Podcasts about attendings

Our next poster is titled Sleep in Orthopaedic Surgeons: A Prospective Longitudinal Study of the Effect of Home Call on Orthopedic Attending and Resident Sleep. Recurrent episodes of partial sleep deprivation resulting from call schedules are commonly seen in physicians. This has been shown to cause decreased mental effectiveness while at work, which corresponds with a blood alcohol level of 0.08%. Sleep deprivation has been associated with adverse personal health events, with an increased risk of diabetes, heart disease, stroke and risk of death. Additionally, sleep deprivation has been demonstrated to have a negative clinical impact, including decreased surgical performance, increased errors, and greater risks of accidents.Despite the known negative impacts of poor sleep, the effect of home orthopedic call on surgeon sleep has not been well quantified.  The purpose of the study was to quantify the impact of resident and attending physician home call on sleep performance – specifically total sleep, slow-wave sleep and rapid eye movement sleep – as well as heart rate variability. Sixteen orthopedic residents and 14 attendings at a level 1 academic trauma hospital wore WHOOP 3.0 straps for a period of 1 year. The WHOOP strap is wearable device that tracks all 4 stages of sleep and monitors wake events, efficiency and respiratory rate. The authors recorded total sleep, slow-wave sleep and REM sleep.  Slow-wave sleep is considered to be the most restorative sleep stage and plays an important role in growth, memory and immune function.This study showed that overall, attendings slept significantly less than residents, at 6 hours compared to 6.7 hours.  When on home call, resident total sleep decreased by 20%, REM sleep decreased by 12%, and slow-wave sleep decreased by 12%.  For attendings, total sleep on-call decreased by 10%, REM sleep decreased by 7% and slow-wave sleep decreased by 4%.The authors concluded that orthopedic surgery residents and attendings exhibit low baseline sleep, and taking home call reduces this even further.  On home call nights, Residents and Attendings experienced a significant decrease in total sleep, REM sleep and short wake sleep.  The authors suggested that further research is required in order to determine how to ensure excellent patient care, maximize educational environments and develop strategies for resilience.

Today we are talking with Dr. Rob Orman. Dr. Orman is a writer, podcaster and coach. He is an emergency medicine doc who now works with physicians to build resilience, overcome burnout, and reconnect with meaning and purpose in their work. In this conversation we discuss side gigs and the impact they can have, we talk about the incredible power of mindset, we talk about burnout and so much more. Financial Waterfalls for New Residents and Attendings: https://www.whitecoatinvestor.com/financial-waterfalls-for-new-residents-and-attendings/  Today's episode is brought to us by SoFi, the folks who help you get your money right. Paying off student debt quickly and getting your finances back on track isn't easy, but that's where SoFi can help — they have exclusive, low rates designed to help medical residents refinance student loans—and that could end up saving you thousands of dollars, helping you get out of student debt sooner. SoFi also offers the ability to lower your payments to just $100 a month* while you're still in residency. And if you're already out of residency, SoFi's got you covered there too. For more information, go to https://www.whitecoatinvestor.com/Sofi SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. Additional terms and conditions apply. NMLS 696891. The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor is for you! Main Website: https://www.whitecoatinvestor.com  YouTube: https://www.whitecoatinvestor.com/youtube  Student Loan Advice: https://studentloanadvice.com  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

Today I will be answering some of the most common questions listeners face, such as how to prioritize student loan repayments versus contributing to retirement accounts like Roth IRAs or 401(k)s. You'll learn how to map out a clear repayment plan for your student debt while ensuring you're taking advantage of key retirement benefits that can reduce your tax burden. Learn more: https://apmsuccess.com/251  Watch the video: https://apmsuccess.com/251v  Need help with wealth management? Learn about APM Wealth's process, here: https://apm-wealth.com/services. Or, get our free guide explaining some of our key methods for building wealth with clients: https://apm-wealth.com/freedom  Or check out our webinar for helping practice owners optimize wealth building: www.apm-wealth.com/webinar 

As I record this in early July, new Residents and Fellows are starting clinical rotations. And over the next several months, recent graduates, new Attendings, are starting their new roles as "the grown up" in the room.What do I wish I understood when I was in their place? Today I'm sharing 10 things that I wish had understood 14 years ago, as I prepared to be an Attending. In brief, they are: 1. You will always look more calm and more organized to other people than you feel inside.  2. Your program wanted you to succeed; your job wants you to bring in money. 3. You will have to relearn or learn how to say no.  4. There will always be more to do than time to do it. Be picky, be selective. 5. Boundaries allow you bandwidth 6. No one will watch out for you but you.  7. You will never be done learning; the better you take care of yourself, the more bandwidth you will have for curiosity and growth 8. The amount of admin tasks will metastasize, especially if you are willing to do them.  9. You have more choices than you know.  10. Your job is not to have all the answersWhat would YOU add to this list? Whether you've been out of training for a year, or 20, let me know what you wish you had known. Email me at megan@healthierforgood.com (yes, I read this myself) or DM me on IG at @MeganMeloMDAs promised, here is a link to a 2022 article in Medical Economics that showed PCP require 26.7 hours per day to provide comprehensive care to their patients: https://www.medicaleconomics.com/view/primary-care-physicians-need-26-7-hours-a-day-for-comprehensive-care-for-patients  Support the Show.To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

In light of the new academic year today, we are so excited for this special episode, hosting Dr Shikha Jain, who is the founder of Women in Medicine & a GI oncologist, & involved with ASCO Women's Networking Center. She shares some of her tips for new doctors, and a few for new attendings.

Summary This episode discusses advice for new attending physicians starting at a new practice. It covers topics such as building relationships with colleagues and the community, understanding the practice's expectations, seeking mentorship, negotiating contracts, and handling job transitions or losses. The key points include:- Doing due diligence when choosing a job to ensure the practice aligns with expectations and can support the desired specialty.- Being willing to say 'yes' to tasks outside one's specialty initially to build relationships and establish a patient base.- Seeking mentorship from experienced colleagues, former attendings, or specialty organizations for guidance.- Thoroughly reviewing employment contracts, understanding exit clauses, and negotiating favorable terms.- Maintaining professionalism and building trust with the local community to attract patient referrals.- Preparing for potential job changes or losses by understanding contract terms and having a support system.- Exploring entrepreneurial pursuits like podcasting to combat burnout and find fulfillment outside clinical practice.The discussion provides valuable insights for new attendings navigating the challenges of starting a medical practice and building a successful career.

