Podcasts about Heartline

What if medicine's ancient rituals could evolve to heal the modern physician's soul, turning burnout into a blueprint for resilient leadership?In this episode, Dr. Andrea Austin speaks with Dr. Venkatesh Ramnath about his journey from ICU conflicts and existential doubt to pioneering the Health Architect model. Venkatesh recounts early career frictions like coding audits and rigid communication clashing with rural teams, that led to his 2015 rock bottom, and how embracing cognitive science, myths, and practical rituals helped him redesign his path. The conversation unpacks leadership as a learnable skill, the need to embed financial literacy and care networks in curricula, and fostering agency through evidence-based attitudes and collaborative debriefs.You'll hear how they:Navigate moral injury from systemic silos, using health architecture to layer foundations of ethics, diagnostics, and aspirational wellnessReframe leadership beyond hierarchy, teaching self-awareness and trust-building to bridge academic ideals with real-world teamsAdvocate for curriculum overhauls, sprinkling scientific attitudes, financial savvy, and quality-of-death discussions into every disease pathwayInspire renewal through slowing down, curiosity-driven creativity, and a "new oath" prioritizing human connection over helplessnessIf you're rebuilding after burnout or redesigning med ed for the AI era, this episode offers a blueprint for wisdom over facts, progress over perfection.About the Guest:“Health architecture is about building foundations of agency and connection.” – Dr.  Venkatesh RamnathDr. Venkatesh Ramnath  is a pulmonary and critical care physician, health architect, writer, and host of the Be a Health Architect podcast. With experience spanning academic centers, rural border hospitals, and COVID ICUs, he transitioned from burnout to advocacy by fusing medicine with cognitive science and architecture metaphors.  Venkatesh speaks on leadership, meaning-making, and innovation, contributing to outlets like the LA Times, and is authoring a book on a "new oath" for physician wellness.

What does it actually mean to partner well, especially as a woman in medicine?In this Valentine's Day episode of Heartline: Changemaking in Healthcare, Dr. Andrea Austin shares a short chapter from her book on partnering well after divorce. She reflects on boundaries, money, self-worth, and building a healthy, lasting relationship as a woman in medicine.Drawing from personal experience, Andrea explores how insecurity and self-sabotage can show up in relationships, why liking your partner matters as much as loving them, and how true partnership supports growth without self-erasure. This episode offers practical reflection for physicians and professionals navigating relationships, marriage, or personal healing.You'll hear how Andrea:Defines “partnering well” after divorce and personal healingExplores boundaries in relationships, including money and autonomyShares how insecurity can lead to self-sabotage—and how to interrupt itDiscusses why liking your partner matters as much as loving themChallenges the belief that healthy relationships should feel hardOffers reflection questions to strengthen current or future connections If you're navigating relationships as a physician or professional, healing after heartbreak, or reimagining what partnership can look like, this episode offers clarity, warmth, and reassurance—right on time for Valentine's Day.

What happens when medical training, perfectionism, and codependency collide with marriage at a young age?In this solo episode, Dr. Andrea Austin reads from her book and reflects on her early marriage and divorce during medical school. With honesty and vulnerability, she explores how caretaking tendencies, cultural expectations, and the “achievement treadmill” contributed to a codependent relationship, and how choosing herself became a turning point toward healing.Andrea shares how compartmentalization and grit can keep physicians stuck in unhealthy situations, why vulnerability and trusted friendships matter, and how resilience is built not by enduring harm, but by listening to your inner voice. Drawing lessons from medical school, military training, and personal reflection, she reframes divorce not as failure, but as a courageous act of self-trust and growth.This episode is for physicians and healthcare professionals navigating heartbreak, relationship transitions, burnout, or major life changes, and for anyone learning how to partner well without losing themselves.You'll Learn About:Divorce during medical school and its emotional impactCodependency and caretaking patterns in women physiciansPerfectionism and the achievement treadmill in medicineHow compartmentalization can delay healingThe role of vulnerability, friendship, and self-trust in growthWhy choosing yourself is sometimes the healthiest decision

