Doctors and Litigation: The L Word – Details, episodes & analysis

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Doctors and Litigation: The L Word

Gita Pensa MD

Health & Fitness

Frequency: 1 episode/67d. Total Eps: 42

The majority of physicians will be sued during their career, yet the topic is largely taboo. This podcast for physicians discusses malpractice litigation and litigation stress, with the voices of doctors who have been through it. Music by @BenJamin Banger. Learn more about creator Gita Pensa M.D. at doctorsandlitigation.com Also available on Apple Podcasts and Spotify

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Apple Podcasts

🇺🇸 USA - medicine
26/08/2026
#70
🇺🇸 USA - medicine
25/08/2026
#95
🇺🇸 USA - medicine
24/08/2026
#74
🇺🇸 USA - medicine
23/08/2026
#67
🇺🇸 USA - medicine
22/08/2026
#72
🇺🇸 USA - medicine
21/08/2026
#71
🇺🇸 USA - medicine
20/08/2026
#64
🇺🇸 USA - medicine
19/08/2026
#48
🇺🇸 USA - medicine
18/08/2026
#52
🇺🇸 USA - medicine
17/08/2026
#35

Spotify

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https://www.doctorsandlitigation.com/LEAP/signup
24 shares
https://www.doctorsandlitigation.com/contact
16 shares
https://doctorsandlitigation.com/
12 shares

https://youtu.be/phwbzDMCuUc?si=DUymrA6dE9xYYVx_&amp
8 shares
https://www.youtube.com/watch?v=09IVcL6pACU
4 shares
https://www.youtube.com/watch?v=jVIYbgVks7E
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Score global : 57%

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Introduction: What’s the Big Deal?

Season 1 · Episode 1

Saturday, April 6, 2019 • Duration 17:48

Litigation affects the majority of physicians during their career -- in other words, good doctors often get sued. Yet the topic is largely a taboo one among physicians. In this first episode, Dr. Gita Pensa introduces the topic of litigation stress, interviews physicians who have been sued about what makes the experience difficult, and talks to Louise Andrew, MD JD about why this topic needs to be addressed.

Dr. Pensa successfully defended a multi-million dollar malpractice case spanning twelve years, including two jury trials. She speaks nationally on the topic of litigation and litigation stress, and has been a practicing physician for nearly 20 years. She is currently academic faculty at the Alpert Medical School of Brown University. However, these opinions are her own, and this podcast does not express the views of Brown University, her employers, or any affiliated hospital systems.

More about Dr. Pensa: doctorsandlitigation.com

Also available here on Apple podcasts.

Theme music by BenJamin Banger (Instagram: @BenJaminBanger)

_____________________

Check out Dr. Pensa's recent appearance on The Pitt Podcast -- the HBO Max companion podcast to the Emmy-winning hit show, The Pitt!

Gita Pensa was thrilled to be a consultant for the hit drama The Pitt for the 2nd and (upcoming) 3rd seasons, bringing her expertise in malpractice litigation stress to help the show's writers understand what clinicians carry behind the scenes. She speaks about it more in Episode 10 of the HBO Max companion podcast.

Watch here now:

https://youtu.be/phwbzDMCuUc?si=DUymrA6dE9xYYVx_&t=2070

_______________________

Take the LEAP! Be litigation-ready.

Learn from Dr. Pensa's attorney-vetted Litigation Education and Performance for Clinicians course. Up to 16 hours of AMA Category 1 CME/CNE credits available in this self-paced video course that will teach you about the skills and mindset required to face medical litigation with integrity and know how. Learn many of the techniques Dr. Pensa uses with her own 1:1 coaching clients.

START HERE: https://www.doctorsandlitigation.com/LEAP/signup

_______________________

Attorneys, Risk, Claims, and Medical Leadership: Learn about "Defense LEAP" and partnering with Dr. Pensa to ensure your medical defendants are supported and prepared from the very beginning. Contact Dr. Pensa through her website to learn more: https://www.doctorsandlitigation.com/contact

________________________

WATCH: The Emmy-nominated 30-minute documentary, "A World of Hurt: How Medical Malpractice Fails Everyone," featuring host Dr. Pensa.

