Podcasts about Family medicine

One month shy of five years. That is how long Big Trees MD ran on the electronic health record it opened with, and this month, that ended. Not because Dr. Maryal Concepcion went looking for something shinier, but because the terms under which her patients' data lived changed, and she could not accept them.In this solo episode, Dr. Concepcion documents the switch in real time from her rural Direct Primary Care practice in Arnold, California, which she owns with her husband, Dr. Jeremiah Fillo, and runs with a fully virtual team. No vendor names, on purpose. The names change. The framework does not.Built from The Toolkit's Battle of the EHRs issue, where over 200 DPC EHR users shared what they use and why, this episode walks through how to choose an electronic health record that grows with your practice instead of boxing you in:Why an EHR is the memory of your practice, and why the DPC version of this decision is nothing like the fee-for-service versionThe 10 categories to score every EHR on, from membership billing and charting speed to support quality and scalabilityThe 5 questions to ask before you switch, starting with "what problem am I really trying to solve?"How to run a demo on your terms: build a fake patient, count clicks out loud, ask about migration before features, and ask the question nobody asks, which is "how do I leave you?"Why you should research who owns the EHR company, especially as private equity and venture capital creep into Direct Primary CareRunning the real math: subscription, add-ons, switching costs, and exit costs over a three year horizon, plus what an hour of your life is actually worthThe hidden costs no spreadsheet captures: patient trust, the emotional weight of change, and the 90 day post-switch reality checkThings have changed since the Summer 2025 issue published, and the second Battle of the EHRs opens for voting in Q1. The only way to vote is through the My DPC Story newsletter, so sign up at mydpcstory.com.FREE from The Toolkit at mydpcstory.com:How to Interview Electronic Health Records comparison worksheetPatient handout on choosing healthcare vs. health insurance (perfect for open enrollment season)The Lean Startup Business PlanThe First Year RoadmapEvery issue of The Toolkit, including the new Battle of the Support StackFollow the full switch in real time: demos, migration answers, the four-bucket spreadsheet, and the second guesses, all inside the My DPC Story Patreon community. Leave a voice message with your question, challenge, or win at mydpcstory.com/contact and you might hear it on a future episode.If this episode helped you, a five star review on Apple Podcasts helps other physicians find these stories when they need them most.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Welcome to Episode 322 of Autism Parenting Secrets. This episode is about discernment, intuition, nervous system regulation, and learning how to think independently when navigating your child's health challenges. Dr. Cammy Benton shares the painful experience that pushed her beyond conventional medicine after one of her daughters became severely ill. Despite being a physician herself, she found herself dismissed, gaslit, and pressured to ignore her own instincts while her child continued deteriorating. What followed completely transformed how she views medicine, parenting, and healing. You'll hear why curiosity, humility, and critical thinking matter so much when choosing practitioners and making decisions for your child. You'll also hear why nervous system regulation is essential if parents want to access their own intuition clearly. This is not about rejecting medicine. It's about remaining conscious, engaged, and empowered while navigating complex decisions. The secret this week is… Don't Hand Over Your AUTHORITY You'll Discover: Why fear can cause you to doubt your own instincts (14:11) How fear can cloud your ability to make good decisions (34:31) Why curiosity and humility lead to better healthcare decisions (26:39) Why you shouldn't outsource your discernment to anyone (32:04) Why regulating yourself helps your child thrive (36:14) About Our Guest: Dr. Cammy Benton, MD is a functional medicine physician, IFM-certified and currently completing a longevity fellowship with A4M. Since 2016, she has owned Benton Integrative, a holistic concierge practice in Huntersville, North Carolina. A graduate of medical school in 2000 and Family Medicine residency in 2004, she has spent over two decades studying integrative modalities including nutrition, homeopathy, Ayurveda, sexual health, functional medicine, and psychedelic medicine. She is a Founding Director of Physicians for Informed Consent, advocating for truly informed medical choice, and is also a student of ancient healing traditions. https://www.bentonintegrative.com/ Additional Resources: To learn more about personalized 1:1 support go to www.elevatehowyounavigate.com If you enjoyed this episode, share it with your friends.

Peter J. Katsufrakis, MD, MBA, is president and CEO of NBME. Dr. Katsufrakis previously served as senior vice president of Assessment Programs at the National Board of Medical Examiners and is recognized nationally in the medical education and assessment community, both for his work at the NBME and in past roles advancing professionalism, HIV education, clinical training, and medical education administration. Prior to joining the NBME, Dr. Katsufrakis's positions included associate dean for student affairs and associate professor of clinical family medicine at the Keck School of Medicine at the University of Southern California, where he received several teaching and outstanding service awards for his work. He has also served as a clinical associate professor of family and community medicine, at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Katsufrakis is licensed to practice medicine in Pennsylvania and is a diplomate of the American Board of Family Medicine. He is a member of the American Academy of Family Physicians and has served many organizations as a member, including the International AIDS Society, the American Academy of HIV Medicine, and the Association of American Medical Colleges Group on Student Affairs in many roles on committees and task forces.

[43] The Hidden Curriculum Exposed: When the CEOs of Canada's Family Medicine and Specialist Colleges Compare Notes on Medicine's Unwritten Lessons This episode was first released on May 26, 2026 On this episode of KeyLIME+, Adam sits down with Chris Watling and Mike Allan (the CEOs of Canada's two national medical colleges) to unpack the hidden curriculum in medicine. Together, they explore how subtle signals in our learning and working environments shape identity, influence career pathways, and reinforce hierarchies both between and within disciplines. From the loss of shared spaces like physician lounges, to structural pressures such as competition for residents and fragmented training pathways, to the powerful role of public narratives, the conversation examines how these forces quietly sculpt our professional culture. Chris and Mike reflect on their own professional experiences, the impacts felt by learners in both family and specialty practice, and what it might take to move toward a more respectful, connected, and collaborative medical community.   Length of Episode: 38:11   Contact us: keylime@royalcollege.ca     Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski           

Direct Primary Care no longer disqualifies patients from HSA eligibility. As of January 1, 2026, DPC membership fees are a qualified HSA expense at or below $150 per month for one person and $300 for a family. Above $150 you are not in violation. You are in the same gray zone DPC lived in for a decade, and the tax position belongs to the patient and their accountant, not to you.Dr. Phil Eskew (DO, JD, MBA) of DPC Frontier joins Dr. Maryal Concepcion to break down what changed and what it means for your practice, then walks through the Medicare opt-out calendar most physicians discover too late.KEY NUMBERS AND DATES $150/month per person, $300 family. Effective January 1, 2026. Opt-outs take effect only on January 1, April 1, July 1, October 1. Affidavit must be filed at least 30 days before the effective date. File by roughly December 1, 2026 to be opted out January 1, 2027. 90-day reversal window, but you must refund every membership dollar collected.QUESTIONS ANSWEREDCan patients use an HSA to pay for direct primary care? Yes, as of January 2026. Both old IRS objections were fixed: whether the fee is a medical expense, and whether membership disqualifies HSA contributions.Should I put "HSA eligible" on my website? No. Write "We accept HSA cards." Promising eligibility in your marketing or agreement takes on a tax position on your patient's behalf.How do I get under $150 without losing revenue? Enrollment fees are not compensation for care. Blood draws, injections, EKGs, and dispensed medications can price separately.What does the rule exclude? Prescription drugs other than vaccines, and lab services not typically done in an ambulatory primary care setting.If I opt out, can I still order labs and referrals? Yes. Opting out is not disenrollment. You stay credentialed and Medicare pays for labs, imaging, referrals, DME, and prescriptions you order.Where can I still work while opted out? VA, Indian Health Service, corrections, and hospice administrative work. Precepting usually requires participation. TRICARE requires Medicare participation. Medicaid uses ORP/OPR status, prohibited in Kentucky and Colorado.Does opt-out apply to Medicare Advantage? Yes. Opt-out applies to all Medicare programs nationwide. You cannot opt out selectively.MENTIONED DPC Frontier · McCarran-Ferguson Act (1945) · ACA primary care carve-out · bronze and catastrophic plans as HSA-compatible · capacity vs. competency · durable power of attorney · prior authorization escalation strategyHAVE A QUESTION? WE ANSWER THEM ON AIR. Leave a voicemail at mydpcstory.com/contact with your name, state, and question.NEXT EPISODE: ILLINOIS, timed to the Illinois DPC Summit, October 2 and 3, NIU Naperville. Subscribe to the My DPC Story newsletter at mydpcstory.com to know when it drops.Educational only. Not legal or tax advice. Dr. Eskew is not your attorney.Stand With Dr. Nyasha Spears and the Future of Patient-Centered Healthcare. Get the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop! Get your copy of the Physician Owner's Planner today at mydpcstory.com/library Start using the done-for-you patient emails, scripts etc. in our 2027 Edition of the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Send us Fan MailFamily medicine is about more than treating illness—it's about caring for the whole person through every stage of life. From preventive care and chronic disease management to mental health and overall wellness, family medicine providers help patients stay healthy long-term. Today, we're talking about what comprehensive healthcare in Family Medicine really means and why having a primary care provider matters.To find a primary care provider who is accepting new patients near you, visit uph.link/CR-PrimaryCareProviders.If you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.

This session focuses on caring for the short-term mission worker - pre-travel matters to be addressed, encountered challenges during travel and common scenarios of the returning worker.