Trauma is something that is present in all walks of life in all professions. However, one way that trauma impacts us differently as physicians is that we are taught that it is a normal part of our work as a physician and we are to stuff it down and just keep going. The job itself as a physician is riddled with trauma with the amount of sickness, pain, and death that we face. But, a different flavor of trauma that isn't discussed is that of the training that doctors face.  All Resident doctors turn to their Attending physician for guidance and training while they learn the ropes of medicine. Oftentimes, this training can be harsh and demanding with a focus on criticism and correction, rather than support and mentorship.  The negative impact this accumulated trauma has on the mental and emotional well-being of resident doctors is, what I believe to be, one of the first tastes of burnout we experience as physicians.  I chat with clinical psychiatrist, Dr. Melissa Hankins, and she shines some light on this trauma and the different actions we can take as Attendings and Residents to move our training forward without the damaging trauma that pushes us right down the path to burnout town. Listen to this episode to hear more about what trauma looks like in the Resident/Attending relationship and some resources you can leverage to do better as an Attending or cope better as a Resident. “One of the hallmarks of trauma is you feel isolated and alone.” Dr. Melissa Hankins In this episode: [02:02] Welcome to the show, Dr. Melissa Hankins! [03:09] Dr. Hankins's background and evolution as a clinical psychiatrist and her burnout journey. [10:07] Understanding the trauma that we face as physicians and how we need to handle it. [14:36] The trauma that Residents face from their Attendings.  [17:38] How Attendings can do better to train Residents without toxic traits.  [20:09] Actions that Residents can take to stand up for themselves and cope with the trauma they may face during training. [27:01] You are absolutely enough just as you are! Links and Resources Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout by Sharon T. McLaughlin and Female Physicians Entrepreneur Group Connect with Dr. Melissa Hankins: Institute of Coaching LinkedIn | Instagram | Facebook 2 WAYS TO GET INCREDIBLE HELP AT A LOW-COST!!! Buy my Kindle Book,Doctor Me First, on Amazon Come sit with me in the Badass Collective Slack Group.

Dr. Michelle DaCosta, an adult and pediatric cardiac anesthesiologist who specializes in adult congenital hearts gives her tips for getting the most out of our field!1- don't settle2- distinguish yourself3-expand outside of medicine4- don't let your job run you5-run your job by getting involvedWant to keep the convo going? Join our FB group!https://www.facebook.com/groups/sevosistasHave a burning question? A concern? A controversy or issue you want to hear covered? We got you, boo! Leave a voice message at 202 743 1404. We will play your recording on the podcast and address your topic (if you don't want it played just say it in the voicemail, we will still cover your topic!). This podcast is for you and we want to include you on this journey! Hope to hear from you soon

Some words of wisdom I learned from Dr. Bob Hickey, one of my favorite Attendings in fellowship. A clinician and avid researcher.  As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules  

Congratulations on graduating residency! Do yourself a big favor and listen to this advice from Dr. Christina Shenvi and Dr. Nikki Binz, brought you by EMRA*Cast host Dr. Kim Bambach. Start off on the right foot with BHAG, ikigai, and proper spycraft at a new job. You got this!

Dr. Brook Choulet is a concierge psychiatrist and the Founder of Choulet Wellness in Scottsdale, Arizona. She is also still a resident!    Things to expect in this episode: Dr. Brook discloses how she works with high-profile clients like the NBA's Phoenix Suns. Defining what concierge medicine is. How Dr. Choulet started her business as a resident Dr. Choulet discusses the difficulties she faced starting her business while in residency Dr. Nii explains what moonlighting is.  Dr. Choulet discusses her first awkward experience with a patient having her phone number Resources: Dr. Brook Choulet: www.brookchouletmd.com   INCROWD MAKE EXTRA MONEY AS A RESIDENT OR ATTENDING - COMPLETE MEDICAL SURVEYS WITH INCROWD WATCH THIS EPISODE ON YOUTUBE! https://www.youtube.com/drniidarko     Join our community Text text word PODCAST to 833-230-2860   Twitter: @drniidarko Instagram: @drniidarko Email: team@drniidarko.com   Podcasting Course: www.docswhopodcast.com Merch: https://docs-outside-the-box.creator-spring.com This episode is sponsored by    LocumStory.com Learn how locum tenens help doctors make more, and have the lifestyle they deserve!. Check them out at www.locumstory.com   Set For Life Insurance. What the Darkos use for great disability insurance at a low cost!! Check them out at www.setforlifeinsurance.com  

Dr. Brook Choulet is a concierge psychiatrist and the Founder of Choulet Wellness in Scottsdale, Arizona. She is also still a resident!  Things to expect in this episode:Dr. Brook discloses how she works with high-profile clients like the NBA's Phoenix Suns.Defining what concierge medicine is.How Dr. Choulet started her business as a residentDr. Choulet discusses the difficulties she faced starting her business while in residencyDr. Nii explains what moonlighting is. Dr. Choulet discusses her first awkward experience with a patient having her phone numberResources:Dr. Brook Choulet: www.brookchouletmd.com WE WANT TO HEAR FROM YOU!!!! TELL US WHAT YOU WANT TO HEAR ON FUTURE EPISODES!!!!FILL OUT THE DOCS OUTSIDE THE BOX PODCAST SURVEY (in partnership w INCROWD) INCROWDMAKE EXTRA MONEY AS A RESIDENT OR ATTENDING - COMPLETE MEDICAL SURVEYS WITH INCROWDWATCH THIS EPISODE ON YOUTUBE!https://www.youtube.com/drniidarko  Join our communityText text word PODCAST to 833-230-2860 Twitter: @drniidarkoInstagram: @drniidarkoEmail: team@drniidarko.com Podcasting Course: www.docswhopodcast.comMerch: https://docs-outside-the-box.creator-spring.comThis episode is sponsored by  LocumStory.com Learn how locum tenens help doctors make more, and have the lifestyle they deserve!. Check them out at www.locumstory.com Set For Life Insurance. What the Darkos use for great disability insurance at a low cost!! Check them out at  www.setforlifeinsurance.com 