How can healthcare professionals transform burnout and trauma into a revitalized life and practice?In this special episode of Heartline: Changemaking in Healthcare, Dr. Andrea Austin reads from her book Revitalized, focusing on the chapter "The Revitalization." She reflects on her own soul-level burnout at the end of the pandemic, sharing a formula for change: inflection point + inner work + clarity = revitalization. Drawing from personal experiences and expert insights, she emphasizes embracing the past's pain as part of growth, avoiding trauma loops, and intentionally "doing the work" for self-improvement.You'll hear how to:Recognize burnout as a chronic issue requiring inner reflection, not just quick fixes, and frame it as an opportunity for revitalization beyond "bouncing back."Differentiate top-down therapies (like CBT and talk therapy) from bottom-up approaches (like EMDR, somatic experiencing, and art therapy) for trauma healing, especially in high-stress fields like medicine.Understand coaching as a future-focused partnership for unlocking potential, while knowing when to seek therapy first, given high rates of PTSD (40%) and depression (30%) among healthcare workers.Navigate "VUCA" (volatility, uncertainty, complexity, ambiguity) in healthcare, including life quakes like job loss or health crises, and avoid maladaptive coping like overconsumption or addictions.Build vulnerability in hard conversations, reflect on perfectionism, and beware predatory coaching programs while prioritizing ethical, supportive resources.If you're a healthcare professional grappling with burnout, trauma, or the desire for more fulfillment, this episode offers empathetic guidance, reflective questions, and actionable steps to craft your own revitalization.

Why do so many healthcare providers still view obesity as a lifestyle choice rather than a complex chronic disease—and how can we change that?In this Echo Episode, Dr. Andrea Austin interviews Dr. Katherine Saunders about her journey from pre-med influences to pioneering obesity medicine at Weill Cornell and co-founding FlyteHealth. They explore obesity's scientific underpinnings, the impact of weight bias, practical advice for EM physicians in brief encounters, common weight-promoting medications, the value of bariatric surgery, and emerging tools like genetic testing and AI-driven algorithms. Katherine emphasizes empathy, permission-based discussions, and multidisciplinary approaches to treat obesity as the root cause of over 200 comorbidities.You'll hear how they:Debunk obesity myths perpetuated in medicine, framing it as a chronic disease requiring medical intervention beyond "eat less, exercise more"Provide strategies for EM docs to discuss weight compassionately in 5 minutes, including asking permission, using neutral language, and offering resources without judgmentDiscuss weight-promoting factors like medications (e.g., progesterone-focused birth control), stress, genetics, and sleep apnea, plus the role of bariatric surgery and anti-obesity medsHighlight innovative obesity care through FlyteHealth's telehealth platform, AI algorithms for personalized treatment, and collaborative post-surgical managementIf you're a physician encountering obesity-related issues in acute care or seeking better ways to support patients, this episode delivers empathetic insights and actionable tools for transformative care.About the Guest:"Obesity isn't just a lifestyle problem, it's a complex chronic disease we can now treat effectively." – Dr. Katherine SaundersDr. Katherine Saunders, MD, FTOS is a leading obesity medicine expert, co-founder and executive vice president of FlyteHealth, and clinical assistant professor at Weill Cornell Medicine. She received her undergraduate degree Phi Beta Kappa/Summa Cum Laude from Dartmouth College and her medical degree from Weill Cornell Medical College, where she became a member of the Alpha Omega Alpha Honor Medical Society.  She completed her residency at New York-Presbyterian and was the first obesity medicine fellow at Weill Cornell's Comprehensive Weight Control Center. Board-certified in internal medicine and obesity medicine, she hosts the Weight Matters podcast, speaks internationally, and has been recognized as a top influencer in wellness.

What happens when the adrenaline of emergency medicine meets the high personal cost of shift work and family demands?In this Echo Episode, Dr. Andrea Austin talks with Dr. Miranda Phillips about her transition from full-time trauma center EM to a life of financial freedom and wellness. Inspired by a mission trip to Guatemala at age 16, Miranda pursued medicine to make a profound impact. She reflects on loving EM's wide scope but leaving due to burnout, single parenthood challenges, and value misalignments. Discover how she built passive income surpassing her salary, healed through lifestyle medicine, and now helps physicians via investing education and holistic care.You'll hear how they:Address EM burnout from nights, weekends, and high emotional costs, and the courage to pivot when family needs come firstBuild financial security through passive investing in real estate syndications, creating a safety net without more time demandsIntegrate lifestyle medicine to reverse chronic conditions, optimize personal health, and reclaim joy through routines like exercise and sleepInspire hope by challenging regrets, seeking mentors, and living aligned with values for a fulfilling post-burnout lifeIf you're an EM physician facing burnout or seeking financial and health freedom, this episode offers practical insights and encouragement for change.About the Guest:“I love what I'm doing. I love being financially free.” – Dr. Miranda PhillipsDr. Miranda Phillips is an emergency medicine physician, entrepreneur, investor, philanthropist, and international speaker. Starting her career in 2009 after a transformative mission trip, she practiced full-time EM until 2020, when burnout and family priorities led her to pivot. Co-founder of Elite Wealth and Wellness, she educates physicians on passive investing for financial independence. Board-certified in lifestyle medicine, she practices telemedicine at Saha Vita Institute, helping patients optimize health and reverse conditions like diabetes and hypertension.

