The Pediatric Lounge

Enhancing Pediatric Practice Efficiency with Call Centers and Virtual Assistants featuring Dr. Igor TroganIn this episode of The Pediatric Lounge, hosts George and Herb welcome frequent guest Dr. Igor Trogan to discuss the implementation and benefits of call centers and virtual medical assistants in pediatric practice. Dr. Trogan shares insights on the necessity of call centers due to front desk inefficiencies, the logistics of setting up a call center, and the advantages of using virtual assistants from abroad. They delve into the impact on scheduling, patient care, and overall practice management. The conversation also highlights the technology used, the renaming of call centers to 'patient care centers' to avoid blame, and the importance of preserving the human element in pediatric care. Dr. Trogan emphasizes the need for a step-by-step approach to integrate these changes smoothly into any practice.00:00 Introduction to The Pediatric Lounge00:38 Meet Dr. Igor Rogan01:11 The Need for a Patient Care Center02:31 Setting Up the Patient Care Center04:53 Virtual Medical Assistants06:30 Call Center Operations08:56 Handling Appointments and Records15:48 Technology and Tools27:43 Managing Remote Workers34:58 Challenges with Traditional Medical Assistants36:46 Advantages of Virtual Medical Assistants38:08 Managing a Virtual Medical Assistant Team39:56 The Role of Technology in Modern Practices44:32 Maintaining Team Culture Remotely50:16 Cost Savings with Virtual Medical Assistants51:09 Future of AI in Medical Practices54:36 The Importance of Human Touch in Pediatrics01:02:25 Steps to Implementing Virtual Medical Assistants01:05:15 Conclusion and Final ThoughtsSupport the show

The Art of Constructive Conversations in Pediatric Care with Sim CoutierIn this episode of The Pediatric Lounge, the hosts are joined by Sim Coutier from Kindred Skills to discuss the power and importance of constructive conversations in pediatric practice. Highlighting the nuances and challenges of effective communication, particularly in situations involving vaccine hesitancy and other crucial health decisions, Sim shares strategies for fostering trust and understanding through curiosity, active listening, and asking thoughtful questions. The conversation also covers the impact of the current socio-political climate on patient interactions and offers practical insights for developing more effective communication skills in clinical settings.00:00 Introduction to The Pediatric Lounge00:29 Editorial: The Importance of Constructive Conversations00:37 Guest Introduction: Sim Coutier from Kindred01:37 The Art of Constructive Conversations02:02 Casual Catch-Up with Sim03:49 Sim's Experience in Detroit and Medical Conferences05:07 Sim's Daughter's Medical Journey07:56 Defining Constructive Conversations09:55 Challenges in Constructive Conversations15:28 Handling Vaccine Hesitancy32:35 Building Trust Through Curiosity38:10 Transactional vs. Constructive Conversations39:28 Flu Vaccine Conversations39:39 Transactional Communication Issues39:54 Leadership and Communication Failures40:57 Escalating Conflicts in Pediatric Care41:57 Fear and Assumptions in Medical Conversations43:27 Constructive Conversations and Building Relationships45:33 Challenges in Pediatric Consultations48:53 Understanding and Addressing Parental Concerns50:24 The Importance of Curiosity in Conversations59:39 Practical Examples and Solutions01:10:29 Final Thoughts and SummarySupport the show

Transforming Hiring Practices in Healthcare with Dr. Mike NealIn this episode of The Pediatric Lounge, hosts George and Herb interview Dr. Mike Neal, co-founder of Lakeside Vision and creator of Build My Team, a system to improve employee hiring processes in healthcare. Dr. Neal shares his experiences and challenges with staff turnover and explains how he transitioned to hiring individuals based on traits, mindsets, learning speed, and strengths rather than experience alone. The discussion covers the importance of aligning hires with the practice's values and culture, the inefficacy of traditional resumes, and the utility of a systematic and detailed approach to identifying the right candidates. The podcast emphasizes the need for practices to understand their own values and culture to hire effectively.00:00 Introduction to The Pediatric Lounge00:26 Guest Introduction: Dr. Mike Neal01:06 Hiring Philosophy: Identifying Diamonds in the Rough03:04 Challenges in Medical Hiring03:27 Systematic Hiring Process03:45 Importance of Vision, Mission, and Values04:06 Psychological Inventory in Hiring05:22 Critique of Traditional Hiring Practices07:37 Customizing Hiring to Fit Practice Needs14:22 Automated Hiring Process15:27 Balancing Work-Life Preferences17:03 Real-World Examples and Practices23:17 The Value of Access in Pediatric Practices27:35 Understanding Practice Values and Culture28:04 Detailed Candidate Assessment29:19 Challenges of Being Detail-Oriented34:13 Crisis Management in Medical Practices41:45 Importance of Removing Poor Performers50:11 Final Thoughts on Hiring Beyond the ResumeSupport the show

Leadership and Legacy: Insights from Dr. Thom Mayer and his latest book.  In this episode of The Pediatric Lounge, the hosts celebrate the launch of their fourth season with Dr. Thom Mayer as their guest. Dr. Mayer, known for his extensive career as a sports medicine pediatric surgeon and emergency medicine physician, shares invaluable insights on leadership, recounts his journey from theology to medicine, and underscores the importance of relationships in the medical field. The discussion delves into the essence of true leadership, emphasizing actionable leadership over mere titles, and explores the impact of positive interactions and mentorship. Dr. Mayer also discusses his experiences during critical events like the anthrax attacks and provides deep reflections on the concepts of flow and intrinsic joy in one's career. The episode concludes with a powerful message about the importance of asking beautiful questions and maintaining a mindset of continuous innovation and empathy in healthcare.00:00 Welcome to The Pediatric Lounge: Season 4 Premiere00:57 Introducing Dr. Thom Mayer: A Leader in Pediatric Emergency Medicine03:16 The Journey from Pediatric Surgery to Emergency Medicine05:04 Remembering Dr. Michael Alteri: A Visionary in Pediatric Emergency Medicine06:39 The Evolution of Pediatric Emergency Medicine10:47 Building Relationships: The Key to Success12:02 Leadership Lessons: From Theology to Medicine24:30 Think, Act, Innovate: The Core of Effective Leadership39:00 Decision-Making and Team Dynamics39:39 Leadership and Overcoming Resistance41:53 Team Building and Performance43:55 Intrinsic Motivation and Behavioral Change47:00 Medical Degrees and Team Roles50:01 Sucking Down Philosophy and Anthrax Case52:47 Science, Art, and Business in Healthcare56:15 AI in Medicine and the Importance of Wisdom01:00:30 The Concept of Flow and Joy in Work01:08:09 Closing Thoughts and Future InvitationsSupport the show

Journey through Pediatric Medicine with Dr. Stewart CohenIn this episode of The Pediatric Lounge, hosts George and Dr. Herb welcome distinguished pediatrician Dr. Stewart Cohen from San Diego, California. Dr. Cohen shares his story, from his illness-driven inspiration to become a pediatrician to his move from Canada to San Diego. They discuss the evolving landscape of pediatric healthcare, including the challenges of Medicaid, healthcare consolidation, and changing parent expectations. The podcast highlights the importance of advocacy in pediatrics, the role of pharmaceutical companies in medical advancements, and how organized medical associations can impact pediatric practice. The episode concludes with personal anecdotes about balancing professional responsibilities with family life and the importance of community and mentorship in the medical profession.00:00 Introduction to The Pediatric Lounge00:58 Meet Dr. Stewart Cohen01:48 Dr. Cohen's Journey to Pediatrics03:26 From Canada to San Diego05:59 Building a Pediatric Group09:57 Challenges in Pediatric Practice22:00 Advocacy and Legislative Achievements30:11 Involvement in Medical Committees30:46 Balancing Family and Hobbies31:32 Horse Racing Adventures32:48 Wife's Professional Achievements34:12 Friendships in Organized Medicine34:51 Challenges in Vaccine Advocacy42:51 Changes in Pediatrics and Parenting47:06 Community and Medical Practice54:16 Final Thoughts and Mentorship55:25 Conclusion and FarewellSupport the show

Behind the Scenes of Pediatric Critical Care with Dr. Rana ShamiIn this episode of The Pediatric Lounge, hosts Herb and George bring on Dr. Rana Shami, the medical director of the pediatric intensive care unit at Inova Children's Hospital. Dr. Shami discusses her journey from the American University of Beirut to leading a premier PICU in Fairfax, Virginia. She shares insights into the challenges and innovations in pediatric critical care, such as the use of high-flow oxygen and bedside ultrasound, as well as the critical importance of multidisciplinary teamwork. Dr. Shami also talks about the growth of their PICU fellowship program and her advocacy for early diabetes screening to prevent DKA. The episode illuminates how pediatric ICU care has evolved and the ongoing efforts to improve patient outcomes through simulation education and data-driven approaches.00:00 Introduction to The Pediatric Lounge00:28 Sponsor Message: Hippo Education01:08 Meet Dr. Rana Shami: From Beirut to Fairfax01:30 Dr. Rana Shami's Journey in Pediatric Critical Care05:46 Legacy of Dr. Steve Keller in Pediatric Critical Care11:26 Advancements in Pediatric Intensive Care15:36 Challenges and Innovations in Pediatric Care21:42 The Role of Technology in Modern Pediatric Care30:06 Personal Stories and Reflections in Pediatric Care31:48 Using Data to Improve Healthcare33:25 The Power of Tableau in Data Visualization35:48 Leadership Style in the PICU39:25 The Role of Simulation in Medical Training42:35 Launching a PICU Fellowship Program47:18 Telehealth and Remote ICU Work51:16 Advocating for Pediatric Health56:27 The Parent Wise NGO59:19 Concluding Thoughts and FarewellSupport the show

