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Iris Mushin, MEd, MBA

Iris Mushin MEd, MBA

Author and Founder

Iris Mushin is the founder of MedRAP and the author of “What Hurts the Physician Hurts the Patient.” She managed MedRAP at Baylor College of Medicine (BCM) for 25 years, where the program brought numerous organizational changes to the training and affiliated hospitals’ work environments.

She created and developed MedRAP as an MBA candidate while her husband was completing his surgical training at BCM. Her goal, in designing the program, was to improve the well-being of medical residents and address their stress and burnout by improving their training environment, advancing their professional growth and enhancing their effectiveness as physicians. Many of the young physicians she trained now hold positions of leadership in American medicine and in medical academia.

Ms. Mushin holds a master’s degree in business administration and a graduate degree in educational therapy. She also served in the military and as a case worker with street gangs, both of which refined her group work skills with challenging situations and high-stress environments.

She has written “What Hurts the Physician Hurts the Patient” with the hope that, by describing the MedRAP method, other institutions will be encouraged to develop similar training programs. Her goal is to help improve professional development and the overall work environment, in order to enhance the well-being of residents, other health care professionals and – ultimately – patients.

Ms. Mushin serves on several boards and is actively involved in international humanitarian work, traveling globally with delegations to meet with high-level government officials and human rights leaders.


At its inception in the 1980s, the program was developed for medical residents at the Department of Internal Medicine at Baylor College of Medicine (BCM) in Houston. For decades, the program positively impacted residents’ working and training environment in the Department of Internal Medicine by applying organizational, psychological, and educational insights and concepts to help them meet the challenges they commonly encountered in their training.

Implementation of MedRAP at BCM confirmed that investing in the well-being and professional development of residents benefits the medical trainees, their patients, the affiliated hospitals, and the health care system as a whole. MedRAP can be easily tailored to the needs of a wide range of health care trainees.

The MedRAP Facilitator Manual is a supplement to the book and includes detailed information on implementing individual session topics. These topic sessions are only a part of the entire program. This supplement is designed to be used in conjunction with the book, which provides the framework for successful implementation of all the components of the program.