Two experts in obesity medicine discuss the latest advances in obesity care, including: Current data for incretin-based therapies Beyond the scale—individualizing OMM selection based on weight-related comorbidities and cardiometabolic risk Common contraindications and warnings associated with certain OMMs Shared decision-making strategies to inform treatment selection. [JF1]Added this to the episode notes to maybe help with the posttest  Presenters Amy Butts, PA-C, DFAAPA, BC-ADM, CDCES Endocrine Physician Associate WVU Medicine Wheeling Hospital Immediate Past President of American Society of Endocrine Physician Associates Wellsburg, West Virginia Nicholas Pennings, DO Professor of Family Medicine Campbell University School of Osteopathic Medicine Director of Clinical Education Obesity Medicine Association Buies Creek, North Carolina Link to full program:https://bit.ly/4v7eIY4 Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Welcome to the latest episode (August 2026) of DOC Updates, where every month Neil Skolnik, MD and John Russell, MD review the most important articles on diabetes, obesity, and cardiometabolic disease. This month on DOC Updates: Hirsh Elhence, Jennifer L. Dodge, Stephen Fuest, et al. National Prevalence of Clinical Obesity by BMI Class: A National Cross-Sectional Study. Ann Intern Med. [Epub 2 June 2026]. doi:10.7326/ANNALS-25-05287 Eva Johnsen, et al. Achieving at Least 15% Weight Loss Within 2 Years of Type 2 Diabetes Diagnosis Is Associated With Lower Risks of Macrovascular and Microvascular Complications: A U.K. Cohort Study. Diabetes Care 20 July 2026; 49 (8): 1480–1489. doi.org/10.2337/dc26-0937 Carel W. le Roux, et al. Survodutide Once Weekly for the Treatment of Adults with Obesity. The New England Journal of Medicine June 2026 DOI: 10.1056/NEJMoa2600751 Yu Wang, Shichao Tang, Xilin Zhou, Ping Zhang. National Trends in Out-of-Pocket Cost for Glucose-Lowering Drugs Among U.S. Adults With Diabetes, 2000–2022. Diabetes Care 20 July 2026; 49 (8): 1414–1419. https://doi.org/10.2337/dc25-2040 Jelle M. Beernink, et al. Effect of Finerenone on Albuminuria in Type 1 Diabetes by Baseline HbA1c Level and Diabetes Duration: An Exploratory Analysis of the FINE-ONE Trial. Diabetes Care 20 July 2026; 49 (8): 1434–1441. https://doi.org/10.2337/dc26-0882 Welch M, Forst T, Jia W et al. Orforglipron compared with dapagliflozin in adults with type 2 diabetes and inadequate glycaemic control with metformin (ACHIEVE-2): a multicentre, randomised, non-inferiority, open-label, phase 3 trial. The Lancet, 2026; 408, 125-140 DOI: 10.1016/S0140-6736(26)00800-7 Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health DOC Updates is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's three science and medical journals—Diabetes, Diabetes Care, and Diabetes, Obesity, and CardioMetabolic CARE. Intended for practicing physicians and health care professionals, DOC Updates discusses how the latest research is relevant in clinical practice. For information about the American Diabetes Association's scholarly journals, visit diabetesjournals.org. For more about this podcast, click here.

Dr. Kyle Rickner heard about Direct Primary Care in a side room at the AAFP National Conference in October 2014 and committed to it 50 minutes later. Today Primary Health Partners cares for employee lives in 30 states, and it started with a patient named Jason who owned a 22 person company and handed Dr. Rickner a check covering every employee for a full year, six weeks after opening.In this episode, Dr. Rickner talks with Dr. Maryal Concepcion about what it takes to build a DPC practice that serves employers without giving up autonomy. He opened with 198 members on day one after a 15 month runway, a $1,000 equipment haul from a shuttered nursing program, and a lot of honest conversations with patients he wanted to bring with him.He also gets direct about the mistakes he sees. Enrollment is not engagement. A 375 employee contract can gut a 600 patient panel overnight if that company sells or closes. And overpromising to an employer poisons the well for the next DPC doctor who walks through that door.What you will hear:Why commitment and enthusiasm persuade patients faster than any marketing budgetThe three pillars Primary Health Partners built on before opening the doorsHow to identify a good employer partner, and when to say noUtilization differences between retail members and employee members, and why adoption rates range from 10% to 92%How he built a 28 doctor affiliate network in three weeks using DPC MapperWhat he thinks about private equity and venture capital money entering DPC, and the two non-negotiables that protect your practiceWhy passive customer acquisition channels may be how DPC reaches the next tens of thousands of patientsLessons on autonomy from practicing inside the Army health systemFind resources and your next step at mydpcstory.com, including the free startup checklist and the Physician Owner's Planner built for the business side of practice ownership.Leave a voice message at mydpcstory.com/contact and your question could be featured on a future episode.Follow My DPC Story on socials @mydpcstory.Stand With Dr. Nyasha Spears and the Future of Patient-Centered Healthcare. Get your copy of the Physician Owner's Planner today at mydpcstory.com/librarySupport the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Here is a detailed episode description for the episode: Prevention is the Best Medicine: Daily Habits for Healthy FeetEpisode Summary With summer heatwaves sweeping the country, caring for our feet is more critical—and more complicated—than ever. In this episode of Caregiver SOS On Air, host Ron Aaron is joined by certified wound specialist physician Dr. Allison Larkin to discuss practical, everyday strategies for avoiding foot injuries, chronic wounds, and serious complications. From the hidden dangers of walking barefoot on scorching surfaces to the unexpected items hiding inside your footwear, Dr. Larkin breaks down why wound care is often misunderstood and how simple, budget-friendly daily habits can keep you—and those you care for—out of the wound clinic. Whether you are managing diabetes, helping an aging loved one with daily hygiene, or just trying to navigate the summer heat safely, this episode delivers essential guidance to protect your health from the ground up. Key Takeaways & Highlights The Three Pillars of Preventative Foot Care: Dr. Larkin outlines the fundamental elements of long-term foot health: good hygiene, supportive shoes, and consistent monitoring. The Summer Barefoot Trap: Walking barefoot outdoors during extreme heat—even for a quick trip across the pool deck—can lead to severe, slow-healing burns on the soles of your feet. Safe Daily Hygiene Practices: Learn the right way to wash and thoroughly dry your feet (especially between the toes) to prevent blisters, fungal infections, and skin breakdown. Plus, discover why plain moisturizers like Vaseline, CeraVe, or Aquaphor work best, and why you should never put moisturizer between your toes. Proper Nail Care & Pedicure Rules: Discover the proper technique for trimming toenails straight across to prevent painful ingrown nails. Dr. Larkin warns against using sharp objects like toothpicks under nails and shares important precautions for individuals with diabetes or peripheral arterial disease. Footwear Essentials: Get expert tips on choosing shoes with a wide toe box and thick, flexible soles. Learn why you should always shop for shoes in the afternoon, break new pairs in slowly, and shake your shoes out before putting them on. Basic Wound First Aid: Understand why wounds actually heal faster and stay safer when kept clean, slightly moist, and covered—debunking the common myth that "airing out" a wound is best. About Dr. Larkin Dr. Allyson Larkin earned her BA Magna Cum Laude in Zoology from Iowa State University and her Medical Degree with honors from Texas A&M University College of Medicine. She is board certified in Family Medicine and Undersea and Hyperbaric Medicine and is a Certified Wound Specialist Physician. Her specialty is healing chronic and complicated wounds, which she enjoys because it requires great attention to detail. Hosts Ron Aaron and Carol Zernial, and their guests talk about Caregiving and how to best cope with the stresses associated with it. Learn about "Caregiver SOS" and the "Teleconnection Hotline" programs. Caregiver SOS On Air is a presentation of the WellMed Charitable Foundation. For more resources, tips, and past episodes, visit caregiversos.org or email your questions to radio@wellmed.net.See omnystudio.com/listener for privacy information.

Our guest this week is Dr. Irina Ghenea. Dr. Ghenea was born in Romania and immigrated to Canada with her family at a young age. She grew up in Montreal, and her experience as a competitive swimmer and working as a lifeguard in her teenage years sparked her interest in health and fitness. As a medical student at McGill University, and went on to do her Family Medicine residency at Memorial University in Newfoundland. She started her Family Practice in North Sydney in September, 2000. In 2021 Dr. Ghenea discovered the field of lifestyle medicine. She learned how to support people in becoming as healthy as they can be, by improving lifestyle habits. Dr. Ghenea became certified with the American Board of Lifestyle Medicine in December 2025. Dr. Ghenea was also among more than 160 healthcare professionals who signed an open letter calling for processed meats to be removed from institutional menus across Canada. They argue the move would better align hospital and school food policy with chronic disease prevention and dietary guidelines after processed meats like bacon, hot dogs, and deli meats were classified by the World Health Organization as Group 1 carcinogens.RESOURCES Facebook Page Oceanview Family Practice and Lifestyle Medicine CBC Interview Support the show

