We might assume that a patient who is chained to their hospital bed must be restrained for good reason, but our guest challenges that assumption in a published account of a man in shackles who is intubated, sedated, and paralyzed in the ICU. He and his co-author write that "Over-policing and mass incarceration have led to Black prisoners being disproportionately represented in jails and prisons. Those of us in positions of power may disregard the shackle, or not question its purpose, or even propose that it is justified." But how often do incarcerated patients actually try to escape while receiving medical care? Should a physician ask the guards to take off the shackles? What are the legal and ethical consequences of doing so? What is the right thing to do? What are the implications of not speaking up? We explore these questions and more.
Can we learn and practice medicine well in a system that is so ill?
“Tough Love” is Not the Answer: A critique of NEJM reporting on student/trainee grievances and educator discontent
What a James Baldwin story can teach doctors and patients about care amidst suffering
How confronting racist ideas I didn’t realize I had is shaping me as a physician and a person
About me being racist: A conversation that follows an apology
How effects of racism were mistaken for “race” in clinical algorithms: What clinicians should know
Drug testing at time of birth: How physicians are co-opted into harming families while thinking they are doing the right thing
Directly and Covertly Observing Care: How it Can Transform Medical Education and Improve Clinical Practice
"Dire Consequences": When students do not receive appropriate accommodations on the USMLE examinations
Why it's time to remove time limits on tests, like the USMLE exams
Running the Gauntlet: My Journey into Medicine with a Learning Disability
Why are doctors turning to ChatGPT for help relating to patients?
Prescription Opioid Reductions and Suicide: What Should Caring Physicians Do in the Face of Uncertainty?
From medical student mistreatment to burnout: How can we change the culture?
Medical Student Mistreatment: A Wicked Problem
Uncommon wisdom from a family physician and medical educator
Challenging Questions to Help Physicians Reflect, Grow, and Find More Joy Practicing Medicine
Organic Chemistry and the Questionable Ways We Select and Train Physicians
Contextualizing Care in a Nutshell (and a New Study)
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