What draws someone with a big heart and endless curiosity into the narrowing path of medicine, and how do they reclaim their multifaceted self amid burnout and systemic challenges?In this Echo Episode, Dr. Andrea Austin talks with Dr. Amanda River about her unconventional journey in emergency medicine, from medical school friendships to leading a cannabis clinic and pursuing lifestyle medicine. Amanda reflects on her sister's Ewing sarcoma diagnosis that sparked her interest in medicine, the sacrifices of medical training, and the pride and frustrations of EM practice. They discuss the pathology of long hours, sleep deprivation myths, understaffing, and metrics that prioritize billing over patient care, while exploring ways to align personal values with professional life.You'll hear how they:Unpack the roots of burnout in EM, from value misalignments to unsafe staffing ratiosChallenge limiting beliefs in medical training, like 80-hour weeks and "scut work" that wastes physician expertiseAdvocate for system redesigns that empower teams, respect boundaries, and integrate patient voices for better outcomesFind hope in diverse career paths, from rural locums to cannabis and lifestyle medicine, to sustain joy in healthcareIf you're an EM physician questioning the status quo or seeking ways to realign your practice, this honest conversation offers insights into building a more humane system.About the Guest:“Emergency medicine is a mindset, not a place.” – Dr. Amanda RiverDr. Amanda River is an emergency medicine physician credentialing at a critical access hospital in rural Iowa, with locums experience in Oregon and Guam's public hospital. A former owner and medical director of a private cannabis medicine clinic, she is also board-certified in lifestyle medicine and passionate about integrating holistic approaches into EM. Her journey reflects a commitment to values-driven care, from farm roots to global practice.

In Part 2 of this two-part Echo Episode, Dr. Andrea Austin and Dr. Mehrdad Soleimani picks up right where they  left off: two emergency physicians who actually like coming to work, unpacking the systemic forces that are burning everyone else out. Dr. Mehrdad explains why he co-founded NeoMd Spa.  It started with one vial of Botox and a refusal to be a 60-year-old shift-worker, how physicians surrendered control of their profession to corporations, and why financial wellness is the missing pillar no one talks about. Dr. Andrea and  Dr. Mehrdad wrestle with the death of the democratic group, the rise of corporate metrics, and the urgent need for physicians to reclaim leadership, unity, and their voices.Wrapped in stories of cross-specialty happy hours, Peloton-fueled pandemic survival, and a beautiful real-time patient handoff, this episode is a rallying cry: stop complaining, start building, stay connected, and never forget, we are all members of one body.You'll Hear How They:· Expose the financial traps that keep high-earning physicians living paycheck-to-paycheck and overworking· Reveal why every single guest this season has a “side gig” — and why that's now a survival strategy· Break down the shift from physician-owned democratic groups to corporate medicine (and what we lost)· Show how one med-spa became a hedge against burnout and a reclaiming of professional autonomy· Prove that culture change happens in 10-minute handoffs and cross-specialty happy hours, not just policy memos· Issue a call for physician unity, leadership, and using your voice before you end up “on the menu”About the Guest“Just because I was born a man doesn't mean I'm better than anybody else.” — Dr. Mehrdad SoleimaniDr. Mehrdad Soleimani is a board-certified emergency physician, Assistant Director of the Emergency Department at Temecula Valley Hospital, and Chair of the hospital's Physician Wellness Committee. A former critical-care nurse, general surgery resident, proud girl-dad of three, and co-owner/medical director of NeoMed Spa, Mehrdad brings a rare blend of clinical expertise, emotional intelligence, and lived experience as an immigrant to his passionate advocacy for physician wellness and gender equity.Website: https://neomedicalspa.comResources + Mentions· NEOMD Spa – https://neomedicalspa.com· Financial wellness as a pillar of physician well-being· Visible Voices podcast with Dr. Risa Lavizzo-Mourey (“Use your voice”)· Persianpoetry: “Human beings are members of a whole…”Top 3 Key TakeawaysFinancial wellness is physician wellness : Stop the “just pick up one more shift” cycle and build something that gives you passive income and freedom.We gave away control of our profession: if you want autonomy back, you have to own something (a practice, a business, a voice at the table).Culture is built in the small moments: A thoughtful handoff, a happy hour with ortho, inviting the security guard to break bread , these are the ripples that change everything.