Two months after opening Amity Creek Primary Care in Duluth, Minnesota, Dr. Nyasha Spears returns to My DPC Story with the real numbers, the real costs, and the parts of a Direct Primary Care startup nobody puts on a slide.She and her DPC partner Dr. Kristin Lusian hit 130 patients six weeks in, with no advertising beyond a website and word of mouth. As of June they are covering overhead, rent, and debt payback, though they are not paying themselves yet. Meanwhile the non-compete case that made the opening possible is still moving. Her former employer appealed the temporary injunction and filed a motion to stay, so Dr. Spears is funding an appellate defense while building a brand new practice from scratch.In this episode:What a non-compete fight really costs, and what physicians considering the legal path should prepare for financially and emotionallyWhy keeping membership prices low was a boundary decision, not only a pricing decisionHow she handles patients wanting care her practice does not offer, and when "no" beats "yes, with limits"The justice and equity case for DPC, and why she is focused on patients who fall through the safety nets rather than on replacing Medicare and MedicaidBoring wins worth celebrating: custom patient ringtones so calls stop landing in personal voicemail, decoding hospital lab orders with CPT and ICD codes, and 12 successful blood draws in five weeksTwo-physician cross coverage, planning the first vacation, and the schedule she rebuilt once her husband started working three days awayKeeping skills sharp with journal club, procedures, and actually reading againWhy she says the more DPC the better, even in her own cityMaryal also shares how Big Trees MD partnered with Calaveras County Health so uninsured patients get same-day help, including one patient who went from panicking about medication access to picking up a prescription within eight hours.If you are weighing a non-compete, pricing your memberships, or wondering whether patients will actually come, this conversation is the honest version.Resources mentioned:Amity Creek Primary Care: amitycreekclinic.com Advocacy with the DPC Coalition: dpcare.org Big Trees MD: bigtreesmd.comFind your starting point at mydpcstory.com, from the free startup checklist to the Physician Owner's Planner built for the business side of your practice.Leave Maryal a voice message at mydpcstory.com/contact. Your question or win could be featured on a future episode.Follow @mydpcstory and please leave a five star review on Apple Podcasts so more physicians find these stories.Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Can artificial intelligence restore humanity to my patient interactions? In this episode, Dr May Lin and Dr Brent Sugimoto explore how ambient scribing and smarter administrative tools free physicians to be truly present with their patients, allowing technology to become a bridge in patient care rather than a barrier. Our guests also tackle the ethical and policy dimensions of how AI affects family medicine in both the exam room and the classroom. They identify the current moment as an opportunity for residency programs to shape how AI is used in family medicine, emphasizing that if today's residents are not trained to use AI tools ethically and wisely, their future patients may miss out on the benefits of technology-assisted care.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2026Resources:Blood in the Machine: The Origins of the Rebellion Against Big Tech by Brian MerchantArtificial Intelligence and Machine Learning for Primary Care Curriculum (AiMPC) CourseEthical Use of AI in the Family Medicine Clinic - STFM WebinarAn Opportunity to Thrive - AI in Family Medicine - STFM PodcastAI Deep Dive Summer Series Episode 1: Integrating AI into Family Medicine Curriculum Design - STFM PodcastAI Deep Dive Summer Series Episode 2: The Promises and Pitfalls of AI in Residency Assessment - STFM PodcastGuest Bio:May Lin, DODr Lin is board certified in Family Medicine and Osteopathic Manipulative Medicine (OMM). She practices at Amazon/One Medical where she also serves as the Director of Academic Development. A graduate of Harvard Medical School's Executive Education Course on AI in Healthcare, Dr. Lin serves on the American Association of Colleges of Osteopathic Medicine's (AACOM) Technology Task Force, Touro University's AI Task Force, and the American Osteopathic Information Association's (AOiA) national steering committee. As an Osteopathic Health Policy Fellow, Dr. Lin blends policy interest with leadership experience in healthcare technology and medical education. Dr. Lin is passionate about advancing medical innovation giving patients increased access, decrease cost and improved quality in high touch, technology forward medical care. Integrating primary care, medical innovation, healthcare technology, and healthcare policy are key attributes to supporting primary care and elevating our next generation for sustainable primary care practice and delivery.Brent Sugimoto, MD, MPHDr Sugumoto is program director of the LifeLong Medical Care Family Medicine Residency Program and a Family Physician who specializes in HIV medicine. He currently serves as co-chair of the AAFP/Rock Health “Advancing AI and Digital Health for Primary Care Initiative.” Brent ventured into artificial intelligence after the birth of his first child—when parenthood made him rethink the boundaries of his professional and personal lives—and co-founded a startup called Decoded Health, which leveraged technology from DARPA to build tools to make primary care sustainable. Since then, Brent has worked to increase family medicine's engagement in AI/ML as a potentially transformative and disruptive technology through physician education and policy work within the specialty. Brent is excited to be a member of this task force, as he believes health technology literacy will be a critical competency for future family physicians. He uses ambient scribing with moderate success in his own practice.Link:https://www.stfm.org/stfmpodcast082026 

Send us Fan MailDr. Lauren Hall, a new physician with UnityPoint Clinic Family Medicine - Mount Vernon, joins Dr. Arnold to talk about her background, clinical and personal interests, what led her to UnityPoint Health and much more.If you would like to schedule an appointment with Dr. Hall, call UnityPoint Clinic Family Medicine – Mount Vernon at (319) 895-8841 . This is another episode in a segment on the podcast called "New Clinician Spotlight." In these episodes, Dr. Arnold will sit down with new clinicians at UnityPoint Health - Cedar Rapids and get to know them as a clinician and as a person.If you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.

Four inflammatory bowel disease (IBD) experts explore case-based strategies for optimizing advanced IBD therapy and long-term disease management early in real-world practice. They discuss practical approaches for implementing treat-to-target via strategic treatment sequencing, therapeutic drug monitoring, and maintenance approaches while supporting individualized, evidence-based care for patients with IBD. Presenters Jessica R. Allegretti, MD, MPH, FACG, AGAF Medical Director, Infusion Services Director, Crohn's and Colitis Center Director of Clinical Research Director, Fecal Microbiota Transplant Program Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women's Hospital Associate Professor of Medicine, Harvard Medical School Boston, Massachusetts Jordan E. Axelrad, MD, MPH, AGAF, FACG, FCCF Co-Director, Inflammatory Bowel Disease Center at NYU Langone Health Associate Professor of Medicine Division of Gastroenterology and Hepatology NYU Grossman School of Medicine New York, New York Russell D. Cohen, MD, FACG, AGAF Professor of Medicine, Pritzker School of Medicine Co-Director, Digestive Diseases Center Clinical Director, Inflammatory Bowel Disease Center Co-Director, Advanced IBD Fellowship Program The University of Chicago Medicine Chicago, Illinois Amy Stewart, MSN, FNP-C Lead Advanced Practice Provider Capital Digestive Care Washington, DC Link to full program: https://bit.ly/4wvm7l4 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Recorded LIVE on the floor at the AAFP Co-sponsored DPC Summit in New Orleans, Dr. Angela Andrews of Direct Primary Care of West Michigan and Dr. Nicholas Jones of Clear Health Direct Primary Care in Eugene, Oregon sit down with Dr. Maryal Concepcion for an honest roundtable on what changes between year one and year three of direct primary care practice ownership.Both opened in November 2023. Both came to New Orleans with a list. What they say out loud is what most physicians only think: the workflows you built on day one and never revisited, the boundaries you are usually the first to cross, and the succession question this movement has not solved yet.IN THIS EPISODEPhysician owned regional DPC networks, and using them for call coverage, internal locums, and physician funded startup loans instead of banksWhy you do not need a nonprofit to do nonprofit workRevisiting the workflows you built when you were solo, and what to automate, eliminate, or documentEmployers as the next phase of DPC growth, and the arrival of employed DPC positionsBoundaries, moral injury, and why the physician is usually the first one to violate the boundaryHow to handle one star reviews and trolls without losing your weekendSuccession planning, and what happens to patients when a DPC physician gets sick or closesOregon's corporate practice of medicine law, the non compete ban, and what advocacy looks like when you own your practiceGetting onto your state chapter committees, and why DPC needs representation at AAFP and state academiesSpouses, kids, and the family roles that quietly keep practices runningChoosing an EHR you will not have to leave in three yearsMENTIONED IN THIS EPISODEDr. Emily Holt, Dr. Esther Khatibi, Dr. Julie Gunther, Dr. Timothy Blain, Dr. Phil Eskew, Dr. Jill Scherer, Dr. Clodagh Ryan, Dr. Neil Douglas, Dr. Hailey Miller, Dr. Amy Tressan, and Shaunna SandersRESOURCESThe Toolkit Magazine, including this year's Battle of the Support Stack and last year's Battle of the EHRs: toolkit.mydpcstory.comThe Physician Owner's Planner Limited First Edition Bundle: mydpcstory.com/shopPHYSICIAN OWNER'S PLANNER BUNDLEFifteen available. Each one includes the printed Physician Owner's Planner in a binder, the digital bundle with our Medicare and Medicare Advantage Open Enrollment Guide, the yellow "Insurance is not healthcare" T-shirt, and a personal website review from Dr. Maryal Concepcion and Nathalia Hyland, head of marketing and strategy at My DPC Story. Limited shirt sizes remain. mydpcstory.com/shopCooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze.  Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Send us Fan MailDr. Angela welcomes Dr. John Italiano, a family medicine DO and founder of Thrive Family Health Direct Primary Care, who launched his practice in January 2026, to begin a short men's health series. They discuss his path into direct primary care (DPC), beginning in medical school, and why he chose family medicine for its focus on continuity, relationships, and whole-person care. Turning to men's health, they explore how many men delay seeking care because of cultural expectations around toughness and self-reliance, often dismissing symptoms that deserve attention. They emphasize proactive prevention through six pillars of health—nutrition, exercise, sleep, stress management, social connection, and avoiding risky substances—using a car-maintenance analogy to illustrate the importance of routine care. The conversation highlights commonly overlooked concerns such as weight gain, fatigue, low motivation, poor sleep, snoring or sleep apnea, irritability, and assumptions about low testosterone, while encouraging early checkups to identify high blood pressure, elevated cholesterol, insulin resistance, and prediabetes before they lead to irreversible events like heart attacks or strokes.Support the showFollow me on Instagram @angelalifestylemd and don't forget to SUBSCRIBE to my podcast & SHARE this episode.

