What if the way we were trained to give feedback in medicine is the very thing burning doctors out today? Every physician remembers their first day of residency—the fear, the overwhelm, and the sudden realization that medical school did not truly prepare them for the intensity of real-world practice.

In this episode of Scalpel and Sword Podcast, Dr. Lee Sharma sits down with fellow OB/GYN Dr. Emily McInnis for an honest conversation about what it was really like to train in a high-pressure residency environment, and how those experiences shape the way physicians communicate, lead, and handle conflict today.

Dr. Emily reflects on being “thrown into the deep end” as a brand-new intern: performing C-sections on day one, navigating brutal call schedules, and learning through trial by fire. She and Dr. Sharma discuss the infamous culture of the “closet talk”—private reprimands filled with yelling and humiliation that were once considered normal teaching tools in medicine.

This episode dives deep into the unspoken emotional realities of medical training: the craving for praise, the terror of making mistakes, the loneliness of being on call, and the long-term impact of how young doctors are treated.

Most importantly, it offers hope, showing that physicians have the power to break old cycles and create healthier, more humane cultures for the next generation.

Three Actionable Takeaways

• Feedback Doesn’t Have to Hurt to Be Effective; Constructive criticism delivered with respect is far more powerful than yelling or shaming. Physicians learn better and perform better when they feel safe rather than attacked.
• Culture Is Modeled, Not Inherited; Just because harsh communication was normalized during training doesn’t mean it must continue. Every clinician has the opportunity to choose kindness and professionalism in how they teach and lead.
• Psychological Safety Improves Patient Care; When trainees and team members aren’t afraid to ask questions or admit uncertainty, errors decrease and collaboration increases. Healthy communication is a patient-safety strategy.

About the Show:

Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Guest:

Dr. Emily McInnis is a board-certified obstetrician-gynecologist practicing in Auburn, Alabama. Trained at the University of Mississippi, she experienced firsthand the intense, high-pressure culture of traditional residency programs. Passionate about mentoring and compassionate communication, Dr. Emily now strives to create a more supportive environment for colleagues, trainees, and patients alike.

About the Host:
Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

• Connect with Dr. Lee Sharma:
  📧 Email: scalpelandsword@gmail.com
  🌐 Website: East Alabama Health - Dr. Sharma

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.

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