What Do Doctors Get From Name-Calling? A reflection about our reaction to ‘difficult patients’ by nephrologist and educator Joseph Zarconi

Palo Alto neurologist Kendra Peterson's poem Difficult Patient (Fall 2017 Intima: A Journal of Narrative Medicine), and the patient who inspired my American Sonnet for an Addict (Fall-Winter 2025-26 Intima) are prototypical victims of name-calling – a ubiquitous clinical behavior taught exclusively in the so-called hidden curriculum of medical education. These patients are our albatrosses, another name we ascribe, recalling the curse that befell the entire ship’s crew of Samuel Taylor Coleridge’s famous mariner following his killing of an albatross in the poem, “The Rime of the Ancient Mariner.” They curse us. They burden and encumber us.

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