As current understandings of obesity (ie, a chronic disease requiring long-term management) are adopted across the world, screening and treatment can no longer follow a one-size-fits-all approach. Listen in as 3 global experts in obesity medicine highlight the emerging evidence from recent conferences that are changing real-world practice today. Learn how the latest findings apply to specific patient populations across the United States, Europe, and Asia as well as why healthcare professionals should individualize treatment based on patient preferences and relevant risk factors. Presenters: Stephano Del Prato, MD Professor Emeritus of Endocrinology University of Pisa Pisa, Italy Soo Lim, MD, PhD Professor of Medicine Department of Internal Medicine Seoul National University College of Medicine and Seoul National University Bundang Hospital Seoul, South Korea Donna H. Ryan, MD Professor Emerita Pennington Biomedical Research Center Louisiana State University New Orleans, Louisiana Link to full program:https://bit.ly/4pwFhEo Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

From physician assistant to DPC physician, Dr. Reid Lancaster took the long road on purpose. In this episode of My DPC Story, he sits down with Dr. Maryal Concepcion to trace his journey from PA to DO and the moment a three-minute news clip about direct primary care planted a "worm in his brain" he couldn't shake.Dr. Lancaster is the founder of Ethos Modern Medicine in La Quinta, California, just outside Palm Springs in a community as economically diverse as almost anywhere in the country. He shares why he chose to become a physician rather than practice independently as a PA, the honest differences he sees between PA, NP, and physician training, and how residency shaped what he can now do for his patients in primary care.This conversation is packed with practical wisdom for anyone weighing a DPC of their own. Dr. Lancaster opens up about the naysayers he faced through medical school and residency, the mentors who pushed him to "cash in" on a traditional job, and the wife who kept the dream alive when the doubt crept in. He also reflects on the business side he never trained for, from California compliance surprises to the taxes and systems that fall through the cracks in year one and beyond.You'll hear the real stories behind the lessons: the AI answering service named Jarvis that tanked his consults by 80 percent, the patients stuck in referral limbo despite having insurance, and the goals he wrote down before opening that he rediscovered in an old drawer. Dr. Lancaster makes the case that mistakes are lessons, that hiring a little earlier than feels comfortable can accelerate growth and protect your quality of life, and that clear boundaries set upfront are what keep DPC sustainable.Now three and a half years in and effectively full at 600 patients with no marketing, Dr. Lancaster reflects on what growth looks like from here, the working partnership he's exploring with PAs and NPs in the DPC space, and why the local coffee shop model, not the franchise, may be the future of direct primary care.Whether you're a pre-med student, a resident or a physician eyeing the exit from fee-for-service, or a DPC owner thinking about your next step, this episode is a reminder that you've done hard things before and you can do this too.Head to mydpcstory.com to find your starting point, and come say hi at the AAFP co-sponsored DPC Summit in New Orleans.Meet the My DPC Story team at DPC Summit NOLA! Summit bundles are live: HERE the Physician Owner's PlannerThe "insurance is not healthcare" teeA digital tool bundle for your practice A website reviewA 50% off our $350 Patient Explainer VideoPlus a chance to win an hour with Dr. Concepcion.  Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Continuing his exploration of once-weekly insulins, Neil Skolnik speaks with Aaron King, MD. Together, they cover the mechanisms, practical considerations, and the myriad benefits that this new therapy can have over daily basal insulin. This special episode is sponsored with support from Novo. Please listen to the episodes by clicking on the podcast player below or by freely subscribing to Diabetes Core Update via Apple Podcasts, Amazon Music, Spotify, or your preferred podcast platform. Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Aaron King, MD. Trained in the United States Navy in Family Medicine and certified by the American College of Diabetology, Dr. King practices outpatient diabetes management in San Antonio, Texas. Selected references: Weekly Icodec versus Daily Glargine U100 in Type 2 Diabetes without Previous Insulin. N Engl J Med 2023;389:297-308 Weekly Fixed-Dose Insulin Efsitora in Type 2 Diabetes without Previous Insulin Therapy. N Engl J Med 2025;393:325-335

In this episode of Conversations of the Heart, I have a conversation with Dr. Jade Norris, MD, about her journey into entrepreneurship and why she chose to leave the traditional healthcare model to launch a Direct Primary Care practice. Dr. Jade shares what inspired her to take this path, the freedom it provides to better serve her patients, and how this innovative healthcare model is changing the patient-physician relationship.We also discuss the many benefits of Direct Primary Care, the importance of preventive medicine, and practical ways people can take charge of their health before chronic conditions develop. Whether you're looking for a new perspective on healthcare, considering a Direct Primary Care physician, or simply want to learn how to live a healthier life, this conversation is packed with valuable insights you won't want to miss.About Dr. JadeJade E. Norris, MD, affectionately known as Dr. Jade, is a devoted Christian, wife, mother, and Las Vegas native. She is a board-certified Family Medicine physician with additional certification in Obesity Medicine. Through the principles of Lifestyle Medicine and her personalized wellness program, The NSPIRED Health Method, she helps patients prevent and even reverse chronic diseases by focusing on sustainable, long-term wellness.Dr. Jade is also the founder of NSPIRE Primary Care and the nonprofit organization NSPIRELV, which hosts wellness events throughout Las Vegas to inspire healthier individuals, marriages, and families.She earned her bachelor's degree in Biological Sciences from the University of Nevada, Las Vegas, received her Doctor of Medicine degree from Southern Illinois University, and completed her Family Medicine Residency at Loma Linda University Medical Center in Southern California.In addition to practicing medicine, Dr. Jade has shared her expertise through magazines, radio, television, and social media. She is also the host of The She NSPIRES Podcast and the author of the children's empowerment book series, You Can Call Me Queen and You Can Call Me King.Dr. Jade has a passion for fitness, dance, healthy cooking, and mentoring and empowering young girls and teens of color. Her mission is to promote health and wellness for the entire family across every generation because, as she says, "Health, it's a LIFESTYLE!"Connect with Dr. Jade:

When is hospice care best delivered in the hospital? In this episode of Rounding@IOWA,  Dr. Gerry Clancy welcomes hospice and palliative medicine experts Dr. Michelle Weckmann and Dr. John Wilde to explore General Inpatient Hospice (GIP) care—what it is, when it should be considered, and how it helps patients with severe, uncontrolled symptoms at the end of life. They discuss practical communication strategies, symptom management, goals-of-care conversations, common misconceptions about hospice, and the clinician's role in easing suffering while honoring patient wishes. Episode Transcript CE Credit Available Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Michelle Weckmann, MD Associate Professor Emeritus, Family Medicine and Psychiatry University of Iowa Carver College of Medicine Medical Director, Iowa City Hospice John Wilde, DO Program Director, Hospice and Palliative Medicine Fellowship Clinical Assistant Professor of Internal Medicine University of Iowa Carver College of Medicine Financial Disclosures:  Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-053-H01-P Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)      

Send us Fan MailWhat does it really take to build a million-dollar family medicine practice without losing your life in the process?In this episode of the EntreMD Podcast, Dr. Una sits down with Dr. Brittney Anderson, founder of Anderson Family Care, to talk about the leadership, mindset, systems, and execution behind her first million-dollar year.In this episode, you will learn:Why a profitable practice creates more options for both the physician and the patientHow Dr. Anderson built a stronger, more accountable teamWhat changed when she stopped judging the numbers and started using themWhy you do not need complete confidence before taking massive actionHow investing in mentorship, community, and accountability accelerated her growthThis episode is a masterclass in building a profitable private practice .Tune in and get inspired.Additional Resources:Learn more about my 12-month program. Interested in 1-on-1 coaching? Apply here.Grab a copy of the "The 7-Figure Physician CEO" book. When you are ready to work with us, here are three ways: The Profitable Private Practice Movement - If you want to build a thriving private practice that serves a lot of patients, while creating time and financial freedom for you, come join us here. EntreMD Business School Grow - This is our year-long program with a track record of producing physician entrepreneurs who are building 6, 7 and 7+ figure businesses. They do this while building their dream lives!EntreMD Business School Scale - This is our high-level mastermind for physicians who have crossed the seven figure milestone and want to build their businesses to be well oiled machines that can run without them.To get on a call with my team to determine your next best step, go here ...