Exploring Pediatric Hospital Medicine with Dr. Christopher RusoIn this episode of The Pediatric Lounge, hosts welcome Dr. Christopher Ruso, a pediatric hospitalist from WellSpan Health in York, Pennsylvania. Dr. Ruso shares his journey from Boston to Pennsylvania, discussing his medical career path influenced by his surroundings and experiences. The conversation dives into the complexities and challenges of pediatric hospital medicine, the impact of faith on his professional life, and the significance of servant leadership. Dr. Ruso also elaborates on the importance of decision science in clinical practice, reflecting on insights from the book 'Thinking in Bets' by Annie Duke. The episode is sponsored by Hippo Education.00:00 Introduction to The Pediatric Lounge00:28 Sponsor Message: Hippo Education01:16 Meet Dr. Christopher Ruso02:01 Dr. Ruso's Journey to Pediatrics03:42 Challenges and Rewards in Pediatrics05:39 The Importance of Knowing Your Patients19:36 Faith and Medicine: Dr. Ruso's Perspective25:37 The Role of a Pediatric Hospitalist30:34 Leadership and System Perspectives in Pediatrics34:59 Learning from Non-Physician Colleagues35:19 From Business to Medicine: A Unique Journey35:48 Marketing Insights and Pediatric Care38:04 The Importance of Context in Patient Care39:32 The Role of Marketing in Healthcare40:18 The Value of In-Person Conferences41:10 Balancing Professional and Personal Life45:59 Challenges of Rural Healthcare48:57 Integrating Pediatric and Family Medicine53:21 Early Screening for Type 1 Diabetes01:02:41 Decision Science in Clinical Medicine01:10:43 Conclusion and Final ThoughtsSupport the show

Navigating Pediatrics: From Social Media Advocacy to Early Screening for T1DIn this episode of The Pediatric Lounge, Dr. Nicole Baldwin joins to discuss the intersection of private practice, the importance of social media presence, and her passion for early screening of Type 1 Diabetes (T1D). Sponsored by Hippo Education and Freed AI Medical Scribes, the episode delves into how the evolving landscape of pediatric care is matched by ongoing education and proactive health practices. Dr. Baldwin shares insights on handling misinformation, promoting vaccine education, and the significant strides pediatricians must take to ensure comprehensive patient care. The conversation also highlights challenges in the field, such as managing burnout and adapting to new medical guidelines.00:00 Introduction to The Pediatric Lounge00:53 Sponsor Message: Hippo Education01:33 Key Takeaways from Nicklaus Children's Hospital CME03:40 Welcoming Dr. Nicole Baldwin04:14 Dr. Baldwin's Journey into Pediatrics05:15 Insights into Dr. Baldwin's Practice08:24 The Role of Social Media in Pediatrics13:53 Handling Online Trolls and Misinformation21:58 Effective Vaccine Communication Strategies34:09 Vaccine Efficacy and Messaging Challenges37:44 The Importance of Gratitude in Medicine46:59 Early Screening for Type 1 Diabetes57:50 Challenges in Pediatric Medicine01:05:03 Conclusion and FarewellSupport the show

Navigating the Future of Pediatric Practice: Insights from Dr. AllenIn this episode of The Pediatric Lounge, the hosts dive into the evolving landscape of pediatrics with Dr. Allen from North Augusta Pediatrics. They discuss a range of topics, including the challenges of staying up to date in pediatrics, the role of technology and AI in medical documentation, and the complexities of maintaining and passing on a private practice. Dr. Allen provides insights into managing change, the importance of quality and compassion in medicine, and the future role of mid-level providers in healthcare. The episode also features sponsors Hippo Education and Freed AI Medical Scribes.00:00 Introduction to The Pediatric Lounge00:23 Sponsor Message: Hippo Education01:08 CME Weekend Highlights01:42 Interview with Dr. Allen: Practice Management and Future Plans03:05 Technological Advancements in Pediatric Practices08:41 Challenges and Benefits of Private Equity in Healthcare19:13 The Business of Medicine vs. Quality Care22:54 The Financial Struggles of Pediatricians25:10 Sponsorship Message from Freed AI Medical Scribes26:04 The Importance of Location and Loan Forgiveness28:31 Adapting to Change in Medical Practice38:53 The Future of Pediatrics45:23 Closing Remarks and Podcast InformationSupport the show

The Evolution of Pediatric Practice: Insights from Dr. John AllenIn this episode of The Pediatric Lounge, hosts discuss various aspects of pediatric practice with Dr. John Allen, a seasoned pediatrician with 40 years of experience. The conversation covers his journey from opening a small solo practice to developing a large, modern office with multiple providers. Dr. Allen shares insights on the importance of practice culture, compassionate care, and the evolution of pediatric medicine—from paper records to digital solutions and from routine spinal taps to an increased focus on vaccinations. They highlight the critical role of compassion towards patients and staff and the value of maintaining high-quality medical care. Hippo Education sponsors the episode.00:00 Introduction to The Pediatric Lounge00:28 Sponsor Message: Hippo Education01:08 Host's Greeting and Upcoming Events01:37 Introducing Dr. John Allen01:49 Dr. Allen's Early Career and Practice04:18 Evolution of Pediatric Practice09:21 Challenges and Changes in Pediatric Care13:05 Modern Pediatric Practice14:56 The Shift in Pediatric Gender Dynamics15:54 Managing an All-Female Staff17:31 Telemedicine: A New Era19:20 The Importance of Culture in Healthcare25:43 Compassion in Pediatric Care30:23 Challenges in Autism Care32:11 The Role of Vitamin D33:16 Conclusion and Next StepsSupport the show

Navigating Pediatric Practice Challenges: A Conversation with Dr. Stephen AbelowitzIn this episode of The Pediatric Lounge, the hosts dive into the intricacies of pediatric practice management with Dr. Stephen Abelowitz. The discussion explores the impact of private equity on healthcare, focusing on the challenges independent pediatric practices face. Dr. Abelowitz shares his experiences, detailing the cultural shifts and administrative burdens brought by private equity ownership. He emphasizes the importance of maintaining physician autonomy and prioritizing patient care over profits. The conversation also covers alternative practice models, such as hybrid direct primary care, and offers advice for physicians considering selling their practice. Sponsored by Hippo Education.00:00 Introduction to The Pediatric Lounge00:28 Sponsorship Message from Hippo Education01:17 Introducing Dr. Stephen Abelowitz02:52 The Journey to Becoming a Pediatrician04:37 Challenges and Rewards of Pediatric Practice09:05 The Impact of Private Equity on Pediatric Care11:15 Financial and Administrative Pressures20:36 Cultural and Operational Changes29:46 Reflections and Regrets31:14 Moral Challenges and Hybrid Models in Healthcare32:23 Financial Realities and Patient Care36:29 Private Equity's Impact on Practice Culture39:53 Physician Autonomy and Bureaucracy44:47 Challenges in Modern Pediatrics51:09 Advice for Physicians Considering Practice Changes52:22 Regaining Independence and Future Plans55:53 Conclusion and Final ThoughtsSupport the show

Understanding the Measles Resurgence: Vaccination, Risks, and the Role of DisinformationIn this episode, sponsored by Hippo Education and Freed.ai,  Dr. Bravo and Dr. Rogu host  Dr. Jason Terk, a pediatrician and passionate vaccine advocate. They discuss the alarming return of measles, focusing on vaccination hesitancy and disinformation that jeopardize children's health. The conversation covers the manifestation and complications of measles, its high contagiousness, and the importance of community immunity. Dr. Terk shares insights from his practice and the ongoing outbreak in Texas, highlighting the critical need for accurate public health messaging and vaccination adherence. The episode also touches on the psychological burden on pediatricians facing preventable diseases and the complexities of medical advocacy. For further exploration of related topics, refer to Episode 078 with Dr. Jackson and Episode 101 with Dr. Offitt.00:00 Introduction and Sponsor Message00:40 Special Guest Introduction01:23 The Return of Measles: A Critical Discussion06:01 Understanding Measles: Symptoms and Complications11:21 Measles Contagion and Public Health Challenges19:40 Current Measles Outbreak in Texas24:55 The Importance of Vaccination30:03 Sponsor Message: Freed AI Medical Scribes30:53 Challenges of Vaccine Perception31:42 Understanding Vaccine Reactions32:24 Impact on Medical Practice33:54 Insurance and Vaccination35:19 Addressing Vaccine Myths36:18 COVID-19 and Vaccine Hesitancy37:59 The Role of Medical Authority41:09 Flu Vaccination Insights43:51 Debunking the MMR-Autism Myth46:33 Advocacy and Professional Responsibility50:16 Concluding Thoughts and ReflectionsFor More information on the Measles Vaccine, please visit the CDC. Support the show

