This episode of The Health Design Podcast features a conversation with Ronald Epstein, Professor of Family Medicine at the University of Rochester and author of "Attending: Medicine, Mindfulness and Humanity." The discussion centers on mindfulness in medicine—how self-awareness and purposeful attention can transform both clinical care and the clinician’s own experience.
Origins of Mindfulness in Medicine
Dr. Epstein shared that his contemplative practice predated his medical training, with his journey to medicine arising from an interest in meditation, Eastern healing, and a desire to make a difference through self-knowledge.
He emphasized that the development of qualities like attentiveness, presence, and a “beginner’s mind” is not innate but can be learned and cultivated in medical practice.
Challenges in Modern Healthcare
The conversation addressed systemic challenges: doctors' increasing administrative burden, reduced time for direct patient care, and the resulting tension between personal values and professional realities.
Dr. Epstein pointed out that fostering mindfulness requires changes both at the individual and system levels, but that clinicians must also take personal responsibility for finding meaning and connection in their work.
Practical Mindfulness Strategies
Examples included small habitual practices like pausing at the door before entering a patient’s room to reset and be present—what Epstein calls “doorknob mindfulness”.
Additional suggestions included taking a single tech-free meal or practicing full attention during routine moments (like scrubbing before surgery or sitting at a red light).
Mindful Practice as a Skill and Community Asset
Dr. Epstein argued that mindfulness is as much about community as individual practice, advocating for mindful dialogues in clinical teams to build empathy and restore a sense of professional support.
The end goal is human understanding—knowing oneself and approaching others with openness and attentiveness, which forms the true basis of effective healthcare.
Key Takeaway Messages
Mindfulness in medicine is not an abstract ideal, but a series of small, trainable practices that support resilience, improve patient care, and can be shared among professionals.
The conversation concluded by highlighting three simple mindfulness actions: the doorknob pause, eating a meal without distraction, and listening mindfully to another person—each supporting deeper human understanding at the core of healthcare.
These practical insights and reflections underline Epstein’s core message: mindful presence is a skill crucial for clinicians’ wellbeing and the humanity of medical care