Why do some physicians thrive when new workflow tools are introduced, while others continue to struggle despite having access to the same resources? In this insightful episode of Life Changing Moments, host Dr. Dael Waxman sits down with Dr. Sachiko Kaizuka—Associate Professor of Family Medicine at the University of Rochester School of Medicine—to explore the intersection of physician well-being, workflow design, and coaching. Dr. Kaizuka shares her journey from rural practice burnout to becoming an EMR "super user" and wellness advocate. She introduces the concept of human factors ergonomics—a framework used in aviation and aerospace to optimize human performance—and explains how it applies to healthcare. Her research demonstrates that combining human factors principles with personalized coaching helps physicians reduce cognitive load, improve note closure rates, decrease after-hours EMR work, and sustain improvements in well-being long after coaching ends. This conversation offers practical tools for any clinician feeling overwhelmed by documentation, inbox management, and the competing demands of modern medicine. Key Topics Discussed: Dr. Kaizuka's personal journey through burnout and recovery in rural practice. The concept of human factors ergonomics and its application to healthcare. Understanding cognitive energy as a finite resource that must be budgeted and replenished. Why resilience and mindfulness alone aren't enough to address physician burnout. The "missing link" between workflow tools and physician adoption: personalized coaching. How coaching helps clinicians identify and challenge beliefs about perfectionism and expectations. Practical examples: reframing note-writing, setting boundaries, and letting go of unnecessary tasks. The NASA Task Load Index and the emotional cost of frustration. Results from Dr. Kaizuka's pilot study: improved note closure rates, reduced after-hours EMR use, sustained well-being improvements. The power of shifting from "EMR hater" to curious learner. Future plans: scaling the coaching model and training peer coaches. Guest Information: Dr. Sachiko Kaizuka, MD – Associate Professor of Family Medicine, University of Rochester School of Medicine MD Coaches: mymdcoaches.com Relevant Links: MD Coaches: mymdcoaches.com Companion podcast: Rx for Success with Dr. Randy Cook Society of Teachers of Family Medicine (STFM)

When Dr. Timothy Blain opened his direct primary care practice in the middle of COVID, he finally felt like a “real doctor” again — after two decades of employed medicine, five-year burnout cycles, and the constant ache of knowing he could help patients but never had the time.In this honest and moving episode, Dr. Blain shares his full journey: graduating in 2000 as hospitals bought up practices, surviving non-Hodgkin lymphoma at 38, then weathering COVID pneumonia, a heart attack, and adult-onset Still's disease — all while continuing to care for his patients. He opens up about how DPC helped save his marriage, why empathy is the first thing burnout takes from physicians, and what it truly means to be the patient when you're also the doctor.Dr. Concepcion and Dr. Blain dig into:•The 5-year burnout curve, and why “just take a half day” never works•Building patient loyalty so deep that almost no one left, even through his hospitalizations•Practical steps for leaving employed medicine for DPC (including the prepay discount that funded his startup)•Why DPC doctors may be best positioned to use AI in medicine•Supplements, home visits, ultrasound, and staying curious as a physician•How and why he chose to close his practice — the taxes, timing, and grief involved•Redefining “failure” and finding peace in a one-year sabbaticalWhether you're burned out and dreaming of a way out, a few years into your own DPC, or simply wondering what a fulfilling end to a medical career can look like, this conversation is a breath of fresh air.“Failure is in the eye of the beholder.” — Dr. Timothy Blain—

What if the word uncurable really just means a doctor has run out of ideas? This episode dares you to question that verdict and discover a functional medicine approach built on gut health, trace minerals, and nervous system repair that has helped many people defy impossible odds and rewrite a hopeless diagnosis into a story of hope.Host Jenn Trepeck welcomes Dr. Aaron Hartman to Salad with a Side of Fries, where he shares how chronic illness recovery starts with the basics everyone overlooks, and why patients in remission from conditions like multiple sclerosis prove healing is possible even when doctors say there is nothing more they can do.What You Will Learn in This Episode:✅ Why the label “incurable” often just means idiopathic (unknown cause) and how functional medicine looks deeper✅ How gut health, sleep, and stress form the foundation of true chronic illness recovery✅ The connection between hypermobility, dysautonomia, mast cell activation, and autoimmune disease✅ Why organ meats, bone broth, and trace minerals support the nervous system and healingThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into real-life wellness and weight loss, including drinking, eating out, and skipping the grocery store.TIMESTAMPS:00:00 Introduction to this episode on functional medicine and rethinking an incurable diagnosis03:47 Dr. Aaron Hartman explains cerebral palsy and his daughter Anna's dire early diagnosis07:17 Why incurable and idiopathic are labels Dr. Hartman refuses to accept and exploring the mast cell activation, hypermobility, autoimmune, gut, and dysautonomia super syndrome15:28 The big three foundations of gut health, stress regulation, and quality sleep for healing21:41 Why trace minerals, organ meats, and bone broth matter for true nutrient-dense nutrition24:38 Practical sleep hygiene tips rooted in circadian rhythm and nervous system regulation28:58 Balancing sugar addiction and dopamine-driven cravings with real food healing habits31:43 How the body's self-healing capacity applies at any age, from childhood through adulthood37:12 Lipid medicine: Using fats to heal your bodyKEY TAKEAWAYS:

This lecture will serve to enlighten/empower non-dentists with some basic diagnostic & treatment skills to manage dental emergencies in a non-dental setting.

What does it look like to build a Direct Primary Care practice that protects your health as fiercely as it protects your patients? In this episode of My DPC Story, Dr. April Soto of Love and Light Integrative Medicine in South Pasadena, California shares how she systematically exited corporate medicine over three years and built an integrative DPC practice rooted in authenticity, boundaries, and healing.After more than a decade in fee-for-service family medicine and infectious disease, including HIV care, Dr. Soto completed an integrative medicine fellowship, trained in ketamine-assisted therapy, and opened a micropractice designed around her own capacity as a physician living with chronic illness and mast cell activation syndrome (MCAS). Today she receives MCAS referrals from specialists across the country and offers ketamine journeys, transgender care for patients from age three to eighty, and deeply unhurried visits that can run four hours.In this conversation, Dr. Soto and host Dr. Maryal Concepcion discuss:Why she left corporate medicine and how she planned her three-year exitFacing fears around money, homelessness, and financial security before opening a DPCPricing as a quality-based practice instead of competing on discountsWhat she learned from giving too many discounts in year oneHow her assistant Natalie supports meet and greets, workflows, and boundariesBuilding an inclusive practice for LGBTQIA+ patients, immigrant communities, and neurodivergent patientsCaring for patients afraid to seek care because of ICE enforcementMCAS diagnosis, testing pitfalls, and why these patients need a different kind of visitKetamine-assisted therapy pricing, informed consent, and managing patient expectationsBurnout, trauma as a superpower, and why inclusivity has to include the physicianHer five-year vision: wellness contracts, motivational speaking, and growing her teamWhether you are planning your DPC launch or working to make your existing practice more sustainable, this episode is a masterclass in valuing yourself, honoring your capacity, and practicing medicine on your own terms.Learn more about Dr. April Soto at Love and Light Integrative Medicine in South Pasadena, CA.Visit mydpcstory.com for the free 90-Day Startup Checklist, the Physician Owner's Planner, and DPC tools for every stage. Leave a voicemail at mydpcstory.com/contact and you might hear it on a future episode. Support the show on Patreon for commercial-free and extended episodes.Meet the My DPC Story team at DPC Summit NOLA! Summit bundles are live: HERE the Physician Owner's PlannerThe "insurance is not healthcare" teeA digital tool bundle for your practice A website reviewA 50% off our $350 Patient Explainer VideoPlus a chance to win an hour with Dr. Concepcion.  Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze.  Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Transforming your health is more fun with friends! Join Chef AJ's Exclusive Plant-Based Community. Become part of the inner circle and start simplifying plant-based living - with easy recipes and expert health guidance. Find out more by visiting: https://community.chefaj.com/ ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download MY BEST SELLING WEIGHT LOSS BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. Get the book here:https://www.amazon.com/shop/chefaj/list/1GNPDCAG4A86S?ref_=aip_sf_list_spv_ofs_mixed_d&ccs_id=ed4dfdad-3f74-40fb-b5ab-b34f9821b312 John Abramson MD, MSc After completing a residency in Family Medicine and a 2-year Robert Wood Johnson fellowship, Dr. John Abramson practiced as a family physician for 20 years in a small town an hour north of Boston. He also served for 7 years as chair of the department of family practice at Lahey Clinic. He was on the Harvard Medical School faculty from 1997-2023, most recently as a Lecturer in the Department of Health Care Policy. In 2002, after becoming aware of the uncorrected misrepresentations about the benefits and dangers of Vioxx and Celebrex in our most respected medical journals, Dr. Abramson left his practice to devote his full attention to researching the quality of the information doctors must rely on. In September 2004 he published Overdo$ed America: The Broken Promise of American Medicine. Just one week later, Vioxx was withdrawn in the biggest drug recall ever, but not before it had killed between 40 and 60,000 Americans, despite providing no better relief than inexpensive OTC anti-inflammatory drugs. From 2005 through the present, Dr. Abramson has continued his research and served as an expert in litigation involving prescription drugs and medical devices, with each case giving him access to millions of pages of confidential corporate documents and unreleased clinical trial data. He has also served as a consultant to the FBI and U. S. Department of Justice, including a case that led to what was, at the time, the largest criminal fine in U.S. history. Dr. Abramson has published multiple articles in peer reviewed journals, made numerous national media appearances, and written many op-ed pieces, including 2 in the New York Times. His main research interest is the extent to which the commercial takeover of medical knowledge, primarily by the drug companies, is compromising the quality of medical information available to even the most dedicated doctors, harming our health, and wasting enormous amounts of Americans' wealth. In February 2022 Dr. Abramson published his second book, Sickening: How Big Pharma Broke American Health Care and How We Can Repair It.

Just as pneumonia isn't “just a cold,” the pneumococcal vaccine does much more than just protect yourself or your child against pneumonia. Listen in and learn from experts Robert H. Hopkins, Jr., MD, and Brenda L. Tesini, MD, how to discuss the full benefits of pneumococcal vaccine.  Topics covered include: Burden of pneumococcal disease among pediatric and older adult populations in the United States Risk factors for severe pneumococcal disease Which pneumococcal vaccines to use for certain populations and why How pneumococcal vaccination protects from long-term sequelae and potential community benefits of vaccination Get access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenters: Robert H. Hopkins, Jr., MD Professor of Internal Medicine and Pediatrics Division of General Internal Medicine University of Arkansas for Medical Sciences, School of Medicine Little Rock, Arkansas Brenda L. Tesini, MD Associate Professor of Medicine, Pediatrics, and Community Health Division of Infectious Diseases University of Rochester Medical Center Rochester, New York Link to program page: https://bit.ly/3SuymiN Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.