Navigating Value-Based Pediatric Care: A Deep Dive with Dr. Sian JonesIn this episode, sponsored by Hippo Education and Freed AI Medical Scribes, join the hosts as they sit down with repeat guest Dr. Sian Jones, the president of Complete Child's Health, to discuss the nuances and implications of value-based contracts in pediatric care. They explore the definition of 'value' in healthcare, the challenges of short-term versus long-term savings, and the ethical considerations of preventive care for children. The conversation delves into the healthcare business model, the importance of quality metrics, and innovative approaches to healthcare funding and reimbursement. This comprehensive discussion aims to illuminate how value-based care can significantly impact child health and the pediatric community.00:00 Introduction and Sponsor Message00:40 Welcoming Dr. Sean: Pediatrician's View on Value-Based Contracts01:55 Defining Value in Pediatric Care03:44 Challenges in Measuring Value and Impact06:15 Insurance Companies and Value-Based Payments09:01 Ethical and Economic Questions in Pediatric Care10:55 Shared Savings and Preventive Care19:40 Direct-to-Employer Model and Ethical Considerations37:48 Ethical Dilemmas in Value-Based Care38:37 Challenges in Pediatric Care Quality39:14 Direct-to-Employer Healthcare Models40:06 Membership Models and Consumer Choice41:27 Variations in Pediatric Care42:05 Catastrophic Care and Reinsurance45:03 Medicaid for Children: Pros and Cons48:56 Investing in Preventive Care51:51 Healthcare Spending and Economic Impact54:24 Innovative Programs and Social Determinants of Health01:06:06 Aligning Financial Incentives with Quality Care01:08:58 Conclusion and Final ThoughtsSupport the show

Harnessing EHRs to Unlock the Cure for Type 1 Diabetes: A Candid Discussion with ExpertsThis episode, sponsored by Hippo Education, explores the potential role of Electronic Health Records (EHRs) in finding a cure for Type 1 Diabetes (T1D). Hosts are joined by Chip Hart from PCC and Dr. Dan Feiten from Office Practicum, both leading experts in pediatric-focused EHRs. They discuss their personal connections to T1D and the importance of identifying potential cases early, even before DKA develops. The conversation delves into the impact of family history and the need for better communication and education among pediatric clinicians. The experts emphasize the importance of integrating care plans, population health management, and the role of technology in achieving better outcomes. The discussion also highlights the challenges in the current healthcare system, including billing, insurance, and the need for more proactive strategies in pediatric care.00:00 Introduction and Sponsor Message00:40 Meet the Guests: Chip Hart and Dr. Dan Feiten01:38 Personal Stories of Type 1 Diabetes06:04 Redefining Type 1 Diabetes09:46 The Role of EHR in Managing Type 1 Diabetes16:38 Challenges and Opportunities in EHR Data38:54 The EHR Guy's Frustration with Inefficient Forms39:39 Pragmatic Approaches to Care Plans and Protocols40:27 Challenges in Managing Type 1 Diabetes in Families41:18 The Role of Pediatricians and Endocrinologists43:17 Communication Gaps in Diabetes Care44:40 Insurance and Accessibility Issues45:25 The Importance of Pediatric Leadership and Collaboration47:44 Advocating for Better Screening and Resolutions at the AAP01:00:30 The Future of Diabetes Monitoring and Technology01:08:00 Closing Thoughts on Pediatric Care and EHR SystemsSupport the show

Navigating Pediatrics: Evolution, Challenges, and Advocacy with Dr. BryanIn this episode, sponsored by Hippo Health, the hosts welcome Dr. Bryan to discuss his extensive experience in pediatric care since 1996. Starting from how he became a pediatrician, the conversation covers the evolution of his practice in Manassas, Virginia, including the shifts in patient demographics, the impact of healthcare policies, and the challenges posed by corporate medicine. Dr. Bryan shares insights into treating a diverse patient population, the administrative hurdles faced due to Medicaid's complex systems, and the critical issue of pediatric obesity and mental health within his community. The discussion also explores the role and efficacy of the American Academy of Pediatrics (AAP), highlighting the need for structural changes to better support pediatricians and improve child healthcare. The episode concludes with reflections on the importance of local and national advocacy in addressing systemic healthcare issues.00:00 Introduction and Sponsor Message00:46 Welcoming Dr. Brian: A Journey Through Pediatrics01:42 Challenges in Pediatric Practice03:52 The Evolution of Pediatric Care in Manassas04:47 The Impact of Corporate Medicine04:55 The Role of Hospitalists and Urgent Care13:00 The Struggles of Medicaid and Community Medicine27:34 The Changing Demographics and Challenges in Pediatric Care37:36 Genetic and Dietary Factors in Type 2 Diabetes38:03 Public Health Emergency Among Children38:45 Challenges in Addressing Health Issues39:03 Educational Deficiencies and Health40:02 Case Study: A 19-Year-Old Patient41:24 School Phobia and Family Dynamics43:08 Community and Familial Approaches to Health43:33 The Role of Physicians Beyond Prescriptions45:14 Systemic Issues in Healthcare Access47:56 Medicaid and Practice Management Challenges55:10 Unfunded Mandates and Their Impact01:03:06 Critique of the American Academy of Pediatrics01:04:34 Hope for Change in Pediatric Healthcare01:10:04 Concluding Remarks and Future OutlookSupport the show

Understanding RVUs and the Future of Pediatric PaymentsIn this episode, sponsored by Hippo Health and Freed.ai, the hosts engage in a detailed conversation with Chip Hart, an expert in managing pediatric practices. They discuss the concept of Relative Value Units (RVUs), their origins, and their impact on pediatricians and primary care physicians. Chip explains how RVUs affect billing and physician compensation, the disparities they introduce, and their contribution to physician burnout. The discussion also explores alternative payment models, such as value-based care, and the complexities of implementing them in pediatric settings. The episode concludes with insights into the future of pediatric compensation and the importance of recognizing and properly valuing primary care in pediatrics.00:00 Introduction and Sponsor Message00:46 Welcoming Chip Hart02:03 Understanding RVUs05:33 Impact of RVUs on Pediatricians08:47 Challenges with Value-Based Care18:21 Disparities in Healthcare23:57 Physician Burnout and Systemic Issues32:29 AI Solutions and Future Outlook33:23 Fee-for-Service Model Concerns34:30 Misunderstandings and Overbilling in Medical Practices35:12 Specialist Overuse and Financial Implications37:24 RVU Impact on Pediatric Practices40:12 Medicaid and Medicare Payment Structures44:14 Challenges with RVU-Based Compensation55:12 Value-Based Contracts and Pediatric Care01:02:21 Direct Primary Care and Financial Models01:09:04 Final Thoughts and Call to ActionSupport the show

Understanding the Economics of Pediatric Healthcare InterventionsIn this episode, Dr. R. Brett McQueen (robert.mcqueen@cuanschutz.edu), an associate professor specializing in health economics at the University of Colorado, discusses the complex economics behind healthcare interventions. The conversation covers how mathematical formulas quantify the value of medical interventions, particularly in pediatric care and type 1 diabetes. McQueen shares insights into his work on cost-effectiveness analysis, comparative effectiveness, and patient preferences. He also emphasizes the ethical considerations in healthcare decisions, the importance of childhood screening and vaccinations, and the role of AI and machine learning in optimizing healthcare strategies. The discussion aims to demystify these complex concepts and highlight the need for a better understanding and communication of the economic impacts of pediatric healthcare.00:00 Introduction and Condolences00:10 Introducing Dr. R. Brett McQueen01:48 Understanding Pharmacoeconomics03:01 Real-World Applications in Pediatrics05:01 Budget Impact and Medicaid13:11 Cost-Effectiveness Analysis24:04 Ethical Decisions in Healthcare41:17 Understanding Quality Adjusted Life Years (QALYs)42:11 The Economic Impact of Vaccination42:32 Challenges in Communicating Value to Insurance Companies45:00 The Role of Pediatricians in Advocating for Vaccination46:06 Budget Impact and Health Consequences47:19 The Importance of Trade-offs in Healthcare59:12 Behavioral Economics and Public Health01:03:09 AI and Machine Learning in Medical Research01:06:41 The Significance of HbA1c Data01:14:37 Ethical Considerations in Medical Research01:17:11 Concluding Thoughts on Healthcare EconomicsSupport the show

Celebrating 60 Years of Pediatric Education Excellence with Dr. Rani Gereige, MDIn this episode, we welcome back Dr. Rani Gereige, MD, a board-certified pediatrician and Director of Medical Education at Nicklaus Children's Hospital, Miami. He discusses the upcoming 60th anniversary of the Pediatric Postgraduate Course and its evolution since its inception by Dr. Donald Altman. The conversation covers the course's structure, notable speakers, and the importance of adapting CME to meet modern educational preferences. Dr. Gereige also touches on Nicklaus Children's Hospital's global impact and history, its transformation from a polio ward to a leading international pediatric center, and the future of medical education and practice.00:00 Introduction and Guest Welcome00:12 Dr. Rani Gurej's Background and Achievements01:34 Celebrating 60 Years of CME03:31 History and Legacy of the CME Course07:41 Exciting Topics and Speakers for the Upcoming CME15:38 Venue and Logistics for the CME Event19:34 Nicklaus Children's Hospital 70 Years: Past and Present26:03 Global Health Initiatives and Partnerships35:44 Future of Pediatric Education and Practice48:42 Conclusion and Final ThoughtsSupport the show

Navigating Pediatric Leadership and Mental Health: Insights from Dr. Sandy ChungIn the first episode of the year, the podcast host introduces Dr. Sandy Chung, a pediatrician and healthcare leader with over two decades of experience. The episode explores Dr. Chung's personal journey to becoming a pediatrician, her leadership roles, and the creation of the Virginia Mental Health Access Program (VMAP). Discussion topics include the formation and benefits of clinically integrated networks (CINs) and independent practice associations (IPAs), shared savings agreements, and the role of primary care in managing mental health and complex cases. The episode also covers the operational aspects of running a pediatric group and offers insights into the future challenges and opportunities in pediatrics.00:00 Introduction and Guest Introduction02:00 Dr. Sandy Chung's Background and Journey04:35 The Role of Pediatricians and Healthcare Leadership06:39 Insights on IPAs and CINs15:32 Challenges and Successes in Pediatric Healthcare19:03 The Impact of Preventive Medicine26:48 The Evolution of Pediatric Practice Models32:11 Understanding the Billing Process32:47 Building a Super Group: HR and Optimization33:19 Collaborative Coding and Billing Practices33:57 The Importance of Billing G221135:26 Leadership in Medical Organizations38:57 The Virginia Mental Health Access Program (VMAP)39:34 Challenges in Pediatric Mental Health Care47:58 The Role of Project ECHO in Pediatric Care51:42 Addressing Metabolic Disorders in Pediatrics01:01:34 Future of Pediatric HealthcareSupport the show

