Analysis and Ambiguity
Articles by Lisa Rosenbaum, M.D.
As a cardiologist, Lisa Rosenbaum knew that many patients, even those who had survived an MI, didn’t take the medications they were prescribed. As a fascinated student of human behavior, she undertook research to find out why. Her articles for NEJM explore many such questions about the psychology and sociology of medicine and health care, seeking nuanced truths in often-polarized domains of human cognition, emotion, culture, ethics, and politics. Drawing on interviews, social science and medical research, and actual experience, Dr. Rosenbaum writes insightful essays that raise provocative questions for clinicians, researchers, and patients.
Despite the best intentions of both dedicated health care professionals and their organizational leaders, the culture of U.S. medicine is too often siloed rather than collaborative, complacent rather than activist, opaque rather than transparent. In these articles, Lisa Rosenbaum examines some troubling aspects of our current medical culture and the obstacles and possible pathways to its reinvention.
- Cursed by Knowledge — Building a Culture of Psychological Safety February 21, 2019 Because physicians often set the cultural tone of the hospital, it’s worth considering barriers to health care professionals’ “psychological safety” for which we’re largely responsible. Why doesn’t it always feel like everyone caring for a patient is on the same team?
- The Not-My-Problem Problem February 28, 2019 In cases in which the “bystander effect” seems to be at play in medicine, inaction by a group of clinicians usually takes the form of tacit acceptance of the status quo when the status quo isn’t working. What can social psychology teach us about such group failures?
- Scoring No Goal — Further Adventures in Transparency October 8, 2015 Though quality improvement in medicine and sound information to help patients choose providers are clearly needed, ProPublica’s new surgeon scorecard is likely to achieve neither. But it has triggered important discussion about appropriate assessment and transparency.
- No Cure without Care — Soothing Science Skepticism April 15, 2021 To the extent that Covid vaccine hesitancy reflects deeper, longer-standing fractures in medicine’s relationship with the public, its exploration provides an opportunity to improve patient care in ways that go far beyond the pandemic.