Podcasts about gme

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Learn more about OVTLYR: https://youtu.be/TUCbD5KovlcThe market bounced today even with more Iran headlines… but underneath the surface, the setup is getting more complicated.In this breakdown, we review the full Plan M portfolio, with eight of nine positions green on the day, while still following the same process: reduce risk first, check exits, then decide whether any new trades actually qualify. SPY and QQQ are recovering, put/call sentiment is getting more bullish, and support is still holding. But breadth is contracting, fewer stocks are hitting new highs, and OVTLYR market breadth has crossed bearish.That means no new Plan M trades today.We also walk through the current positions: Robinhood, Roblox, Zscaler, Dynatrace, GameStop, Okta, Apple, Coke, and P. Dynatrace triggered a sell signal, so that trade gets closed. Apple hit a roll point, which gave us a chance to reduce risk and keep the trade alive. That's the point of the plan: exits, rolls, order blocks, earnings, and stops all get checked the same way every time.We also look at the new OVTLYR Sector Intelligence Map, showing how to find the strongest sectors, strongest industries, and strongest stocks without guessing.✅ Market bounce, Iran headlines, SPY, QQQ, and support levels✅ Plan M portfolio review and exit checklist✅ DT sell signal, Apple roll, and risk reduction✅ HOOD, RBLX, ZS, DT, GME, OKTA, AAPL, KO, and P✅ OVTLYR Sector Intelligence Map and sector rotationIf you want to see how professional trade management works after the entry, this one shows the process in real time.Subscribe to OVTLYR for disciplined trading strategies that actually make sense.

In this episode, JGME Editorial Board members discuss articles from the June 2026 issue of the Journal of Graduate Medical Education. Listen to hear about topics such as coaching residents, how to successfully run trainee QI projects, eliminating administrative burden in your GME program using AI, and more. 

In our first summer series episode, we review a topic that keeps coming back. Hormone therapy for menopause. It was a thing, then it stopped being a thing, now it's a thing again.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References:  Geographic variability of menopausal symptoms   1) Nappi RE et al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021 May 24;28(8):875-882. doi: 10.1097/GME.0000000000001793.    2) Nappi RE, et al.  Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas. 2023 Jan;167:66-74. doi: 10.1016/j.maturitas.2022.09.006.    What's the normal duration of symptoms   3) Avis NE, et al. Study of Women's Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063.  The Women's Health Initiative (WHI) studies   Rossouw JE et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33. doi: 10.1001/jama.288.3.321.    Anderson GL et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA. 2004 Apr 14;291(14):1701-12. doi: 10.1001/jama.291.14.1701.   Decline in HRT after WHI studies   Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012 Sep;120(3):595-603. doi: 10.1097/AOG.0b013e318265df42.   Danish Osteoporosis Prevention Study Schierbeck LL metal. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409.   Kronos Early Estrogen Prevention Study (KEEPS) Harman SM, et al. Arterial imaging outcomes and cardiovascular risk factors in recently menopausal women: a randomized trial. Ann Intern Med. 2014 Aug 19;161(4):249-60. doi: 10.7326/M14-0353.   Kronos Early Estrogen Prevention Study (KEEPS) Hodis HN et al. Vascular Effects of Early versus Late Postmenopausal Treatment with Estradiol. N Engl J Med. 2016 Mar 31;374(13):1221-31. doi: 10.1056/NEJMoa1505241.    Stopping hormonal therapy   Berman RS et al. Risk factors associated with women's compliance with estrogen replacement therapy. J Womens Health. 1997 Apr;6(2):219-26. doi: 10.1089/jwh.1997.6.219.   Grady D, Sawaya GF. Discontinuation of postmenopausal hormone therapy. Am J Med. 2005 Dec 19;118 Suppl 12B:163-5. doi: 10.1016/j.amjmed.2005.09.051.   Tapering vs. abrupt stop or hormonal therapy   Haimov-Kochman R et al. Gradual discontinuation of hormone therapy does not prevent the reappearance of climacteric symptoms: a randomized prospective study. Menopause. 2006 May-Jun;13(3):370-6. doi: 10.1097/01.gme.0000186663.36211.c0. PMID: 16735933.

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Learn more about OVTLYR:    • OVTLYR: Your Trading Intelligence Platform  The market got hit with another Iran headline… but the reaction may be more bullish than it looks on the surface.In this breakdown, we look at what happened after Donald Trump said there was no more Iran ceasefire. The market opened with plenty of red, VIX spiked, oil moved higher, and my portfolio got hit with a monkey hammer. But instead of panic selling, we walk through the actual plan and explain why there may be nothing to do on most of these trades.SPY is still holding inside a bullish support order block, Nasdaq recovered from early weakness, RSP continues to outperform SPY, and breadth under the surface still looks strong. Nearly 60% of stocks are above their 50-day and 200-day moving averages, new highs and new lows remain constructive, and the dollar is finally pulling back after putting pressure on stocks, gold, silver, and oil.We also review the current Plan M trades: Robinhood, Roblox, Zscaler, Dynatrace, GameStop, Okta, Apple, Coke, and P. The exit checklist stays the same: sell signals, 10/20 bearish crosses, order blocks, earnings, and stop points. No signal, no exit.✅ Iran ceasefire headlines, market selloff, VIX spike, and oil move✅ SPY, Nasdaq, RSP vs SPY, breadth, new highs, and new lows✅ HOOD, RBLX, ZS, DT, GME, OKTA, AAPL, KO, and P trade updates✅ Bank and Roll rule, risk reduction, and taking profits on red days✅ New OVTLYR Sector Intelligence Map and “God mode” sector rotationIf you want to see what it looks like to manage trades like a professional instead of emotionally reacting to headlines, this one walks through the whole process.Subscribe to OVTLYR for disciplined trading strategies that actually make sense.

Episode Summary     What if a medical career could be built on profound purpose, paid for in full, and shaped by leadership opportunities no civilian path can match? In this episode of WarDocs, COL Danielle Holt, MD, an Army general surgeon and Associate Dean of Admissions and Recruitment at the Uniformed Services University (USU) School of Medicine, lays out exactly what it takes to become a military physician and why the journey is worth it. Drawing on a career that has carried her from broad-spectrum rural surgery at Fort Wainwright, Alaska, to a forward surgical team in Afghanistan, to serving as consultant surgeon for the White House Medical Team at Walter Reed, she offers a candid, insider's view of the two pathways into uniformed medicine.       The conversation centers on the choice every service-minded pre-med must weigh: the tuition-free USU School of Medicine, the nation's only fully federally funded medical school, versus the Health Professions Scholarship Program (HPSP) that places students at civilian schools. She explains the trade-offs in plain terms — the seven-year versus four-year service obligation, the roughly $90,000 annual salary USU students earn while in school, the one hundred hours of military-unique curriculum, and the rotations across military treatment facilities worldwide. She is equally direct about the military match, where competitive specialties such as general surgery can be more attainable than many applicants realize.    COL Holt demystifies admissions. Academics are a threshold, not the finish line — a 496 MCAT and 3.0 GPA for regular decision, rising to a 500 minimum, with a class mean near 510. Beyond the numbers, she explains what actually earns an interview and an offer: a clear reason to be a physician, a genuine commitment to military service, and the personal attributes of teamwork, adaptability, and being comfortable when things get uncomfortable. She names the self-inflicted mistakes that sink applicants — turning the application in late, stalling on medical clearance and waivers, retaking the MCAT too often, and failing to engage the admissions team. She closes with the human core of the school: the fire team model, longitudinal faculty coaching, the Military Medical Communities program, and a culture where students and faculty take care of one another in a way civilian medicine rarely sees. Her message to any pre-med on the fence is simple — do not underestimate yourself, reach out for mentorship, and remember that the mission is the point. Chapters (00:00-04:54) A Surgeon's Journey: ROTC, Alaska, Afghanistan, and the White House (04:55-10:11) What USUHS Is and Why It Is Different (10:12-19:38) USUHS versus HPSP: Obligations, the Military Match, and How to Choose (19:39-27:39) Timelines, Thresholds, and What Earns an Interview (27:40-43:39) Shadowing, Research, Non-Traditional Applicants, and Common Mistakes (43:40-55:30) The Interview, the Fire Team Culture, and Advice for the Fence-Sitter Chapter Summaries (00:00-04:54) A Surgeon's Journey: ROTC, Alaska, Afghanistan, and the White House Holt traces a twenty-plus-year dual-military-career path from ROTC and HPSP through general surgery training at Tripler Army Medical Center to duty stations spanning rural Alaska and a tertiary academic hospital. She describes deploying to a forward surgical team in eastern Afghanistan in 2012 and learning damage-control surgery, and credits the Army with handing her leadership roles far earlier than a civilian career would.   (04:55-10:11) What USU Is and Why It Is Different She defines the Uniformed Services University as the nation's only fully federally funded, tuition-free medical school, training physicians for the Army, Navy, Air Force, Coast Guard, and Public Health Service. Students draw full pay and benefits — roughly $90,000 a year — complete about one hundred hours of military-unique curriculum, and rotate at military treatment facilities across the country and overseas.   (10:12-19:38) USU versus HPSP: Obligations, the Military Match, and How to Choose Holt compares the seven-year USU service obligation with the four-year HPSP commitment and argues the difference is small over a full career. She explains the military match, where critically needed specialties like general surgery can be more attainable, and walks through how applicants apply by service, weigh geography and specialty, and decide which pathway fits their long-term goals.   (19:39-27:39) Timelines, Thresholds, and What Earns an Interview The USU medical-school timeline mirrors other allopathic schools through AMCAS, but military commissioning adds a lengthy medical clearance process, with about half of students needing a waiver. Academics are a threshold — a 496 MCAT and 3.0 GPA for regular decision. Above all, she stresses applying early and finishing requirements, because uncleared applicants get skipped as seats fill.   (27:40-43:39) Shadowing, Research, Non-Traditional Applicants, and Common Mistakes She pushes back on the pressure around clinical shadowing, noting USU requires none and that paid work as a phlebotomist or technician offers equal exposure. Research is likewise not required, given USU's own Capstone program. She details how the school values non-traditional and prior-service applicants, then names the most common self-inflicted mistakes: late applications, stalled clearances, over-testing the MCAT, and downplaying military experience.   (43:40-55:30) The Interview, the Fire Team Culture, and Advice for the Fence-Sitter Holt explains the virtual two-interview format and what makes candidates stand out — genuine commitment, professionalism, and self-knowledge. She describes the fire team model, longitudinal faculty coaching, and the Military Medical Communities program that links applicants, students, and physicians across services. Her closing advice to fence-sitting pre-meds: do not underestimate yourself, seek mentors, and lead with the mission.   Take Home Messages Mindset matters more than a perfect score.: Academic metrics are a threshold, not the finish line. The strongest military physicians are often the applicants who have struggled, adapted, and bounced back — people who value service over a flawless transcript.   The pathway you choose should match the career you want.: The tuition-free, federally funded medical school carries a longer obligation but builds deeper military identity and connections, while the civilian scholarship route offers more independence. Weigh service obligation, specialty goals, and where you see yourself for the long term.   Apply early and finish your requirements.: Rolling admissions reward speed. The single most avoidable mistakes are turning in a late application, stalling on medical clearance and waivers, and waiting too long on the MCAT or letters of recommendation. Uncleared applicants get skipped as seats fill.   Shadowing and research are not gatekeepers.: Required shadowing hours and formal research are not prerequisites. Paid clinical work and life experience count, and the value placed on non-traditional and prior-service applicants means an unconventional background can be a genuine strength.   Camaraderie is the difference, so engage the community.: The fire team model, longitudinal coaching, and military medical community sessions create a culture where students and faculty take care of one another. Do not underestimate yourself — reach out for mentorship and let the mission lead.   Episode Keywords military medicine, USU School of Medicine, Uniformed Services University, Danielle Holt, military doctor, how to become a military physician, HPSP scholarship, military medical school, Army surgeon, premed advice, MCAT, medical school admissions, military match, GME, forward surgical team, Walter Reed, military residency, USUHS, tuition free medical school, military officer physician, WarDocs, military healthcare career, premed shadowing, medical school interview, service obligation Hashtags #MilitaryMedicine, #WarDocs, #USU, #MilitaryMedicalSchool, #HPSP, #FutureMilitaryDoc, #PreMed, #ArmyMedicine 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

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Learn more about OVTLYR: https://youtu.be/TUCbD5KovlcThe market finally set up in a way I haven't seen in a while… and today, Plan M went live.In this breakdown, I walk through the exact process I used to move out of cash, free up capital, and start putting new trades on step by step. SPY is back in a bullish trend, the market has a fresh buy signal, breadth is improving, RSP is breaking out versus SPY, put/call sentiment is getting more bullish, more stocks are above their 50-day and 200-day moving averages, and yields plus the dollar are finally moving in a more stock-friendly direction.We also talk through why I'm changing my “sit in cash and don't mess it up” vehicle from SGOV to BOXX, how dividends and resets can affect the way the position looks on paper, and why cash management matters when you're waiting for the next real setup.Then we run the Plan M screener live, using sector strength, relative greed, buy signals, uptrends, volume, positive backtests, and order blocks to narrow the market down. From there, I open trades in Robinhood, Roblox, Zscaler, Dynatrace, GameStop, and Okta while skipping names that failed the final checklist.✅ Plan M market setup and full trade walkthrough✅ SPY trend, breadth, RSP vs SPY, rates, dollar, and buy signals✅ Moving from SGOV to BOXX for cash management✅ Sector Intelligence, relative greed, screeners, and order blocks✅ HOOD, RBLX, ZS, DT, GME, OKTA, Uber, Celsius, and moreIf you want to see what it looks like to trade with a real plan instead of guessing, this one shows the full process from market setup to entries to exit planning.Subscribe to OVTLYR for disciplined trading strategies that actually make sense.

