Ep61 | The First Story Wins: Anchoring Bias in Diagnosis, Conflict and Clinical Leadership

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We all do it! form a quick impression and then see only what confirms it. In medicine, that first story can close off life-saving alternatives. In conflict, it can turn a colleague into “the problem.”

In this thoughtful solo episode of the Scalpel and Sword Podcast, Dr. Lee Sharma unpacks Anchoring Bias:  one of the most powerful and dangerous cognitive traps in healthcare. Drawing from Kahneman and Tversky’s work, real clinical examples, and everyday workplace dynamics, she shows how anchoring leads to premature closure in diagnosis, fuels misunderstandings between team members, and keeps us stuck in unhelpful stories.

She also shares how the SPARK framework (Stop, Pause, Ask, Reflect & Respond, Create) helps interrupt anchoring and opens the door to better outcomes, for patients and for teams.

Three Actionable Takeaways:

• Recognize the Anchor Early: The moment you think “This is obviously anxiety, reflux, or this nurse is difficult,” pause. Ask yourself: “What evidence supports this? What evidence contradicts it? What else could explain this?”

• Use the “What Else Could This Be?” Question: In clinical reasoning, always consider the can’t-miss diagnosis. In conflict, ask “What other explanation might exist for this behavior?” This simple question broadens your differential and reduces premature closure.

• Apply SPARK to Interrupt Bias: Stop and create cognitive distance. Pause to notice your certainty. Ask without assuming. Reflect on alternative stories. Create space for a new, more accurate narrative. Curiosity is the antidote to anchoring.

About the Show:

 Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Host:

Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

• Connect with Dr. Lee Sharma:

📧 Email: scalpelandsword@gmail.com (mailto:scalpelandsword@gmail.com)

🌐 Website: East Alabama Health – Dr. Sharma (https://www.eastalabamahealth.org/provider/lee-sharma-md-obstetrics)

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.

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