PodcastsHealth & WellnessDoctors and Litigation: The L Word

Doctors and Litigation: The L Word

Gita Pensa MD
Doctors and Litigation: The L Word
Latest episode

39 episodes

  • Doctors and Litigation: The L Word

    Perfectionism in Medicine and Litigation

    05/18/2026 | 51 mins.
    Perfectionism is one of the most underappreciated drivers of suffering in malpractice litigation, and one of the least talked about. In this episode, Dr. Gita Pensa is joined by Dr. Amna Shabbir, dual board-certified physician, Master Certified Life Coach, and TEDx speaker, to explore how the perfectionism that made us good doctors becomes our own worst enemy when we are sued.

    We explore the shame-perfectionism cycle that medicine instills in us, how it shapes our response to being named in a lawsuit, and what it looks like to move from self-punishment toward excellence grounded in courage and clarity. We emphasize that civil litigation is a dispute resolution mechanism, not a verdict on your care or your character, and explore why that distinction is so hard to hold onto. 

    Dr. Shabbir is the creator of the Courage Bridge, a framework for high achievers ready to redefine success without sacrificing standards.

    In this episode:

    Why perfectionism and shame are baked into medical training

    How litigation exploits that conditioning

    The difference between pursuing excellence and chasing perfection

    The self-punishment and self-criticism that often accompanies perfectionism

    Why even physicians who know they did nothing wrong still may suffer

    What it means to separate your identity from the accusation

    The most pervasive types of perfectionism and how they apply in medicine

    Resources mentioned or recommended:

    Dr. Amna Shabbir's TEDx Talk: "Perfectionism Has a Solution: It's Not What You Think"

    The Courage Bridge: dramnashabbir.com

    LEAP for Clinicians course

    Self-Compassion and the work of Dr. Kristin Neff 

    Dr. Will Bynum and his work on Shame in Medicine

    The Nocturnists' Shame in Medicine series

    Roon: The Digital Home for Medicine. Ask-Me-Anything with Dr. Pensa on June 4, 2026

    _______________________

    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
  • Doctors and Litigation: The L Word

    The Weaponization of Punitive Damages

    04/16/2026 | 46 mins.
    In this episode, we take a hard look at the growing use, and misuse, of punitive damages allegations in medical malpractice cases -- and how this trend has reshaped the practice of medicine in places like New Mexico.

    What was once intended as a rare legal tool to punish truly egregious conduct is increasingly being deployed early and broadly, sometimes before the facts of a case are fully known.

    It significantly raises the emotional and financial stakes, often destabilizing defendants and influencing decision-making in ways that have little to do with the quality of the care provided, and more to do with avoiding the risk of catastrophic personal loss.

    The result is not only profound individual distress, but a ripple effect across the healthcare system.

    We explore how this type of environment predictably drives physicians out of higher-risk regions, contributing to growing care deserts, and ultimately affecting patient access and outcomes. What happens to a healthcare system when the legal climate becomes too predatory, too dangerous, for good doctors to practice there?

    Defense attorney Jessica Marshall , partner in the Albuquerque office of Mayer, LLP, is here today to help us make sense of these implications. We discuss the dramatic loss of access to doctors in New Mexico as a direct result of its predatory malpractice climate, and, in particular, the weaponization of punitive damages as a routine pressure tactic. We also highlight the positive results of recent staunch advocacy from doctors, lawyers, and patients alike, hoping to restore access to care in New Mexico.

    We end with a call to action: what is happening in your state?

    In nearly every state, plaintiff's attorneys exert heavy lobbying dollars, and even become state legislators in order to introduce legislation that enriches them. Even in states with current common sense protections, there are efforts to walk back limitations of the use of punitive damages and existing caps on damages. But, as you'll see in this conversation, when that happens, there can be devastating real-world consequences for patients and their doctors alike. It's not theoretical. 

    Have a listen and share this with your colleagues. 

    _______________________

    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
  • Doctors and Litigation: The L Word

    "Reviving Fairness" in Malpractice Litigation: John Hall Returns

    03/19/2026 | 45 mins.
    In this episode, host Dr. Gita Pensa sits down to continue her conversation with elite defense trial attorney, John E. Hall, Jr. His recent book, "Reviving Fairness: Defending Healthcare Heroes", outlines the shifts in the modern world of American medical liability litigation, and offers a timely call to confront the malpractice climate harming clinicians and threatening access to care.

    We talk about themes in his book, and touch on many other facets of litigation, including third party litigation funding (private equity investing in and funding plaintiff's attorney cases) and why even busy doctors should show up for jury duty with the greater good in mind. 

    John E. Hall, Jr. is a senior partner at Hall Booth Smith and a nationally recognized trial lawyer focused on defending healthcare professionals and medical institutions in high-exposure litigation. He is one of the founders of American Legal Connections, a national network advancing strategy and reform in complex medical defense and other high-stakes cases. John is known for his disciplined trial preparation and proactive approach to preventing aberration verdicts. He's also an author of other non-fiction and fiction books, a songwriter, and a leading voice calling for the reform of predatory malpractice litigation practices in the US. 

    _____________________

    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
  • Doctors and Litigation: The L Word

    The Educated Defendant, Part Two: An Elite Trial Attorney's Advice

    02/19/2026 | 25 mins.
    What happens when a physician defendant doesn’t just “get through” litigation — but prepares for it?

    In Part 2 of The Educated Defendant, host Dr. Gita Pensa sits down with the veteran trial attorney who defended Dr. Nirav Patel. (If you haven't listened to part 1, start there!)

    John E. Hall, Jr. helps us unpack what made this case different. What does an experienced defense lawyer actually want from a physician witness? What separates a reactive, defensive defendant from one who is credible, collaborative, and compelling in front of a jury?

    We talk about preparation, presence, strategy, and the often-unspoken dynamic between lawyer and doctor in high-stakes malpractice trials.

    John E. Hall, Jr. is a senior partner at Hall Booth Smith and a nationally recognized trial lawyer focused on defending healthcare professionals and medical institutions in high-exposure litigation. He is the author of Reviving Fairness: Defending Healthcare Heroes and one of the  founders of American Legal Connections, a national network advancing strategy and reform in complex medical defense and other high-stakes cases. John is known for his disciplined trial preparation and proactive approach to preventing aberration verdicts.

     

    Next month, John Hall returns to discuss his newest book, Reviving Fairness: Defending Healthcare Heroes. 

    _______________________

    _____________________

    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
  • Doctors and Litigation: The L Word

    The Educated Defendant: An Attorney's Best Asset

    01/18/2026 | 55 mins.
    THIS EPISODE is a must-listen for anyone facing, or fearing, litigation. (And their attorneys.)

    Host Dr. Pensa interviews radiologist Dr. Nirav Patel about his extraordinary journey through litigation...and what he did to become his legal team's secret weapon. 

    You can do it, too. 

     

    _____________________

    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
More Health & Wellness podcasts
About Doctors and Litigation: The L Word
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
Podcast website

Listen to Doctors and Litigation: The L Word, The Dr. Josh Axe Show and many other podcasts from around the world with the radio.net app

Get the free radio.net app

  • Stations and podcasts to bookmark
  • Stream via Wi-Fi or Bluetooth
  • Supports Carplay & Android Auto
  • Many other app features