Intro Thanks to new Mayor patron Blaize Background (2:42) Shang-Chi created by Steve Engleheart & Jim Starlin in Special Marvel Edition #15 (Dec. 1973) Shang-Chi introduced as the son of Fu Manchu, an evil sorcerer bent on world domination - his white mother was chosen based on her genetics - Shang was raised to be an assassin and serve his father, but on his first mission to kill one of his father's rivals, he has a change of conscience, and discovers his father is the true evil Early stories largely based around defeating his father's henchmen and doing everything he can to stop him - also based heavily in racist Yellow Peril tropes Often teamed up with other martial artists, like White Tiger, Iron Fist, and Daughters of the Dragon After finally destroying his father's organization, he retired to become a fisherman, but was drawn out to assist former colleagues at MI-6 Joined the Marvel Knights, run by Daredevil, to take down the Punisher and his extrajudicial killings Joined the second iteration of Heroes for Hire during Civil War, and began a relationship with Tarantula, although it was over quickly due to her violent tendencies Joined the Secret Avengers to help track down his father, who had been resurrected again Gained spider powers during the Spider-Island event, but when he mutated into a spider, Iron Fist used his chi powers to cure him Joined other Asian heroes in the Protectors and the Agents of Atlas - together they fought Sindr, Ismenios, and other villains Later became the Supreme Commander of the Five Weapons Society, his father's old organization, but vowed to use it for good - this put him in conflict with other members of the group, but several of them allied to his cause Was temporarily the host of the Phoenix Force when it was seeking someone new, but when he refused to kill Captain America in battle, the Phoenix rejected him and left his body Tracked down his half-sister, who had left the society, and convinced her to return Issues (9:41) Dealing with having a mass murdering villain for a father No childhood outside of training (15:45) Raised thinking the Western world was horrible & out to get him (23:24) Break (33:18) Plugs for BetterHelp, Freudian Sips, and Saladin Ahmed Treatment (35:12) In-universe - Help him hone energy sensing abilities Out of universe - Address cultural differences, and meet the patient where they are without being condescending (38:16) Skit (49:14) DOC: Hello Shang-Chi, I'm Dr. Issues. SHANG-CHI: Greetings, doctor. D: I'd tell you to make yourself comfortable, but it seems you've already done that.  SC: Comfort is a luxury seldom offered, and even more rarely accepted. Forgive me if this ironically makes you uncomfortable. D: No, it's fine. We don't have a “no shirt, no shoes, no service” sign out front for a reason. This is a place for calm and peace.  SC: I am sure you mean well, and truly believe that. But sadly, Doctor, wherever I go, chaos follows me like a tail attached to a cat, and I am certain this office will be no different. D: That must be difficult to deal with.  SC: I long ago accepted my fate. My father's influence is far-reaching, and even without him, there are many who would seek to usurp the title of Master of Kung-Fu. Even as I agreed to meet with you, I pondered whether there was a chance this was a trap for a sneak attack. D: I'm certainly glad you trusted me enough to come here, for what it's worth. What made you finally agree?  SC: I spoke to some trusted associates who have been clients of yours. Their experience and faith in you was enough to convince me.  D: So now that you're here, what do you want to discuss? SC: At this point in my life, I am trying to transition my path to one of less fighting. However, as I said, so much of what I do involves martial arts that this seems impossible.  D: No forks in the road. That's one way to look at it. I'll pause on that because I see on your face that there is more to it. SC: I know that you think I am being blind to other options, but it is not as you say. I have taken service jobs. I have been a teacher of the craft. I do not wish to abandon all that I know for the sake of comfort. And still...something haunts me. Other noble heroes invite me. If I am not asked first, then I am chosen as a consequence. I am thankful that I have survived so far, and I do not fear death. But there is this pestering essence that the world does not accept me as I am. D: That's...heavy. It's rare that I'm taken aback by someone due to their eloquence. I have to admit, I got lost in it! SC: Forgive me if I am rude, but your statement itself is an example of it. D: I'm still lost. SC: You said I speak well. D: *pause* OH MY GOD I AM SO SORRY I DID THAT I'VE HAD IT DONE TO ME I AM AN IDIOT I WOULD NEVER MEAN TO DO THAT ON PURPOSE I  SC: *laughs* Your chi is genuine. But do you realize how common that is, how through no forethought, we are verbally sparring? I know that is how it will be for the rest of my life. At least, that's how I perceive it. D: Perception is reality. I won't hide my mistakes, and I'm thankful for your latitude. But that tells me your experiences have been way more hostile than a random faux pas. SC: You have quickly redeemed yourself. Yes, there are blatant examples that happen. How am I supposed to grant grace to those who don't do the same? Unfortunately, my father did me no favors. I carried a similar yoke of disdain across my shoulders for those I only knew through his eyes. I am grateful for my enlightenment so many years ago as a young man. But I feel those same shackles weighing down those around me when they see me, not knowing what to make of me, what to say, fearful or angry and not even understanding why. D: It's not your - or anyone's - singular purpose to enlighten every individual. You'll make yourself feel worse that way. Focus on the successes, be they one or one million. SC: You know, it's not just the common man. I was chosen by the Phoenix Force once. I fought Captain America. I had proven myself ...but because I showed grace, I was eliminated by Phoenix itself. Still...I would make that decision again. D: A worthwhile and rigorous process is the true path, regardless of the outcome. Thank you for reminding me of what my own Attendings taught me. But using a great thought process, even when all emotions say to ignore it, that's true mastery. SC: It is fair to say we understand one another so far.  D: Oh believe me, it's hard for me to keep my chill when someone calls me a SC: *cuts him off* Wait. D: What? SC: Something is amiss. D: I don't -  SC: Silence. *beat* Get down. *glass shatters* ASSASSIN LEADER: SHANG-CHI! THE WHITE DRAGON CALLS FOR YOUR DEATH! D: Who's the White Dragon? SC: *fighting sounds throughout* Unclear. There have been several with that name. I watched the last one die. Beheaded by my brother. It seems someone new has taken up the mantle.  D: And I thought my family was difficult to deal with… SC: *to fighters* You all fight well, but in service to a madman. There will be no shame in submitting now. I promise this. But continue to fight me, and you and your master will suffer great pain. AL: You will join us, Shang-Chi, or die. Either way, the White Dragon Clan will be victorious! SC: There is no victory in your falsehoods.  D: But there will be a huge insurance claim coming your way! AL: The doctor is of no consequence! Subdue him or kill him, it is of little matter. D: I'M OUT! SC: *more fighting sounds, tapering off* there is no need, doctor. D: You...just took down a hit squad, while conversing at the same level as your original discourse with me…*random movement sounds* AND YOU'RE FIXING THE ROOM?!!! SC: I have brought pain and despair to your office. For this, I must apologize. D: Ok, first off, if we are going to have sessions together, do not apologize for saving my life.  Second, if it weren't insulting to a man of your stature *whispers* and I could afford it *normal* I would hire you as my bodyguard on sight. SC: Or, I could teach you, in exchange for your psychiatric services. Bartering at it's finest. D: “The Way of The Issues…” I'm sold! Ending (55:47) Recommended reading: Secret Avengers & Marvel Knights Next episodes: Crystal, Emma Frost, Starfire Plugs for social References: The Simpsons “Much Apu About Nothing” - Anthony (31:14) Apple Podcasts: here Google Play: here Stitcher: here TuneIn: here iHeartRadio: here Spotify: here Twitter Facebook Patreon TeePublic Discord