What does a man raised in a country where women are legally second-class citizens become one of the strongest male allies in American medicine?In Part 1 of this two-part Echo Episode, Dr. Mehrdad  Soleimani pulls back the curtain on his improbable journey: fleeing Iran at 16, putting himself through nursing school as a first-generation immigrant, defending his female nursing colleagues from an abusive surgeon and then deciding that very night to become a doctor, switching specialties mid-residency, and ultimately landing in emergency medicine, where he now champions wellness, debriefing, and the “human factor.”Mehrdad and Andrea explore why stoicism and perfectionism are killing physicians, why it's actually strength (not weakness) to feel deeply in the resuscitation room, and how small acts of allyship, from checking in on a new female colleague to calling consultants on her behalf, change culture one shift at a time. This episode is a love letter to every physician humanity and a masterclass in what authentic male allyship feels like on the ground.You'll Hear How They:Trace the roots of fierce gender-equity beliefs to a mother who refused to accept second-class status in IranReveal the night a cardiothoracic surgeon's tantrum pushed a male ICU nurse to apply to medical schoolDiscuss why switching residencies even after years invested, can be the bravest and best career decision Unpack the hidden curriculum of medicine: stoicism, perfectionism, and competition,  and why it's failing usChampion debriefing, emotional processing, and the power of the “feeling doctor” who still gets the job done Model everyday allyship that makes women physicians feel seen, supported, and safer in the workplaceAbout the Guest“Just because I was born a man doesn't mean I'm better than anybody else.” — Dr. Mehrdad SoleimaniDr. Mehrdad Soleimani is a board-certified emergency physician, Assistant Director of the Emergency Department at Temecula Valley Hospital, and Chair of the hospital's Physician Wellness Committee. A former critical-care nurse, general surgery resident, proud girl-dad of three, and co-owner/medical director of NeoMed Spa, Mehrdad brings a rare blend of clinical expertise, emotional intelligence, and lived experience as an immigrant to his passionate advocacy for physician wellness and gender equity.Website: https://neomedicalspa.comResources + Mentions・ Debriefing after critical cases (including pediatric codes)・ Hidden curriculum of medicine: stoicism, perfectionism, competition・ Emotional regulation vs. emotional suppression・ The power of 45-second empathy moments with patientsTop 3 Key TakeawaysAllyship isn't a poster,  it's action: Checking in, offering to call consultants, making new colleagues feel welcome, and using your privilege to smooth someone else's path.Feeling deeply is not weakness, it's strength: The best physicians are “feeling doctors” who process emotion, debrief, and still lead the code with clarity.Your career is allowed to evolve: Switching specialties even years in, is not failure; it's choosing a life where you wake up excited to go to work. 