The Healthcare Revolution: Challenges and Innovations with Dutch RojasIn this episode, George hosts Dutch Rojas, a Senior Vice President of Direct Healthcare at Naomi Health, to discuss the transformative landscape of healthcare. Dutch shares his journey from an accounting student to a healthcare innovator advocating for private physicians and transparency. They delve into healthcare issues, such as market concentration, regulatory challenges, and unfair pricing structures. Dutch emphasizes the importance of competition and the role of physicians in improving the healthcare system. They also explore innovative models like physician-led practices and Direct Primary Care (DPC) to enhance care and reduce costs. The conversation touches on policy implications, the influence of large health systems, and potential solutions through collaboration and market-led changes. Dutch suggests building coalitions of independent physicians to negotiate better contracts and reduce expenses, ultimately aiming for a fairer and more efficient healthcare system.00:00 Introduction and Setting the Scene00:10 Introducing Dutch Rojas01:07 Dutch Rojas' Journey into Healthcare03:44 Challenges in the Healthcare System05:33 Market Concentration and Regulation Issues17:53 The Role of PBMs and Insurance Companies27:54 Forming Coalitions for Independent Physicians31:30 Unite the Physicians: Overcoming Legal Barriers32:06 Innovative Organizational Structures in Healthcare32:53 Ownership and Revenue Generation for Doctors33:30 Understanding Payroll and Insurance Integration33:57 Explaining Key Acronyms: PEO, GPO, and MSO35:06 Legal Challenges and Costs in Healthcare36:01 Introducing Physicians Capital36:07 Negotiation Strategies with Healthcare Providers36:36 Flexibility in Healthcare Contracts38:01 Addressing Healthcare System Problems38:58 Competing Against Academic Health Systems39:52 Challenges in Primary Care and Solutions41:27 The Role of Innovation in Healthcare42:47 The Importance of Relationships in Medicine56:41 Direct Primary Care (DPC) and Its Impact01:00:49 The Need for Price Transparency in Healthcare01:02:58 Concluding Thoughts and Future DiscussionsSupport the show

RBK Pediatrics: Celebrating the Legacy and Future of 66 Years in Pediatric CareIn this special year-end episode, the hosts of the podcast celebrate a successful 2024 and welcome a surprise guest, Dr. Delia Rogu, who extends New Year's wishes to the global audience. Sponsored by Freed AI Medical Scribes, the episode dives into the history and evolution of RBK Pediatrics, featuring insights from senior partners Dr. Kaplan, Dr. Belovin, Dr. Raymond, and Dr. Riley. They recount the humble beginnings, challenges, and significant changes over the years, from insurance dynamics to the introduction of electronic health records. The discussion underscores the importance of good medicine, community engagement, and a strong work ethic. Newer partners, including Dr. Nick and Dr. Scott, reflect on the practice's future, emphasizing the need for mentoring the next generation to maintain RBK's legacy of quality pediatric care.00:00 Introduction and New Year Wishes00:40 Sponsor Message: Freed AI Medical Scribes01:34 RBK Pediatrics: A Legacy of Care02:25 The Early Days of RBK Pediatrics04:41 Challenges and Changes Over the Years05:52 The Glue That Holds RBK Together07:46 Reflections and Legacy of Dr. Kaplan09:52 Dr. Belovin's Journey with RBK15:02 Dr. Raymond Joins RBK20:15 Transition to Modern Practices25:08 Joining the Practice: A Personal Journey26:23 Changes in Patient Dynamics and Healthcare32:04 Technological Advancements in Medical Practice34:08 Behavioral Health and Chronic Care Programs36:21 Adapting to Modern Challenges42:08 Mentorship and Future of RBK Pediatrics47:37 Concluding Thoughts and ReflectionsSupport the show

Inspiring Journeys in Pediatrics: Stories from Passionate Medical ProfessionalsJoin us as we explore heartfelt stories from pediatricians and other medical professionals about their paths to pediatrics. Hear from Todd, a former IT professional turned pediatrician; Luigi, an endocrinologist driven by his sister's diabetes journey; Nicole, a pediatric nutritionist with a passion for community health; and many more. Each story highlights the unique experiences and motivations behind these individuals' dedication to children's health, offering an inspiring glimpse into their personal and professional lives.00:00 Year-End Reflections and Global Pediatric Community00:22 Meet Dr. Todd: From IT to Pediatrics03:09 Dr. Luigi's Journey: From Italy to Leading Diabetes Research06:46 Nicole's Path: Pediatric Nutritionist in Miami08:21 Dr. David's Story: From Med-Peds to Pediatrics12:41 Dr. Peterson: From Pain Clinic to Entrepreneurship15:06 Dr. Bai: From Japanese Literature to Healthcare Economics17:30 Dr. Dina: A Gradual Path to Pediatrics21:08 Dr. Whitney Casares: Balancing Pediatrics and Motherhood23:19 Dr. Hirsch: Passion for Independent Pediatric Practice24:33 Dr. Orsini: Mastering Communication in PediatricsSupport the show

In this special episode, hosts George and Herb share clips from 2024, celebrating the work and passion of pediatricians worldwide. Interviews with various pediatricians reveal their motivations and experiences, from personal childhood illnesses to family influences. 00:22 Challenges in Implementing Change 120 Susan Sirota MD, 02:42 Personal Journeys: Why We Became Pediatricians 121 Russ Libby MD, 03:37 Spotlight on Nicholas Children's Hospital 122 Dr. Rani Gereige,08:34 Private Equity  128 Chip Hart, Recipient of Doctorate of Pediatrics from TPL 11:55 Michigan State Medical School 131 Lia Gaggino, MD,20:23 International Pediatricians: Stories and Inspirations 123 Scott Krugman , MD 125 Paul Offit, MD Pediatrician of the Year 2024 , 132 Scott Grant, MD , 133 Ilan Shapiro, MD,134 Mina Giri, MD, 136 Ricardo Morales, MD, 138 Dr. Irene,139 Susana D Chang MDSupport the show

Public Health Insights with Dr. Paul Offit: A Review of 2024 and Vaccine ControversiesThis episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore."   Please visit their website and support our sponsors. In this episode, the hosts talk to Dr. Paul Offit, the Pediatrician of the Year for 2024, reflecting on the significant public health stories and lessons from 2024. Discussions cover a range of topics, including the efficacy of maternal RSV vaccines, challenges in diagnosing mycoplasma pneumonia, and the controversy over the COVID-19 pandemic response. Dr. Offit shares personal anecdotes and professional insights on diseases like measles and polio and the repercussions of vaccine hesitancy. The conversation also touches on politicizing public health roles, the integrity of vaccine trials, and the interplay of science and public messaging during health crises.00:00 Introduction and Guest Welcome01:11 Grandchildren and Personal Updates01:34 Eagles and Dr. Bonnie02:00 Maternal RSV Vaccine Concerns03:51 Mycoplasma Pneumonia Discussion08:00 COVID-19 Pandemic Reflections08:33 Public Health and Vaccine Trust Issues24:24 Measles and Vaccine Hesitancy30:48 The Horrors of Measles31:26 Children's Suffering in Hospitals33:00 Personal Experience with Polio35:12 Polio Vaccine and Its Impact37:42 RFK Jr. and Vaccine Controversies40:10 The Role of Vaccines in Public Health43:55 Debating Vaccine Policies54:43 Hepatitis B Vaccine Concerns59:40 Concluding Remarks and RecognitionSupport the show

Private Practice Still Thriving: A Conversation with Dr. Beth GallantIn this episode, Herb and George welcome Dr. Beth Gallant, a prominent pediatrician in Oregon. The discussion revolves around the resilience of private practices, Dr. Gallant's unique journey into pediatrics, and her experiences managing an independent rural practice. Dr. Gallant shares her perspective on mentorship, the challenges of providing mental health care, and the benefits of personalized patient relationships. The conversation also touches on the involvement in the American Academy of Pediatrics and the evolving landscape of pediatric care.00:00 Introduction and Guest Welcome00:59 Journey to Pediatrics02:43 Mentoring in Pediatrics07:46 Private Practice Insights08:40 Work-Life Balance in Private Practice17:34 Challenges in Private Practice27:11 The Role of Technology in Pediatrics27:45 Challenges with AI in Medical Documentation32:47 The Importance of Personal Touch in Private Practice38:36 Balancing Professional and Personal Life40:43 Advocacy and Policy in Pediatrics47:32 Future of Pediatric Private Practice49:28 Advice for Aspiring Private PractitionersSupport the show