Today, we discuss the new book “Heal Faster: Unlock Your Body's Rapid Recovery Reflex” with author Victoria Maizes, MD, an internationally recognized physician, author, and pioneering leader in the field of Integrative Medicine. Drawing on forty years of medical experience and cutting-edge research, Dr. Maizes shows that complete recovery is possible for a wide range of conditions when you know how to support your body's natural healing processes. Dr. Maizes serves as the Founding Executive Director of the Andrew Weil Center for Integrative Medicine and is a Professor of Medicine, Family Medicine, and Public Health at the University of Arizona. She is also the author of “Be Fruitful: The Essential Guide to Maximizing Fertility and Giving Birth to a Healthy Child,” and cohost, with Dr Weil, of the Body of Wonder podcast. ◘ Related Links Dr. Maizes' website, https://www.drvictoriamaizes.com/ ◘ Transcript bit.ly/3JoA2mz ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Welcome to the latest episode (July 2026) of DOC Updates, where every month Neil Skolnik, MD and John Russell, MD review the most important articles on diabetes, obesity, and cardiometabolic disease. This month on DOC Updates: Aroda V, Buzzetti R, Dalskov S et al. "Efficacy and safety of once-weekly cagrilintide–semaglutide (CagriSema) in adults with type 2 diabetes inadequately controlled on diet and exercise (REIMAGINE 1): a randomised, double-blind, placebo-controlled, phase 3a study." The Lancet Diabetes & Endocrinology, 2026; 0 doi: 10.1016/S2213-8587(26)00126-9 Bajaj H, Welch M, Shah P et al. "Efficacy and safety of retatrutide, a GIP, GLP-1, and glucagon receptor agonist, in people with type 2 diabetes and inadequate glycaemic control with diet and exercise (TRANSCEND-T2D-1): a double-blind, randomised, phase 3 trial." The Lancet, 2026; 407, 2402-2413 doi: 10.1016/S0140-6736(26)00967-0 Melville, N. "CGM Monitoring Benefits Extend to Non-Insulin-Using T2D." Medscape, June 07, 2026 Aronne, L.J., Horn, D.B., le Roux, C.W. et al. "Orforglipron for maintenance of body weight reduction: the double-blind, randomized phase 3b ATTAIN-MAINTAIN trial." Nat Med(2026) doi: 10.1038/s41591-026-04386-7 Salive ME, Tjaden AH, Ames JR, et al. "Lifestyle and Metformin Interventions and Risk of Multimorbidity in Adults With Prediabetes." JAMA. Published online June 15, 2026. doi:10.1001/jama.2026.8492 Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health For information about the American Diabetes Association's scholarly journals, visit diabetesjournals.org. For more about this podcast, visit About Diabetes Core Update.

CLOSING SOON! VOTE IN THE 2026 MY DPC STORY BATTLE! VOTE HEREWhen most physicians hear the word sustainability, they think about keeping the doors open. But after a weekend with more than 80 doctors at the California DPC Summit, our host Dr. Maryal Concepcion came away certain it means so much more. In this episode of My DPC Story, five voices from the Direct Primary Care community share what makes a medical career, a practice, and a life sustainable.The throughline is simple. Healthcare becomes sustainable when the people providing the care are allowed to thrive.You will hear from:Dr. Deepti Mundkur, My Happy Doctor, nearly six years into DPC, on how continuity and deep patient relationships became her real measure of sustainability, including watching patients need less medication over time.Dr. Shannon Connolly of Open Arms Direct Primary Care on how community and physician innovation build confidence, and why scaling DPC looks nothing like the venture-backed version.Dr. Dedra Beckles on knowing your worth, protecting your energy, and why boundaries are not optional if you want to keep showing up with joy.Dr. Grace Hassell on authenticity, presence, and a powerful highlining metaphor for becoming the doctor she wrote about in her personal statement.Noreen Gutierrez, RN, on building sustainable teams through head, heart, and hands, and her five Rs for clinic culture.Registration is open for the Illinois DPC Summit this October in the Chicagoland area, and for California's third annual DPC Summit next year. Find both on the Events page at mydpcstory.com.If you will be at the AAFP co-sponsored DPC Summit in New Orleans, come say hi, grab the latest magazine, and share your story on a live mic.Want a summit in your state? Send us a note through the contact page at mydpcstory.com. Tennessee is already in the works.Leave me a voicemail at mydpcstory.com/contact and you might hear it on a future episode.For commercial-free episodes, extended conversations, and the State by State with Dr. Phil Eskew series, check out our Patreon.If this episode moved you, please leave a five-star review on Apple Podcasts. It helps other physicians find these stories when they need them most.Keywords: direct primary care, DPC, DPC physician, physician burnout, sustainable medical practice, California DPC Summit, Illinois DPC Summit, membership medicine, family medicine, My DPC StoryMeet the My DPC Story team at DPC Summit NOLA! Summit bundles are live: HERE the Physician Owner's PlannerThe "insurance is not healthcare" teeA digital tool bundle for your practice A website reviewA 50% off our $350 Patient Explainer VideoPlus a chance to win an hour with Dr. Concepcion.  Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze.  Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

by Christian Medical & Dental Associations® Dr. Mike Chupp is joined by three members of the American College of Family Medicine (ACFM), a nonprofit organization dedicated to preserving and promoting Hippocratic Family Medicine. The discussion centers on the origins of ACFM, the challenges facing family medicine today, and the importance of providing a unified voice for life-affirming physicians navigating complex moral, ethical, and cultural issues. Topics include conscience protections, physician advocacy, medical education, and efforts to preserve evidence-based patient care, as well as why engagement within the profession, rather than withdrawal, is the most effective way to influence the future of family medicine and support physicians whose values have often gone unrepresented.

In this podcast, Jennifer Green, MD, and Jay H. Shubrook, DO, FAAFP, FACOFP, share strategies for integrating incretin-based therapies in type 2 diabetes (T2D) management in the primary care setting, including: Importance of moving beyond a glucose-centric approach to T2D care  Current evidence for incretin-based therapies in T2D Rationale for integrating these therapies into the primary care setting Shared decision-making strategies to discuss optimal T2D treatment options with patients Timing for endocrinology referral Presenters: Jennifer Green, MD Professor of Medicine Division of Endocrinology Duke Clinical Research Institute Duke University School of Medicine Durham, North Carolina Jay H. Shubrook, DO, FAAFP, FACOFP Professor, Diabetologist Department of Clinical Sciences and Community Medicine Touro University California, College of Osteopathic Medicine Vallejo, California Full program link: https://bit.ly/4uSKCqv Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

With nearly 1.3 billion disabled people in the world, we assume that the medical community focuses on physical health. But who is helping people with the emotional and spiritual impact of disability? In this session, we will explore the emotional and spiritual impact of disability and how the church and global workers can effectively support the disabled community with this critical need.

Welcome to the Legal Nurse Podcast! In this milestone 700th episode, Pat Iyer is joined by Karanvir Gupta, a board-certified family medicine physician from Las Vegas, specializing in both primary care and urgent care medicine. With more than 20,000 hours of direct patient experience, Karanvir Gupta shares firsthand insights from the front lines of urgent care in an evolving sector of healthcare that often sits at the crossroads of convenience, complexity, and litigation risk. Together, Pat Iyer and Karanvir Gupta dive deep into what makes urgent care unique: from the wide range of patient presentations, staffing variability, and differences in resources compared to emergency departments, to the specific challenges legal nurse consultants face when assessing cases involving urgent care facilities. Using real-world examples, they discuss critical issues like escalation of care, documentation pitfalls, “bounce backs,” and the growing role of artificial intelligence in clinical practice and malpractice review. Whether you're an attorney, legal nurse consultant, or simply curious about the hidden dynamics of urgent care, this conversation sheds light on the nuances and potential pitfalls of healthcare to hub millions to rely on, but few truly understand. What You'll Learn in This Episode on Red Flags in Urgent Care: When Small Mistakes Become Big Legal Problems  Here are 5 discussion questions answered in the podcast: What are the five pillars Karanvir Gupta uses to evaluate whether urgent care providers met the standard of care when reviewing cases? Which pillar do you think is most critical and why? In what ways can failure to escalate care appropriately from urgent care to an emergency department lead to litigation, and what examples did Karanvir Gupta provide? How does Karanvir Gupta recommend legal nurse consultants analyze urgent care documentation, and what role do policies and procedure manuals play? What challenges exist in urgent care recordkeeping, especially with delayed documentation up to a week after patient encounters? How is the concept of patient "bounce backs" handled differently in urgent care compared to planned follow-ups, and why are these events high-visibility from a legal perspective? Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Your Presenter for Red Flags in Urgent Care: When Small Mistakes Become Big Legal Problems  Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Karanvir Gupta Physician, educator, and medical-legal consultant. Dr. Karanvir Gupta is a board-certified Family Medicine physician who has been in full-time clinical practice since 2017, providing over 20,000 hours of direct patient care and caring for more than 30,000 patients in primary care and urgent care settings. His clinical focus includes diagnostic decision-making, triage and escalation, documentation practices, and systems-based outpatient care areas that frequently intersect with medical-legal review. When he is not on this podcast, he is caring for patients in the clinic, exploring new restaurants with his wife, and spending time with his two little dogs. Connect with Karanvir Gupta by email at veer@doclawconsult.com

