The Charted Defense

Michael
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The Charted Defense PodcastWelcome to The Charted Defense Podcast — where medicine meets the law.I’m Michael Coleman, MD, a practicing physician and hospital medicine leader, sharing practical lessons from real-world malpractice themes, sepsis workflow failures, abnormal-result follow-up misses, and documentation breakdowns that put patients and clinicians at risk.Each episode turns complex medical-legal issues into clear, actionable takeaways for physicians, advanced practice clinicians, and healthcare leaders. You’ll hear case-based analysis, system-level risk management strategies, and communication frameworks you can apply immediately in clinical practice.If you care about safer care, cleaner documentation, and reducing preventable legal exposure, this show is for you.What you can expect- Medical malpractice case breakdowns in plain language- Clinical communication and handoff failure analysis- Documentation and follow-up systems that hold up under scrutiny- Practical physician checklists for day-to-day risk reductionDisclaimer: This podcast is for education and commentary only. It is not medical or legal advice and does not create a physician-patient or attorney-client relationship.

  1. May 18

    No Note, No Defense | Case 8

    Send us Fan Mail  A college student walks into a community emergency department after a reported fall. The CT shows bilateral frontal hemorrhages. A neurosurgeon directs her care by phone from home — orders are placed, but no narrative note explains the reasoning. Over the next thirty hours, the patient deteriorates through documented changes that no single provider connects. By the time decompressive surgery begins, it is near midnight on hospital day two. A diagnosis that was visible on imaging at 12:31 PM was not reported. A risk factor that fit the picture was not on the chart. Seven defendants are dismissed on summary judgment. One is left to settle. The seven-figure resolution of a case that turned, more than anything else, on what was — and was not — written down. Support the show

    1h 35m
  2. The Closing Window: The Trial and the Lessons | Case 7 Episode 2

    May 16

    The Closing Window: The Trial and the Lessons | Case 7 Episode 2

    Send us Fan Mail   The trial, the verdict, and the lessons. A six-person jury, a two-week trial, a defense verdict on every count, and an appeal that is now pending. How the plaintiff turned vocabulary differences across providers into an argument. How the defense turned timestamps into a defense. And what every hospitalist and emergency physician should write into a  chart the next time a patient says "I don't know" to a treatment with a closing window. Support the show

    45 min

  3. May 14

    The Closing Window: The Patient's Story | Case 7 Episode 1

    Send us Fan Mail  A taxi driver finishes his overnight shift and feels something change. He arrives at a major urban emergency department within minutes of the symptoms beginning. Stroke alert is called. CT is clear. The team offers the clot-dissolving medication — and then offers it again, and again, as the window narrows. The patient never says no. He never says yes. The clinical story of an undecided patient, a closing window, and a chart written by four providers who each saw the same conversation differently. Support the show

    29 min
  4. Nine Decision Points | Case 6 episode 3

    May 11

    Nine Decision Points | Case 6 episode 3

    Send us Fan Mail  The teaching episode. Nine specific moments across this case where a different decision could have changed the outcome — from the PCP's office to the ED triage to the radiologist's read. Each one a small choice. Each one part of a chain. The episode every program director, residency, and quality committee will want to send to their teams.   Support the show

    41 min
  5. Page 334 | On The Record | Case 6 Episode 2

    May 10

    Page 334 | On The Record | Case 6 Episode 2

    Send us Fan Mail  The deposition story. A single page of the medical record — the page the plaintiff's attorney returned to again and again — became the load-bearing document of the case. How a routine triage note became the moment the case turned. The trial, the directed verdict for one defendant, the settlement against another, and what page 334 still teaches every clinician who writes a note. Support the show

    42 min
  6. Two Hours - Case 6 | Episode 1

    May 9

    Two Hours - Case 6 | Episode 1

    Send us Fan Mail A 70-year-old man develops dizziness and difficulty walking. He sees his primary care physician. He's sent to the emergency department. Two hours pass between when the symptoms began and when stroke is finally on the differential.   By then, the tPA window is closing. The clinical story — and the way a posterior circulation stroke can hide in plain sight on a busy day in a busy office.   Support the show

    39 min
  7. Inherent Function

    May 8

    Inherent Function

    Send us Fan Mail The legal doctrine that decided this case. When a hospital contracts out its emergency department, can it still be liable for the contractor's care? This episode walks through the appellate ruling — and the documentation lessons every hospitalist and emergency physician should take from a case where the hospital's structural relationship with its ED group became the central question.   Support the show

    34 min
  8. What the Chart Couldn't Defend

    May 6

    What the Chart Couldn't Defend

    Send us Fan Mail   The trial story. How a chart built across three encounters by three different emergency physicians becomes plaintiff's exhibit, deposition by deposition. The notes that were thorough. The notes that weren't. The handoff that didn't happen. And the moment the defense realized the documentation was telling a different story than the testimony.  Support the show

    31 min
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Trailer

About

The Charted Defense PodcastWelcome to The Charted Defense Podcast — where medicine meets the law.I’m Michael Coleman, MD, a practicing physician and hospital medicine leader, sharing practical lessons from real-world malpractice themes, sepsis workflow failures, abnormal-result follow-up misses, and documentation breakdowns that put patients and clinicians at risk.Each episode turns complex medical-legal issues into clear, actionable takeaways for physicians, advanced practice clinicians, and healthcare leaders. You’ll hear case-based analysis, system-level risk management strategies, and communication frameworks you can apply immediately in clinical practice.If you care about safer care, cleaner documentation, and reducing preventable legal exposure, this show is for you.What you can expect- Medical malpractice case breakdowns in plain language- Clinical communication and handoff failure analysis- Documentation and follow-up systems that hold up under scrutiny- Practical physician checklists for day-to-day risk reductionDisclaimer: This podcast is for education and commentary only. It is not medical or legal advice and does not create a physician-patient or attorney-client relationship.

Information

  • Creator
    Michael
  • Years Active
    2K
  • Episodes
    37
  • Rating
    Clean
  • Copyright
    © 2026 The Charted Defense
  • Show Website
    The Charted Defense