Doctors are working to break the cycle of shame and blame in medicine, recognizing that intense emotional training can amplify feelings of inadequacy in future doctors. Led by Will Bynum, a leading voice among clinicians and researchers, this effort aims to teach “shame competence” to medical students and practicing physicians.
The problem is two-fold: the US political environment often blames chronic conditions on lifestyle choices, while doctors’ offices also perpetuate shame through public humiliation of patients. As a result, some patients avoid healthcare providers due to weight-related lectures or fear of judgment.
However, a growing number of physicians are trying to bring attention to the detrimental effects of shame and develop strategies to prevent and mitigate it. They recognize that unaddressed shame can lead to depression, burnout, and erosion of patient care.
To combat this, doctors-in-training are learning skills such as reframing their mindset when receiving poor grades or struggling with new skills. By acknowledging and addressing shame in themselves and others, they can create a healthier culture in medicine.
The “Shame Lab” at Duke University is leading this effort, providing training to over 300 people across the Department of Family Medicine and Community Health. The goal is to help physicians recognize shame and develop a supportive mindset, ultimately improving patient care.
Source: https://www.npr.org/2025/10/28/nx-s1-5589220/shame-competence-medicine-doctors-blame-patients