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Learn more about OVTLYR: https://youtu.be/TUCbD5KovlcThe market finally set up in a way I haven't seen in a while… and today, Plan M went live.In this breakdown, I walk through the exact process I used to move out of cash, free up capital, and start putting new trades on step by step. SPY is back in a bullish trend, the market has a fresh buy signal, breadth is improving, RSP is breaking out versus SPY, put/call sentiment is getting more bullish, more stocks are above their 50-day and 200-day moving averages, and yields plus the dollar are finally moving in a more stock-friendly direction.We also talk through why I'm changing my “sit in cash and don't mess it up” vehicle from SGOV to BOXX, how dividends and resets can affect the way the position looks on paper, and why cash management matters when you're waiting for the next real setup.Then we run the Plan M screener live, using sector strength, relative greed, buy signals, uptrends, volume, positive backtests, and order blocks to narrow the market down. From there, I open trades in Robinhood, Roblox, Zscaler, Dynatrace, GameStop, and Okta while skipping names that failed the final checklist.✅ Plan M market setup and full trade walkthrough✅ SPY trend, breadth, RSP vs SPY, rates, dollar, and buy signals✅ Moving from SGOV to BOXX for cash management✅ Sector Intelligence, relative greed, screeners, and order blocks✅ HOOD, RBLX, ZS, DT, GME, OKTA, Uber, Celsius, and moreIf you want to see what it looks like to trade with a real plan instead of guessing, this one shows the full process from market setup to entries to exit planning.Subscribe to OVTLYR for disciplined trading strategies that actually make sense.

In this episode, Dr. Stuart Slavin is joined by Bret Stevens, director of medical education and associate designated institutional official (DIO) at McLaren Oakland, and Reanna Benedict, director of GME operations and assistant DIO at Lexington Health. Drawing on their leadership experience and service on the ACGME's Coordinator Advisory Group, they explore how community-building and professional development can strengthen job satisfaction, resilience, and long-term success for program coordinators and other GME professionals. Bret and Reanna discuss the importance of building connections at the institutional, regional, and national levels, particularly for those working in smaller programs or organizations with limited local support. They share practical strategies for engaging with professional organizations, seeking mentorship, developing peer networks, and creating opportunities for collaboration and learning. The conversation also highlights the value of giving back to the GME community through mentoring others, sharing resources, and fostering a culture of continuous improvement. The discussion further examines the evolving skills needed in the coordinator role, including navigating new technologies, leveraging residency management systems, leading difficult conversations, and supporting learners through challenging situations. Throughout the episode, the speakers emphasize the importance of asking for help, embracing lifelong learning, and extending compassion to oneself while navigating the complexities of GME. Listeners will gain practical insights into how community, mentorship, and ongoing professional growth can enhance both the coordinator experience and the broader clinical learning environment. Podcast Chapters (00:00) – Intro & Guest Introduction (00:45) – Community and Professional Development in GME (04:00) – Finding Support Through Professional Networks (05:28) – The Value of Conferences and Peer Learning (07:25) – Mentorship, Leadership, and Giving Back (09:02) – Overcoming Imposter Syndrome (10:50) – Growth Mindset and Continuous Improvement (13:27) – Embracing Change and Lifelong Learning (14:50) – Technology, AI, and Working Smarter (17:15) – Creating Coordinator Communities (20:16) – Developing Communication and Leadership Skills (25:00) – Self-Compassion and Final Reflections (25:38) – Closing & Resources

In this episode, Dr. Stuart Slavin is joined by Julie Beckerdite, director of education for the Departments of Pathology and Psychiatry, and Carrie Racsumberger, fellowship program manager in the Department of Pathology - both at Mass General Brigham. Together, they share insights from their work on the ACGME Coordinator Advisory Group in a practical conversation on the relationships that shape the program coordinator role in graduate medical education (GME). Drawing on their experience, Beckerdite and Racsumberger discuss how interactions with residents, fellows, faculty members, and program leaders can be both a major source of satisfaction and a source of ongoing challenge. They share strategies for setting expectations early, communicating effectively, and addressing common issues like delayed responses, professionalism concerns, and recurring administrative demands. They also emphasize the importance of establishing clear boundaries with the support of leadership while maintaining a respectful, collaborative approach that promotes accountability and teamwork. The conversation highlights the meaningful connections coordinators build with residents/fellows, and the important role they play in supporting professional development and fostering psychological safety within programs. Throughout the discussion, Beckerdite and Racsumberger emphasize perspective-taking, consistency, and the value of strong relationships in navigating difficult situations. Listeners will gain practical insights into how intentional communication and clear role definition can strengthen team culture and enhance the coordinator experience in GME. Podcast Chapters (00:00) – Intro and Guest Introduction (00:45) – Focus on Coordinator Well-Being and Relationships (02:10) – Managing Task Completion and Setting Expectations (04:41) – Using Leadership Support and Accountability (06:45) – Coordinator Role in Professionalism and Recruitment (09:20) – Setting Boundaries and Defining the Coordinator Role (11:45) – Finding Satisfaction in Resident Relationships (13:25) – Managing Difficult Interactions and Perspective (15:52) – Growth, Meaning, and Supporting Trainees (16:26) – Psychological Safety and Connection (17:23) – Coordinators as Leaders (18:20) – Closing and Resources

Dr. Arreaza: Hello, everyone, my name is Dr. Hector Arreaza, I am a family physician and an associate program director in the Clinica Sierra Vista – Rio Bravo Family Medicine Residency Program.  Today we're discussing one of the most powerful predictors of health that many people rarely think about: geography. Where someone lives can influence everything from access to physicians and emergency care to chronic disease outcomes and life expectancy. Joining us today is Peyton, who will be taking a deeper look into the matter. Peyton, thank you for being here — can you start by introducing yourself, please? Peyton: Hello, thank you for having me. My name is Peyton, I am a 4th year medical student with Western Atlantic University, and I am from a very small town in South Dakota.  Dr. Arreaza: Peyton, you are on your last few days in your FM rotation, when are you graduation?  Peyton, you prepared this topic and it is great. When people hear the phrase “your ZIP code can determine your health,” what does that actually mean? Peyton: It basically means that where someone lives can significantly influence their health outcomes and even life expectancy. A person's ZIP code can affect access to physicians, hospitals, transportation, emergency services, and preventative care. Arreaza: Talking about prevention. The American Heart Association agrees with you because Zip code is not part of the cardiovascular risk calculator called PREVENT. I invite everyone to take a look at this new calculator. I think a lot of people assume healthcare is equal as long as hospitals or clinics exist nearby, right? Peyton: Yes, patients may still struggle with overcrowded healthcare systems, which can lead to long wait times. In fact, a national physician appointment survey found that average wait times for new patient primary care appointments in major cities can exceed three weeks, with some cities reporting significantly longer delays depending on specialty access and provider availability. Dr. Arreaza: And when patients experience those kinds of delays, they may frequently switch between providers, which becomes much harder to establish consistent long-term care. Peyton: One of the biggest issues many patients face is continuity of care — having consistent follow-up with the same provider over time. Dr. Arreaza: And that continuity really matters in medicine, especially family medicine, it is one of our keywords: continuity of care. Peyton: Exactly. Preventative care and chronic disease management work best when patients have long-term relationships with healthcare providers. But in many underserved communities, patients may wait months for appointments, frequently change providers, or rely on emergency rooms instead of primary care clinics. Dr. Arreaza: And urgent care too. When care becomes fragmented, conditions like hypertension, diabetes, and chronic illnesses can become much harder to manage. Peyton: Exactly. Delayed screenings, missed follow-up appointments, and lack of preventative care often lead to patients presenting later with more advanced disease that could have been treated earlier. Dr. Arreaza: And urban communities may face some of the same challenges, but rural communities are at a different level of barriers to health care. Peyton: Absolutely. Rural communities often experience significant physician shortages. According to the Health Resources and Services Administration, over 100 million Americans live in primary care shortage areas, and nearly 65% of those shortage areas are located in rural regions. Peyton: I think one of the biggest solutions starts with strengthening primary care and investing more heavily in underserved communities, especially rural areas. Dr. Arreaza: And that includes increasing the number of physicians going into family medicine and primary care specialties.  Peyton: Here is an interesting fact: According to the Graham Center, Northeastern states receive high graduate medical education (GME) funding but produce relatively fewer primary care physicians. Northwestern states receive low GME funding but perform relatively better, producing slightly above the U.S. average (70.8 vs 69.8 primary care physicians per 100,000 people). However, even this remains far below Canada's average of 119 primary care physicians per 100,000 people.  Right now, the United States is facing a growing physician shortage. According to the Association of American Medical Colleges, the country could face a shortage of up to 86,000 physicians by 2036, with primary care being one of the most affected areas. Arreaza: Another group that may help address the physician shortage is International Medical Graduates. We'll cover this in more detail in a future episode, but it's worth mentioning briefly here. We have highly trained physicians, including neurosurgeons, driving Uber. There is nothing wrong with that work, but their medical skills could be used to help more people. I'll leave our listeners with that thought: IMGs can help. So, Peyton, are you interested in rural medicine? Peyton: I am very interested in Rural medicine, in fact my next few rotations will be back in South Dakota on the Pine Ridge Indian Reservation. Actually, the Pine Ridge Reservation is the poorest Indian Reservation in the country.  Peyton: The measure of any healthcare system is not how well it serves those closest to its centers of power, but how far its reach extends to those who need it most. If we are serious about health equity, the road forward must run through every small town, every county clinic, and every community that has been told to wait its turn. Their turn is now. References Association of American Medical Colleges (AAMC). The Complexities of Physician Supply and Demand: Projections From 2021 to 2036. https://www.aamc.org/workforce American Academy of Family Physicians (AAFP). Rural Practice and Physician Recruitment.https://www.aafp.org Centers for Disease Control and Prevention (CDC). Rural Americans at Higher Risk of Death from Five Leading Causes.https://www.cdc.gov/media/releases/2017/p0112-rural-death-risk.html Cecil G. Sheps Center for Health Services Research. Rural Hospital Closures.https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/ Chetty R, Stepner M, Abraham S, et al. The Association Between Income and Life Expectancy in the United States, 2001–2014. JAMA. 2016;315(16):1750–1766. https://jamanetwork.com/journals/jama/fullarticle/2513561 Health Resources & Services Administration (HRSA). Health Professional Shortage Areas (HPSAs).https://data.hrsa.gov/topics/health-workforce/shortage-areas Rural Health Information Hub. Healthcare Access in Rural Communities.https://www.ruralhealthinfo.org/topics/healthcare-access Rural Health Information Hub. Transportation to Support Rural Healthcare.https://www.ruralhealthinfo.org/topics/transportation Rural Health Information Hub. Rural Residency Planning and Development. https://www.ruralhealthinfo.org/topics/rural-residency-programs Centers for Disease Control and Prevention (CDC). Health and Access to Care in Rural America.https://www.cdc.gov/ruralhealth/index.html Measure of America. A Portrait of Los Angeles County 2026. Social Science Research Council.https://ssrc-static.s3.amazonaws.com/moa/APortraitofLosAngelesCounty2026.pdf Merritt Hawkins. Survey of Physician Appointment Wait Times and Medicare and Medicaid Acceptance Rates.https://www.merritthawkins.com/news-and-insights/thought-leadership/survey/survey-of-physician-appointment-wait-times/ Fenster, T. L., MD, Park, J., PhD, Huffstetler, A. N., MD, & Topmiller, M., PhD (2026). Graduate Medical Education Funding Does Not Flow to Primary Care Physician Production. American family physician, 113(4), 321–322. https://pubmed.ncbi.nlm.nih.gov/42101593/ Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!

