In education, moral injury stems from broken trust, values conflicts & unresolved miscommunications—like devoting time to test prep instead of joyful learning. @WDeanMD & Rachel Schaffer explain in the new #AmericanEducator: aft.org/ae/spring2025/dean_s…

“Our teachers & school staff deserve to have their voices heard, their calls for adequate resources heeded, their expertise respected & their safety protected.” Read more from @WDeanMD & Rachel Schaffer on moral injury in education for #AmericanEducator: aft.org/ae/spring2025/dean_s…

New in @JAMA_current we find that physician unionization has increased markedly since 2023, & we briefly explore why. And in @HMPI_Journal we discuss how the interaction of labor law & corporate practice of medicine laws may shape these growing organizing efforts. 1/x

In education, moral injury stems from broken trust, values conflicts, & unresolved miscommunications—like devoting time to test prep instead of joyful learning. @WDeanMD & Rachel Schaffer explain in the new #AmericanEducator. aft.org/ae/winter2024-2025/d…

Haven’t seen a single member of Congress acknowledge the rage seemingly everyone is expressing at the healthcare system. How hard is it to say “I don’t condone violence but people’s pain is real”

When healthcare is viewed as a business transaction without considering nature of caring for other humans it is not surprising that young clinicians are looking for more outside of medicine. They are not getting the rewards that we have traditionally received as physicians.

Moratorium on Physician-Owned Hospitals: When we tell doctors they can't own hospitals, we're telling experts they can't innovate in their field. Imagine telling chefs they can't own restaurants, or artists they can't own galleries. The result? A system where passion meets red tape, and patients lose. The real cost isn't just in dollars—it's in the dreams we're killing and the care we're compromising. Time to rethink who we trust with healing.

Are “free markets” free when we privatize profits & socialize losses? @ALeighMP joined @WDeanMD and @Matthewramseymd to discuss #economics as "a social science that studies how people maximize their well-being in the face of scarcity", incl in #healthcare. linktr.ee/43cc

The Moral Injury Epidemic: Wendy Dean on How to Change Healthcare podbean.com/pu/pbblog-chnhw-… @WDeanMD

Want to understand moral injury in healthcare more? We got to talk to @WDeanMD about her work. It’s on demand here- sharpindex.org/blog/if-i-bet… She narrates her book on @audible_com - which I loved since I know her and she has a great voice. Get it- amzn.to/3Y6oTgp

Beach! 😁 Rain...🙃 Volunteer roadies. A great audience. (@physicianhosp) Brave storytellers ( 💙 @PaulaMutoMD, Fred, Jenn). Signature drinks.🍹 🙏🙏 @JillRubyProd Def a "W" Subscribe and listen here: linktr.ee/43cc Cheers! @Matthewramseymd & @WDeanMD

Starting Mon 9/23/2024, all US households can order 4 free #COVID19 home rapid tests from CovidTests.gov. If you have expired tests at home, you can check here to see if the exp dates have been extended: fda.gov/medical-devices/coro…. Bookmark & share! #MedTwitter

Since the introduction of electronic health records (EHRs), US healthcare has seen zero productivity gains, while nearly every other sector has improved output per worker. Healthcare remains stagnant. Imagine a restaurant implementing software for seating, orders, and billing that cut efficiency by 50%. Picture a chef spending as much time on the computer as cooking, or waiters filling out meaningless checkboxes as often as they take orders. That software would be discarded immediately. Would any industry accept "innovations" that slash productivity? These inefficient systems were forced on physicians by corporate conglomerates, not to optimize patient care, but to maximize billing. They’re designed to capture every CPT code, comorbidity, and game the "observed-to-expected" metrics, all at the cost of physician and nurse efficiency. As a result, success in medicine is no longer about diagnostic skill, empathy, or surgical expertise—it’s about surviving the endless clicks required each day. What if "clicks per encounter" or "EHR time outside work hours" were CMS quality metrics, weighted like readmissions or patient satisfaction scores? To reverse the burnout crisis, we must demand that health systems improve EHR efficiency. Repeal meaningful use and inject competition into the EHR market. Improving the EHR will make doctors more efficient, decrease healthcare spending and improve outcomes. Lets make medicine less about clicking and more about healing. @anish_koka @EconTalker @MarilynHeineMD @LeahHoustonMD @ReasObBob @TomRomeo5 @cscla

I was a dr before the Affordable Care Act. And people w/ cancer did hit lifetime caps & had further treatment denied by insurers. They were dropped from plans, declared bankruptcy, & died. We are NEVER EVER going back to that. #PresidentialDebate2024 #MedTwitter

"We need to make sure healthcare isn't too big to care." @WDeanMD Webinar link: us02web.zoom.us/webinar/regi… Here are the upcoming books for @SharpIndex book club: sharpindex.org/bookclub

Not planned, but auspicious timing - the paperback of IIBTW is out now, in the midst of #SuicidePrevention month. We need better language to describe workforce distress. Learn why #moralinjury gives us a good start. @fixmoralinjury @43ccpodcast @simontalbotmd

#NewRelease If I Betray These Words by @WDeanMD and Simon Talbot 🩺 This book delves into the crisis facing healthcare professionals today—exploring the ethical struggles, burnout, and the emotional toll of caring for others in a system that doesn’t always care for them.

Hey, EVERONE, I KNOW. And hopefully some people I don't know. See you Thursday. READ ABOUT THE BOOK CLUB THIS MONTH. Then share it. Please. sharpindex.org/blog/if-i-bet…

The Physician-Led Healthcare for America (PHA) Summit runs from 9/21 to 9/23. This isn’t just another event—it’s where leaders meet to shape the future of healthcare. Who’s attending? The owners of physician-led hospitals, partners in surgical hospitals, leaders in ambulatory surgery centers, and private practice physicians who take charge. This is where decisions get made. We start by honoring Scott Becker, the visionary attorney who founded PHA. Scott didn’t just create a summit; he sparked a movement! And the keynote? None other than @JeromeAdamsMD the 20th U.S. Surgeon General. He’s seen it all and will share insights you won’t hear elsewhere. What’s on the agenda? The discussions that drive change: - Mergers and acquisitions (smart growth beats bigger growth) - New payers (how to navigate a shifting landscape) - Legislation and advocacy (because silence isn’t an option) - Strategies for growth (if you’re not growing, you’re falling behind) This isn’t just a gathering. It’s a rallying cry. We'll see you there if you’re ready to lead, challenge, and change the game. #healthcare

We're just two weeks away from PHA's 2024 Leadership Summit in Naples. We can't wait to see @DutchRojas, @EdGainesIII & everyone else there. Learn more: physiciansled.com/phas-2024-…