PBS: https://watch.ripbs.org/video/a-world-of-hurt-how-medical-malpractice-fails-everyone-uklpuo/

YouTube: https://www.youtube.com/watch?v=09IVcL6pACU

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First Steps: You‘ve Been Served

Season 1 · Episode 2

Thursday, May 9, 2019 • Duration 25:20

In the second episode of Doctors and Litigation: The L Word, we discuss the very first steps in litigation, starting with when you are given notice of a medical malpractice lawsuit. Experts Dr. Sara Charles, Dr. Ilene Brenner, and Dr. Louise Andrew lend their expertise; physician voices describe their experiences.

More about author Dr. Pensa: doctorsandlitigation.com

Topics discussed:

The emotional impact of the first steps into litigation (and the intended effect from the plaintiff's attorneys), as well as some advice on how to frame it in your mind
First action basics: contacting your insurance carrier, and finding an attorney to represent you
Board of Licensure/Department of Health investigations that begin automatically in some states when litigation starts
The beginnings of the 'discovery' process
Who to talk to...and who not to talk to
Do's and definite don'ts in the first stages

Resources mentioned:

"How to Survive a Medical Malpractice Lawsuit", by Ilene Brenner MD

"Adverse Events, Stress and Litigation: A Physician's Guide", by Sara Charles, MD and Paul Frisch, JD

Litigation stress website with free resources: www.physicianlitigationstress.org (founded by Dr. Sara Charles; note host Gita Pensa MD serves on the voluntary advisory board)

Dr. Louise Andrew, MD JD: www.mdmentor.com

Theme music by BenJamin Banger (Instagram: @BenJaminBanger)

Special Episode: Litigation Risk and COVID-19

Season 1 · Episode 11

Sunday, April 5, 2020 • Duration 32:32

Many listeners have sent in questions about litigation in this new era of COVID-19. They are infuriated after seeing advertisements from plaintiff's attorney firms already soliciting COVID-19 cases, while physicians and other front line health care providers risk our lives and the health of our families in an unprecedented crisis --when litigation should be the last thing we have to worry about. Physicians now wonder how protected will they be if their usual practice is disrupted, and there are delays in diagnosis or treatment. Or what if we send a patient with suspected COVID-19 home when they are stable, but they later worsen or die due to the unpredictability of this horrible virus? What if we are forced to ration ventilators or other scarce resources? Or if we are asked to practice outside our usual scope -- if an OB-Gyn is now working on the medicine floors, or a general internist is now working in the ICU, and there is an adverse event in that setting?

In this episode, Dr Pensa speaks with two malpractice defense attorneys about some general principles, and gets some reassurance.

Some states are adopting emergency measures that provide practitioners with additional protection, changing the standard for civil cases to 'gross negligence or willful misconduct'. But this does not mean the provider has blanket immunity from being sued at all. Lawsuits might still be filed that will need to be defended, even with this new standard (though likely fewer cases will be brought forth, because they will be much harder for plaintiffs to prevail). Because lawsuits can still be filed, and there are large costs associated with defending them from the start, it is imperative that you are properly insured for however your practice changes in this pandemic. We discuss considerations for retirees and volunteers, physicians who are changing the manner in which they see patients, and the importance of documenting circumstances in general.

More about Dr. Pensa: doctorsandlitigation.com

Special Episode: The RaDonda Vaught Case

Season 1 · Episode 12

Monday, April 11, 2022 • Duration 53:41

In this special episode, Dr. Pensa has a conversation with attorney T. Marc Calvert about the criminal trial of RaDonda Vaught, a Vanderbilt nurse who was found guilty of negligent homicide due to a medication error.

Attorney Calvert has specialized in medical malpractice defense for over thirty years, and brings a nuanced perspective to a case which has rocked the medical world since the verdict in March 2022. Some of the questions we discuss:

Will we see more criminalization of adverse events and medical error after this trial?
Will malpractice insurance cover the costs of a criminal defense?
What is the institutions's role in this error, and why are they not bearing more responsibility?
What might happen to safety culture and the self-disclosure of error in the wake of this verdict?
What lessons should we take away from this terrible and tragic event?