What happens when Nvidia's annual dividend suddenly exceeds David's original Motley Fool cost basis—six times over? This month's Mailbag brings back a Foolish old term, “divvy-pop,” while also revisiting the power of doing less, holding more, and letting great companies keep surprising you.Also inside: a Buffett-meets-Rule-Breaker reflection from British Columbia, a jellybean contest gone mathematically sideways, a GameStop question that runs straight into the Snap Test, and a closing shout-out to Mr. Ernst's personal finance class at Kopachuck Middle School in Gig Harbor, Washington—where the next generation is already learning that investing means ownership. Companies Mentioned: AAPL, AMZN, ANET, BIDU, BN, BRK.A, BRK.B, CHWY, EBAY, ⁠FFH.TO⁠, GME, GOOG, ISRG, MELI, META, NFLX, NVDA, SHOP, TMFC, TSLAHost: David GardnerProducer: Bart Shannon Learn more about your ad choices. Visit megaphone.fm/adchoices

Guest: Dr Nadeem Karimbux- Dean of Tufts Dental School https://www.linkedin.com/in/nadeem-karimbux-67977113   Host: Dr Serv Wahan https://www.drwahan.com/     Creating the Future of Dental Education with Dean Karimbux In this episode, Dr. Serv Wahan sits down with Tufts Dental School Dean Dr. Nadeem Karimbux to discuss the evolving landscape of dental education, tuition challenges, clinical innovation, and leadership insights. Whether you're a dental student, educator, or practitioner, discover how future trends and leadership shape the dental profession.   Key Topics: Dr. Karimbux's journey from Kenya to dean at Tufts Dental School Challenges of dental school tuition and strategies for affordability Differences and strengths among Boston's top dental schools: Harvard, Tufts, and BU The impact of facilities and clinical training in student preparedness Faculty recruitment, retention, and flexible practice models Innovations in dental education: from early wellness courses to soft skills The role of AI in dentistry: tools, diagnostics, and future potential Common mistakes new dentists make and advice on career longevity How to balance specialization dreams with the opportunities in general dentistry Leadership lessons from navigating crises and the importance of mentorship   Timestamps: 00:00 - Introduction to Dr. Nadeem Karimbux, Tufts Dental School Dean 02:43 - The benefits of Harvard's five-year curriculum and research opportunities 04:16 - The rising cost of dental education and tuition burden solutions 06:36 - Creative approaches to offset education costs, including loan forgiveness and GME funding 08:21 - Comparing Boston dental schools: strengths and unique student experiences 09:39 - Tufts' large student body and fostering collaboration across classes 11:24 - Upgrades and facilities at Tufts Dental School praised by accreditation visitors 12:47 - Path to becoming a dean and career insights into academic leadership 14:38 - Leadership during the pandemic and managing financial pressures 16:55 - Student externships, transformation, and real-world clinical experience 18:24 - The importance of lifelong connections formed during dental training 20:34 - Faculty development, part-time roles, and international faculty programs 23:49 - A typical day in the life of a dental school dean and managing crises 25:53 - International student externships and community outreach programs 28:35 - The economics of dental schools and their contribution to university budgets 30:27 - DDS vs. DMD: No real difference, just different titles 31:01 - Implant-supported dentures versus full dentures – clinical decision-making 32:36 - Oldest dental implant patients and advancements in implant dentistry 34:43 - Implants and technological innovations over the years 35:02 - Balancing dental workforce supply and demand nationally 36:14 - Advice for dental students: focus beyond technical skills for career success 39:00 - Attributes that separate good from exceptional clinicians 41:30 - Common mistakes and pitfalls for new dentists 44:30 - Staying motivated, mentoring, and pursuing continuous learning 46:12 - Dean Karimbux's legacy goals and leadership style 48:13 - The helpful role of AI in academic and clinical settings 50:29 - Future applications of AI in diagnostics and practice management 52:30 - The enduring hands-on nature of dentistry and closing thoughtsResources & Links:   Tufts Dental School, Dental School tuition, Dr Serv Wahan, Dr Wahan, Dental Students, International Dental Students This episode provides a comprehensive look at leadership and innovation in dental education, offering actionable insights for aspiring and current dental professionals.

In this episode of The Canadian Investor Podcast, we start with the latest U.S. inflation data and why higher energy prices could complicate the rate-cut narrative for markets. We also revisit GameStop’s rejected proposal for eBay and break down why Ryan Cohen’s compensation structure may help explain the push for a bold acquisition. We then look at a strong quarter from TMX Group, including the rebound in Canadian capital markets activity and its planned acquisitions of Cboe Canada and Cboe Australia. We also discuss Thomson Reuters, where the company continues to post solid organic growth while investors debate whether AI will be a long-term tailwind or disruption risk. We finish the episode with updates on Franco-Nevada’s record quarter, Loblaws’ continued strength in Canadian grocery, Exchange Income Corporation’s momentum in aviation and aerospace, and a brief look at GoEasy’s latest results following its recent credit issues. Tickers of stocks discussed: GME, EBAY, X, TRI.TO, FNV.TO, L.TO, EQB.TO, EIF, GSY.TO Subscribe to Our New Youtube Channel! Check out our portfolio by going to Jointci.com Our Website Canadian Investor Podcast Network Twitter: @cdn_investing Simon’s twitter: @Fiat_Iceberg Braden’s twitter: @BradoCapital Dan’s Twitter: @stocktrades_ca Want to learn more about Real Estate Investing? Check out the Canadian Real Estate Investor Podcast! Apple Podcast - The Canadian Real Estate Investor Spotify - The Canadian Real Estate Investor Web player - The Canadian Real Estate Investor Asset Allocation ETFs | BMO Global Asset Management Sign up for Fiscal.ai for free to get easy access to global stock coverage and powerful AI investing tools. Register for EQ Bank, the seamless digital banking experience with better rates and no nonsense.See omnystudio.com/listener for privacy information.

SUMMARY DEL SHOW Futuros en rojo porque el mercado pierde confianza en que el alto al fuego EE. UU. Irán aguante. Trump dijo que está en life support y vuelve el ruido de energía. Hoy el catalítico es CPI, y un dato hot puede complicar recortes. $NOK integra agentic AI en plataformas de red fija para reducir costos y acelerar resolución de incidentes. $AMZN expande Amazon Now a decenas de ciudades con entregas de 30 minutos y sube la guerra de conveniencia. $EBAY rechaza la oferta no solicitada de $GME y cuestiona financiamiento y ejecución. El mercado mira si Ryan Cohen escala con una jugada más agresiva.

In this episode, we break down one of the strangest acquisition stories in recent memory: GameStop’s proposed bid for eBay and the unanswered questions around how the deal would actually be financed. We also look at Shopify’s earnings, where the headline numbers looked strong but the stock sold off sharply as investors focused on guidance, valuation, and whether AI will be a tailwind or a threat. From there, we discuss Alphabet’s monster quarter, including explosive growth in Google Cloud, soaring backlog, and why the company’s AI infrastructure spending is starting to show up in the numbers. We then turn to Canadian markets with updates on Suncor, Canadian Pacific Kansas City, and Toromont. Suncor is benefiting from higher oil prices and record production, CPKC is showing operating improvements despite a softer macro backdrop, and Toromont delivered a standout quarter helped by unexpected AI-related demand through its AVL acquisition. Tickers of stocks discussed: GME, EBAY, SHOP, GOOG, GOOGL, SU.TO, CP.TO, CNR.TO, TIH.TO Subscribe to Our New Youtube Channel! Check out our portfolio by going to Jointci.com Our Website Canadian Investor Podcast Network Twitter: @cdn_investing Simon’s twitter: @Fiat_Iceberg Braden’s twitter: @BradoCapital Dan’s Twitter: @stocktrades_ca Want to learn more about Real Estate Investing? Check out the Canadian Real Estate Investor Podcast! Apple Podcast - The Canadian Real Estate Investor Spotify - The Canadian Real Estate Investor Web player - The Canadian Real Estate Investor Asset Allocation ETFs | BMO Global Asset Management Sign up for Fiscal.ai for free to get easy access to global stock coverage and powerful AI investing tools. Register for EQ Bank, the seamless digital banking experience with better rates and no nonsense.See omnystudio.com/listener for privacy information.

In this episode, JGME Editorial Board members discuss articles from the April 2026 issue of the Journal of Graduate Medical Education. Listen to hear about topics such as AI-written personal statements, coaching efficiency in residency, the current political climate and GME, generative AI and the environment, and more. 

In this episode, JGME Editorial Board members discuss articles from the April 2026 issue of the Journal of Graduate Medical Education. Listen to hear about topics such as AI-written personal statements, coaching efficiency in residency, the current political climate and GME, generative AI and the environment, and more. 