Enhancing Pediatric Practices with Technology: Security, Efficiency, and AI IntegrationThis episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore."   Please visit their website and support our sponsors. In this episode, we meet with Dr. Igor Trogan, a physician executive leader, to discuss technology that enhances medical practice quality, maximizes profits, and prevents physician burnout. Dr. Trogan shares insights into using security systems like Ring to monitor office activities, integrating electronic door locks, and employing virtual medical assistants (VMAs) from the Philippines for cost-effective staffing. The conversation also covers the usage of AI medical scribes like Freed AI to reduce documentation burdens, improve workflow efficiency, and various technology solutions like voice-over IP for better communication and patient care.00:00 Introduction and Guest Welcome00:23 Importance of Technology in Medical Practices01:56 Security Systems in Medical Offices05:45 Managing Multiple Office Locations13:52 Vaccine Storage and Monitoring21:05 Text-Enabled Communication Systems29:37 AI Medical Scribes: A Game Changer30:36 The Benefits of Voice Over IP in Medical Practices34:16 Efficient Call Center Operations38:38 Leveraging Virtual Medical Assistants49:54 Implementing AI for Documentation01:02:51 Conclusion and Final ThoughtsSupport the show

A Day in the Life of a Tele ICU Physician with Dr. Jeff SadowskyIn this episode, we welcome Dr. Jeff Sadowsky, a double-boarded physician in internal and ICU medicine, who shares his journey from being a medical student in Romania to founding Robotic Critical Care Services in the U.S. Dr. Sadowsky discusses his experiences and challenges working as a tele ICU physician, the technological advancements in telemedicine, and his dedication to helping critically ill patients. He also talks about the emotional aspects of patient care and the role of AI and telerobots in the ICU and offers advice to physicians considering a career in telemedicine.00:00 Introduction and Guest Introduction01:04 Early Life and Career of Dr. Jeff Sadowsky02:18 Medical School Memories and Challenges06:24 Telemedicine and ICU Innovations15:26 Technology in Telemedicine21:07 The Human Touch in Telemedicine31:17 Financial Aspects and Operational Details32:59 Challenges of Night Shifts in ICU34:12 Backup Physicians and COVID-19 Impact34:43 Telemedicine and Work-Life Balance35:15 Managing DKA and Patient Outcomes36:45 Telemedicine During COVID-1938:32 Professional and Financial Satisfaction45:11 Telemedicine Technology and Future Innovations53:45 Ethical Concerns in Telemedicine01:04:16 Advice for Aspiring Tele-ICU PhysiciansSupport the show

Transforming Pediatric Endocrinology Practice: An Insight with Dr. Rinku Mehra, MD, MBAIn this episode, hosts George and Herb are joined by Dr. Rinku Mehra to discuss the innovative model of boutique pediatric endocrinology and its benefits over traditional healthcare systems. Dr. Mehra, a physician executive with vast experience in managing complex diseases, shares her journey from working in large healthcare systems and insurance to starting her own practice. She explains her motivation behind specializing in pediatric care, the challenges faced in the current healthcare environment, and the advantages of direct-care models for managing chronic diseases. The episode provides unique insights into personalized patient care, diabetes management, and the future of pediatric endocrinology.00:00 Introduction and Guest Welcome00:54 Dr. Mehra's Background and Career Path02:23 Transition to Anthem and Policy Changes04:27 Challenges in Diabetes Management09:01 Boutique Pediatric Endocrinology Practice15:28 Business Model and Telehealth24:34 Obesity and Weight Management Strategies30:34 The Importance of Measuring Outcomes31:43 Burnout and Rediscovering Fulfillment32:50 Transition to Anthem and Gaining Confidence34:04 Challenges of Running a Private Practice35:26 Staffing Issues in Healthcare39:32 The Role of GLP-1s in Pediatric Obesity46:29 Future of Pediatric Endocrinology50:15 Direct Care and Value-Based Models53:57 Concluding Thoughts and EncouragementSupport the show

Navigating Pediatric Medical Practice in the Modern Era with Dr. Richard LanderIn this episode, Dr. Richard Lander, a pediatrician with over 45 years of experience and an expert in pediatric coding and advocacy, joins the show to discuss the challenges and evolution of pediatric medical practice. The conversation covers many topics, including historical changes in medical billing, the impact of insurance companies, modern-day healthcare challenges such as the rise of behavioral health issues, and the importance of advocating for better systems and policies. Dr. Lander shares anecdotes and practical advice for keeping pediatric practices fiscally sound while providing high-quality care. The episode also highlights the power of collective advocacy and the role of pediatricians in influencing healthcare policies.This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore."   Please visit their website and support our sponsors. 00:00 Introduction and Guest Overview01:10 Dr. Lander's Journey to Pediatrics02:04 Early Days of Pediatric Practice03:01 Changes in Medical Practice and Insurance05:24 Billing and Record-Keeping Evolution11:00 Impact of Vaccines and Infectious Diseases19:03 Challenges in Modern Pediatric Care20:19 Navigating Coding and Insurance Issues33:58 Advocacy and Fighting for Fair Compensation43:37 Telemedicine in Pediatrics45:10 The Importance of Telemedicine Scheduling46:18 Challenges with Telemedicine and Billing49:37 Mental Health and Pediatric Care52:33 Advocacy and Insurance Issues54:35 The Power of Collective Action56:54 Navigating Insurance and Reimbursement01:02:13 The Role of Pediatric Councils01:21:53 The Future of Pediatric PracticeSupport the show

Innovative Pediatric Practice: A Pathway to Value-Based CareIn this podcast episode, Dr. Sian Jones, a dedicated pediatrician from Nebraska, shares insights into her integrated, value-based pediatric practice. The discussion covers various aspects of pediatric care, including value-based care, chronic disease management, integration of mental health, and the challenges modern pediatricians face. Dr. Jones emphasizes the importance of physician-led healthcare focused on building positive relationships with families and the healthcare team. The conversation explores efficient scheduling, chronic disease clinics, the role of AI in medical practice, and the future of pediatrics, highlighting Dr. Jones' well-run practice as a potential model for the future. The episode aims to shed light on the value of investing in pediatric care and the transformation needed in the healthcare system. We hope to have Dr. Jones back to expand on shared savings, a single payment for good care and preventive care, and a direct primary care model paid by either parents or employers. This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore."   Please visit their website and support our sponsors. 00:00 Introduction and Guest Welcome00:27 Dr. Sian Jones' Background and Passion01:11 Pediatric Practice in Nebraska02:46 Integrated Care and Chronic Disease Management05:31 Challenges and Innovations in Asthma Care08:55 Obesity Management and Remote Monitoring13:28 Behavioral Health and Collaborative Care18:37 Pediatric Care Crisis and Future Directions25:29 Balancing Work and Family as Physicians26:25 Understanding Physician Value and Burnout27:51 Optimizing Physician Roles and Responsibilities28:33 Challenges in Pediatric Care and AI Integration36:42 Implementing Walk-In Clinics for Acute Care39:29 Payer Advocacy and Collaboration45:21 Value-Based Care in Pediatrics49:49 Concluding Thoughts and Future DirectionsSupport the show

In this episode, Dr. Bravo and Dr. Rogu speak with Dr. Molly O'Shea, a pediatrician and owner of a holistic family practice in Michigan. They discuss the emerging field of personalized medicine in Michigan and Dr. O'Shea's journey into pediatrics. Dr. O'Shea shares her experiences, detailing her innovative practice model, including home visits and a holistic approach. She also delves into the significance of genetic screening in early childhood and her work with rare diseases. The conversation covers pediatric care's challenges and potential future, touching on the importance of mental health, the microbiome, and the evolving role of primary care in pediatrics.This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore."   Please visit their website and support our sponsors. 00:00 Introduction and Setting the Scene00:09 Meet Dr. Molly O'Shea01:02 Dr. Molly's Journey to Pediatrics04:42 Family Influence and Childhood Challenges06:26 Resilience and Overcoming Adversity13:20 Innovative Pediatric Practice24:48 Personalized Medicine and Rare Diseases34:00 Advocacy and Future Projects37:29 The Illusion of Deleting Social Media Data38:10 Understanding Genetic Conditions: Monogenic vs Polygenic44:25 Penetrance and Its Role in Genetic Conditions51:47 Challenges in Pediatric Genetic Screening56:06 Future of Pediatrics: Personalized Medicine and Microbiome01:00:20 The Financial Struggles in Pediatric Care01:06:57 The Role of Extenders in Pediatric Practice01:12:49 Concluding Thoughts and Future MeetingsSupport the show

The State of Pediatric Healthcare: Challenges, Advocacy, and Systemic ReformsThis episode is made possible by the sponsorship of Freed.ai, which Dr. Rogu and Dr. Bravo use in the clinic. Please visit their website and support our sponsors as they make the show possible. In this episode, hosts delve into pediatricians' multifaceted challenges, touching on key topics such as the Pediatrician's Bill of Rights, the financial and administrative struggles within the pediatric healthcare system, and the pressing need for systemic reforms. Dr. John Sutter shares his 40 years of experience, highlighting the motivations behind his advocacy for better pediatric care and the inefficiencies within the current healthcare framework. The discussion showcases the dire state of pediatric healthcare, emphasizing underfunding, disparities in reimbursement rates, and the negative impact of value-based care systems. It also explores financial burdens related to Medicaid and vaccine administration, the role of policy changes, and the importance of public awareness and legislative action. Personal anecdotes and the urgent call for reform underscore the need to prioritize children's health and support pediatricians through advocacy and community efforts.00:00 Introduction and Guest Welcome00:27 Dr. Sutter's Background and Motivation01:33 The Pediatrician's Bill of Rights02:52 Challenges in Pediatric Care03:52 The Role of Organizations in Healthcare05:38 Financial Realities and Legislative Issues19:39 Value-Based Care and Its Implications29:24 Medicaid and Healthcare Disparities39:05 Pediatricians' Workload and Compensation39:48 Insurance Companies' Exploitation40:15 Case Study: Medicaid Expansion in North Carolina42:43 Challenges with Vaccine Payments57:49 Administrative Burdens in Healthcare01:00:37 Attracting Talent to Pediatrics01:01:56 The Financial Sacrifice of Pediatricians01:10:52 Proposals for Legislative Change01:16:06 Conclusion and Future StepsSupport the show

