The Mandate of Medicine | Jessica Zitter, MD

Medical trainees spend years mastering what to do when biology fails — countless protocols, procedures, and split-second decisions. By the end, they’re primed to fix what’s broken. But what if the mandate of medicine is simpler — and more human?

Our guest on this episode is Dr. Jessica Zitter — a physician, author, and filmmaker who has spent her career at the fault line between intensive care and palliative care. Dr. Zitter was initially drawn to the technical choreography in the ICU: numbers to chase, procedures to perform. Yet, along the way, she began to notice the danger we rarely name — that in our devotion to protocol, we might drift away from the person in front of us.

Over the course of our conversation, Dr. Zitter shares personal experiences that have shaped her approach to medicine. We talk about moral injury and how it compounds: when systems push us to act against our values, care gets worse, and the hurt deepens. We talk about how bias slips in when power meets prejudice at the bedside and why chaplains — so often sidelined — can be essential guides back to the human being we’re treating. Her prescription is simple: treat patients as you’d want your own loved ones to be treated. Ask for the story. Reconstruct the person we’ve taken apart into smaller pieces.

Dr. Zitter is the author of her memoir Extreme Measures, appears in the Academy Award-nominated short film Extremis, and is the director of several documentaries, including 2025’s The Chaplain & the Doctor.

In this episode, you’ll hear about:

2:45 - Dr. Zitter’s path to a career in intensive care medicine

4:52 - A day in the life of an intensivist

17:42 - Dr. Zitter’s unexpected pivot to prioritizing palliative care in her work

26:41 - The inspiration for Dr. Zitter’s film The Chaplain and the Doctor

38:36 - How chaplaincy attends to the soul of the patient and what doctors can learn from this perspective

42:51 - Navigating internalized bias as a doctor

49:42 - Dr. Zitter’s advice for her younger self

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