DRCoinbase cuts headcount by 14% citing AI acceleration. The shares are gainingCoinbase cuts headcount by 14% citing AI acceleration WHO DO YOU BLAME?Cofounder/CEO/Chair Brian Armstrong: 49.6% voting power MMIn 2020, amidst global protests for racial justice, Armstrong issued a blog post that effectively banned employees from discussing social issues or activism at work: "We don't advocate for any particular causes or candidates internally that are unrelated to our mission, because it is a distraction from our mission... we won't engage in broader societal issues."Brian is a proponent of "Freedom Cities"—privatized zones built on federal land that would be exempt from the laws that govern the rest of the countryMeta Platforms director Marc Andreessen:Impeding the development of AI in any way, he argues, “is a form of murder."Our enemies are 'social responsibility', 'stakeholder capitalism', 'Precautionary Principle', 'sustainable development goals', 'social justice', and 'environmental, social, and governance (ESG)'... These are all ideas that would lead to a stagnant, decadent, and ultimately dead society."The dual class share structure:The holders of our Class B common stock are entitled to twenty votes per share, and holders of our Class A common stock are entitled to one vote per share.Jeffrey Billings, the independent trustee for certain trusts established by Brian Armstrong (representing 18.9% voting power)Co-founder/director Frederick “Fred” Ernest Ehrsam III (10.6% voting power)co-founder and general partner of the crypto-focused venture capital firm Paradigmco-founder and CEO of Nudge, a neurotechnology startup developing non-invasive brain–computer interfacesDuke UniversityWhile Fred is often seen as the quiet intellectual counterpart to Marc Andreessen, his philosophy is arguably even more dystopian to critics because it moves beyond just software—aiming to program human governance and the human brain itself.Fred is the Quiet Architect of a future where human systems are replaced by cold code.Fred is a major backer of the Prometheus Summit, a secretive gathering of tech elites focused on "longevity" and "assisted reproductive technologies."In 2026, Fred was appointed to the President's Council of Advisors on Science and Technology (PCAST) by President Donald TrumpThe 2 women on the board, seems very DEI-ishThe shares are gaining WHO DO YOU BLAME?InvestorsUp 15$ in 2 days: $655M for brianDiary of a CEO founder says he hired someone with ‘zero' work experience because she ‘thanked the security guard by name' before the interview WHO DO YOU BLAME?The so-called “meritocracy” MM“I hired someone who's CV was two lines. Their experience was zero”Elon Musk's SpaceX Could Be Fast-Tracked Into S&P 500 After IPO Under Proposed Rule Changes AND Elon Musk settles SEC lawsuit over Twitter purchase and agrees to pay $1.5m fineA trust in Musk's name will pay a $1.5m civil penalty, without admitting wrongdoing. Musk won't have to give up any money he allegedly saved from the delay. In its January 2025 lawsuit, the SEC said Musk's 11-day delay in revealing his initial 5% Twitter stake in late March and early April 2022 let him buy more than $500min shares at artificially low prices, before he finally revealed a 9.2% stake. WHO DO YOU BLAME?The SEC CommissionersJan 2025Chair Gary Gensler (D) Commissioner Hester Peirce (R)Commissioner Mark Uyeda (R)Commissioner Caroline Crenshaw (D)Commissioner Jaime Lizárraga (D)Today MMChair Paul Atkins (R)Commissioner Hester Peirce (R)Commissioner Mark Uyeda (R)VacantVacantSpecifically Paul AtkinsDuring his first stint as an SEC Commissioner (George W. Bush), Paul was famous for his dissent against large corporate penaltiesHe argued that fining a company for the "sins" of its executives just hurts the innocent shareholders a second timeRecently in the same Administration with Musk (DOGE)Generally believes the SEC overregulates; Musk has referred to the SEC as “bastards”Commissioner Hester PeirceThe perennial dissenter (pre-Trump 2.0): Whenever the SEC would sue a crypto firm or fine a high-profile CEO, Peirce would release a blistering public letter explaining why the SEC was wrong, overreaching, and "paternalistic."Hester is the primary author of the Token Safe Harbor proposal, which essentially argues that tech companies should be allowed to operate for three years without any SEC oversight to "find their footing."Hester has long argued that the SEC's disclosure requirements are "bloated" and "immaterial." In her view, Musk's failure to file a 13D form for his Twitter stake wasn't a crime—it was a failure to comply with a "clunky, outdated bureaucracy.""In our purportedly enlightened era, we pin scarlet letters on allegedly offending corporations without bothering much about facts and circumstances... After all, naming and shaming corporate villains is fun, trendy, and profitable."The S&P 500, managed by S&P Global Dow Jones Indices, on Thursday, announced it was beginning consultation on rule changes that could potentially help Elon Musk-led SpaceX gain an expedited entry into the index. The rule changes include letting IPOs enter the index six months after their debut on an eligible index instead of a 12-month period, according to current rules.The index also proposed eliminating a minimum Investable Weight Factor (IWF) of 0.10 for megacap companies. The IWF is a methodology used to calculate the number of shares of a company available to trade on the market.Notably, the proposed rule changes also eliminate profitability requirements for megacap companies. Current rules require a company to be profitable on a GAAP basis for 12 months to be considered for the index, but that rule could be eliminated.S&P DJI only accepts feedback during the announced consultation open period, which is generally one calendar month following the consultation announcement. The Index Committee considers the complexity of the change and the desirable implementation timing in determining the open window for the consultation, which is generally aligned, if possible, with the index rebalancing schedule. WHO DO YOU BLAME?S&P Global CEO Martina L. Cheung (31% no on pay last year) DEI? That's all I haveS&P Global Chair Ian Livingston (Lord Livingston of Parkhead)Lord Livingston is also involved in a number of charities particularly in the fields of education, equality and social careLords are weird? That's all I haveThe Index CommitteeThe S&P 500 Index Committee is one of the most powerful and secretive groups in global finance. To prevent insider trading and front-running (where traders buy a stock because they know it's about to be added to the index), S&P Dow Jones Indices (S&P DJI) keeps the names of the individual committee members confidential.“To mitigate even the appearance of a conflict of interest... all Index Committee meetings are confidential. Membership of the Index Committee is not disclosed, and voting members consist of senior S&P DJI staff who have no commercial responsibilities”The Committee Members: Usually consists of about five to nine full-time employees of S&P Dow Jones Indices. Veto Power: Unlike other indices that use a rigid formula, this committee has discretionary authority. They can choose to ignore certain rules (like profitability) if they believe a company is representative of the U.S. economy.Who is probably partly on the Committee:Catherine Clay (CEO, S&P Dow Jones Indices): As the top executive, she oversees all index divisions. She joined in late 2025 with a mandate to modernize the indices for the digital and private-to-public era.Fiona Boal (Global Head of Equities): She oversees the entire equity index suite. Any proposal to change the "seasoning" or profitability rules for the S&P 500 goes through her office.Michael Orzano (Head of Exchange Products): He is the primary strategist for how major listings (like a $1.75T SpaceX IPO) integrate with the exchange-traded product (ETF) ecosystem.He was the lead strategist during the 2020 Tesla Inclusion, which was the most chaotic event in S&P historyHamish Preston (Head of U.S. Equities): He is the primary spokesperson for S&P 500 methodology. If the "SpaceX Rule" is adopted in June 2026, he will be the one explaining the technical justification to the media.Louis Bellucci (Head of Index Committee Management): As of 2026, he is the specific individual tasked with managing the various index committees and ensuring they follow the updated governance protocolsThe general concept of greed MMMM'Tone Deaf' Starbucks CEO Slammed for Justifying $10 Coffee as 'Affordable Premium Experience' - Niccol is so close to the human experience, he thought it was obviously “affordable” premium to pay $10 for a single cup of coffee. WHO DO YOU BLAME?Mike Sievert, Jorgen Knudstorp, Neal Mohan, and Brian NiccolAccording to Free Float knowledge database, the only four directors with base knowledge of marketing in their backgrounds - all direct from their education and bios46% of SBUX influenceRichard Allison, Neal Mohan, Andy Campion, Beth Ford, Mike SievertMembers of the pay committee that graciously granted Niccol $96m such that a $10 coffee is an “affordable premium experience” for Niccol aloneMeanwhile, CEO Pay Surges 11% While Workers' Wages Stagnate at 0.5% in 2025: Report.In the last 5 years, EVERY director at SBUX was tagged as a “bottom payer” for employees using bottom quartile employee median pay relative to peers as a flagAt the same time, SBUX tagged as mildly atypical overpay relative to other paying directors, and the board average 5 year CEO Pay ratio ranking in the BOTTOM QUINTILE - not only do they love paying their employees as little as possible, the couple it with massive pay packages for CEOs everywhere they goBeth Ford, Daniel Servitje, and Neal MohanAccording to Free Float deference numbers, which use how directors get paid, the prestige of the directorship, the overlaps/reliance on the CEO, and social ties to management, these three are the only ones on the board tagged as “Deferential”For instance, Mohan has directorships at Chrome Holding and Starbucks… which one is a bigger deal?These are directors with the most to lose by dissenting - and risking getting replaced - at this board in particularMike Sievert, Daniel Servitje, Marissa Mayer, Neal Mohan, Brian NiccolEstimates of each of their net worth is in excess of $100m, with Servitje part of the nepo Grupo Bimbo money (he's worth >$3bn)Mayer is the rare female fail up, with early Google and Yahoo money >$600mMohan got a $100m stock retention bonus in 2013 alone and is the CEO of YouTube, the ultimate in artist exploitation machineNeal Mohan, who is on every one of these lists DRBrian Niccol, for generating a record quarter, avoiding negotiating with the union, and calling $10 for roasted beans “affordable premium”Activists Protest Jeff Bezos at 2026 Met Gala with Symbolic 'Urine' Bottles - no one like Uncle Jeffe and his wife anymore!!! WHO DO YOU BLAME?Zohran MamdaniHe skipped the Met Gala??? This was his one chance to show he actually DOES love Ken Griffin!WorkersIf they just accepted that they will all be fired by AI robots and take what their tech billionaire overlords bequeath them generously, they wouldn't have to do this: While billionaires get ready for the Met Gala, their workers walk a different kind of runwayA protest fashion show by workers of Amazon, Whole Foods, Starbucks, Uber, organized by the SEIU and Amazon Labor UnionLauren Sanchez DRProfiled in the NYT saying the uber-rich should “stop apologizing” and “start enjoying themselves” - isn't always the wife's fault?Amazon's board of sycophantsLabelled as “Structurally Deferential” in Free Float data, 5 of the 12 directors have been with Bezos for over a decadeThe rest are almost entirely connected to the directors who have been there for more than a decade7 of the 12 directors tagged as bottom payers, 6 of them at just AmazonEVERY DIRECTOR has been flagged more than once for Human Rights violations across all boards they're on - literally they have overseen constant strings of human rights violationsUncle Jeffe - who still thinks you can buy things and make people like youGameStop is preparing offer for eBay, WSJ reports - the offer is for $56bn and would allow a failing brick and mortar video game company to buy a semi-failing 2000s internet auction company - WHO DO YOU BLAME?TD Bank directors Ana Arsov, Cheri Brant, Elio Luongo, Keith Martell, Frank Pearn, Paul Wirth - the TD risk committeeTD offered a “I guess so?” letter for financing coming in around $20bn in debt. That amount of debt would make these directors - who are only active on the GameStop board - among the most indebted in our databaseThe risk committee is: accountant, compliance officer, ex-bank CEO, accountant, lawyer, someone from Moody'sRoaring Kitty Keith GillIsn't this obviously all his fault?Last count, he has as many as 9m shares in GME in 2024…CEO Ryan CohenWhose deep experience selling pet food and video games has set him up to have just the ego to think he can run anything anywhereWho cares

In this episode, Dr. Stuart Slavin is joined by Nick Yaghmour, director of Resident Experience, Well‑Being, and Milestones Research at the ACGME, and Dr. Greg Wallingford, assistant professor of Internal Medicine and assistant dean for Professional Fulfillment and Well‑Being at Dell Medical School. Together, they explore how the 12 well‑being items included in the ACGME annual Resident/Fellow and Faculty Surveys can be thoughtfully interpreted, and responsibly used, to support residents, fellows, faculty members, and programs. The conversation explores the origins and intent of the well‑being items, their role as signals rather than diagnostic measures, and the importance of keeping the data separate from accreditation decisions. Dr. Wallingford shares an institution‑level approach for translating survey results into meaningful action, highlighting the value of local context, deeper inquiry, and iterative improvement. Through concrete examples, the discussion illustrates how data‑informed processes can empower program leaders, strengthen trust, and drive sustainable change in the clinical learning environment. The episode also previews upcoming enhancements to ACGME well‑being reporting designed to make results more accessible and actionable for programs and institutions. Podcast Chapters (00:00) – Introduction and Welcome (00:31) – Guest Introductions: Nick Yaghmour and Greg Wallingford (01:12) – Purpose and Origins of the ACGME Well‑Being Survey Items (02:32) – Who Receives the Survey Results and How They Are Used (03:17) – What the 12 Well‑Being Items Measure and What They Do Not (04:20) – Using the Data at the Program and Institutional Levels (06:03) – Limitations, Bias, and Responsible Interpretation of Results (11:07) – From Survey Data to Action: An Institutional Starting Point (15:47) – Supporting Program Leaders Through Training and Process (19:34) – Program‑Level Examples: Turning Feedback into Action (22:29) – Transparency, Communication, and Building Trust with Trainees (24:10) – "Stacked Change" and Continuous Quality Improvement in GME (25:04) – Making Data More Actionable: Upcoming Reporting Enhancements (28:03) – Closing Reflections and Encouragement for Program Leaders

Marley Kayden breaks down GameStop's (GME) unexpected bid for eBay (EBAY), a move that could reshape competition with Amazon despite the size gap. Markets react with eBay climbing toward record highs while GameStop slips, as skepticism remains around the deal's viability. Joe Tigay says with a roughly 25% chance of closing by June, the proposal highlights the speculative forces driving today's market moves. ======== Schwab Network ========Empowering every investor and trader, every market day.Options involve risks and are not suitable for all investors. Before trading, read the Options Disclosure Document. http://bit.ly/2v9tH6DSubscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

“GOOD VIBRATIONS”: Its not just a Marky Mark song, but it is also part of GYNECOLOGIC SEXUAL HEALTH! In this episode, we will highlight an April 2026 new qualitative study on women's vibrator use, as well as a separate publication (on a similar topic) also released in April 2026 in the journal Menopause.1. Leong KA, Carlton CE, Deverdis EC, Grimes CL, Jacobs BE, Rogers RG, Roberts BL. Intimacy and empowerment in urogynecology: a qualitative exploration of vibrator use. Am J Obstet Gynecol. 2026 Apr;234(4):1103-1111. doi: 10.1016/j.ajog.2025.11.037. Epub 2025 Dec 2. PMID: 41344528.2. Lehmiller JJ, Graham CA, Ferrall L, Mendelson EA, Prine MS. The role of masturbation in relieving symptoms associated with menopause. Menopause. 2026 Apr 1;33(4):384-394. doi: 10.1097/GME.0000000000002675. PMID: 41217890; PMCID: PMC13011940.