Top Insights for Managing Partners in Pediatric PracticeIn this episode, the host records from Rochester, New York, following a dinner with Dr. David Sullo, MD, a pediatrician, and the topic of discussion is the top five things a managing partner should know about their practice. Dr. Sullo shares his journey from aspiring astronaut to pediatrician and highlights the importance of knowing oneself, understanding the practice's strengths and structures, managing staff effectively, being aware of financial intricacies, and having a vision for the future. The discussion delves into the challenges faced by pediatric practices, the efficiency of operations, and the impact of monopolistic healthcare systems on access: Dr. Sullo and the host exchange insights on sustainable practice management amidst the evolving healthcare landscape.00:00 Introduction and Guest Introduction00:45 Journey to Pediatrics03:03 Panorama Pediatrics Overview07:13 Managing Partner Insights16:17 Data-Driven Practice Management27:51 Embracing AI in Medical Practices28:14 Challenges of Integrating New Systems30:07 Effective Staff Management Strategies33:35 Hiring and Accountability Systems38:54 Financial Management for Medical Practices42:55 Future Planning and Strategic Thinking45:29 Healthcare Market Dynamics and Challenges57:12 The Impact of Monopolies in Healthcare01:01:15 Closing Remarks and Final ThoughtsSupport the show

In this episode, George and his co-host are joined by Dr. Bradley Brock, a pediatric and adult ENT specialist from Long Island, New York. They explore his medical career journey and the specifics of otolaryngology, including minimally invasive procedures for children and the impact of vaccines on reducing infections. Dr. Block contrasts his practice with other ENT subspecialties and discusses the role of medical assistants in enhancing patient care. The conversation also covers the nuances of diagnostic ethics and the importance of maintaining physician autonomy. Additionally, Dr. Brock shares his experiences as a seasoned podcaster, highlighting challenges in monetization and the benefits of podcasting in opening public speaking and consulting opportunities. The episode underscores the value of diversifying interests beyond a medical career for personal fulfillment.00:00 Introduction and Guest Welcome00:49 Dr. Brock's Journey to Becoming an ENT03:03 The Role and Impact of Vaccinations04:05 Challenges in Diagnosing Strep and Other Illnesses05:07 The Importance of Access to Care06:20 Managing Patient Expectations and Treatment15:02 Complications and Considerations in ENT Practice31:02 The Structure and Functioning of Dr. Brock's Medical Group37:21 Understanding the C-Suite and Board Dynamics37:45 Comparing Different Medical Practice Models38:50 Balancing Fixed and Variable Expenses39:27 Challenges and Rewards of High Patient Volume40:11 Burnout and Career Transitions in Medicine42:17 The Importance of Autonomy in Large Medical Groups43:25 Pursuing Passions Outside of Medicine48:54 Work-Life Balance and Family Time52:56 The Role of Communication in Medical Practice59:41 The Impact of AI and Technology in Healthcare01:10:22 Monetizing and Managing a Medical Podcast01:14:14 Final Thoughts and Advice for PhysiciansSupport the show

Tackling the Pediatric Workforce Crisis: Ensuring a Brighter Future for Children's HealthIn this episode, the host celebrates Dr. Jesse Hackell for receiving the 'Buzzy' Award, recognizing his contributions to children's health. The discussion centers on the growing crisis in the pediatric workforce, driven by compensation issues and the undervaluation of pediatric services. Key topics include revisiting the 'Medicaid for All Children' policy for better access to preventive care, addressing the rise in mental health and chronic disease cases, and overcoming technological and administrative barriers. Proposed solutions focus on fair compensation, advocacy for systemic changes, and stronger support for pediatric professionals to secure comprehensive care and a sustainable future for children's health.00:00 Introduction and Editorial Note00:22 Addressing the Workforce Crisis in Primary Care00:32 Medicaid for All Children Policy Discussion01:16 Preparing for NCE and Introducing Dr. Jesse Hackell01:29 Pediatric Workforce Issues and Potential Resolutions02:29 Role and Challenges of COPAM05:17 Pediatric Workforce Crisis: Current Trends and Challenges06:47 Changing Demographics and Health Needs in Pediatrics11:44 Impact of Technology and Documentation on Pediatric Care15:39 Burnout and Moral Injury in Pediatrics28:29 Economic Disparities in Pediatric Subspecialties50:09 The Cost of Preventive Care for Children50:29 Insurance and Preventive Care: A National Commitment52:42 The Role of Federal Government in Healthcare Funding53:31 Advocacy and Political Influence in Child Healthcare56:23 Challenges in Medicaid and Preventive Care59:00 The Importance of Preventive Care Codes01:01:56 Medicaid for All: Pros and Cons01:07:58 The Role of Pediatricians and the Academy01:30:25 Administrative Burdens in Healthcare01:33:46 The Future of Pediatric CareSupport the show

A Day in the Life of a Pediatric Gastroenterologist with Dr. TuviaIn this episode, Dr. Tuvia, a renowned Pediatric Gastroenterologist, shares his journey into the field, inspired by his mentor and driven by a passion for procedural medicine. He discusses his typical day, which starts at 5:15 AM and is filled with procedures, rounds, teaching, and patient care. Dr. Tuvia highlights the importance of hands-on patient interaction and the challenges posed by mental health issues in children. The episode delves into societal issues, the impact of telemedicine, and career advice for aspiring pediatric gastroenterologists, emphasizing the balance between vocational dedication and life.00:00 Introduction and Guest Welcome01:15 Choosing a Career in Pediatric Gastroenterology04:01 A Day in the Life of a Pediatric GI06:03 The Importance of Colonoscopies11:25 Mental Health Challenges in Pediatrics19:39 Nutritional and Psychological Support for Children33:09 Exploring Autoimmune Gastritis and Celiac Disease33:44 The Financial Viability of Celiac Screening34:16 Understanding Genetic Disorders and Triggers34:48 The Mystery of Appendicitis35:11 The Evolution of Telemedicine36:33 Telehealth: Benefits and Limitations37:46 The Importance of Physical Exams40:24 Telemedicine in Mental Health41:35 The Role of Touch in Medicine42:19 The Changing Nature of Medical Practice50:53 The Impact of Social Media on Medicine56:15 Technological Advances in Pediatric Gastroenterology58:20 Advice for Aspiring Pediatric Gastroenterologists01:00:09 Concluding Thoughts and FarewellsSupport the show

Exploring the Future of Pediatrics with Dr. ChanIn this episode, the host welcomes Dr. Chan, a pediatrician and dual MD/MBA based in Washington, D.C. They discuss the declining interest in pediatrics among new doctors, Dr. Chan's career journey, and how his Six Sigma expertise contributes to pediatric care. Key topics include the complexities of balancing administrative burdens with effective patient care, the impact of reimbursement and student debt on specialty choices, and potential solutions for managing chronic diseases in children. They delve into the importance of aligning healthcare practices with evolving demographics and upcoming medical technologies, while also addressing the current challenges within the healthcare system, such as fee structures and healthcare disparities.00:00 Introduction and Today's Agenda00:13 Meet Dr. Chan: A Pediatrician's Journey01:53 The MBA Decision: Balancing Medicine and Business03:30 Understanding Six Sigma in Healthcare09:02 Challenges in Pediatric Practice10:10 The Impact of Bright Futures Guidelines18:00 Reimbursement and Burnout in Pediatrics34:52 Value-Based Metrics in Pediatric Care35:45 Accountability and Chronic Disease Management37:18 Quality Incentive Programs and Capitation38:20 Work-Life Balance in Pediatrics41:06 Challenges in Pediatric Practice46:15 Access to Care and Social Determinants of Health59:22 Future of Pediatrics and Final ThoughtsSupport the show

Celebrating 50 Years of Pediatric Excellence with Dr. Damon MooreIn this engaging episode, Dr. Damon Moore, acclaimed as the best pediatrician in Loudoun County, discusses his 50-year journey in pediatric healthcare. He shares insights from his esteemed career, his inspirations, including Dr. Jack Siegel, and the significant relationships that have shaped and sustained his practice. Dr. Moore highlights the evolution of pediatric care in Loudoun County, his involvement with the Loudoun Medical Group, and his passion for music with the Master Singers of Virginia. The episode also touches on the challenges and changes in the medical industry, emphasizing the importance of relationships in healthcare.00:00 Introduction to Dr. Damon Moore01:10 Inspiration Behind Becoming a Pediatrician02:59 Legacy of Dr. Siegel06:22 The Evolution of Pediatric Health Care in Loudoun County10:23 Formation and Growth of Loudoun Medical Group13:44 Challenges in Modern Medical Practice20:28 Memories of Dr. Lewis Gold26:36 Influence of Jewish Physicians in Pediatrics27:53 Meeting Dr. Ralph Feigen29:37 The Importance of Relationships in Medicine30:01 Remembering Dr. Ralph Feigen, MD34:01 Building Long-Term Patient Relationships35:40 The Secret Sauce of a Successful Practice39:37 The Role of Music in Combating Burnout48:53 A Pediatrician's Mission Statement52:50 The Power of Mentorship in Medicine53:36 Conclusion and Final ThoughtsSupport the show

In this episode, Herb welcomes his close friend and operational expert Brian August, who shares his extensive knowledge of finance and the medical field. Brian discusses his diverse career, which spans private equity and venture capital, and serving as a captain for Southwest Airlines. They delve into the complexities of short-term capital infusion, especially in pediatric and physician practices, revealing the benefits and pitfalls of private equity investments. Brian offers invaluable insights from his career, including his experience running and eventually selling an allergy practice. He emphasizes the importance of efficiency and the potential for internal fixes within practices. The episode provides a comprehensive guide on the value of understanding financial metrics, leveraging business acumen, and contemplating strategic exits to maximize long-term gains in medical practices.00:00 Introduction and Guest Introduction00:19 Discussing Private Equity in Medical Practices02:19 Brian's Background and Career Journey04:49 Owning and Managing an Allergy Practice08:42 Short-Term Capital and Bootstrapping14:25 Challenges with Private Equity and Billing30:04 Exploring the Supply Room30:17 The Year-End Sales Strategy30:46 Inventory Management Issues31:28 The Trash Can Fiasco32:54 Lessons from Brian34:38 The Importance of Hiring Right37:58 Operational Contingency Planning41:45 Understanding Earnings and Margins43:56 Valuing a Medical Practice56:14 Private Equity and Medical Practices58:30 Conclusion and Final ThoughtsSupport the Show.