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Life After Litigation: Part One

Season 1 · Episode 13

Wednesday, May 10, 2023 • Duration 24:09

Although you might expect life to go back to 'normal' as soon as the litigation process is complete, it often doesn't work that way. Lingering distress, if left unaddressed, can lead to behaviors like over-documenting or over-testing, avoidance of certain procedures or case types, PTSD symptoms, disillusionment, burnout, and career abandonment. In part one of 'Life After Litigation', Dr. Gita Pensa speaks with Tracy Sanson MD, Stacia Dearmin MD, and Marge Paccione, PhD, about their insights.

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Life After Litigation: Part Two

Season 1 · Episode 14

Thursday, February 8, 2024 • Duration 52:00

Dr. Pensa tells the story of her own life after litigation in an interview with Dr. Mel Herbert.

This is the last episode of Season One. But follow along -- a new season is in the works! We'll talk about topics at the intersection of litigation, coaching, risk, and medicine -- and how to stay human through all of it.

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The EMR Audit Trail: Friend and Foe

Season 2 · Episode 1

Saturday, March 9, 2024 • Duration 29:59

In this first episode of Season 2, Dr. Pensa talks with attorney Saira Pasha, an EMR audit trail expert. What else besides the words in your chart does your electronic medical record track? Are 'secure messages' discoverable? (Spoiler: yes, they can be!) How can an audit trail help your case -- or hurt it? How does an audit trail expert 'read between the lines' of who's looking at what entries in the record, and when, and for how long?

Take home points:

The EMR creates a trail that tracks not only your substantive words on the chart, but evidence of all the people who were in a given chart, at what time, looking at what, for how many seconds or minutes, what they did next in the chart, whether a template or smart phrase was deployed. It tracks and times views, edits, additions, deletions, changes, and any printing or searches. These are not part of the initial requested 'medical record,' but can be obtained through the request of an EMR audit trail.
The timing of changes to the record can imply that charting was slanted in a way to be defensive or misleading (or at least, a plaintiff’s attorney is going to try to do that, even if your intention was well-meaning.)
Attorneys may infer the importance of a part of the record by seeing how many people were in a chart at a given time, and what they were all looking at, for how long. This information can act like a big red arrow pointing at a specific medication order or radiology result, for example, even if there is no explicit mention of it in anyone's notes.
Secure messages, FYI's, Best Practice Advisories, and other prompts are all discoverable (with a little sleuthing) as part of an EMR audit within a few years of their appearance in the chart.
If you cosign notes using a template that suggests you did a substantive review of another clinician's care (such as an APP or midwife), be mindful of the fact that the EMR tracks how long you spent in that note, or reviewing that patient's chart or imaging.

Dr. Pensa references this 2021 case in which efforts to alter EMR records were exposed.

Help Resistance

Season 2 · Episode 2

Thursday, April 4, 2024 • Duration 27:20

This month, we're exploring the topic of 'help-resistance' in physicians. Why do we acknowledge the need to maintain and optimize the health of our bodies, but scoff at doing the same for our minds or mental well-being? Why do support programs flounder from lack of participation? Why is the notion of even 'self-help' so foreign and...icky?

In this 'listicast', Dr. Pensa explores the top ten(ish) reasons for help-resistance in physicians. This has practical implications as to why physicians often do not access support programs, and why they may resist external or even self-help instruction.

These concepts are each briefly explored, with particular focus on the physician experience (though, of course, other clinicians and high achieving professionals may have similar experiences.)

Ten Reasons Behind 'Help-Resistance' in the Physician

1) Internal core beliefs and identity of the physician (and traits including exceptionalism and perfectionism)

2) External collective beliefs and medical culture

3) Inability to recognize when help is indicated (or avoidance coping)

4) Lack of awareness of various modalities of 'help' (what does 'help' even mean?)