The House Judiciary Committee just dropped a 47-page report calling the National Residency Match Program a hiring monopoly that harms patients, doctors, and the public — and the surgical community is talking. In this episode, Dr. Patrick Georgoff is joined by BTK surgical education fellows Dr. Emma Burke and Dr. Agnes Prem Kumar, along with special guest Dr. Brian Carmody (aka the Sheriff of Sodium), a pediatric nephrologist and one of the sharpest analysts of medical education policy working today. Together, they break down the report's central claims: that the NRMP exercises monopolistic control over residency hiring, suppresses resident wages, and strips trainees of bargaining power — and they separate what the report gets right from where its rhetoric badly outruns its evidence. From the history of Section 207 and the antitrust lawsuit that nearly brought down academic medicine, to the real economics of GME funding, resident unionization, and what a match-free world would actually look like — this is the context you need to understand one of the most consequential debates in graduate medical education in years. Don't miss Dr. Carmody's six-part YouTube series on the match, linked in the show notes.Congressional Report: https://judiciary.house.gov/media/press-releases/new-report-exposes-how-medical-residency-hiring-monopoly-harms-patients-andThe Match 6-Part Video Series: https://www.youtube.com/playlist?list=PLc36yFQWkuG1sXk62A3zeRWB8aoK5SISPThe Sodium Sheriff Blog:  https://thesheriffofsodium.com/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

April 6th, 2026. Three separate policy shocks, all landing at the same time. Bo, Luke, and ASHHRA Executive Director Jeremy Sadlier break down what may be the most consequential week of news healthcare HR has faced all year.

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In this episode, Dr. Stuart Slavin is joined by Melanie Pigott, the residency coordinator of the emergency medicine program at the Medical University of South Carolina, and Cindy Thompson, a senior program administrator for the orthopaedic surgery program at West Virginia University, for a focused conversation on program coordinator well‑being in graduate medical education. Program coordinators play a vital role in GME programs, yet their roles have become increasingly complex, demanding, and pressured—often with little margin for rest or recovery. Drawing on their years of experience and leadership on the ACGME's Coordinator Advisory Group, Pigott and Thompson reflect on the realities of the role and share practical, experience‑based strategies to reduce stress and sustain fulfillment. The conversation explores key drivers of coordinator well‑being, including managing workload through clear expectations and communication, improving efficiency through automation and shared resources, navigating hybrid and flexible work arrangements, and coping with the constant pressure of year‑round deadlines and evolving responsibilities. Throughout the discussion, the speakers emphasize the importance of professional community, peer support, self‑compassion, and giving oneself grace in a role defined by high standards and service to others. This episode launches a new series dedicated to supporting program coordinators and offers valuable insights for coordinators, program leaders, and institutions seeking to create healthier, more sustainable working environments for those who support medical learners every day.   Podcast Chapters (00:00) – Introduction and Welcome  (00:55) – Guest Introductions: Melanie Pigott and Cindy Thompson  (01:46) – Growing Workload and Burnout Risk in Program Coordination  (02:29) – Setting Expectations, Boundaries, and Communication Norms (05:14) – Improving Efficiency Through Automation and Shared Tools  (09:03) – Community, Peer Support, and Asking for Help  (10:14) – Hybrid and Flexible Work Models in GME  (14:57) – Managing Ongoing Work Pressure and Emotional Labor  (17:05) – Organization, Delegation, and Letting Go of Perfectionism  (21:03) – Closing Thoughts and Resources

(00:00) — Late to medicine: Chris didn't consider being a doctor until college, shaped by early family experiences with inadequate care.(01:20) — Struggling student to UC Davis: He describes a nontraditional path and surprise at earning a single college acceptance.(02:50) — “You won't amount to much”: A sixth-grade dismissal and falling in with the wrong crowd set the stage.(04:40) — Misdiagnosed and othered: Labeled with severe ADD, placed in special education, later correctly diagnosed with a comprehension disability.(06:25) — Not going the other way: He credits his mother's advocacy and a teacher, Mr. Russell, for keeping him engaged.(09:00) — College reset and new peers: A friend shares MD-PhD resources and expands his horizon.(10:35) — Outreach program to research home: A scholars program places him in a lab with a PI for four formative years.(11:50) — On DEI and mentors: He reflects on access programs and the impact of Dr. Connie Champagne.(13:50) — First OR spark: Shadowing an orthopedic surgeon shows him the excitement of patient care beyond pipetting.(15:40) — Sustaining motivation: Reframing medicine as a currency for service and asking who do I want to be?(17:50) — Community and advocacy: He discusses serving Indigenous communities and advocating on the Hill for GME in Indian country.(20:50) — Crafting the Why: How deep reflection and post-it mapping shaped his personal statement.(21:55) — Why MD-PhD: An MD-PI at a summer program shows how medical training sharpens research questions.(23:30) — First interview relief: Landing an invite during the COVID cycle felt like validation.(24:45) — Strategy and scope: 23 applications, West Coast focus, MSTP and non-MSTP programs.(26:00) — Coherence wins: A clear why plus tangible research output made his application click.(27:45) — Multiple acceptances: He recalls the emotions of earning 9–10 offers.(28:40) — To students doubting themselves: Separate self-worth from others' opinions and keep going.(31:20) — What's next: Interest in dermatology residency and leading a lab studying skin disease mechanisms.Chris never planned on medicine. Growing up in Southern California, he saw family members with preventable disease go uncared for, struggled in school, and was misdiagnosed with severe ADD in middle school before a later diagnosis of a comprehension disability. After being told in sixth grade he wouldn't amount to much, a continuation school, his mother's advocacy, and a teacher's attention kept him afloat.At UC Davis, an outreach email changed everything, placing him in a lab for four years and opening the door to both science and medicine. A friend introduced him to MD-PhD resources, and shadowing an orthopedic surgeon turned interest into excitement. Chris shares how he built an enduring motivation by reframing medicine as a currency for service, with a commitment to community, including Indigenous communities.He breaks down the hardest premed task—articulating Why Medicine—and the post-it exercise that helped him find a coherent thread. Applying during the first COVID cycle, he earned 16 interview invites and 9–10 acceptances by presenting a clear why and tangible research work. We also discuss advocacy for more GME positions in Indian country and his interest in dermatology and leading a lab.If you've ever been told you won't make it, this conversation offers practical ways to keep going.What You'll Learn:- How a misdiagnosis and school setbacks were addressed and reframed- Ways to access research and mentorship through outreach programs- A practical method to build a coherent Why Medicine- What made his MD-PhD application make sense and earn 16 interviews- Using community and advocacy to sustain motivation

Robinhood has launched a public testnet for Robinhood Chain, an Ethereum-based layer-2 built on Arbitrum, with a broader rollout planned later this year.~This episode is sponsored by Tangem~Tangem ➜ https://bit.ly/TangemPBNUse Code: "PBN" for Additional Discounts!00:00 Intro00:10 Sponsor: Tangem00:30 Cycle different?01:30 Robinhood Chain01:45 Johann Kerbrat: Head to head w/Nasdaq02:30 Johann Kerbrat: Robinhood certified Developer apps04:00 Phase 104:50 Johann Kerbrat: dealing with liquidity06:40 Johann Kerbrat: Clarity & yields08:20 Cody Carbone: Done deal?09:00 $HOOD: Opportunity09:45 Base App11:50 Uniswap adds BUIDL12:15 CashApp12:30 Hong Kong Consensus14:00 Hong Kong Gold15:00 Yat Siu: AI agents16:45 Mr. Beast mainstreams AI agents18:40 Bigger than Bitcoin19:30 DCA-ing yet?#Crypto #Bitcoin #Ethereum~Retail Returning To Crypto?

The Slanted Attic Experience: Episode 54 “Ben H” Campfires, Coding and ConstructionThis week, Tyler sits down with Ben H, a Richmond-based software engineer and outdoorsman from the Shenandoah Valley. Balancing the precision of coding with the calm of the woods, Ben shares stories of life split between screens, rivers, and the open air alongside his fiancée and two yellow labs.The episode kicks off with Tyler's unexpected hard drive pickup and how to safely scan devices before use, then moves into local auction finds, app development hurdles, and how fast modern tech evolves compared to the tools that came before. From there, the pair wander through topics of nostalgia, outdoor adventures, and the intersection of nature, work, and innovation.Guest Panel:Ben H: Originally from the Shenandoah Valley and now calling Richmond home, Ben is an avid hunter and fisherman by hobby and a software engineer by trade. He enjoys building clean, efficient systems and equally values early mornings spent outdoors with his fiancée and their two yellow labs.Topics Covered:- Tyler's hard drive pickup and safe scanning- Local auction houses and how they work- Ben's software knowledge- Difficulties of app programming (iOS and Android)- Advancements in technology and adaptation- Remembering old social media and its downfall- Spending time outdoors and hunting season stories- Managing local deer populations- Preparing for fall 2025 deer season- Technical institutes and trade career discussions- AI's role in software engineering- The Matrix trilogy- Advertising in media and television- Tips for first-time homebuyers- Tyler's construction background- Career paths and modern job structures- GME and stock market conversation- Jam bands and bluegrass music- What GitHub is and how it's used- OutroNew episodes of The Slanted Attic Experience release bi-weekly at 10:30 AM EST, with surprise drops mixed in for good measure. Each conversation bridges fresh ideas, memorable stories, and authentic voices from every walk of life. Tap in and explore more episodes and links at: https://linktr.ee/slantedattic

What happens when a health system stops trying to recruit its way out of a workforce challenge, and instead redesigns the pipeline itself? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Dr. Lindsay Mazotti, Chief Medical Officer of Medical Science and Education at Sutter Health, for a candid, system-level conversation about rethinking how physicians are trained, supported, and developed for the future of care. Rather than focusing on workforce shortages as a policy or awareness problem, this conversation explores what happens after the reality is already clear—when leaders choose to redesign foundational systems instead of managing around constraints. Dr. Mazotti shares how Sutter is treating graduate medical education as strategic infrastructure, not an academic side function, and what it takes to build a physician pipeline that can scale, adapt, and endure. Using examples from rural training pathways, academic partnerships, research translation, and digital transformation, the discussion surfaces how education becomes the load-bearing structure that allows health systems to absorb change without breaking. This episode is designed for health system leaders who are no longer asking whether change is needed, but are grappling with how to build systems that can carry what's coming next. In this episode, we cover: Why physician shortages can't be solved through recruiting alone How Sutter is redesigning the physician pipeline end to end What changes when graduate medical education is treated as core infrastructure How training clinicians for place shapes rural and underserved care delivery Why education is the missing link between research, digital innovation, and day-to-day care Where clinician training determines adoption—or abandonment—of new technologies The leadership tradeoffs that come with moving from individual patient care to system-level impact What leaders must unlearn when building durable, long-term capability About Dr. Lindsay Mazotti: Dr. Lindsay Mazotti leads system-wide initiatives at Sutter Health that advance medical education, research, and innovation in support of the organization's mission to deliver exceptional, patient-centered care to more than 3 million patients across 22 counties in Northern California. In her role, she focuses on strategically integrating medical education into the health system's infrastructure to align with long-term priorities, including Sutter's Destination 2030 initiative. Dr. Mazotti oversees undergraduate and graduate medical education across the system—spanning clinical rotations, scholarships, residency and fellowship programs, and academic partnerships—while working closely with aligned medical groups representing more than 14,000 physicians to develop and support physician educators. Her work centers on building innovative training pathways that address physician workforce needs, align with evolving care delivery models, and strengthen long-term system capability, with the goal of quadrupling Sutter's GME footprint by 2030 to become the largest community-based GME program in California. Learn more about Dr. Mazotti - https://www.linkedin.com/in/lindsay-mazotti Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect

Given the recent closures of many of their stores across the country, we have decided to dedicate an episode all about everyone's favorite and most beloved game store, GameStop. Ok so maybe it's not everyone's favorite, and maybe not quite so beloved, but hey buying physical games in a physical store is becoming a bit of a rarity! We start off the discussion looking back at the origins of GameStop and what companies led to it's formation. Then we reminisce about our favorite (and not so favorite) memories of the workers, the trade-ins, and the store itself. We also play some rounds of trade-in value trivia as well as think about where the store is headed and what they could do to improve their fortunes. Speaking of fortunes, we of course have to touch on the GME stock drama. Whether you love it or hate it, there's plenty to enjoy in this episode. So grab your pro-player membership card, your brand new (but opened) headphones, and join us for this episode all about GameStop!