In this episode, George welcomes back Dr. Brian Birch, who has undertaken a remarkable journey from being part of a large health system to opening his own successful independent pediatric practice, Treasure Valley Children's Clinic. The discussion covers the clinic's mission to help children live fulfilling lives, the significance of KPIs in tracking pediatric growth, and the evolving landscape of pediatric diagnoses. Dr. Bursch shares critical insights on managing chronic illnesses within his practice and the importance of mental health. He delves into his clinic's core values, the role of relationships over efficiency, and measures to ensure access and exceptional care. The episode also highlights Dr. Birch's advocacy work and the importance of having a supportive community and mentorship in achieving success in independent practice.00:00 Introduction and Guest Welcome00:29 Brian's Journey to Independent Practice01:56 Mission and Key Performance Indicators03:40 Chronic Illness and Behavioral Health09:39 Clinic Culture and Values12:08 Challenges and Lessons Learned21:13 Focus on Relationships and Efficiency32:11 Depression Screening and Adolescent Care34:33 Verbal Assessments and Safety Planning35:05 Paperless Forms and Patient Interaction35:53 Importance of Measuring Suicide Risk36:16 Incremental and Substantial Improvements39:55 Access to Care and Quick Sick Visits48:09 Balancing Work and Personal Life50:45 Advocacy and Community Involvement54:29 Building a Supportive Network57:26 Encouraging Independent Practice01:01:18 Future Growth and Efficiency01:05:00 Concluding Thoughts and Next StepsSupport the Show.

Examining the Collapse of Traditional Healthcare Models and the Rise of Direct Primary CareIn this episode, Dr. Michelle Cook discusses her journey from a traditional insurance-based family medicine practice to adopting the Direct Primary Care (DPC) model. She explains how the collapse of her healthcare system in Atlanta, Georgia, led her to pursue DPC for better patient relationships and autonomy. The conversation covers the inefficiencies and challenges of the traditional fee-for-service model, the unsustainable business practices in retail and insurance-based primary care, and the benefits of DPC in providing longitudinal, quality care. Highlighting the Medicaid low payment issue, the discussion delves into how it denies access to maternity wards and primary care for those in need.00:00 Introduction and Guest Introduction00:25 Journey into Family Medicine and DPC01:08 Challenges in Traditional Healthcare Systems01:27 Healthcare System Collapse in Atlanta01:42 Transition to Direct Primary Care02:24 Impact of Healthcare System Collapse04:37 Medicaid and Financial Challenges07:38 Retail-Based Healthcare Clinics18:11 Comparing Healthcare Models19:01 Direct Primary Care Explained26:35 Efficiency and Documentation in Healthcare28:48 EHR System Challenges and Physician Efficiency30:12 Impact of Appointment Scheduling on Workflow31:13 Pediatric Care and Efficiency Issues32:39 Administrative Burdens in Modern Healthcare39:15 Retail Clinics and Medicare Advantage44:25 Direct Primary Care Model Benefits50:14 Healthcare Costs and Insurance Issues58:21 Conclusion and Final ThoughtsSupport the Show.

In this episode, Dr. Shannon Fox Levine shares her unique path to becoming a pediatrician, starting from a criminology major to her final realization during her third-year clinical rotation. She discusses her practice in Palm Beach, which has a strong focus on mental health and chronic care management. Dr. Levine highlights the collaborative efforts with a local nonprofit for mental health care and the challenges faced, especially regarding payment structures and care coordination codes like G2211. The conversation covers the need for fair payment, advocacy for primary care, and the evolving landscape of pediatric care with an emphasis on chronic disease management.00:00 Introduction and Guest Welcome01:13 Dr. Foxx's Journey to Pediatrics04:24 Residency and Early Career05:34 Building a Comprehensive Pediatric Practice07:29 Mental Health Integration in Pediatrics11:33 Challenges and Innovations in Pediatric Care19:19 Patient Experience and Practice Management28:26 The Future of Pediatrics36:28 The Demands of Pediatric Practice36:45 Challenges in Pediatric Infectious Disease37:25 Shift to Chronic Disease Management39:01 Mental Health Crisis in Pediatrics39:25 Insurance and Access to Care Issues40:55 Obesity and Metabolic Syndrome43:22 Vaccination and Disease Prevention44:44 Advocacy for Fair Payment49:18 National Pediatric Advocacy Efforts52:10 Value-Based Care and Chronic Disease01:07:34 Future of Pediatric CareSupport the Show.

Dr. Bravo welcomes two expert pediatricians, Dr. Marconi and Dr. Gambon, who share their extensive experience in pediatric care, mental health initiatives, and innovative approaches to screening for serious conditions. The discussion covers their career journeys, the importance of mental health screening, the challenges of implementing new practices, the nuances of pediatric coding and billing, and the importance of continuous education for healthcare providers. The episode stresses the necessity of integrating behavioral and physical health care, as well as the importance of early screenings for conditions like type 1 diabetes to improve patient outcomes.Pediatric Meltdown - Dr. Lia Gagino Suicided Screening Dr. Lia and Allied Physicians Episodes :039040041042Dr. Sirota Suicied Screnning ASQ-SAAP FL The Future of Pediatrics Dr. Rani The King of CME - Nicklaus Children Post Graduate CME 00:00 Introduction and Guest Welcome01:06 Why Become a Pediatrician?02:19 Citrus Health Network Overview08:28 Mental Health Initiatives in Pediatrics13:54 Implementing Suicide Screening in Pediatric Care17:42 Challenges and Solutions in Pediatric Mental Health Screening24:12 The Importance of Personal Connection in Pediatric Care29:22 Ongoing Education and Innovation in Pediatric Practice37:09 Understanding the Importance of Face Time with Families37:38 Building Trust Through Repeated Visits38:55 Challenges in Behavioral Health Payment40:41 The Importance of Coding and Documentation50:16 Strategies for Delivering Tough News01:00:08 Screening for Diabetes: A New Approach01:03:12 ImplementiSupport the Show.

Unlocking the Power of Storytelling: Lessons from Simeon CourtieIn this insightful episode, the hosts welcome Simeon Courtie, an award-winning broadcaster, writer, and communication expert. Simeon shares his professional journey from his early days at the BBC to becoming a comedy writer and a communications educator. The discussion explores his transition to enhancing communication strategies in various industries, notably healthcare. Key topics include the significance of storytelling in presenting complex data, audience understanding, building trust, and effective rhetorical techniques. Simeon provides strategies to engage both patients and colleagues, overcoming common communication pitfalls. Additionally, the conversation delves into Simeon's acclaimed books, 'The Long and Whining Road' and 'All Hollow,' his TEDx talk, and insights into his storytelling training company, Kindred Skills.00:00 Introduction and Guest Welcome01:28 Simone's Career Journey03:42 Importance of Communication in Healthcare06:24 Building Trust and Effective Communication09:12 Challenges in Medical Communication12:58 Storytelling Techniques for Physicians14:37 The Role of the Hero in Storytelling18:24 Applying Storytelling in Medical Practice20:44 Mentorship and Patient Empowerment24:50 The Hero's Journey in Healthcare44:02 The Art of Engagement in Pediatrics44:34 The Complexity of Pediatric Storytelling46:11 Real-Life Application of Storytelling Techniques48:38 Navigating Mixed Audiences50:06 Persuading Physicians and Change Management56:32 The Power of Simple, Measurable Goals01:00:19 Effective Communication in Healthcare01:09:28 The Importance of Empathy and Curiosity01:09:51 Sim's Work and Storytelling Insights01:16:22 Humor and Warmth in Communication01:18:28 Final Thoughts andSupport the Show.

A Day in the Life of a Pediatric Urologist with Dr. Jordan Gitlin, MDIn this insightful episode, Dr. Jordan Gitlin, Chief Pediatric Urologist at NYU Langone, Long Island, shares his journey and inspiration behind choosing pediatric urology. Dr. Gitlin details his typical day, combining surgery, clinic visits, and teaching. He discusses the challenges of transitioning to robotic surgery, the nuances of treating pediatric patients, and the importance of being available for colleagues and patients. Dr. Gitlin also touches on his mission trips to Guatemala and the impact of maintaining relationships with his patients into adulthood. This episode offers a comprehensive look at the responsibilities and rewards of pediatric urology.00:00 Introduction and Guest Welcome01:06 Journey to Pediatric Urology03:51 A Day in the Life of a Pediatric Urologist08:21 Robotic Surgery in Pediatric Urology12:11 Challenges and Skills in Modern Surgery19:04 Handling Common Pediatric Urology Issues26:06 Reflux and UTI Management in Pediatrics33:47 Kidney Health and Reflux Management34:40 Challenges with DMSA Agent Availability36:05 Debate on Circumcision40:26 Managing Voiding Issues in Children44:01 Complex Pediatric Urology Cases47:14 Transitioning Special Needs Patients to Adult Care49:54 Mission Trips and Global Health54:24 The Importance of Physician-Patient Relationships56:22 The Role of Technology in Modern Healthcare01:00:33 Final Thoughts and FarewellSupport the Show.