The Accelerators (Drs. Laucis, Parikh, and Spraker) welcome Dr. Toby Chapman and Dr. Jerry Jaboin to discuss practical tips for getting started as a #RadOnc attending. We explore how to meet referring clinicians, being affable while maintaining work-life balance, and how to be your tumor board's favorite oncologist - or not. At the end, Jerry serves up the introductory wellness module that every oncologist needs to hear. Here are all the books that were recommended during the show:BIFF Conflict Communication SeriesBlinkBobiverse Series (Audiobooks)Boom TownGold DiggersThe Investor's Manifesto

Summer is here. That means graduating residents and soon-to-be fresh attendings. Have you thought about your finances yet?     The saying “there's no time like the present” rings true – you are in the perfect place to set yourself up for healthy finances if you, at minimum, follow these 4 “to do's” we discuss on today's episode.

Ryan gets to play both good and bad cop on this week's Financial Health Assessment for Homer & Marge. While these two seem to have their budgeting in hand, Ryan discusses a few insurance updates that often get missed when physicians' financial situations change. Do you know what the three most important updates to your insurance are? There is no better time than now to make the change you know you deserve to be a better partner, parent, and physician. Enroll today at www.doctorpodcastnetwork.com/alpha 

Throughout #medicalschool #residency and even #fellowship we admit when interacting with our past teaching attendings we were people pleasers. We did all that we could to get the glowing #LORs (letters of recommendations). We went above and beyond like most of us do. However, in hindsight (which is always 20/20) We now see that we learned behavior that would prove harmful to our careers. So to all of our past Attendings here are the things we wish we said... #tokenism #donototouchmyhair # sexism #favoritism #powerdynamic #tonedeaf #privilege #youshouldseecolor #diversity #inclusion #safespace #ptsd #nepotism #medicalschool #residency #toxicculture #wecandobetter --- Support this podcast: https://anchor.fm/mdfeme-inc/support

5:00 - Contract Review17:45 - How to view Benefits24:05 - The path the Ownership/partnership31:10 - common pitfalls35:12 - Jim’s new book for medical and dental students

Dr. Erin Jones discusses family medicine clinical rotations and effective patient activism. She serves on the faculty at the University of Southern California and as a virtual healthcare professional at 98point6. [01:45] Why Family Medicine? [02:54] Tips to Succeed on a Clinical Rotation [05:03] Setting Expectations with Attendings [07:05] How Physicians Can Advocate for Patients [11:24] How Physicians Can Engage in Activism [19:07] Healthcare & Politics [24:24] Advice for Pre-Meds and Medical Students Dr. Erkeda DeRouen chats with Dr. Erin Jones, a family medicine physician who has lots of experience with teaching and caring for students. She is also fellowship-trained in adolescent and young adult care. Currently, she serves on the faculty at the University of Southern California and as a virtual healthcare professional at 98point6. Why Family Medicine? Dr. Jones is passionate about family medicine because it allows her to engage with the entirety of a patient or person. Her patients share their struggles, such as food insecurity, lack of support for an addiction, and their inability to pay medical bills. She is also interested in the dynamics of family, and how the struggles of parents can be passed on to their children. Tips to Succeed on a Clinical Rotation First, Dr. Jones encourages students to be excited, eager, well-slept, and eager to work hard for the day. Besides this, they should be willing to go beyond their expertise as physicians — for example, supporting someone through an IUD insertion, or helping a patient with a injury to get to their vehicle. This is all part of an ethical medical system. It is also crucial for students to determine the expectations of their attending. Students should ask for expectations at the very beginning of the rotation, and also frequently request feedback from their attending. How Physicians Can Advocate for Their Patients Dr. Jones has a three-step process for physicians to advocate for their patients: Listen to their struggles. It is impossible to adequately help without first listening. To count means to observe patterns in patients. For example, if there are disproportionately more younger patients compared to older patients, why? Asking this “why” is the third step. Once you can determine the “why” you can begin to advocate for patients. Physicians and Activism Due to COVID-19, there has emerged a slowdown, and an opening for discussing many social issues such as police brutality and climate change. Dr. Jones encourages physicians to use their voices, and to not separate issues like health care from racism and police brutality. Instead, they should acknowledge both systemic and individual oppression. It is difficult for a patient to trust a physician who will not, of their own volition, support basic human rights, and oppose brutality and injustice. Healthcare is political. Issues like the Affordable Care Act and the absence of universal healthcare in the US, as well as more local healthcare issues are determined by the policies of politicians, even though these should be nonpartisan issues. Therefore, remember to vote, and use every opportunity to encourage others to vote as well! Check out Dr. Jones’s LinkedIn.

