Medical Leadership and Litigation: Ten Steps to Changing Culture episode artwork

EPISODE · Aug 17, 2026 · 35 MIN

Medical Leadership and Litigation: Ten Steps to Changing Culture

from Doctors and Litigation: The L Word · host Gita Pensa MD

Imagine you are a highly capable physician who saved a patient's life. You're sued over it anyway.  Actually, your hospital system is sued for it, but they need you to defend it. You spend days preparing for deposition, then eventually many weeks preparing for trial -- not to mention the five years of stress you endured leading up to it. You miss work for days of meetings with attorneys, and then for several weeks at trial, where you are maligned, misrepresented, and personally attacked. Nevertheless, you testify like a consummate professional, bring the whole thing across the finish line, secure a victory for your hospital in court..and start learning to live with the scars. And then? You return to work. You have to work a lot extra, because now you have to make up all the shifts you missed during prep and trial. But nobody at work seems to know anything even happened. No one from Risk or leadership acknowledges your actions, or says 'thank you for saving the hospital $30 million'. No one mentions anything about what was the most difficult experience in your professional life. And when you meet with your boss for your scheduled annual review after your return, he asks you how your "vacation" was. This was the experience of one of my clients, and it is a shockingly common one. In fact, it's the norm. And, unsurprisingly, it creates a lot of resentment.  This is not good leadership.  This episode is about how to be a better leader for your physicians, nurses, and other clinicians in litigation. It's a conversation about why it matters, and why it's both the right thing to do and advantageous to your organization's bottom line. Have a listen to learn about host Dr. Gita Pensa's 10-point framework, one she workshops with hospitals and medical organizations across the country.  Mentioned resource: Becker's Hospital Review: Uncontrollable Stress in Healthcare Workers May Be a Legal Hazard Researchers Argue Duty to Reduce Uncontrollable Stress in Healthcare Workers. Help Is on the Way Health; Privatera et al., 2026.   _____________________________________ Take the LEAP! Be litigation-ready. Doctors and Patient-Facing Clinicians: Learn from Dr. Pensa's Litigation Education and Performance for Clinicians course. Up to 16 hours of AMA Category 1 CME/CNE credits available in this self-paced, attorney-approved 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 performance coaching 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. I help with the fear, the confusion, and the basic education -- so your time with them is spent on elevated strategy instead of groundwork. Contact Dr. Pensa through her website to learn more: https://www.doctorsandlitigation.com/contact  

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