Five years ago, on January 27th, 2021, the frenzied buying and speculation in Gamestop hit its apex. In this short podcast, I look back on one of the more fascinating, and dare I say, dangerous, risk events in modern day markets. The stock was subject to an outright speculative attack. But not the kind most CEOs complain about. This was not Soros taking down the British pound in 1992. This was a retail army of Reddit bandits whose buying power was nothing individually, but everything collectively. This was an attack not by a short seller, but against one. We learn a great deal about markets by studying periods when things run amuck. GME event is one of them, the most intense “stock up, vol up” episode in memory.

Looks like it is over for the Mag Seven stocks The name Magnificent Seven came out in 2023 by a strategist from Bank of America named Michael Harnett. The idea is the name came from a classic western movie featuring seven heroic gunfighters and their push to save a small town. But just like other hot themes like the Nifty 50 back in the 60s and BRIC where you had to be invested in the emerging markets of Brazil, Russia, India and China, it looks like the Mag Seven glory days are over. In 2025, only two companies, Alphabet and Nvidia, outperformed the S&P 500. Microsoft, Meta, Apple, Amazon, and Tesla were no longer called stock market stars, and I believe this year will be another year of underperformance for most of these players. The Magnificent Seven still accounts for 36% of the S&P 500's market cap, which is why I believe the S&P 500 will not have a great year in 2026. It will be hard for investors to give up these companies because as they look in the rearview mirror, they feel they're worth their value because they made very good returns in the past. However, just like the Nifty 50 and other hot investment themes throughout history, everything comes back to the mean. The question for many is what will be the next hot investment idea? No one knows for sure but I'm confident someone on Wall Street will come up with some exciting name for investors to chase and they'll tell them not worry about the fundamentals of the business.    Is using part of your 401(k) for a down payment on your home a good idea? The President is trying very hard to stimulate the housing market and allow younger people to buy their first home. One idea that has been tossed around is allowing people to use their 401(k) for a down payment. People can currently borrow from their 401(k) and I often hear uninformed people say it's a great thing because you get to pay yourself the interest. Briefly, it is not a great idea because those "interest" payments don't account for the negative impact of the opportunity for what those funds could have grown at. You also don't get a tax deduction when paying the loan, and then you pay taxes on distributions at a later date, so it also has a negative tax impact. Outside of 401k loans, how's the administration looking to help first time homebuyers? Kevin Hassett, who is director of the National Economic Council, threw out one possibility that a homeowner could put 10% of the equity of their home into a 401(k). That may make your 401(k) balance look artificially high because as the home grows in value so does that 10%. The problem I see is when it comes to retiring that 10% cannot provide retirement income. I still believe the best way to fix the affordability problem is to increase the supply of homes to match the demand, which would reduce prices. AI will create jobs that have not even been imagined yet There are jobs that are starting to be seen and developed as AI becomes more involved in business. One example is someone has to make sure that the systems are kept up-to-date and function properly. There's also going to be people that have to understand the technology thoroughly and then translate the output, so managers, judges, regulators, or anyone else that is using it understands the answer. Experts will have to understand such things as self-driving vehicles and how the technology works. Say there is a car accident with two self-driving cars, who determines who's at fault? There will need to be experts that understand the self-driving technology and then try to explain the situation. The AI system will have to be checked from time to time to verify that the AI system did not produce results that were unfairly skewed in one direction or the other. Once that is discovered, another expert would have to know how to fix and eliminate those problems using new data that helps eliminate the bias. Training is another area of opportunity. As people's jobs change, they will need training in the new technology. The expert trainer would also use the technology to figure out what teaching style works best for the individual. Yes, the future is always scary because of the unknown, but innovation continues onward creating new opportunities and problems that need to be solved.     Financial Planning: Start Social Security Early to Invest? When evaluating when to start Social Security, there are generally two schools of thought. Either collect early at age 62 to invest the funds or wait until age 70 for a larger monthly benefit. Proponents of waiting argue that the age-70 benefit is roughly 77% higher than collecting at 62 and that deferring protects against longevity risk. Regular people and some financial advisors alike believe this is the superior strategy. A recent article in the Wall Street Journal takes this stance, stating that many retirees will live until age 85, so collecting at 70 increases guaranteed income and reduces market risk. However, the article illustrates its conclusion using an inflation-adjusted return assumption of –3% on invested funds. While technically possible, such an outcome is extremely unlikely over a 23-year period (ages 62 to 85), especially because the analysis applies returns to monthly payments over time rather than a lump sum, meaning the cash flows would benefit from dollar-cost averaging rather than suffer from sequence-of-returns risk. In reality, retirees who collect at 62 rarely invest the benefits directly; instead, they reduce withdrawals from an existing portfolio, preserving capital that can compound and generate additional income to offset the lower Social Security benefit. When the math is examined with multiple expected returns, a retiree is better off collecting at 62 if they live to age 78 assuming a 0% return, age 84 with a 5% return, age 94 with an 8% return, and any lifespan with a 10% return. Ultimately, the decision is less about maximizing guaranteed income and more about understanding expected returns, cash-flow dynamics, and the opportunity cost of delaying benefits.   Companies Discussed: Expand Energy Corporation (EXE), Citigroup Inc. (C), The Kraft Heinz Company (KHC) & GameStop Corp. (GME)

In this episode, Cody Walker, President of Baptist Health Medical Center North Little Rock, discusses leading a busy tertiary care hospital within a 12 hospital Arkansas system, with a focus on access, efficiency, and technology enabled care. He also shares perspectives on reimbursement pressures, workforce shortages, GME expansion, and practical leadership lessons for emerging healthcare leaders.

0.02 Timmy, one of the moderators of the /r/CryptoCurrency subreddit and member of the Polygon marketing team, joined me to discuss crypto on social platforms the latest with Polygon.Topics:- Reddit vs other social platforms for Crypto- Power of Reddit - GME and AMC- Reddit NFT integrations - Polygon latest and greatestBrought to you by

Tyler and Jimmy sit down with GME Radios, a legendary Australian brand known for building rugged, high-quality radios, and now they're entering the U.S. GMRS market. Is this the beginning of the end for cheap, disposable radios, or the start of something better for off-roaders everywhere? We break down what makes GME different, why their radios have such a strong reputation overseas, and why this might be the most disruptive radio episode we've ever recorded. GME Website: https://gmeus.com/GME Instagram: https://www.instagram.com/gme_usa/GME YouTube: https://www.youtube.com/@GMEUSA Tony’s PodcastThe Outer Side YouTube: https://www.youtube.com/@theoutersideThe Outer Side IG: https://www.instagram.com/theoutersidepodcastThe Outer Side Website: https://theouterside.com.au/ MORRFlate Giveaway at 900 Reviews on Apple Podcast. But our next giveaway is when we reach 800 reviews; we are giving away an OnX Elite Membership. We will also give away an OnX Elite membership when we get to 850. However, when we reach 900 Reviews, we are teaming up with MORRFlate for a $1000 MF Product Giveaway. Go over to Apple Podcasts to leave your review now and become eligible to win. Congratulations to A13XMONT, who won a set of tires from Yokohama Tire! Call us and leave us a VOICEMAIL!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your Jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. 4Wheel Underground has all the suspension parts you need to take your off-road rig from leaf springs to a performance suspension system. We just ordered our kits for Kermit and Samantha and are looking forward to getting them. The ordering process was quite simple, and after answering the questionnaire, we ensured we got the correct and best-fitting kits for our vehicles. If you want to level up your suspension game, check out 4Wheel Underground. SnailTrail4x4 Podcast is brought to you by all of our peeps over at irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Always, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those who support us! We couldn’t do it without you guys (and gals!)! SnailSquad Monthly Giveaway Massive Thanks to Vanquished for the donation of the Yokohama edition RC racecar that is this months giveaway. If you want a chance to win this amazing giveaway, all you need to do is sign up for the Giveaway Tier on Irate4x4. If you’re looking for any amazing RC parts for your scaled crawler, make sure to check out Vanquished Products. Congrats to David Kurak for winning the new Xtreme Duty Braided Hose Kits from MORRFlate. These kits are an upgrade from their standard quad kits. These have a 1200 D nylon weave on top of the upgraded hose. Making them more heat-resistant and having a higher burst rate. One of these can be yours; all you need to do is sign up for the Giveaway Tier on Irate4x4. Listener Discount Codes: SnailTrail4x4 –SnailTrail15 for 15% off SnailTrail4x4 MerchMORRFlate – snailtraill4x4 to get 10% off MORRFlate Multi Tire Inflation Deflation™ Kits4WheelUnderground – snailtrail 10% offIronman 4×4 – snailtrail20 to get 20% off all Ironman 4×4 branded equipment!Sidetracked Offroad – snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope – snailtrail4x4 to get 10% off sitewideShock Surplus – SNAILTRAIL4x4 to get $25 off any order!Mob Armor – SNAILTRAIL4X4 for 15% offSummerShine Supply – ST4x4 for 10% offBackpacker’s Pantry – Affiliate LinkLaminx Protective Films – Use the Link to get 20% off all products (Affiliate Link) Show Music: Outroll Music – Meizong Kumbang Midroll Music – ComaStudio

Are you looking to save time, make money, and start winning with less risk? Then head to https://www.ovtlyr.com.Implied volatility can feel like this mysterious force that either supercharges your options trades or completely blindsides you when you least expect it. If you've ever wondered why an option loses value even when the stock moves in your direction, this breakdown is going to make things a whole lot clearer.In this session, we dig into implied volatility in a way that actually feels understandable. Nothing overcomplicated. Nothing academic. Just straight talk about how IV works, why it matters, and how it quietly shapes every option price on your screen. You'll see how intrinsic value, extrinsic value, and Vega all play a role, and how each one affects the real money side of your trading. If you've ever stared at an options chain thinking, “What am I even looking at?” you're in the right place.We walk through how IV spikes before earnings, why it collapses after, and how that moment can make or break a trade. There are clear examples using SPY, NVDA, SoFi, meme stocks, and deep in the money call setups. You'll see exactly why some strategies suffer when volatility changes and why others barely feel it. And yes, we take time to break down spreads, strangles, and why certain strategies get traders into trouble faster than they realize.Right in the middle of the lesson, you'll see how everything ties back to understanding your extrinsic value. When you know what part of your option is “uncertainty pricing,” you suddenly understand why IV crush feels so brutal on certain trades and barely noticeable on deep in the money positions.Here's what you'll be able to walk away with:✅ Why implied volatility rises and falls✅ How intrinsic and extrinsic value actually shape your option price✅ Why at the money options are most sensitive to IV shifts✅ What really happens during earnings IV crush✅ How deep in the money calls avoid most volatility trapsThere are plenty of chart comparisons, profit scenarios, and real-market examples so you can see the concepts play out visually. When you watch the GME example where the stock dropped but the put still lost value, it suddenly clicks why traders get confused. It wasn't the direction. It was the extrinsic value collapsing faster than the intrinsic value could grow.If you're following along with OVTLYR University, this fits right into the bigger plan of helping traders build real skill instead of relying on guesswork. The goal is to make every part of options trading feel less intimidating and way more actionable. Nothing here is theory for theory's sake. It's practical knowledge designed to help you trade more confidently and avoid unnecessary mistakes.By the time you finish the session, you'll understand why volatility behaves the way it does, how it impacts your trades, and how to use that knowledge to your advantage. And if you want to go even deeper, check out the related videos at the end.Gain instant access to the AI-powered tools and behavioral insights top traders use to spot big moves before the crowd. Start trading smarter today