Dr. Dana Corriel, a physician, entrepreneur, and founder of SoMeDocs, discusses the changing paradigms regarding social media in the medical field. [02:04] How Dr. Corriel Got Into Social Media Branding & Marketing [04:09] Dana’s Most Outrageous Experience as a Physician [08:05] General Social Media Guidelines for Students [12:18] Factfulness in Advocacy on Social Media [16:06] The Importance of Branding and Marketing [20:19] Choosing Social Media Platforms to Use [26:25] How to Find Out More About SoMeDocs With social media playing such a big role in our lives, from politics to #MedBikini, it is important for medical students to consider the role of social media in their professional lives. Chase DiMarco talks to Dr. Dana Corriel, a physician, entrepreneur, and founder of SoMeDocs: Doctors On Social Media. We cover changing paradigms regarding social media in the medical field. General Social Media Guidelines for Medical Students Social media is a powerful tool of communication if leveraged in the right way. However, medical students should do this cautiously because we are steeped in cancel culture. This means that if a medical student says something unethical, everything that they say after that may be affected. Attendings have it a bit easier because they are already established. Just like magazines curate their content, medical students should curate the content that they post on social media to serve their personal and professional goals.  Factfulness in Advocacy on Social Media In an attempt to advocate for a cause or to express thoughts important to them, people tend to share posts that they have not fact-checked, or that they have not fully thought about. Social media can become toxic when we are forced to share posts on a topic, unless we are willing to risk our reputations being smeared. We must not succumb to the pressure of the herd, and be willing to think through topics for ourselves. Individualized takes on issues are very valuable. The Importance of Branding and Marketing Often, people who do not prioritize fact-checking end up as the most popular influencers. This is because they might be excellent at branding and marketing. Dr. Corriel  is passionate about enabling physicians and medical students— people who have the training to base their claims on facts and science — to in turn become excellent at branding and marketing. Whilst people do respect a medical degree, on social media, branding and marketing can hold more clout. Choosing Social Media Platforms to Use Different social media platforms — LinkedIn, Instagram, Facebook, and Twitter — can be suitable depending on a medical student or physician’s target audience, and what they themselves enjoy. For example, if a medical student or physician is excellent at making videos, YouTube can be a great option. If a medical student or physician is skilled at consistently writing short Twitter posts, and thrive in the often argumentative environment of Twitter, then they can choose Twitter! They should not choose a platform that increases their anxiety, or that they hate. If they are looking for some hand-holding to engage more in social media, then they should consider reaching out to Dr. Corriel , who takes guest moderators for the SoMeDocs Twitter chat every week, and provides lots of guidance. Learn more about Dr. Corriel  Corriel on her website and the SoMeDocs website. Check out her LinkedIn, Facebook, and Twitter profiles. Also, check out the SoMeDocs Facebook group. Be sure to check out SoMeDocs lecture series. Sign up for a Free Coaching session with Chase DiMarco, sponsored by Prospective Doctor! You can also join the Med Mnemonist Mastermind FB Group today and learn more about study methods, memory techniques, and MORE! Do check out Read This Before Medical School. Like our FreeMedEd Facebook page and find our Medical Micro Course, Blog posts, and Podcasts at FreeMedEd.org! Feel free to Email any Questions or Comments.

Dr. Bryce Austell continues the conversation with fellow Chief Residents Louise, Kaitlyn, Chris, John, Mitch and Daryl. From imposter syndrome to the goals that motivate them to their relationships with Attendings, these Chief Residents reveal what Chief Residency is really like. Listen in as they share their expectations, experiences, and take-aways. Recorded February 2020.

This week on @MedTwitThisWeek, I am joined by Dr. Michelle Kittleson (@MKIttlesonMD) as we discuss her philosophy on communication with patients and trainees as well as her favorite #TipsForNewAttendings #KittlesonRules #MedTTW Published June 26, 2020 Host: Chris "The Chiu Man" Chiu Guest: Michelle Kittleson MD PhD My pick of the week is @MKIttlesonMD #kittlesonrules on #TipsForNewAttendings: https://twitter.com/MKIttlesonMD/status/1275028715664109569?s=20 Also referenced is @PaulNWilliamz's recent thread on “How to round with Paul Williams”... https://twitter.com/PaulNWilliamz/status/1275258456539377664?s=20 Onto my picks, first is @CPSolvers' recent #Juneteenth Episode with @gradydoctor and her father! https://twitter.com/CPSolvers/status/1274137119867277319?s=20 @choo_ek's history lesson on the impact of the Flexner report and Black doctors: https://twitter.com/choo_ek/status/1274011977719992320?s=20 @VPrasadMDMPH's tips on how to decrease the Toxicity of Twitter.... https://twitter.com/VPrasadMDMPH/status/1273698429332361216?s=20 @AdamRodmanMD's thread discussing his recent article with @ShreyaTrivediMD in the special issue of Seminars in Nephrology discussed last week. https://twitter.com/AdamRodmanMD/status/1273611219283443712?s=20 Looking for #MedTTW on other platforms? YouTube: https://www.youtube.com/channel/UCzqsMnQAkVCTd0I5DuUzTfA Facebook: https://www.facebook.com/101300171577512/ Twitter: https://twitter.com/MedTwitThisWeek Podcast Links: https://anchor.fm/MedTTW Apple Podcast: https://podcasts.apple.com/us/podcast/med-twitter-this-week/id1516685985?uo=4

