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Flourishing in Medicine: From Surviving to Thriving

Flourishing in Medicine: From Surviving to Thriving

Released: 2025-05-17
© EmPRO Insurance 2023
Flourishing in Medicine: From Surviving to Thriving - QR Code
24 Episodes
Audio
Listen on Apple Podcasts
24 Episodes
Audio
Listen on Apple Podcasts
Released: 2025-05-17
© EmPRO Insurance 2023
Most Recent Episode
Flourishing in Medicine: From Surviving to Thriving Episode 24 Deep Connections: Dr. Will Bynum on The Heart of Medicine and Navigating Shame in Healthcare

Flourishing in Medicine: From Surviving to Thriving Episode 24 Deep Connections: Dr. Will Bynum on The Heart of Medicine and Navigating Shame in Healthcare

Today, we are joined by Dr. Will Bynum. Will Bynum, MD, PhD., is an Associate Professor of Family Medicine in the Duke University School of Medicine. Prior to arriving at Duke in October 2017, he served for seven years on Active Duty in the US Air Forc
Time: 54:15
Today, we are joined by Dr. Will Bynum.
Will Bynum, MD, PhD., is an Associate Professor of Family Medicine in the Duke University School of Medicine. Prior to arriving at Duke in October 2017, he served for seven years on Active Duty in the US Air Force. Will's military service included four years of faculty duties in the NCC Family Medicine Residency Program, a deployment to East Africa as the senior medical director of a special operations command, and multiple overseas trips providing medical support to traveling congressional delegations. Will currently serves as the Duke Family Medicine Residency Program Director and Faculty Advisor to the Duke School of Medicine Student Wellness Committee. Will's primary academic interest centers on the role of self-conscious emotions (shame, guilt, and pride) in the medical learning experience. He has conducted some of this research through his PhD work in health professions education at Maastricht University in the Netherlands.
In the conversation, Dr. Bynum shares his journey from a service-oriented upbringing to becoming a leader in addressing shame in healthcare, exploring how authentic human connection forms the foundation of his work as both clinician and educator.
We also cover:
● His experiences in military service and the paradoxical psychological safety he found there compared to healthcare environments
● The personal crisis that led him to study shame in medical education and healthcare
● How storytelling and narrative serve as powerful tools for addressing shame
● The concept of "shame competence" and shame-sensitive practices in healthcare
● His vision for a more connected, authentic healthcare system that integrates humanities and creativity
Dr. Bynum concludes by reflecting on finding joy in his life through connecting with his family, building new experiences with his children, and creating work that feels meaningful enough to blur the line between profession and passion.
Dr. Bynum’s LinkedIn: https://www.linkedin.com/in/william-bynum-698a1889/
Website - Shame Space Consortium: https://www.theshamespace.com/
Chapters:
(00:00) Introduction
(01:45) Dr. Bynum’s Background
(04:00) Dr. Bynum's Path to Medicine
(07:15) Service-Oriented Family Influence
(10:30) Military Service Experience
(16:00) Journey into Medical Education
(18:45) Origin Story of Studying Shame in Medicine
(24:15) Storytelling as a Tool for Addressing Shame
(28:30) Comparing Military and Healthcare Environments
(34:30) Shame Competence and Shame-Sensitive Practices
(38:30) Creativity, Arts, and Humanities in Healthcare
(42:00) Imagining a Transformed Healthcare Future
(47:45) Personal Life and Finding Joy
(50:15) Conclusion
Resources/References:
The Shame Conversation Film: https://www.theshamespace.com/film
Dr. Brene Brown Ted Talks on shame and vulnerability: https://www.youtube.com/watch?v=psN1DORYYV0
https://www.youtube.com/watch?v=iCvmsMzlF7o
Bynum WE 4th, Sukhera J. Perfectionism, Power, and Process: What We Must Address to Dismantle Mental Health Stigma in Medical Education. Acad Med. 2021;96(5):621-623. doi:10.1097/ACM.0000000000004008
Bynum WE 4th, Varpio L, Lagoo J, Teunissen PW. 'I'm unworthy of being in this space': The origins of shame in medical students. Med Educ. 2021;55(2):185-197. doi:10.1111/medu.14354
Bynum WE 4th, W Teunissen P, Varpio L. In the "Shadow of Shame": A Phenomenological Exploration of the Nature of Shame Experiences in Medical Students. Acad Med. 2021;96(11S):S23-S30. doi:10.1097/ACM.0000000000004261
Episode ID: 1000708783240
GUID: 88fc0642-95fd-4f91-bd79-81c4ef9298b0
Release Date: 17/05/2025, 04:00:02

Description

Flourishing in Medicine: From Surviving to Thriving explores ways that health professionals- physicians, nurses and nurse practitioners, physician assistants, mental health providers, therapists, and others- can truly flourish in the complex and challenging world of health care.
The ability for physicians and other health professionals to practice high quality care and attain professional satisfaction and meaning in their work has been under continued challenge. These critically important members of our communities experience ongoing threats to their well-being and hence to the quality of care they deliver. The recent pandemic has only exacerbated changes that have occurred over the preceding years in the practice of medicine, exposing even further the fragility of our imperfect health care systems. This podcast explores the many ways that physicians can and do flourish, including a deeper exploration of what it means to work at the frontier of human frailty and suffering, while applying biomedical science and compassionate care to address the complexities of the human condition. It is the hope that this podcast can help support these health professionals and ultimately translate into improved care of themselves, their patients, and our communities.
Your host, Mick Krasner M.D., F.A.C.P, is a Professor Emeritus of Medicine at the University of Rochester School of Medicine and Dentistry. Dr. Krasner has been teaching Mindfulness-Based programs to patients, medical students, and health professionals for more than 23 years, involving over 4000 participants and more than 2000 health professionals, and continues to facilitate Mindfulness-Based Stress Reduction for employees and dependents of the University of Rochester. He was the project director of Mindful Communication: Bringing Intention, Attention, and Reflection to Clinical Practice, sponsored by the New York Chapter of the American College of Physicians, funded by the Physicians Foundation for Health Systems Excellence, with results reported in JAMA in September 2009. This program led to the establishment of Mindful Practice in Medicine Programs at the University of Rochester which he co-directs, offering continuing educational programs to health professionals and educators locally and internationally for the past 13 years, and includes a multi-year teacher training program for future facilitators of Mindful Practice. He has been engaged in a variety of research projects including the investigations of the effects of mindfulness practices on the immune system in the elderly, on chronic psoriasis, and on caregivers of Alzheimer’s patients. His most recent project, The Healer’s Journey, is a documentary film in production that explores the professional identity formation of our newest health professionals, the medical students.
Dr. Krasner graduated from the University of California, Berkeley in 1983 and received the Doctor of Medicine degree from the University of California, San Diego School of Medicine in 1987, completing residency in both Internal Medicine and Pediatrics at the University of Rochester School of Medicine and Dentistry where he continued as a full-time faculty member, engaging in medical student and residency education, post-graduate medical education, and research. He has shared his work in peer-reviewed publications, scientific assemblies, workshops, visiting professorships, and intensives throughout the world, focusing primarily on the roots of Hippocratic medicine through the cultivation of attention, awareness, and reflection on the health professional- healing relationship. Having recently left clinical practice, he now devotes all his time to the pursuit of helping physicians and other health professionals flourish.

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