What happens to a family physician when the system that trained him decides he no longer has value? In this deeply personal episode, Dr. Maryal Concepcion hands the introduction to a special guest, then sits down with her husband, Dr. Jeremiah Fillo of Big Trees MD, for an honest conversation about sustainability, not just as a doctor, but as a whole person.Dr. Fillo shares the path from rural Nebraska training under Dr. Tim Blecha (Blay-kee), through residency in Modesto, into a corporate regional medical center that slowly turned the heat up the way you would on a frog in a pot. He talks candidly about the evergreen contract, the exclusivity clause, and the moment he was told to sign or be terminated while his wife was pregnant. He describes being let go and replaced by a non-physician model, the AB 890 reality in California, and the months of uncertainty that followed.This is also a conversation about what comes after the devaluation. Dr. Fillo opens up about how he held onto his sense of self when the system told him he had none, why splitting and stacking firewood mattered as much as any clinical workflow, and how he learned to quiet his "referralologist" training once he joined a Direct Primary Care practice with real time and autonomy. Listeners will hear how DPC reshaped his parenting, his task switching between in-office visits and asynchronous telemedicine, and his perspective on joining an established practice he did not build from scratch.For any physician who has felt like a charge sheet instead of a clinician, this episode is a reminder: the system does not get to decide your worth, and there is real life after fee-for-service.In this episode: How job share became the foundation of a sustainable two-physician family. Why residency training around fee-for-service leaves new physicians blindsided to independent options. What being replaced by a non-physician model does to a person, and how to rebuild. Why rural communities cannot sustain healthcare on a three-day-a-week, hard-to-access model. How Direct Primary Care creates room to practice full scope again and still be present for your kids.About the guest: Dr. Jeremiah Fillo is a family physician at Big Trees MD in Arnold, California, where he practices Direct Primary Care alongside Dr. Maryal Concepcion. He trained at Creighton University School of Medicine and completed residency in Modesto, with additional procedural training at Brodstone Memorial in rural Nebraska.Connect with My DPC Story: Subscribe wherever you listen, leave a review, and share this episode with a physician who needs to hear that there is a sustainable path forward. Have a question or a story of your own? Call the My DPC Story voicemail and you may hear your answer on a future episode.Lean more about Hint Clinical today! Check out CoolBlue VA today at coolblueva.com/dpcgrow VOTE in the 2026 Battle of the Support Stack HERE! Support access to women's healthcare and join us for Fireside Chats for Women's Health in New Orleans! July 17th 7-9 pm. BUY tickets at mydpcstory.com/upcoming-events. If you're interested in donating or sponsoring, email hello@mydpcstory.com Get your copy of the Physician Owner's Planner today at mydpcstory.com/librarySupport the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Over the past decade, dozens of maternity wards have shut down across California, and that raises risks for pregnant patients. At one rural Monterey County hospital, family medicine doctors are stepping in to help fill the gaps in service. Reporter: Ngozi Cole, KAZU A controversial proposal to tax California billionaires has qualified for the November ballot. In Orange County, workers earning six figures can now qualify for low-income housing. Reporter: David Wagner, LAist Learn more about your ad choices. Visit megaphone.fm/adchoices

Rebecca Morrison is healthy by many measures. But like millions of people today, she finds herself wondering whether or not she should be taking a GLP-1 drug. What's the right thing to do? This episode explores how this new class of weight loss drugs is reshaping our healthcare choices, and the landscape in which we make them.You can read more about Rebecca Morrison's story in her novel, The Blue Dress, released March 2026. This episode features:Rebecca K. Morrison: Writer.Mara Gordon, MD: Primary Care Physician at Cooper University Hospital and Assistant Professor of Family Medicine at Cooper Medical School of Rowan University.Alexandra Brewis, PhD: Regents Professor and President's Professor at the School of Human Evolution and Social Change at Arizona State University.Jeffrey Kahn, PhD, MPH: Andreas C. Dracopoulos Director of the Johns Hopkins Berman Institute of Bioethics.“playing god?” is a podcast by the iDeas Lab at the Johns Hopkins Berman Institute of Bioethics. To read a transcript of this episode, visit the iDeas Lab website at https://bioethics.jhu.edu/pgs2e5.The Johns Hopkins University Sesquicentennial is proud to support this podcast. JHU celebrates 150 years of pioneering education and research—advancing knowledge to meet the challenges of every generation. Learn more at 150.jhu.edu.

Hey, Survivor! In this episode, I'm joined by Dr. Regina Ragasa, a triple board-certified physician in Family Medicine, Lifestyle Medicine, and Obesity Medicine.  We're talking about the gap between health knowledge and real-life behavior change. We explore why trauma survivors often struggle to implement what they already know about health, and how shame, stress, and survival responses can interfere with sustainable lifestyle change. During our conversation, Dr. Ragasa explains her LIVEN Method—a framework centered on Listening, Imperfection, Validation, Empowerment, and Normalization—to help clinicians and patients build trust and create lasting change through human connection.  She also talks about the “humble plate” vs. celebratory foods, and how cultural food traditions and identity come into play. If you've ever struggled with knowing what to do but not being able to follow through, this episode is for you.  Connect with Dr. Regina Ragasa: Instagram: @CaliWellnessDoc Website: CaliWellnessDPC.com Know who you're dealing with.  Know who you are.

In this episode, the Family Docs Podcast hosts Dr. Rob Assibey and Dr. Cynthia Chen-Joea discuss climate informed patient care and what it means for family physicians in everyday practice. Climate related health impacts are showing up in the exam room through heat related illness, poor air quality, and changing patterns of infectious disease. Dr. Diana Howard and Dr. Alex Sherriffs share what they are seeing in practice and offer practical strategies family physicians can use to better support their patients. They also talk about who is most vulnerable and review a few simple steps physicians can counsel patients about climate related health risks. Guests: Diana Howard, MD, AAHIVS is a Family Medicine and HIV specialist who advocates for inclusive, climate-informed medicine that protects vulnerable communities. As UC San Francisco faculty, she empowers residents to understand how a changing climate impacts primary care. Dr. Howard is a constant advocate for medical trainees' involvement in CAFP activities. Alex Sherriffs, MD, FAAFP is a Family Medicine physician and air quality/climate health advocate who has lived and practiced in California's Central Valley for over 52 years. As UC San Francisco faculty, he integrates climate science into primary care and medical education, focusing on geriatrics, environmental health, prevention, and health equity. Dr. Sherriffs brings regional insight into the health impacts of extreme heat, air pollution, wildfire smoke, and climate-sensitive diseases. Resources: CAFP Online Education: Climate Informed Patient Care education.familydocs.org/climate Climate Change and Health resources available at familydocs.org/climatehealth.  Heat Illness & Vulnerable Populations presentation at 2026 Family Medicine POP!, August 21-23, 2026 in San Diego - familydocs.org/pop  CalEnviroScreen (oehha.ca.gov/calenviroscreen): Identifies populations who are burdened by multiple sources of pollution California Air Districts ww2.arb.ca.gov/california-air-districts Information: This episode of the Family Docs Podcast was supported by the American Board of Family Medicine The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast.   Visit the California Academy of Family Physicians online at www.familydocs.org.  Follow us on social media: Instagram - https://www.instagram.com/cafp_familydocs   Facebook - https://www.facebook.com/familydocs   LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians   