What happens when your childhood calling collides with a system that limits your capacity to live it out?In this Echo Episode, Dr. Maria Sturchler shares her extraordinary journey from first-generation college student to educator to medical student, years after being told she “wouldn't make it” in medicine. Now double board-certified in Emergency Medicine and Palliative Care, Maria reveals how serendipity, mentorship, and resilience brought her back to her original dream on her own terms.She and Andrea unpack the realities pushing talented clinicians out of traditional EM practice: night shifts, moral injury, violence in the ED, corporate interference, loss of autonomy, and the identity crisis that comes with stepping away. Maria gives voice to the hidden grief, burnout, and shame physicians carry when “the path” no longer fits.But this is not a story of defeat. Maria now leads an innovative palliative care model embedded inside the emergency department, freeing EM physicians from burdens that don't belong to them, reducing patient suffering, and restoring meaning to clinical work. Her message is equal parts invitation and disruption: medicine is not a prison. It's a “choose-your-own-adventure” and there are more off-ramps, pivots, and second chances than most physicians believe.You'll Hear How They:Reframe imposter syndrome and harmful feedback that derails dreamsNavigate grief when an identity built on EM no longer aligns with personal well-beingDescribe the hidden toll of EM: disrupted circadian rhythm, motherhood challenges, pandemic trauma, and corporate shiftsIntegrate palliative care inside the ED, reducing length of stay, improving communication, and radically supporting EM physiciansUse mentorship, self-inquiry, and values alignment to identify career pivots About the Guest“Medicine is choose-your-own-adventure.” — Dr. Maria SturchlerDr. Maria Sturchler is a dual board-certified physician in Emergency Medicine and Palliative Care, a three-time Ironman competitor, and a former mathematics educator whose doctoral work examined gender disparities in STEM. After being discouraged from medicine early on, serendipity and mentorship led her back to her calling. Today, she helps patients, families, and clinici'hat integrate palliative medicine directly into emergency care.LinkedIn: linkedin.com/in/mariasturchlerWebsite: sturchlermd.comResources + MentionsUnlocking Us podcast — Brené BrownBring 'Em All In (referenced EM mantra)Multidisciplinary collaboration models in palliative and acute careTop 3 Key TakeawaysCareer paths are not linear—nor should they be: Your training is a foundation, not a life sentence. EM skills travel well into palliative care, leadership roles, education, coaching, and hybrid models that better honor your values.Boundaries are not betrayal—they are survival: Choosing your health, family, sleep, identity, and emotional bandwidth is not weakness. It is wisdom. Physicians cannot sustain compassion without protecting their humanity.The future belongs to systems that humanize care: Embedded palliative programs, interdisciplinary partnerships, and values-based innovations reduce burnout, shorten ED holds, and restore dignity to medicine—one conversation at a time.

What happens when you combine a lifetime of service, leadership, and a deep desire to uplift others?In this inspiring episode, Dr. Andrea Austin welcomes Paula Drivas, as she shares how her changemaking story started at age 13 as a candy striper in Queens and how a simple request to transfer to the emergency department shaped her life's purpose. She walks listeners through an expansive 33-year career spanning emergency medicine, internal medicine, orthopedics, urgent care, academia, and leadership, culminating in her transition into coaching and medical administration.This conversation honors the evolution of medicine over three decades, from the loss of autonomy to intensifying metrics, and how Paula found her own path by listening to her heart, embracing spontaneity, and pursuing an MBA to impact healthcare at a systems level.A pivotal moment arrived when Paula experienced coaching for the first time during the pandemic, sparking an “aha” that shifted everything. She describes how coaching unlocked clarity she didn't know she needed and how it inspired her to create the Provider Coach Project to offer free access to coaching for medical students, PA students, nurses, residents, and clinicians.The episode explores the urgent need for coaching in medicine, the role of value work, the emotional toll of modern healthcare, the DISC assessment as a tool for team growth, and why no one should have to navigate a healthcare career alone.This is a deeply human, energizing conversation about purpose, service, and building a future where every healthcare professional feels supported and empowered.You'll Hear How They:Recognize changemaking moments early and follow them Navigate a nonlinear healthcare career with courage and openness Balance patient care with leadership, business demands, and personal growth Use coaching to unlock self-awareness, purpose, and sustainable decision-making Challenge the financial barriers that keep trainees from accessing coaching Apply DISC assessment insights to strengthen teams and improve communication Address burnout, emotional labor, and the realities of emergency medicine Build new models of support for clinicians across all stages of training If you've ever questioned your next step, felt the weight of modern medicine, or wondered how coaching could shift your career, this episode is for you.About the Guest:“Follow your heart. Never say never. You don't know where life is going to take you.” – Paula DrivasPaula Drivas, PA-C, MBA is a Master Certified Physician Coach, seasoned emergency medicine PA, urgent care medical director, and founder of the Provider Coach Project, a nonprofit dedicated to reducing financial barriers to coaching for healthcare professionals and trainees.Over her 33-year career, Paula has practiced emergency medicine, internal medicine, urgent care, orthopedics, and medical education, and has served in multiple leadership roles. She holds an MBA and trained as a coach at the Physician Coaching Institute.Paula is passionate about empowerment, reflection, and helping clinicians reconnect to meaning and joy in their work.

