Simon G. Talbot, MD
Simon G. Talbot is a plastic surgeon.
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Physician voices

At a recent annual exam for one of us (Walter), the medical assistant had checked heart rate, blood pressure, temperature, and oxygen saturation. Inquiring cheerfully about the Fifth Vital Sign, she flashed the 10-point pain scale of emojis ranging from…
At a recent annual exam for one of us (Walter), the medical assistant had checked heart rate, blood pressure, temperature, and oxygen saturation. Inquiring cheerfully about the Fifth Vital Sign, she flashed the 10-point pain scale of emojis ranging from beaming to grimacing. The only mention-worthy pain was an occasionally aching meniscus from a forgettable high school football career.
It was refreshing that she didn’t ask about burnout. Everyone else was. …
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In the burnout epidemic, is mindfulness the new opioid?
Physician voices

The ongoing COVID crisis in the U.S. has highlighted our broken heath care system. And with it, has come an opportunity to begin to fix the system. Some touted mindfulness as a panacea pre-COVID – suggesting that if clinicians reframed…
The ongoing COVID crisis in the U.S. has highlighted our broken heath care system. And with it, has come an opportunity to begin to fix the system. Some touted mindfulness as a panacea pre-COVID – suggesting that if clinicians reframed the situations around them, they could better cope and continue. This backward argument echoes the idea that clinicians should redouble their resilience rather than address the core drivers of their distress. …
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Mindfulness as a diagnostic tool, not a treatment
Physician voices

When we began exploring the concept of moral injury to explain the deep distress that U.S. health care professionals feel today, it was something of a thought experiment aimed at erasing the preconceived notions of what was driving the disillusionment…
When we began exploring the concept of moral injury to explain the deep distress that U.S. health care professionals feel today, it was something of a thought experiment aimed at erasing the preconceived notions of what was driving the disillusionment of so many of our colleagues in a field they had worked so hard to join.
As physicians, …
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Moral injury in health care: What have we learned?
Conditions and diseases

Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury. Moral injury is frequently…

Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury.
Moral injury is frequently mischaracterized. In combat veterans it is diagnosed as post-traumatic stress; among physicians it’s portrayed as burnout. But without …
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Physicians don’t just suffer burnout. They suffer moral injuries.
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