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Clear guidance on benefits, risks, and how the FDA's label changes shift conversations in the exam room about HRTNikki's Corner• Philly's first Michelin stars and what the tiers mean• Flying taxis in Dubai • A cold case solved by college criminology studentsLearning • What HRT is, routes of therapy, and who benefits• Reframing WHI-era fears with age and timing data• FDA label changes and clinical implications• Contraindications and safer use considerations• Women's health bias and the cost of not listening• Practical steps for shared decisions with cliniciansReferencesThe 2022 Hormone Therapy Position Statement of the North American Menopause Society. Menopause (New York, N.Y.). 2022;29(7):767-794. doi:10.1097/GME.0000000000002028.Management of Menopausal Symptoms: A Review. Crandall CJ, Mehta JM, Manson JE. JAMA. 2023;329(5):405-420. doi:10.1001/jama.2022.24140.Hormone Therapy for Postmenopausal Women. Pinkerton JV. The New England Journal of Medicine. 2020;382(5):446-455. doi:10.1056/NEJMcp1714787.Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: US Preventive Services Task Force Recommendation Statement. Grossman DC, Curry SJ, Owens DK, et al. JAMA. 2017;318(22):2224-2233. doi:10.1001/jama.2017.18261.Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Gartlehner G, Patel SV, Reddy S, et al. JAMA. 2022;328(17):1747-1765. doi:10.1001/jama.2022.18324.Hormone Therapy in the Postmenopausal Years: Considering Benefits and Risks in Clinical Practice. Genazzani AR, Monteleone P, Giannini A, Simoncini T. Human Reproduction Update. 2021;27(6):1115-1150. doi:10.1093/humupd/dmab026.Hormone Therapy in Menopause: Concepts, Controversies, and Approach to Treatment. Flores VA, Pal L, Manson JE. Endocrine Reviews. 2021;42(6):720-752. doi:10.1210/endrev/bnab011.The Women's Health Initiative Randomized Trials and Clinical Practice: A Review. Manson JE, Crandall CJ, Rossouw JE, et al. JAMA. 2024;331(20):1748-1760. doi:10.1001/jama.2024.6542.Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: US Preventive Services Task Force Recommendation Statement. Mangione CM, Barry MJ, NicSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

In this episode, Dr. Stuart Slavin speaks with Dr. Saadia Akhtar, professor of emergency medicine and senior associate dean for Trainee Well-Being and GME at the Icahn School of Medicine at Mount Sinai. They explore the evolution of Mount Sinai's GME Well-Being Champion Program—an initiative that empowers faculty champions across specialties and sites to identify local challenges and drive meaningful improvements in workplace culture and efficiency. Dr. Akhtar shares how the program fosters collaboration, builds community, and supports learners and champions through structured debriefs, system-level feedback, and professional development. This model offers a scalable, data-informed approach to improving well-being in medical education.   Podcast Chapters (00:00) – Intro & Guest Background (01:01) – Origins of the Well-Being Champion Program (03:54) – Wellbeing Is Local: One Size Doesn't Fit All (04:37) – Champion Roles & Reporting Structure (06:13) – Monthly Debriefs & Report Outs (08:01) – Champion Independence from Program Leadership (09:05) – Trainee Support & Resource Sharing (10:34) – Collaboration with Program Directors & Champions' Role (13:42) – Professional Development & Lecture Series (15:40) – Stipends, Recognition & Career Growth (17:23) – Champion-Led Initiatives & Impact (21:00) – Reaching Institutions with Limited Resources (23:20) – The Iterative Continuous Quality Improvement Approach (25:14) – Final Reflections (26:16) – Closing & Resources

   Army Colonel Kent DeZee, MD, MPH, the Defense Health Agency Director of Graduate Medical Education, offers an exclusive inside look into the unique world of training military physicians. We explore the evolution of the military's residency match process and the distinct challenges faced by aspiring military doctors. Dr. DeZee shares invaluable advice for medical students aiming to stand out in GME applications, emphasizing the significance of leadership, clinical experience, and the intricate balance between deployment and training during residency.    Understand the distinct training opportunities available across the Army, Navy, and Air Force and the flexibility offered through civilian deferred training. With Dr. DeZee's guidance, we dissect the roles of General Medical Officers and specialized paths, such as flight surgeon or undersea medicine. Learn about the collaborative efforts among service branches to optimize training slots and how the Defense Health Agency is streamlining the administration of military hospitals to enhance GME training opportunities.    Dive into the career pathways within military medicine and the personal investment of trainers in shaping successful medical officers. From transitional year programs to specialized residencies, explore the avenues open to those considering a military medical career. Dr. DeZee's insights shed light on the dedication required to thrive in this field, ensuring that military medical professionals are not only well-trained but passionate about delivering exceptional care. This episode underscores the commitment of military trainers to their trainees and the freedom for medical officers to pursue their chosen specialties. Whether you're a medical student, a seasoned professional, or just fascinated by military medicine, this episode offers a wealth of information and inspiration. Tune in to uncover the dedication and passion that drive military medical professionals to provide exceptional care.   Chapters: (00:04) Evolution of Military Graduate Medical Education (15:00) Military GME Training and Opportunities (28:51) Military Medicine Postgraduate Training Opportunities (35:35) Military Medical Career Pathways (40:14) Maximizing Success in Military Medical Careers (52:50) Military Graduate Medical Education Opportunities   Chapter Summaries: (00:04) Evolution of Military Graduate Medical Education    Join us for an insightful conversation with Army Colonel Dr. Kent DeZee, the Director of Graduate Medical Education for the Defense Health Agency. We explore the evolution of military graduate medical education (GME) programs and discuss the residency match process and unique aspects of training military physicians. Dr. DeZee addresses common concerns regarding deployment and training opportunities during residency and highlights the roles of general medical officers. He also provides advice for medical students looking to enhance their competitiveness for GME applications. Emphasizing the importance of leadership and clinical experience, Dr. DeZee outlines how these elements are crucial in shaping future military medical professionals. Additionally, we look into the changes brought about by the formation of the Defense Health Agency and how it has centralized the administration of military hospitals to better facilitate GME training across branches.   (15:00) Military GME Training and Opportunities     Dr. DeZee provides an insightful exploration into the nuances of the military's Graduate Medical Education (GME) system, specifically focusing on civilian deferred training and the differences in GME offerings across the Army, Navy, and Air Force. We explain how civilian deferred training allows students to complete their residency without military obligation, returning to fulfill their service commitment afterward. Additionally, we examine the similarities and distinctions in specialty and fellowship opportunities among the three services, highlighting that while core specialties are consistently available, certain niche fields may not be offered every year. We also discuss the limitations of applying across different service branches for residency, except in special circumstances like joint domicile or compelling family needs. Finally, we touch on the process during the GME selection board where unfilled positions in one service might potentially be offered to another, ensuring optimal utilization of training slots.   (28:51) Military Medicine Postgraduate Training Opportunities    We explore the various scenarios for medical professionals navigating the residency match process, particularly focusing on those who have completed or are considering a transitional year program. We discuss the eligibility of transitional year residents to re-enter the match and how their performance might offer a slight advantage over medical students who haven't completed such a year. Additionally, we examine the options available for medical students who aren't matched with their preferred internship, such as transitioning into a preliminary surgical year or pursuing a general medical officer (GMO) role. The nuances of how different specialties view a transitional year are also covered, with particular emphasis on which rotations may count towards graduation requirements for certain boards. Furthermore, we address the differences in how the Army, Air Force, and Navy utilize GMO tours within overall Graduate Medical Education (GME) training pathways.   (35:35) Military Medical Career Pathways      Dr. DeZee describes the journey of becoming a General Medical Officer (GMO) in the military, highlighting the additional training required for various roles, such as flight surgeon or undersea medicine. We discuss the mentoring process within a flight unit and the evaluation called a Focused Practice Review to ensure safe medical practice. For those interested in long-term service, options like aerospace medicine residencies are available. The Navy's new program, which allows a seamless transition back to residency after a GMO tour, is also highlighted. Additionally, I touch upon the flexibility for those who decide a particular residency is not for them, detailing the process for resigning and re-competing for a different specialty without it being viewed negatively, as long as professional standards are maintained.   (40:14) Maximizing Success in Military Medical Careers   We cover the critical decisions and requirements for medical professionals in a DHA Graduate Medical Education (GME) program, focusing on the nuances of resignation and training progression. We emphasize the irreversible nature of resigning from the program and the transition to becoming a general medical officer. I also address the integration of military education with medical residency, highlighting the importance of completing the Officer Basic Course before or during residency. For medical students aspiring to be competitive in the selection board, I offer advice on enhancing their profiles through clinical rotations, leadership roles, and research involvement. Being well-prepared for specialty rotations, demonstrating leadership potential, and achieving strong academic performance are key factors in securing a successful career as a medical corps officer.   (52:50) Military Graduate Medical Education Opportunities      Dr. DeZee encourages exploring the details of Army Internal Medicine programs through the DHA website, highlighting the ease of access and the wealth of information available without any commitment. We emphasize the dedication of program coordinators like Michelle Valdez and Michael Simons in developing this resource, which aids in understanding the local environment and the training of medical corps officers. Reflecting on personal experiences, such as undergoing surgery at Walter Reed, underscores the importance of excellent training programs for military medical professionals. I stress the significance of training residents who may one day provide care to us or our loved ones, highlighting the personal investment of trainers in their trainees' success. We also clarify that while the military does not force specialties on medical officers, the option to pursue one's desired field remains open, ensuring that medical professionals are passionate and committed to their chosen paths.   Take Home Messages: Navigating the Military GME Landscape: The episode provides an in-depth look at the military's Graduate Medical Education (GME) system, highlighting its evolution and the unique challenges faced by aspiring military physicians. It covers the residency match process and emphasizes the importance of leadership and clinical experience in shaping successful military medical professionals.   Understanding Service Branch Differences: Listeners gain insights into the differences in GME offerings across the Army, Navy, and Air Force, including the option of civilian deferred training, which allows students to complete their residency without immediate military obligations. The discussion also covers how specialty opportunities can vary among service branches.   Career Pathways in Military Medicine: The podcast explores the various career paths available to military medical professionals, including roles like General Medical Officer, flight surgeon, and undersea medicine. It highlights the mentoring process and training opportunities that ensure medical officers are well-prepared for their duties.   Optimizing Training Opportunities: The episode discusses how the Defense Health Agency is centralizing the administration of military hospitals to enhance GME training opportunities and ensure optimal utilization of training slots across service branches. This streamlining is aimed at improving the quality and availability of training for military physicians.   Enhancing Competitiveness in GME Applications: Aspiring military doctors are advised on how to stand out in GME applications, with a focus on clinical rotations, leadership roles, and research involvement. The episode underscores the importance of being well-prepared for specialty rotations and achieving strong academic performance to secure a successful career as a military medical officer.   Episode Keywords: Military Medicine, Graduate Medical Education, Military Doctors, Residency Match Process, Military GME, Defense Health Agency, General Medical Officer, Flight Surgeon, Undersea Medicine, DHA Hospitals, Military Residency, Medical Corps Officer, Military Healthcare Careers, Transitional Year Program, Civilian Deferred Training, WarDocs Podcast, Leadership in Medicine, HPSP, ROTC, USMA    Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #GraduateMedicalEducation #MilitaryDoctors #GME #MedicalTraining #WarDocsPodcast #DefenseHealthAgency #ArmyMedicine #NavyMedicine #AirForceMedicine    Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, 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

Simon and Dan break down Canada’s latest inflation data, why core CPI remains stubbornly high, and what falling rents might mean for the Bank of Canada’s next move. They also dive into the growing turmoil in private credit, including the First Brands bankruptcy and Tricolor collapse, and what these cases reveal about risk in the shadow banking system. The episode wraps up with Beyond Meat’s shocking meme-stock comeback and a broader discussion about speculation and leverage in today’s markets. Tickers of stocks discussed: BYND, TSM, ARCC, FSK, BN, JEF, UBS, JPM, WMT, AZO, GPC, GME, AMC. Check out our portfolio by going to Jointci.com Our Website Our New Youtube Channel! Canadian Investor Podcast Network Twitter: @cdn_investing Simon’s twitter: @Fiat_Iceberg Braden’s twitter: @BradoCapital Dan’s Twitter: @stocktrades_ca Want to learn more about Real Estate Investing? Check out the Canadian Real Estate Investor Podcast! Apple Podcast - The Canadian Real Estate Investor Spotify - The Canadian Real Estate Investor Web player - The Canadian Real Estate Investor Asset Allocation ETFs | BMO Global Asset Management Sign up for Fiscal.ai for free to get easy access to global stock coverage and powerful AI investing tools. Register for EQ Bank, the seamless digital banking experience with better rates and no nonsense.See omnystudio.com/listener for privacy information.