This episode is sponsored by Equity Multiple: https://www.doctorsunbound.com/equitymultiple-itunes   For a companion article and show links visit:https://www.doctorsunbound.com/podcast/creating-cashflow-with-residential-assisted-living-facilities   If you want to support the show, here are some easy ways.   Leave a review on iTunes here:  https://podcasts.apple.com/us/podcast/doctors-unbound/id1285879846   Subscribe to the email newsletter:  https://www.doctorsunbound.com/   And, share our message with your doctor friends and family.    AND! We also have a community for our VIP listeners (you!), please join:  https://www.facebook.com/groups/DoctorsUnboundVIPCommunity/

Session 38 Dr. Julie Krystal is an academic pediatric oncologist. Julie has been out of training now for two years. She discusses what she loves about her job, where she sees the specialty going and what you should do. Please be sure to also check out all our other podcasts over at MedEd Media for more resources. [01:00] Interest in Becoming a Pediatric Oncology Julie always knew what she wanted to do. Back in high school, she wanted to be child life person where you get to do arts and crafts with kids in the hospital. So she was volunteering at Stanford Children's Hospital where she grew up in California. She was working with a lot of oncology patients. She then realized that the more she got to work with the doctors and see the fellows, they were actually doing a way cooler job than the child life people. That's when she decided it's what she wanted to do in high school and stuck with that. She felt strongly better all throughout her training, through college and all the way through her residency. She did give other things a try since pediatric oncology as she describes is a tough path in many senses. So at some points, she tried to convince herself to like other things - better hours, better pay, etc. But nothing else was the right fit for her except for pediatric oncology which she felt was the one thing she really wanted to do. What she likes about the subspecialty is you get to have a sort of primary care relationship over long periods of time. They remove the kids from their pediatrician while they're with them and while they're getting chemo or treatment. So the relationship goes over many years because these kids get to stay with them. "You have that longitudinal sense that you get from primary care but you have much more interesting complex medical problems." Julie describes it as somewhat the best of both worlds. It's something really interesting subspecialty-wise and that relationship that's so important. Whenever she tells people what she does, their first reaction is almost always negative. They think it's awful and sad. So she always tell them that it's not sad actually. The majority of children are cured from their cancer and they go on and have wonderful adult lives. It's her privilege to be with the family during the worst, most horrible thing that's happening to them and to see them through to the other side. So this part of it just really appeals to her where there is challenge and mostly a happy ending. And if it's bad, it's really bad and really sad. But most of the time, there is knowledge that you're able to get the family over something that's really hard. Then you get to see their child go on and grow up and do wonderful things. So for her, it's a wonderful role as a physician to get to do that. [03:40] Traits that Lead to Becoming a Good Ped Onc Doc Julie cites a few things to become a really good ped oncology doctor. First, is being a sunny and optimistic person. There are sad and depressing moments. The lifestyle is tough. It's academic and it involves long hours. There's no money in it. If you're doing grants and you're fighting to the nail against everyone else to get funding, things can get challenging. So you have to be willing to devote yourself. This job involves long days and long nights. So you have to go into it knowing that. "You have to be accepting that this is your life and it's not a glamorous, fancy, sports car kind of gig." [05:18] Types of Patients and Doing Clinical Trials Julie mostly takes care of kids with brain tumors. In peds oncology, things can  be specialized these days. There's hematology and oncology. She's specialized to oncology and within oncology, there are doctors who do leukemia. Some doctors do bone tumors. While she mostly takes care of kids with brain tumors, like everyone else, they have to do a certain number of weeks of the year of in-patient service. When you're on it, you take care of admissions and all the new diagnoses that come in. Nevertheless, she keeps up to date with everything by doing that kind of work. She gets to see a little of everything. The vast majority of childhood cancer is leukemia. Those are the things that in the average week of service, one or two diagnosis of leukemia will come in or one brain tumor. But the vast majority of new diagnosis every week are leukemia. Other things common in the pediatric age group are the bone tumors. Brain tumors are the most common phallic malignancies and there are a lot of those. The majority of those have a good outcome. Julie explains there's not a lot of jobs in academic peds oncology. There's more fellows graduating every year than they have open positions. Part of the reason has to do with funding since it's only academic institutions that have a lot of NIH funding. So it's very hard to find academic positions. Hence, people tend to shy away from brain tumors but Julie did otherwise. She found it to be interesting and it's a place where there's a real need. "By doing something that other people are hesitant towards, I was able to get a job that I really love." The other piece of work she does that's not directly clinical is working on early phase clinical trials. This is also something she loves and feel passionately about. There's a lot of new cancer therapies in adults and it's much harder to get those in the kids. So she works on getting early phase clinical trials up and running in her hospital. It's something she never envisioned doing but the opportunity kind of fell on her lap. She further says you don't really foresee all the stuff that are coming ahead of you but if you keep your mind open, really cool things will come your way. [8:20] Why People Shy Away from Brain Tumors Julie thinks people shy away from brain tumors because they're this own little thing. Leukemia and lymphoma are things everybody knows about. We all know what to do with it. But for brain tumors, they're much more of a niche. "If one walks in the door and you don't know what to do, it can feel really scary because it's a whole different world." Another reason she sees is that we've made huge progresses in lots of pediatric tumors. Especially in leukemia, the cure rate is over 90%, and in some cases, 95%. This is phenomenal. But they haven't had that huge leap for all types of brain tumors. There are certain types of brain tumors where the cure rate is still very low unfortunately. And she thinks people shy away from that because it's intimidating. It's hard to go through that professionally. But the way Julie looks at this is we still have room to make that progress. It's exciting to be able to keep working and trying and keep doing studies until we find the next thing that's going to make the biggest difference for this diagnosis. Moreover, she's aware of the challenges and working with families can get overwhelming. But there's room for so many great things to happen still. [09:40] Taking Calls and Work-Life Balance For Julie, she doesn't necessarily take calls. It takes three years for the fellowship and the first year of it is purely clinical. And after being a fellow, you'd be an attending and things are so much easier. So the call they take is when they're on service Monday through Friday. They're on during the day and they're also available at night. But the fellows take the first calls - from the ER, from the service, parents calling in, or from outside hospitals. And the fellows only contact the attending doctors in cases where they're looking for guidance or they're not sure what's going on. Some nights they take ten phone calls, some nights, none. So she does a week of that, eight weeks for a year. It's not a fully clinical position since she has research time. She finds this to be manageable as she gets to do other things like research and clinical trials she likes to do. Attendings don't do in-house call of any type. It's something when you're available at night time from phone. So you can still live your life. the fellows call in and ask you questions. So it's very doable. Being a mom with two kids, she explains your really have to try hard to make time outside of the hospital. On academic days, things go early in the morning and late at night. So you have to be really conscientious about it. As for Julie, she plans her schedule carefully to make sure she gets to see her kids. Since her kids are so little and they go to bed very early, she just sets an alarm or make a stopping point. She will set a time when she'd leave the office regardless of what she's doing with her work. So she gets to spend time with her kids. They go to bed and she goes to work at night. It's very important to her to make sure she has that time with them. When she's on service, those eight weeks a year, it can be very challenging. Some nights, she doesn't get to see them since she can't just leave. She thinks it's really something you have to be conscientious about. So she makes sure she plans out all of her days. So yes, you can do that but you have to be flexible and you have to plan around that and make it a priority. "It's really something you have to be conscientious about... and you have to be willing to work at home." [12:55] The Path to Residency and Fellowship Julie explains that you do a general pediatric residency for three years. Most people during this training may only have a month of peds oncology exposure. So she encourages people to get more exposure. Because during peds residency, she was terrified about oncology because they had to deal with really sick cases and they're complicated. "Get as much exposure as they can to see what it's actually like." She says that just seeing those kids on the inpatient side doesn't give you a glimpse of what is actually like to do this job. Like she said, it's only a job she does eight weeks our of the year. That leaves all the rest of they year where she's doing other things - not being with those super sick kids admitted in the hospital. So she encourages residents to try to get more exposure and get exposure to the outpatient side, the research side. See what attendings actually do. Moreover, once you do peds residency, you do another three years of fellowship, the first year being a purely clinical year. The second two years are research years, be it laboratory research or clinical research or MPH. Then you're finished. But if you want to torture yourself some more as Julie humorously says, there are sub-fellowships. So you can do an additional year of training. In things like brain tumors, you can do an additional year of training. There are brain tumor fellowships for an extra year. There are bone marrow transplant fellowships for an extra year. If you wanted to super sub-specialize and do additional trainings to get more exposure, it's something you can go on and do an extra year in that. The fellowship is all combined. The three-year fellowship is one thing you match into. It's Pediatric Hematology/Oncology. You do train in both. But most people during their fellowship are gravitating towards one or the other. They gravitate towards hematology or oncology. Most very large academic centers are separated. In her division, people are either hematologists or oncologists or bone marrow transplanter. There are smaller programs where it's combined. So they only have one service and the attendings take care of everybody. Some people like this to get a little flavor of everything. But most large academic centers are very specialized into specific niches. But everybody at this point still has to do everything in the fellowship. As opposed to the adult side, you can do a hematology fellowship or an oncology fellowship. You don't do both. But in pediatrics, it's a combined fellowship and you have to train. And the boards cover everything so you have to train for both things. Julie says matching for fellowship is not competitive. Again, this is something people try to shy away from. So most people who want a spot can find one. So it's not out of your reach if you don't have good board scores. There are a lot of fellowship spots in the country so there's plenty to go around. [16:26] Bias Towards DOs and Subspecialty Opportunities There are lots of DOs in the field. In fact, she didn't even know some of the people who were DOs. She thinks people are accepting of it and they're treated the same as an MD. Other subspecialty options available include coagulation, hemophilia, bleeding disorders, and survivorship. Survivorship is relatively new. Thirty years ago, there were no long-term survivors of childhood cancer because they have all died. Now, these kids grow up and they're thirty years old or forty. They do have certain health problems or at risk for certain health problems due to the treatment they got. Survivorship is a whole new discipline that follows these patients through their adulthood. They're being monitored in terms of what kind of testing they should get or what they should do in terms of their lifestyle. Fertility issues are a big deal for survivors. There are also programs for solid tumors and blood banking. Every hospital has a blood bank and the directors of the blood banks are all hematologists whether adult or pediatric. So you can work in blood banking. "Blood banking is a more lifestyle friendly choice." [18:06] Working with Pediatricians and Other Specialties Julie says general pediatricians worry about missing something. They're worried they're going to miss a leukemia. She feels it could be hard being a general pediatrician. Kids come in and complain of headache. And how do you know who you should be sending for scanning and who shouldn't. When kids get diagnosed with brain tumors they always blame themselves. But Julie tells them it's okay. Most kids who have a headache do not have a brain tumor. The brain tumor is the zebra here. So she wants pediatricians to know to trust themselves and follow their workup and not to second guess what they're doing. Follow their normal steps and do the things that they're doing. Every kid doesn't need an MRI who has a headache. Similarly, when they see a kid and feel they need to get CBC and need to make a call to them, pedia oncologists are available. Pediatricians call their practice a lot and she really appreciates when they do that just to get general guidance." "Pediatricians have a really hard job because they need to not miss these huge important things but also not overreact to everything." What they should know, Julie adds, is that they're doing a great job. And not to second-guess themselves and regret they didn't do something sooner or later because they're probably doing it just right. Moreover, other specialties Julie works the closest with include surgery, ID, nephrology, pulmonology, GI, and others. They get to work with all other specialties because what they do affects every part of the body. Cancer and chemo affect every part of the body. So there's no service that they don't get to consulting. And because it's a unique population, their relationships with those subspecialists is really good since they work closely together. So they the opportunity to learn a lot from them and vice versa. [21:11] Special Opportunities Outside of Peds Oncology Julie explains how the industry is a big thing in terms of pharmaceutical companies. They are always looking for pediatricians to do drug development, clinical trials, etc. That is a very different lifestyle which a lot of people choose. She knows a lot of people who have gone that route. So if this is something you're interested in, it's a great career choice. There is a need for drugs. We need them to be studied in kids. Another would be clinical trials like the FDA. There's a whole group of peds oncology people who work at the FDA in terms of looking at new drugs. Additionally, lab research is still a part of what they do. It's how they got to where they are with all of pediatric oncology treatment. And it's also how they're going to get as they go to the future. People not clinically oriented and just want to go into a lab and find out something cool, there's that opportunity as well. Since Julie doesn't have a PhD, she really doesn't think it has hindered her ability to do the amount of research she wanted to do. She doesn't do bench research or research in the lab. But she thinks that if you want to do research in the lab, a PhD does give you an edge up for sure. That said, she knows people who've had successful lab careers and ran labs who don't have a PhD. But if you want to be competitive and if you're getting grants, Julie thinks having a PhD for lab work does make a big difference. Since most of the work she does are more early phase clinical trials and drug development, she doesn't feel it has made a big difference. She got an MPH when she was in Fellowship and she feels this gives her a little bit of an advantage. First, she knows a little more background about clinical trials. Secondly, she thinks people just take you a little bit more seriously. The more letters you have that you can say you're qualified for xyz even if it's bogus, it does get your foot in the door. It gets people to listen to you. "If you're going to be having a lab career, the PhD is a very big boost." [23:47] What She Wished She Knew & Most and Least Liked What she wished she knew going into peds oncology is that it's so worth it. She has a job that she loves and gets to do it everyday. She is so grateful this is her job. During the many years of training and during fellowship, it's hard to see what your life is actually going to be like when it's over. If she could just go back, she'd tell herself this is so worth it. You're going to get to the end and you're going to have this awesome job. It's going to be the best thing ever. You can keep suffering for a little bit longer and then you're going to make it to the other side. "So many jobs where there are so many long years of training, you can lose sight of what is actually at the end of it." The thing she likes most about her specialty is the families and patients. She gets to go to work everyday and hang out with awesome kids fighting tough battles. But they don't care and they're just awesome about it. They're running around and playing. They're going to school. They fight so hard and they do incredible things. So the families and the kids are what makes her job so special. She gets to be with them. She gets to support them and help them in a way others don't get to do. So she feels privileged to be a part of that and a part of the family during that challenging time. "Having a child with cancer changes the life of the child, of every person in the family. And I get to be a part of that." Conversely, what she likes the least about her job is kids dying. It's hard. They know it's going to happen and they can't going to cure every child as much as they want to. It could be hard for her sometimes because she takes it personally. She finds it hard to accept that failure. One of her favorite mentors told her and that she's kept with her all the time is, "we're in charge of the process, but we're not in charge of the outcome." She says this to families every time she does a diagnosis talk. They can choose the steps they're going to follow and the path they're going to take. But ultimately, she can't choose the outcome. Otherwise, she could just make every child okay. "I can't choose the outcome and I'm not in charge of that part. And it's hard to let go of that personal responsibility." Julie adds that it's hard to see a family in much pain and to be a part of that. But they have a lot of support systems since this is part of it. They're going to be dealing with death. So it's something they have to be conscientious about and have to deal with. But she describes this as the worst part of her job. A particular kind of tumor is inoperable and all children will die from it within two years. And she says the very worst thing for her is when a new patient comes in with that diagnosis and she has to tell the family that. It's just devastating. This is another reason she's doing research because she hopes to get to the point where she doesn't have to say it anymore. [27:54] Major Changes in the Future Julie sees a lot coming in terms of training. They're getting hospitalists in a lot of places not only for nighttime care but also for daytime care. So she sees a lot of changes in the workforce. The hours tend to be intense and a lot of people want a better work-life balance. So people are trying to figure out how they can achieve that. There's going to be more and more shifts in the future and that will be changing things a lot. Technology-wise, she doesn't see any immediate changes coming but there are new drugs and treatments being developed that are incredible. They have the potential to shift the treatment paradigms and really change how children with cancer are treated. She believes they're moving closer and closer to being able to cure more and more children in a lot of ways. There is also so much new information with millions of journal articles coming out. This is one of the reasons things end up getting subspecialized so people can stay on top of new information and treatment. [29:40] Julie's Message to Premeds, Medical Students, and Peds Residents If she had to do this all over again, Julie says she still would have chosen the same specialty. Moreover, she encourages students who might be interested in this field that part of it is being open. This could be moving somewhere you don't want to move. Because it's super concentrated on both coasts. "There are states in the country that literally don't have a pediatric oncologist. They have to send every patient out of the state." Think of what a horrible experience that is for the family. Their child gets cancer and they have to move to get treatment. So you have to be willing to consider moving somewhere or doing something you originally weren't thinking of. She never thought of doing brain tumors. But by being open to that, she was able to find a great job. She wishes to tell students that there are jobs and there is a need out there. But you can't be committed to working to New York or LA. You have to be a bit more flexible about where you want to go, what you want to do. But you can find the right spot for you. The first steps students can take if this is something they're interested in is to find a mentor. Find a pediatric oncologist or somebody you can talk to. Get some guidance on what you should be doing. Most importantly, just get exposure. Do electives or sub-I's or whatever you can to go see different types of ped oncology and work out inpatient and outpatient research. Julie has had a lot of different mentors in the early phases of her career. She still gets a lot of mentorship as a young attending. So you have to establish this early on. "Find somebody that you can talk to and let them help you sort the path out." [32:13] Final Thoughts Reach out to Julie if you have any questions. Do that through me and shoot me an email at ryan@medicalschoolhq.net. And I will connect you. Lastly, if there's a specialty you're looking for that I haven't covered yet, please find a physician for me to interview. Introduce me to him or her and I will get them on the show. Links: MedEd Media ryan@medicalschoolhq.net

11th week of TGIT, Shondaland Thursday! This week we had tons to talk about.  The Alex storyline continues to annoy us, we are on opposite sides of the Minnick vs Attendings situation, are happy for Mellie finally getting some, Liv “the hater”, we talk Michaela’s full AK transformation, how Bonnie & Laurel are frontrunners in the “Who [...]

Doctors in training often mistakenly assume they cannot be sued if they followed their superior's care plan, but a Boston defense attorney sets them straight.