EP25 - The Pause That Heals: Master Communication Before It Masters You

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Effective communication isn’t just a skill—it’s a reflection of inner stress and burnout. 


In this insightful episode of The Scalpel and Sword Podcast, Dr. Lee Sharma sits with Dr. Anne Hirsch to reveal how peer review experiences exposed her to physicians’ blind spots in communication. Drawing from her coaching certification and decades in practice, Dr. Hirsch shares how doctors often lack insight into how they’re perceived—stemming from exhaustion, bureaucracy, and high-stakes environments.


The discussion dives into strategies for self-awareness: identifying emotional triggers (like that adrenaline rush from a cop’s lights), pausing to ground yourself (deep breaths, wiggling toes), and focusing on core messages without rabbit-hole distractions. Role-playing emerges as a game-changer, helping physicians see their tone, body language, and proximity—especially in power imbalances like attending-resident dynamics or physical size differences.


Generational shifts in medicine are highlighted: younger doctors prioritize work-life balance, challenging “old-school” grind culture, while wellness practices (walks, movies, family time) regenerate without being dismissed as frivolous. Dr.Hirsch emphasizes vulnerability in group coaching, where peers call each other out compassionately, leading to broader impacts on patient care and family life. Ultimately, mastering communication means deciding: Does this need saying? Now? By me?


Three Actionable Takeaways:

• Identify and Pause on Triggers for Better Responses: Burnout amplifies reactive communication—start by listing 3–5 personal triggers (e.g., insurance denials, scheduling conflicts). Practice a grounding ritual (deep breath, finger rub) daily; before tough talks, ask: What’s my core point? What might they feel? Journal post-conversation to track calmer outcomes and reduced regret.
• Incorporate Role-Playing to Refine Body Language and Tone: Authority gaps erode trust—practice hard conversations weekly with a trusted peer or mirror. Simulate scenarios (e.g., towering over a colleague) and swap roles; focus on proximity, seating, and compassion. Aim for one role-play per conflict-prone week to build insight and respectful conflict navigation.
• Embrace Vulnerability and Generational Wellness for Sustainable Practice: Isolation breeds poor communication—join or form a small peer group for monthly check-ins on work-life balance. Adopt one “cup-filling” activity (walk, family dinner) thrice weekly; reflect: Does this regenerate me without guilt? Model this for trainees to foster healthier teams and patient interactions.

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. Anne Hirsch is an internist with over 30 years in practice, serving on the Oregon State Peer Review Committee and as an expert medical coder. Passionate about physician communication, she became a certified coach in 2022 to address burnout, leadership, and behavioral issues through one-on-one and group sessions.


Website: https://physiciancoachingwithanne.com


LinkedIn: (  / ann-m-hirsh-md  )   / ann-m-hirsch-md  


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: [email protected]
🌐 Website: East Alabama Health - Dr. Sharma (https://www.eastalabamahealth.org/pro...)





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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