Gamma is one of the most misunderstood yet powerful forces driving options markets. In this episode, Kirk sits down with Lex from Tradier to break down gamma exposure (GEX) — what it is, why it matters, and how it quietly shapes market movement. Together, they unpack how professional traders use gamma to stay delta-neutral, manage risk, and interpret shifting liquidity, while retail traders can use it to better understand price behavior and volatility.Lex explains the difference between long and short gamma, how “sticky strikes” form, and why SPX tends to act very differently from fast-moving names like GME. You'll also learn how changes in open interest and volume can trigger sharp accelerations or reversals — and how to read these setups without getting buried in formulas. It's a practical, eye-opening conversation about the hidden dynamics of gamma exposure and the edge it can give you in any options market.Watch the full interview here

In this episode, Dr. Stuart Slavin speaks with Dr. Sydney Ey, clinical psychologist and founder of the Oregon Health & Science University (OHSU) Consult Service for Leaders and Teams. Together, they explore the emotional toll leadership can take within graduate medical education (GME), especially during crises like the COVID-19 pandemic. Dr. Ey discusses how the consult service offers psychological first aid, peer support, and guidance to leaders facing stress, isolation, and moral distress. She highlights the importance of proactive outreach, institutional backing, and the ripple effect of supporting those in leadership roles. The conversation underscores how compassion, trust, and visibility can create a healthier culture in academic medicine.

This is an audio version of a Rip Out: GME Leaders Series article from the October 2025 issue of JGME, "Leading Major Change in Graduate Medical Education: Initiate, Implement, and Sustain" by Harm Peters, MD, MHPE, Dink Jardine, MD, FACS, and Madeline Joseph, MD, FAAP, FACEP.

Hello and welcome to the SAMOPS Specialty Spotlight podcast. This podcast was created to help inform military medical students about experiences and opportunities in military medicine. Today we are sharing an Air Force webinar led by HPSP Program Manager, Ms. Kelly Adams as well as the Chief of Physician Education, Colonel Benjamin Marrow. This webinar took place in July 2025 to cover information regarding audition rotations and MODS applications. While some details discussed are unique to the Air Force, this presentation offers general GME information that is applicable to all services. We hope you enjoy. DISCLAIMER: All the opinions presented in this podcast are our own and do not reflect the opinions of any branch in the U.S. Military or the Department of Defense.

S&P Futures are positive this morning as the market awaits the release of the Produce Price Index ahead of the opening bell. President Trump will travel to the U.K next week (September 17–19) for a rare second state visit. Trump is actively urging the EU to impose 100% tariffs on China and India in an effort to curtail those countries purchases of Russian oil. He also signed an Executive Order targeting pharmaceutical advertising. The Supreme Court will hear oral arguments in early Nov on the Trumps tariffs. On the earning front ORCL delivered a strong report and is trading higher. After the bell today, earnings releases are expected form GME, SNPS & ORC

S&P Futures are positive this morning as the market await the payroll revisions data, a downward revision of up to 1m is expected. The White House is said to be preparing a report that will be critical of BLS data gathering functions. Apple's major product launch will be a key highlight today, the event kicks off at 1:00 PM ET, with new iPhones, Apple Watches, and AirPods expected to be announced. Anglo American & Teck Resources announced a merger.  The Salesforce CEO will be presenting today at the Goldman Sachs' Communacopia & Tech event at 4:25pm. Executives from C & JPM will be presenting today at Barclays financial conference. On the earning front CASY is lower after its earnings announcement. After the bell today, earnings releases are expected form GME, SNPS & ORCL

S&P Futures are positive this morning as the latest payrolls data is increasing the odds of a 50-basis point cut at next weeks Fed meeting. Tomorrow the BLS will be announcing its revisions to the payroll data for the period of April 2024 to March 2025. This week's inflation reports could derail a large cut. President Trump is expected to meet with EU officials this week on talks aimed at ending the Ukraine Russia war, sanctions and energy policies are likely to be discussed. On Sunday, Tres Sec Bessent said he's confident that the tariffs will be upheld by the Supreme Court.  This week's sell-side calendar is busy, with today's highlights including Goldman Sachs' Communacopia & Tech event, Morgan Stanley's healthcare conference, and the Barclays financial conference, all featuring top executives sharing sector-specific and market outlooks. On the earning front CASY is releasing after the bell today and later this week ORCL, SNPS, GME, CHWY, RH, KR & ADBE are scheduled to release.

Interviewees: Justin Bullock, MD, MPH; Cary Payne, MD Interviewer: Lisa Meeks, PhD, MA Description: In Episode 114, Dr. Lisa Meeks talks with Dr. Justin Bullock (nephrology fellow, University of Washington; living with bipolar disorder) and Dr. Cary Payne (Program Director, Nephrology Fellowship, University of Washington) about navigating fellowship with a psychiatric disability—and how trust, humility, and creative flexibility built a training experience defined by healing and growth. Together, they retrace Justin's decision to pursue fellowship after a traumatic residency, his choice to lead with authenticity during the match, and the risks and rewards of disclosure in GME. They unpack how structured accommodations provided protection, why early defensiveness softened into trust, and the profound impact of Cary's disarming leadership approach: “It's not your job to teach us.” Listeners will hear advice for residents and fellows (consider strategic disclosure, seek accommodations as protective, build trusted provider teams) and for program directors (lead with humility, embrace uncertainty, and center accommodations in creativity rather than dogma). At its heart, the episode explores how one program became not just a safe space, but a place of healing—and why that benefits trainees, programs, and patients alike. This episode accompanies the open-access perspective This Armor of Mine: Perspectives of a Bipolar Physician and Program Director (Bullock & Payne, Chest, 2024) This episode is part of the ACGME/DWDI Disability Resource Hub, supported by the Josiah Macy Jr. Foundation Catalyst Award, it's a powerful reminder that access isn't accidental—it's built intentionally, one relationship at a time. Transcript: https://docs.google.com/document/d/1R_FlMU-qOOVKPiaBMLc0VqQ3DVX8rjhQ16ZAZZnv_TM/edit?usp=sharing Bios:  Justin Bullock, MD, MPH Justin Bullock is an Assistant Professor in Nephrology at the University of Washington School of Medicine and the Co-director of the Docs with Disabilities Initiative. Justin is passionate about creating safe environments in medicine where everyone in the hospital is able to bring their authentic selves to work in the spirit of healing. Justin is a passionate medical educator: a teacher, researcher, and lifelong learner. His primary research focus centers on how educators can foster identity safety in the learning environment, where all members of the healthcare team can be their authentic selves in the workplace. When not at work, Justin enjoys running and cooking with his partner.   Cary Payne, MD Cary grew up in the Pacific Northwest. He studied Biology and Philosophy at Washington University in St Louis before attending medical school at the University of Chicago. He then returned to the northwest where he completed his residency in internal medicine and fellowship in nephrology at the University of Washington, after which he remained on faculty at UW and established the UW Kidney-Liver Program, a subspecialty nephrology service dedicated to caring for patients with concomitant liver and kidney disease. In addition to his clinical work, Cary serves as the medical director for inpatient dialysis at the University of Washington and the UW Nephrology Fellowship Program Director. When not at work he enjoys reading and hiking with his wife Gretchen and his three children.   Key Words:   ·       Disability Inclusion ·       Residency ·       Fellowship ·       Accommodations ·       Program Directors ·       Graduate Medical Education (GME) Produced by: Lisa Meeks  Resources:  Article: Perspective of a Bipolar Physician and this program director. https://www.chestnet.org/guidelines-and-topic-collections/publications/chest-advocates/this-armor-of-mine Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub Case Studies in Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub#case_studies UME to GME Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-transitions-toolkit-introduction Policy Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-policy-toolkit Disability in Graduate Medical Education Program:  https://www.docswithdisabilities.org/digme    

Interviewees: Emily Green, MD and Kelley Volpe, MD Interviewer: Lisa Meeks, PhD, MA Description: In Episode 113, Dr. Lisa Meeks talks with Dr. Emily Green (child psychiatrist, University of Chicago; recent fellow at UIC) and Dr. Kelley Volpe (training director of the Child and Adolescent Psychiatry Fellowship at UIC) about navigating fellowship with ADHD and a learning disability—and how openness, advocacy, and leadership support shaped a successful training experience. Together, they trace Emily's decision-making during the match, the challenges of transitioning from residency to fellowship (and from student to employee), and the unexpected barriers in GME accommodation processes. They unpack how program leadership stepped in when paperwork stalled, why “temporary vs. chronic” misunderstandings of disability remain a problem, and how centering inclusion ultimately benefited both the trainee and the program. Listeners will hear advice for residents and fellows (be specific in accommodation requests, know when disclosure matters, embrace authenticity with patients) and for program directors (be proactive with GME, advocate beyond bureaucracy, and create space for trainees to bring their whole selves to medicine). This episode accompanies the open-access case study From Policy to Practice: Building the Disability Inclusion Infrastructure in Graduate Medical Education (Green & Volpe, Academic Medicine, 2025). Part of the ACGME/DWDI Disability Resource Hub, supported by the Josiah Macy Jr. Foundation Catalyst Award, it's both a roadmap and a reminder that when programs invest in access, everyone wins. Transcript: https://docs.google.com/document/d/1uhs1zRh2QOWVMgYlEFkxbFY-MJQbiqV_/edit?usp=sharing&ouid=104315301750264632478&rtpof=true&sd=true Bios:  Kelly Volpe, MD Dr. Kelley Volpe is the medical director of the Pediatric Stress & Anxiety Disorders Clinic at UI Health. Dr. Volpe currently provides outpatient services that are specialized in the treatment of anxiety disorders, such as generalized anxiety, social anxiety, obsessive compulsive disorder, and selective mutism, in addition to trauma- and stress-related disorders. She is board certified in both General Psychiatry and Child & Adolescent Psychiatry. Emily Green, MD Emily is an Assistant Professor of Psychiatry and Behavioral Neuroscience at the University of Chicago. She specializes in pediatric psychiatry and helps children and adolescents who are struggling with mental well-being. Key Words:   Disability Inclusion Residency Fellowship ADHD Learning Disability Psychiatry Accommodations Program Directors Graduate Medical Education (GME) Produced by: Lisa Meeks  Resources:  Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub Case Studies in Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub#case_studies UME to GME Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-transitions-toolkit-introduction Policy Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-policy-toolkit Disability in Graduate Medical Education Program:  https://www.docswithdisabilities.org/digme Illinois Lend: https://www.illinoislend.org Case Study: From Policy to Practice: Building the Disability Inclusion Infrastructure in Graduate Medical Education      

Interviewees: Josh Schammel, MD; Brian Inouye, MD; and Becky Stetzer, MD Interviewer: Justin Bullock, MD, MPH Description: In this episode, Dr. Justin Bullock talks with Dr. Josh Schammel (chief urology resident at Albany Medical Center), Dr. Brian Inouye (associate program director of urology at Albany Med), and Dr. Becky Stetzer (assistant dean of competency development, Albany Med) about navigating remediation, cognitive disability support, and institutional change in residency training. Together, they trace Josh's experience entering urology residency off-cycle, the social and educational challenges that followed, and the turning point that came with honest conversations about expectations and support. They explore how leadership reframed remediation from punitive to restorative, how program culture embraced accommodations even without a formal diagnosis, and how outside expertise in competency development reshaped both Josh's trajectory and the program's systems. Listeners will hear candid reflections on the fear of dismissal, the relief of being given a “do-over” year, and the powerful role of trust and transparency in rebuilding confidence. The team highlights the importance of creating a culture where struggling is not synonymous with failure, but with an opportunity for growth. This episode accompanies the open-access article A Master Adaptive Learner Approach to Cognitive Disability Support in a U.S. Urology Residency (Stetzer et al., Teaching and Learning in Medicine). Part of the ACGME/DWDI Disability Resource Hub, supported by the Josiah Macy Jr. Foundation Catalyst Award, it's a practical and deeply human guide for residents, faculty, and program leaders working to build equitable clinical learning environments. Transcript: https://docs.google.com/document/d/1u-qRRgjrB-lOJnQytGy7C7ByxYppdfju/edit?usp=sharing&ouid=104315301750264632478&rtpof=true&sd=true Key words: Medical education, cognitive disability, residency, accommodations, program director, GME, GME Policy, Disability, Training, PTSD. Bios:   Resources:  Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub Case Studies in Disability Resource Hub: https://dl.acgme.org/pages/disability-resource-hub#case_studies UME to GME Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-transitions-toolkit-introduction Policy Toolkit:  https://dl.acgme.org/pages/disability-resource-hub-policy-toolkit Disability in Graduate Medical Education Program:  https://www.docswithdisabilities.org/digme Link to Case Study: A Master Adaptive Learner Approach to Cognitive Disability Support in a U.S. Urology Residency https://www.tandfonline.com/doi/10.1080/10401334.2025.2502670?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed