M. Stacia Dearmin, MD April 28, 2019 Healing After Bad Outcome Guilt & Shame After Adverse Outcomes: What's the Difference? M. Stacia Dearmin, MD April 28, 2019 Healing After Bad Outcome Guilt and shame are common feelings in physicians who face an unexpected adverse patient outcome,. Despite the fact that they arise together, guilt and shame are not the same. Let’s take a look at the difference.