Today, while facilitating a Humanities session with first-year medical students, we discussed topics focused on narrative medicine, empathy, meaningful connection, loneliness, and the cultivation of vulnerability. As was inevitable, the discussion included the mention of Brene Brown's inspirational contribution to the understanding of vulnerability.
Brene Brown has eloquently stated that “Authenticity is the daily practice of letting go of who we think we're supposed to be and embracing who we actually are. Choosing authenticity means cultivating the courage to be imperfect, to set boundaries, and to be vulnerable.” She has also stated that "there is no courage without vulnerability".
So, the next question that arises may be what is the definition of vulnerability? The Merriam-Webster dictionary defines being vulnerable as "capable of being physically or emotionally wounded" as derived from the Latin noun "vulnus" for wound. As we share our stories authentically, we are open to judgment and the views of others. As a result, the possibility of feeling wounded can exist, and it takes courage to be vulnerable in the face of fear or uncertainty.
Facing our imperfections and knowing that we can make mistakes also may lead us to experience "imposter syndrome." Huecker et al. (2023) describe imposter syndrome as a phenomenon that "affects high-functioning, high-achieving individuals, particularly in medicine and healthcare." As per Huecker et. al, it includes the experience of "self-doubt of intellect, skills, or accomplishments." Imposter syndrome can be unsettling and is an expression of one's vulnerability.
I admit that I have faced imposter syndrome. And as a physician, this is not easy to share.
Launching into new endeavors, consulting/becoming an entrepreneur (something I had never previously considered as a remote possibility), and posting on social media have all been terrifying! But by doing so, I have been able to foster my creativity, renew friendships, establish new social connections, and experience intellectual growth. But, now and again, imposter syndrome can still creep up, and I have found that recognition and awareness are key to overcoming it. I also know that I am not alone. Speaking with physician colleagues and medical trainees, imposter syndrome is prevalent and seemingly part of the norm.
As such, in a profession where the expectation can be perfection, I believe it is important to share our imperfections, our doubts, and our fears. By doing so, I believe it opens the door (and dialogue) for others to hopefully embrace their vulnerability, reduce isolation, and foster connection. By being our authentic selves, bravely speaking our truths, and sharing our stories, we can create a community of connectivity, acceptance, and understanding.
I have launched my journey of pursuing my passion for helping trainees through the medical education continuum, ideally with an emphasis on wellness and joy. I believe in authenticity and honesty. I am not perfect. I do, however, have decades of experience and continue as a lifelong learner, especially as relates to medical education. I have been humbled to have been involved in the AMA Accelerating Change in Medical Education Consortium, the American College of Physicians Arizona Chapter Planning Committee, AACOM's Council on Residency Placement (CORP), and more recently in endeavors such as efforts to enhance medical education through a AAMC Next Step 1 Workgroup. I am sharing this as I am here for those who would like guidance that is honest, supportive, and authentic. I am honored to have the opportunity to help create connections and walk alongside those traversing this sometimes challenging path. I also want to express gratitude for being given the space in which to do so.
Finally, a student asked me today if my colleagues in medicine shared their struggles. I answered that some do, but not all. Moving forward, the hope is that those who are currently in practice or training choose to share their authentic stories and be vulnerable. By doing so, we can thereby help to eliminate stigma, reduce loneliness/isolation, and create connectivity.
Wishing you courage in vulnerability,
Rupal
Rupal S. Vora, M.D. MPH FACP
Founder MedStudentCoach LLC
Associate Clinical Professor, Creighton University School of Medicine
Comments