   In this episode of WarDocs, Army Deputy Surgeon General Dr. Lance Raney discusses the past, present, and future of military medicine. The conversation begins with Dr. Raney's early journey from a collegiate scholarship athlete to a Family Medicine physician, exploring how his clinical roots in "small-town" Army medicine established the decision-making framework necessary for high-level strategic leadership. Drawing on his experience as a Brigade Surgeon with the 172nd Stryker Combat Team in Iraq, Dr. Raney emphasizes the life-saving importance of empowering medics at the point of injury and the necessity of critical thinking in the face of unexpected clinical challenges.    The dialogue then shifts to the complexities of the current military healthcare landscape, particularly the transition to the Defense Health Agency and the integration of medical readiness with healthcare delivery. Dr. Raney provides a candid look at the challenges of navigating systemic changes during the COVID-19 pandemic and the implementation of MHS GENESIS, noting that leadership through influence is now more vital than ever. He shares a personal and powerful account of his time at Womack Army Medical Center, discussing how patience and trust in the military justice system reinforced his commitment to servant leadership and organizational resilience.    A major focus of the episode is the Army's strategic pivot toward Large Scale Combat Operations (LSCO). Dr. Raney details how the "Golden Hour" of evacuation is being replaced by the reality of prolonged field care, requiring a fundamental overhaul of medical training. He explains the expansion of the Army paramedic program and the development of high-tech solutions like Artificial Intelligence for triage and decision support. These innovations are designed to augment the front-line provider's ability to manage casualties in austere, communication-denied environments where resources are strictly limited.    Finally, Dr. Raney offers profound career advice for the next generation of healthcare professionals. He encourages students and young officers to become the experts their patients expect and to seek "Purpose Plus"—the unique fulfillment found in serving the extended family of the American soldier. By focusing on legacy and the impact left in others, Dr. Raney illustrates why military medicine remains one of the most rewarding paths a clinician can choose. Chapters (00:00-06:28) Foundations of a Career in Army Medicine (06:29-11:04) The Clinical Roots of Strategic Leadership (11:05-17:40) Lessons in Combat Casualty Care (17:41-31:35) Command Philosophy and Navigating Systemic Transitions (31:36-45:47) Preparing for Large-Scale Combat Operations and the Role of AI (45:48-50:52) Advice for the Next Generation and Finding Your Purpose Chapter Summaries (00:00-06:28) Foundations of a Career in Army Medicine: Dr. Raney details his path from a lifeguard and ROTC cadet to becoming a Family Medicine physician. He shares how he came to view the Army as his "small town" where everyone shares a common mission and community. (06:29-11:04) The Clinical Roots of Strategic Leadership: The discussion centers on how high-volume primary care at Fort Sill developed the critical decision-making skills needed for senior leadership. Dr. Raney explains how clinical encounters taught him to synthesize information and negotiate solutions under pressure. (11:05-17:40) Lessons in Combat Casualty Care: Reflecting on his deployment to Iraq, Dr. Raney emphasizes the life-saving impact of well-trained medics at the point of injury. He recounts a specific junctional injury save that demonstrated the importance of critical thinking over rote skill repetition. (17:41-31:35) Command Philosophy and Navigating Systemic Transitions: This segment covers Dr. Raney's experience commanding large medical centers and his time as a liaison during the Defense Health Agency transition. He discusses the challenges of separating healthcare from readiness and the personal lessons learned while trusting the system during a difficult investigation. (31:36-45:47) Preparing for Large Scale Combat Operations and the Role of AI: The conversation shifts to the strategic preparations for LSCO, where the traditional "Golden Hour" may no longer exist. Dr. Raney explores the expansion of paramedic training and the potential for AI to assist in triage and clinical decision support on the battlefield. (45:48-50:52) Advice for the Next Generation and Finding Your Purpose: To conclude, Dr. Raney offers career advice focused on achieving clinical expertise and finding "Purpose Plus" within the military. He shares his hope of leaving a legacy through the people he has trained and the lives he has touched. Take Home Messages Master Your Craft: Becoming an expert in your specific clinical field is the fundamental requirement for all military medical professionals. True education happens after residency when you apply your skills to real-world patient outcomes and learn from continuity of care. Lead to Purpose: Leadership should not be about the commander but about enabling others to own their piece of the mission. When a team understands their purpose, they move from just doing a job to providing meaningful interventions that change lives. Prepare for Prolonged Care: In future conflicts, the luxury of rapid evacuation will be limited, requiring medical teams to hold patients for much longer durations. Success will depend on the individual's ability to think critically and utilize limited resources in the face of unsolvable problems. Embrace Systemic Ownership: Tactical problems are often best solved by those at the tactical level rather than waiting for higher headquarters to provide a solution. Understanding that resources are finite at the strategic level empowers local leaders to take initiative and resolve issues independently. Seek Purpose Plus: Serving in the military provides a unique opportunity to practice medicine on an "extended family" that shares your core values. This sense of shared purpose turns the daily grind into a lifelong mission of service to the nation and its warriors.   Episode Keywords Army Medicine, Dr. Lance Raney, Military Medicine, WarDocs Podcast, LSCO, Large Scale Combat Operations, Combat Casualty Care, Prolonged Field Care, Army Surgeon General, Defense Health Agency, DHA Transition, Medical Readiness, Combat Medic Training, Paramedic Program, TCCC, Leadership Philosophy, Army Family Medicine, Battlefield Trauma, Medical AI, Triage Technology, Military Healthcare, Army ROTC, HPSP, Tactical Medicine, Operational Readiness, Clinical Excellence, MHS Governance. Hashtags #MilitaryMedicine, #ArmyStrong, #WarDocs, #Leadership, #CombatCasualtyCare, #MedicalReadiness, #LSCO, #MedEd   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast        

Marcus Aurelius Anderson sits down with Dr. Grace Firestone, a family medicine physician, athlete, and cardiac arrest survivor. Dr. Firestone shares the story of collapsing at 18 years old, spending 10 days in the ICU, and waking up with documented brain injury and compromised heart function. Rather than accepting the limitations placed on her, she pushed forward into college, medical school, and competitive bodybuilding. This conversation covers her early drive rooted in gratitude, the mindset she developed through adversity, her philosophy of practicing what she preaches as a physician, and her work with legendary trainer Charles Glass. Episode Highlights: 0:05 – Dr. Firestone explains why switching to 6:00 AM training at Gold's Gym transformed her efficiency as both an athlete and a physician. 4:22 – She shares the origin of her drive, tracing it back to gratitude, financial aid, and a high school nonprofit she founded called Let the Kids Play. 6:14 – Dr. Firestone recounts the night she suffered sudden cardiac arrest at 18, the CPR her brother performed, the AED shocks, the medically induced coma, and waking up uncertain of her cognitive future. 27:58 – She describes her decision to climb Mount Kilimanjaro despite her defibrillator and medical uncertainty, writing in her journal that she might die on the mountain, and what reaching Uhuru Peak meant for her identity going forward. Dr. Grace Firestone is a board-eligible family medicine physician practicing at UCLA Santa Monica. A cardiac arrest survivor at 18, she rebuilt her life through cognitive therapy, collegiate athletics, and medical training. She specializes in nutrition, exercise, and lifestyle medicine, and trains under world-renowned bodybuilding coach Charles Glass in competitive bodybuilding. Her work as a doctor is grounded in a personal commitment to modeling the habits she prescribes to her patients. She can be found on Instagram at @Dr.Grace_Firestone. Learn more about the gift of Adversity and my mission to help my fellow humans create a better world by heading to www.marcusaureliusanderson.com. There you can take action by joining my ANV inner circle to get exclusive content and information.See omnystudio.com/listener for privacy information.

Are you secretly running on empty, wondering if burnout is targeting you next?In this episode, Alen Voskanian, COO of Cedars-Sinai Medical Network and author, pulls back the curtain on the raw realities beneath operations leadership. From the constant grind of clinical environments to the personal toll of endless firefighting, Voskanian exposes why burnout hits high performers hardest and how ignoring your creative side can quietly sabotage your impact. This isn't just about wellness platitudes. It's a real-world look at chasing fulfillment, designing systems that beat chaos, and the unexpected arts that make leaders resilient.If you're a COO (or run with one), you can't afford to miss these insights. The game has changed. Listen now or risk staying stuck in cycles that will bury both your team and your spirit. This is the side of leadership nobody else is showing you.Sponsored byGenius Network - An exclusive community for highly successful entrepreneurs, connecting you with top-tier leaders, strategic insights, and powerful relationships to help you grow your business faster and smarter.Learn more: https://www.geniusnetwork.com/Timestamped Highlights00:25 – The real reason burnout is rampant among COOs and physicians04:12 – The under-the-radar roles that secretly prepared him for operations07:29 – Three unconventional ways to master leadership fast12:18 – Why stand-up comedy became his secret tool for resilience15:57 – The hidden danger in neglecting your creative life as a leader19:53 – Brutal realities of burnout nobody is willing to admit29:55 – How lean principles are quietly transforming healthcare operations39:09 – What people on their deathbeds taught him about fulfillment and regretAbout the GuestAlen Voskanian, MD, MBA, is the Vice President and COO of Cedars-Sinai Medical Network. A board-certified physician in Family Medicine and Hospice & Palliative Medicine, he's also an author and sought-after keynote speaker. Alen is known for transforming healthcare to improve access and quality. He holds degrees from UC Berkeley, UC Irvine, and an MBA from Indiana University. He's a former innovation advisor for CMS, a Cunniff-Dixon/Hastings Center Physician Award winner, and a Health Innovators Fellow with the Aspen Global Leadership Network.

Host: Darryl S. Chutka, M.D.  Guest: Benjamin Lai, M.D.  Substance use disorders are chronic and often relapsing conditions associated with compulsive substance use. They result from a complex interaction of chemistry within the brain, often combined with genetic and environmental issues. Common substances involve alcohol, stimulants, sedatives and opioids; opioids commonly prescribed by health care clinicians. Early identification of patients and care coordinated with behavioral health specialists is the best approach to improved patient outcomes. The topic for this podcast is “Addiction Care and Empowering Non-Specialists”, and my guest is Dr. Benjamin Lai, A Family Medicine physician from the Department of Family Medicine at the Mayo Clinic.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

GLP-1... 4-LIFE? JVN is joined by Dr. Liz Kazarian for a candid conversation on GLP-1 medications, the future of obesity care, and JVN's personal journey with the medication. They cover: Food tracking—helpful or harmful? How does family medicine shape patient care? Do you take GLP-1s forever? Plus - what it takes to sustain long-term health on this “miracle” medication.  Dr. Liz Kazarian is a board-certified family medicine physician specializing in obesity medicine, with a clinical focus on women's health, preventive care, and chronic disease management. She earned her medical degree from Virginia Commonwealth University School of Medicine and completed her residency in Family Medicine at the University of Virginia. As part of PMA Health, Dr. Kazarian provides comprehensive, patient-centered care, with an emphasis on long-term wellness and individualized treatment plans. Her approach integrates lifestyle, behavioral, and medical strategies to support sustainable health outcomes, particularly in the treatment of obesity and related conditions. She sees patients in the Northern Virginia area and is committed to helping individuals build practical, lasting approaches to better health. Disclaimer:This episode is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or another qualified health provider with any questions you may have regarding a medical condition or treatment, including GLP-1 medications. Never disregard professional medical advice or delay seeking it because of something you've heard on this podcast. Full Getting Better Video Episodes now available on YouTube.  Follow Dr. Kazarian on Instagram @drkazarian  Follow us on Instagram @gettingbetterwithjvn Jonathan on Instagram @jvn Executive Producer, Chris McClure Producer, Editor & Engineer is Nathanael McClure Production support from Chad Hall Our theme music is also composed by Nathanael McClure. Check out the JVN Patreon for exclusive BTS content, extra interviews, and much much more - check it out here: www.patreon.com/jvn Curious about bringing your brand to life on the show? Email podcastadsales@sonymusic.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices