, Shame and Redemption, and Empathy, Shame and Medical Professionals.
Aubin D. King S. The Healthcare Environment: A Perfect Ecosystem for Growing Shame. Healthcare Quarterly. 2018.
Bromley E. Shame as a moral mood in medicine. Journal of Evaluation in Clinical Practice. 2022.
Burke T, Brown B. You Are Your Best Thing: Vulnerability, Shame Resilience, and the Black Experience.
Bynum WE IV. Filling the feedback gap: the unrecognised roles of shame and guilt in the feedback cycle. Medical Education. 2015.
Bynum WE IV. Assessing for Learner Shame Should Be a Routine Part of Remediation for Unprofessional Behavior. Academic Medicine. 2017.
Bynum WE IV, Adams AV, Edelman CE, Uijtdehaage S, Artino AR Jr, Fox JW. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Academic Medicine. 2019.
Bynum WE IV, Artino AR Jr, Uijtdehaage S, Webb AMB, Varpio L. Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents. Academic Medicine. 2019.
Bynum WE IV, Artino AR Jr. Who Am I, and Who Do I Strive to Be? Applying a Theory of Self-Conscious Emotions to Medical Education. Academic Medicine. 2018.
Bynum WE IV, Teunissen PW, Varpio L. In the “shadow of shame”: A phenomenological exploration of the nature of shame experiences in medical students. Academic Medicine. 2021.
Bynum WE 4th, Uijtdehaage S, Artino AR Jr, Fox JW. The Psychology of Shame: A Resilience Seminar for Medical Students. MedEdPORTAL. 2020.
Bynum WE 4th, Varpio L, Lagoo J, Teunissen PW. ‘I’m unworthy of being in this space’: The origins of shame in medical students. Medical Education. 2021.
Clarkson M D. Haskell H. Hemmelgarn C. Skolnik P J. Abandon the term “second victim.” BMJ. 2019.
Cuneo C. N. Make the Step 1 test for medical students pass/fail. STAT. 2019.
Davidoff F. Shame: the elephant in the room. Quality & Safety in Health Care. 2002.
Davies O, Dolezal L, Bynum WE IV, Wu C., and Berry H. Needlestick. New England Journal of Medicine. 2022.
Dolezal L. The Body and Shame: Phenomenology, Feminism and the Socially Shaped Body. 2015.
Dolezal L. Gibson M. Beyond a trauma-informed approach and towards shame-sensitive practice. Humanities and Social Sciences Communications. 2022.
Dolezal L. Rose A. and Cooper F. COVID-19, online shaming and health-care professionals. The Lancet. Vol 398. August 2021.
Gilbert P. Shame and the vulnerable self in medical contexts: the compassionate solution. Medical Humanities. 2017.
Gordon E. Doctors With Disabilities Push For Culture Change In Medicine. NPR. 2018.
Gornick, V. “Put on the diamonds.” Notes on humiliation. Harper’s Magazine. 2021.
Hippocrates. The Physician. Workman B. K. They Saw It Happen In Classical Times. Oxford: Basil Blackwell, 1964.
hooks b. Moving Beyond Shame in Teaching Community: A Pedagogy of Hope. 2003.
hooks b. Teaching to Transgress: Education as the Practice of Freedom. 1994.
Lazare A. Shame and humiliation in the medical encounter. Archives of Internal Medicine. 1987.
Lindström UH, Hamberg K, Johansson EE. Medical students’ experiences of shame in professional enculturation. Medical Education. 2011.
Lycette JL. Shame Runs Deep in Medical Training; We Can Release It by Owning Our Own Stories. Medscape. 2021.
Lyons B, Gibson M, Dolezal L. Stories of shame. Lancet. 2018
Mantoo S. Vulnerability and Shame in Medicine. FemInEM. 2019.
Markman JD, Soeprono TM, Combs HL, Cosgrove EM. Medical student mistreatment: understanding ‘public humiliation’. Medical Education Online. 2019.
Miles S. Addressing shame: what role does shame play in the formation of a modern medical professional identity? BJPsych Bulletin. 2020.
Mumby H. The Shame Spiral. The Shame Conversation. 2022.
Murthy V. Addressing Health Worker Burnout: The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce, 2022.
Ofri D. Ashamed to Admit It: Owning up to Medical Error. Health Affairs. 2010.
Ofri D. My Near Miss. New York Times. 2013.
Ofri D. When We Do Harm: A Doctor Confronts Medical Error. Boston, Beacon Press. 2020.
Ofri D. Chapter 5, Burning with Shame. What Doctors Feel: How Emotions Affect the Practice of Medicine. 2014.
Peters M. King J. Perfectionism in Doctors. BMJ Editorial. 2012.
Piepzna-Samarasinha LL. Care Work: Dreaming Disability Justice. 2018.
Renee Taylor S. The Body Is Not An Apology.
Shame and Medicine project, Shame Glossary (work in progress).
Shaw G. What ‘Learning by Shame’ Does to Young Doctors. Emergency Medical News. May 2019.
Whelan B, Hjörleifsson S, Schei E. Shame in medical clerkship: “You just feel like dirt under someone’s shoe”. Perspectives on Medical Education. 2021.
Whelan B, Schei E, Hutchinson T. Shame in medical education: A mindful approach. The International Journal of Whole Person Care. 2020
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000.
Zabari ML. Southern NL. Effects of shame and guilt on error reporting among obstetric clinicians. Journal of Obstetric, Gynecologic, & Neonatal Nursing: Clinical Scholarship for the Care of Women, Childbearing Families, & Newborns. 2018.
Videos
Goldman B. Doctors make mistakes. Can we talk about that? TEDxToronto 2010.
Ngozi Adichie C. The danger of a single story. TEDGlobal 2009.
Ofri D. Deconstructing our perception of perfection. TEDMED 2015.
The Shame Conversation Film prod. Will Bynum, MD.
UCL Centre for Perioperative Medicine, Shame… An Interview with Dr Jonathan Tomlinson
Shame Networks
Get Support
If you are a clinician in need of help, you can call the Physician Support Line — a free, confidential support line where volunteer psychiatrists provide peer support for physicians and medical students — at +1-888-409-0141.
You can also call or text 988 to reach the Suicide & Crisis Lifeline 24/7.
And, as always, please take good care of yourself, whatever that may mean for you.