The Power of Effective Communication in Medicine with Dr. Anthony OrsiniIn this enlightening episode, Dr. Anthony Orsini, a renowned pediatrician, neonatologist, author, podcaster, and master communicator, shares invaluable insights into his journey from general pediatrics to neonatology and the profound importance of delivering bad news with compassion. Dr. Orsini reveals his groundbreaking approach to communication through real-life experiences, including a transformative event during his training that reshaped his understanding of how to convey difficult news empathetically. He discusses the 'Orsini Way,' a structured and humanistic approach to communication in medical practice, emphasizing the significance of body language, gradual delivery of bad news, and the importance of building trust with patients. The conversation further delves into conflict resolution techniques and how genuine relationships can mitigate physician burnout and prevent medical malpractice lawsuits. This episode is a robust toolkit for healthcare professionals seeking to enhance their communication skills and patient interactions.00:00 Introduction and Guest Welcome01:17 Dr. Orsini's Journey to Pediatrics02:18 A Life-Changing Experience06:51 Developing the Orsini Way10:52 The Importance of Communication in Medicine14:41 Role-Playing Exercise: Delivering Bad News21:22 Breaking Down the Orsini Method29:23 The Anxiety of Delivering Bad News30:02 The Importance of Relationships in Pediatrics31:57 Building Trust with Patients33:55 Combating Physician Burnout34:58 The Role of Communication in Medicine44:54 Conflict Resolution Strategies53:50 The Human Connection in Healthcare55:17 Conclusion and Contact InformationSupport the Show.

At The Heart of Pediatric Care: A Conversation with Dr. Stephen Hirsch. M.D., FAAPIn this episode, the hosts interview Dr. Stephen Hirsch, a pediatrician with an independent practice Hirsch Pediatrics in Rockville, Maryland. The discussion covers the intricacies of running and maintaining a pediatric practice, the importance of attention to detail, the advantages of independent practice, and the significance of having a well-designed office environment. Dr. Hirsch shares his journey, vision, and passion for pediatric care, emphasizing the emphasis on patient experience, the role of telemedicine, the integration of mental health services, and the financial aspects of running a successful practice.00:00 Introduction and Guest Welcome00:53 Dr. Hirsch's Journey to Pediatrics01:35 Designing the Perfect Pediatric Office03:12 Recruiting and Retaining Staff06:12 Independent Practice vs. Hospital Systems08:42 Challenges in Practice Management09:37 Training and Mentoring New Physicians15:31 Importance of Patient Relationships20:54 Quality Measures and Vaccination Rates27:11 Impact of Sick Visits on Practice Revenue27:39 Balancing Sick Visits and Well Visits29:03 Patient Portal and Triage Strategies30:29 Embedding Mental Health Services33:18 Challenges of Mental Health Integration34:26 Running a Pediatric Practice: Analogies and Insights36:59 Managing Work-Life Balance in a Small Practice40:37 Telemedicine and Office Management45:50 Financial Realities and Pediatric Practice51:32 Concluding Thoughts and Future OutlookSupport the Show.

Navigating Physician Mom Burnout and Innovations in Pediatric MedicineIn this episode, Sabrina and Whitney bring on Dr. Whitney Casares, a pediatrician and the founder of Modern Mommy Doc. Despite Dr. Rogel's absence, they dive into physician-mom burnout and alternative pathways in pediatric medicine. Dr. Casares shares her professional journey and tips on maintaining a healthy work-life balance. She also discusses how technology is changing the field of pediatrics. The conversation explores essential issues such as gender roles in parenting, systemic challenges in healthcare, and innovative solutions like telehealth that aim to reduce physician burnout and improve patient care. The discussion emphasizes the significance of maintaining a purposeful and balanced life as a medical professional and a parent.00:00 Dr. Rogel's Absence and Introduction to the Episode00:20 Meet Dr. Whitney Casares, Pediatrician and Founder of Modern Mommy Doc01:13 Why Pediatrics? Dr. Casares Shares Her Journey02:33 The Challenges and Joys of Pediatric Medicine05:19 Navigating Parenting and Professional Life07:01 Defining Good Parenting: Dr. Casares' Insights13:47 Balancing Work and Family: Dr. Casares' Personal Story23:24 Prioritizing and Triaging Life's Demands36:27 Recognizing What We Can Control36:54 Challenges in the Healthcare Industry38:33 Work-Life Balance and Integration40:57 The Mystery Triangle in Relationships43:44 Communication and Assertiveness in Partnerships44:53 Treating Family Like a Business51:59 Innovations in Healthcare and Telehealth55:54 The Future of Pediatric Care01:06:50 Concluding Thoughts on Work-Life BalanceSupport the Show.

Dr. Dina Gottesman's Journey in Independent Pediatric Practice working with Dr. John at South Ridding Pediatrics. In this episode, Dr. Dina Gottesman shares her journey from completing her pediatrics residency at Rainbow Babies and Children's Hospital to becoming a leading pediatrician at South Riding Pediatrics. Dr. Gottesman talks about her early influences, education, and the pivotal moments that led her to specialize in general pediatrics. She discusses the challenges and rewards of her profession and the importance of fostering a strong team culture and adapting to the evolving healthcare landscape. The conversation also touches on the impact of social media in her practice, patient care dynamics, and the changing work ethics in the medical field.00:00 Introduction and Guest Welcome01:01 Dr. Dina's Journey to Pediatrics03:40 Growing Up and Early Influences05:01 Love for Pediatrics and Work Ethic07:23 Challenges and Rewards in Pediatric Practice10:47 Hiring and Team Dynamics15:17 Social Media and Marketing in Pediatrics22:30 Balancing Professionalism and Engagement in Medical Videos23:00 Adapting to New Communication Methods23:22 Creating Informative and Engaging Content24:25 The Role of Technology in Patient Education26:29 Challenges in Maintaining Work-Life Balance28:16 Fostering a Collaborative Work Environment31:08 Evolving Perspectives on Professional Commitment32:50 Adapting to Health and Safety Regulations37:37 The Importance of Passion in Medicine43:23 Reflecting on Past Experiences and Future AspirationsSupport the Show.

The Perils and Future of U.S. Healthcare Financing with Dr. BaiIn this episode, Dr. G. Bai, a professor of accounting and health policy at Johns Hopkins University, discusses the challenges and future of healthcare financing in the U.S. Topics include the limitations of the current system, the impact of regulations, the inefficiencies introduced by insurance companies, and the importance of independent practices. Dr. Bai also advocates for empowering patients by letting them control their healthcare funds, which could drive competition and innovation. The conversation highlights the need for systemic changes and greater public awareness to improve healthcare outcomes and efficiency.00:00 Introduction and Guest Welcome01:25 Dr. Bai's Journey into Healthcare Economics02:47 Understanding Healthcare Spending in the U.S.04:35 Dysfunction in the U.S. Health Insurance Market12:55 The Role of Small Businesses in the Economy14:37 Challenges Faced by Independent Practices18:44 Government Programs and Payment Issues22:27 Monopolies and Regulatory Capture in Healthcare30:35 Proposed Medicaid Reforms and Their Implications34:48 Economic Priorities and Healthcare35:45 The Role of Incentives in Healthcare37:14 Challenges of Centralized Healthcare Policies41:59 Impact of Medicaid Expansion on Independent Practices44:48 The Power Dynamics in Healthcare59:37 Public Health and Preventive Care01:02:51 Envisioning a Better Healthcare SystemSupport the Show.

Exploring Pediatric Anesthesia and Pain Management with Dr. Alicia PetersonIn this podcast episode, the hosts welcome Dr. Alicia Peterson MD, an accomplished pediatric anesthesiologist and pain management specialist. Dr. Peterson shares her journey from academic medicine to entrepreneurship and highlights the challenges faced within large hospital systems. She discusses the importance of a holistic bio-psychosocial approach to pain management, emphasizing the value of mental health, physical therapy, and social connection. The conversation also touches on the inefficiencies of healthcare bureaucracy, the necessity of finding personal passion, and adaptive strategies to balance professional and personal life. Dr. Peterson offers insights into her consulting work with corporations and her podcast aimed at diversifying and demystifying anesthesiology.00:00 Introduction and Guest Welcome00:51 Dr. Peterson's Journey in Medicine02:24 Challenges in Academic Medicine03:09 Operating Room Experiences07:41 Hospital Bureaucracy and Physician Dissatisfaction19:40 Transition to Corporate Consulting22:32 Passion for Pain Management26:15 Bio-Psychosocial Approach to Pain30:47 Understanding Allodynia and Desensitization Therapy33:07 Functional Abdominal Pain and Physical Therapy35:54 The Role of Cognitive Behavioral Therapy and Meditation39:04 Mindfulness and Pain Management Programs44:08 Balancing Work, Hobbies, and Avoiding Burnout51:44 The Importance of Pain Education for Physicians55:05 Adapting to Life's Challenges and Staying Disciplined56:18 Conclusion and Final ThoughtsSupport the Show.