5) Family of origin (or culture of origin) taboos; expectations of the family high achiever

6) Absent help infrastructure (or a hush-hush help infrastructure)

7) Terminal uniqueness

8) Fear (of discovery, judgment, licensure/discipline threats)*

9) Friction

10) Change resistance and inflexible thinking (or dichotomous thinking)

*To learn more about Dr. Lorna Breen, the Dr. Lorna Breen Heroes Foundation, and their work addressing the origins of this fear, go to

Medical Board Complaints and Investigations

Season 2 · Episode 3

Tuesday, May 7, 2024 • Duration 48:23

Medical Boards (or state Departments of Licensure and Discipline) are charged with keeping the public safe from unskilled, impaired, or unscrupulous doctors (or other licensed clinicians, each of which has their own board). While this is an important and necessary role, it is also not uncommon for well-meaning or "innocent" doctors to become the subject of investigations due to complaints from patients, other doctors (including competitors), or from the Board itself. Malpractice litigation or adverse event reporting may also trigger Board investigations as well.

This process is usually opaque, and clinicians have a poor understanding of how their Board works, who is on it, how those people are appointed, who they answer to, what happens when complaints are investigated, the possible ramifications of board decisions, and how to best prepare themselves in the case of a complaint. A naive physician can unwittingly worsen their situation, and an attorney is usually recommended to help in navigating the process. Depending on the complaint, your malpractice policy may help defray the cost of this.

Important points to note: processes for Boards differ from state to state. Typically anyone can lodge a complaint against a physician with the Board, for nearly any reason, and every complaint needs to be addressed in some way. These complaints can be anonymous in some states, and can range from serious to trivial. There is generally no statute of limitations for these complaints. Consider this podcast an invitation to learn more details about your state's medical board and their processes.

Board investigations and evaluations have been linked to physician suicide, and Dr. Pensa cites a study from 2014 in which nearly 5% of physicians referred to the Tennessee medical board for fitness-for-duty evaluations either seriously attempted or completed suicide. She also mentions a John Oliver 'Last Week Tonight' episode about state medical boards that paints a bleak picture of state medical boards' ability to root out dangerous doctors. The job of the medical board is indeed a difficult one, and Dr. Pensa makes the case for more transparency, accountability, and feedback mechanisms given their power and the wide-reaching impact of their decisions. Changes would need to be made at a legislative level, as the Board is typically a governmental/political organization.

Mindfulness in Litigation

Season 2 · Episode 4

Friday, June 14, 2024 • Duration 37:35

There is a wealth of research to support a positive effect of mindfulness on the mental health and overall well being of physicians and other clinicians. This is well documented in spheres like burnout, job satisfaction, and overall well being (sample references below). Today on the podcast we introduce mindfulness as a cognitive tool that can be useful in litigation preparation as well.

Today's guest, Douglas Morgan, is a seasoned medical malpractice defense attorney who incorporates the teaching of mindfulness into his work with clinician defendants.

Resources mentioned:

Apps: JKZ, Plum Village, Headspace, Ten Percent Happier and Insight Timer (Dr. Pensa and Attorney Morgan have no financial ties)
Mindfulness Based Stress Reduction and the work of Jon Kabat-Zinn
Teachings of Thich Nhat Hanh

References:

JAMA Internal Medicine. (2019). Effect of a Mindfulness-Based Intervention on Burnout Among Physicians: A Randomized Clinical Trial.
The Lancet. (2020). Mindfulness in Health Care Workers: Benefits Beyond Burnout.
Journal of Occupational Health Psychology. (2017). Mindfulness-Based Stress Reduction for Medical Students and Physicians: A Systematic Review.
Annals of Internal Medicine. (2014). Mindfulness-Based Stress Reduction for Health Care Providers: A Systematic Review.

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Doctors and Litigation: The L Word – Details, episodes & analysis

Podcast details

Recent rankings

Apple Podcasts

Spotify

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Apple Podcasts

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Doctors and Litigation: The L Word – Details, episodes & analysis

Podcast details

Recent rankings

Apple Podcasts

Spotify

Shared links between episodes and podcasts

Other42

Youtube4

Amazon4

RSS feed quality and score

Publication history

Latest published episodes

Similar podcasts and content

Related Shows Based on Content Similarities

Related Shows Based on Content Similarities

Other42

Youtube4

Amazon4

Apple Podcasts

Spotify