What happens when compassion, strength, and military medicine collide?In this Echo Episode, Dr. Andrea Austin speaks with Dr. Kat Landa, a Navy emergency physician whose career has taken her from a nontraditional path in medical school to a groundbreaking role as the first female battalion doctor assigned to a Marine Corps artillery unit.Kat recounts her childhood working in nursing homes, discovering medicine through geriatrics, and initially matching into family medicine before realizing her passion for emergency medicine. Her story takes a dramatic turn when she is unexpectedly assigned to 29 Palms as the first woman integrated into a previously all-male combat arms battalion—an environment shaped by intense hierarchy, alpha culture, and unspoken rules.She shares vividly, the shock of Marines lining up with “testicular pain” to see the new female doctor, navigating sexism, boundaries, and expectations to be the battalion's “warm fuzzy”, the emotional labor women physicians disproportionately shoulder, the traumatic burden many Marines carry through TBI, PTSD, and toxic norms, the deep meaning she found advocating for vulnerable service members—sometimes saving lives and how burnout, deployment, and personal crisis pushed her toward meditation and self-reclamation Dr. Landa's journey is raw, insightful, and deeply human, a reminder that leadership requires both backbone and heart, especially when systems aren't built with you in mind.You'll hear how they:Navigate gender bias and male-dominated culture while staying authenticBuild boundaries to survive overwhelming workloads and emotional laborUse compassion strategically—in 45-second doses—to transform patient interactionsAdvocate for Marines suffering from PTSD, TBI, and weight-related stigmaRecover from burnout through meditation, mindful routines, and self-care practicesFind strength in vulnerability and redefine what it means to lead in uniform If you've ever struggled to find your voice in a demanding system, this episode will move you, challenge you, and help you rediscover your center.About the Guest:“At your core, it's still just you—and you have control over you.” – Dr. Kat LandaDr. Kat Landa is a Navy emergency medicine physician whose career spans urgent care, family medicine internship, operational medicine with the Marine Corps, multiple deployments, and emergency department leadership.She was one of the first women assigned to a Marine Corps artillery battalion, where she learned to navigate gender dynamics, advocate for Marines suffering from invisible wounds, and lead with courage and compassion.Her interests include meditation, women's leadership, stress physiology, military wellness, and redefining what it means to thrive in demanding environments.

How do we solve one of healthcare's biggest crises—the workforce shortage—while making opportunity more equitable?In this enlightening episode, Dr. Andrea Austin interviews Van Ton-Quinlivan, founder and CEO of Futuro Health and a key voice in reimagining workforce development. Van shares her powerful personal story—from refugee beginnings to shaping California's healthcare education strategy—and the values that fuel her changemaking leadership: courage, equity, and collaboration.Together, Andrea and Van explore:The urgent shortage of allied healthcare professionals and the demographic time bomb accelerating demand.How Futuro Health is helping thousands of adults from underserved communities earn healthcare credentials debt-free.Why employers must stop competing for talent puddles and start collaborating to build talent pools.The role of AI in upskilling and the promise of flexible, fast, accessible training.How mindset shifts—from scarcity to abundance—can reshape healthcare's future. Through vivid examples and real stories—like Tamika, a hospital security guard turned phlebotomist—Van illustrates how unlocking human potential can rebuild the workforce from the ground up.If you're a healthcare leader, educator, or clinician wondering how to strengthen the system while expanding opportunity, this episode will leave you inspired to think bigger and act bolder.About the Guest:“When it comes to workforce development, it's a team sport, not an individual sport.” – Van Ton-QuinlivanVan Ton-Quinlivan is a nationally recognized workforce development innovator and the founder and CEO of Futuro Health, a nonprofit creating the nation's largest network of allied healthcare workers. Appointed by California Governor Gavin Newsom, she chairs the state's Healthcare Workforce Education and Training Council and has been named one of the Top 50 Women Leaders in Healthcare (2024) and Top 100 Influential Higher Education Leaders (2025).A refugee from Vietnam, Van's journey from the daughter of a brain surgeon and teacher to an influential changemaker embodies resilience and purpose. She holds dual graduate degrees in Education Policy and Business from Stanford University and is the author and podcast host of Workforce RX, where she highlights agile, multicultural solutions for the future of work and health.

What happens when a simple act of initiative in the OR sparks a lifelong pursuit of conflict resolution and systemic change in medicine?In this inspiring episode, Dr. Andrea Austin chats with Dr. Lee Sharma about her path from private practice frustrations to earning a master's in conflict resolution amid burnout doubts. Lee recounts her "aha" moment assisting in a delayed C-section, realizing small actions foster teamwork and belonging. She discusses overcoming conflict avoidance, the emotional "bank account" in healthcare relationships, and scripting responses to personal attacks. Now in her 24-year solo practice and a health policy fellowship, Lee emphasizes listening to understand, pausing to respond, and viewing conflict as opportunity.You'll hear how they: Build team belonging through "assists" and emotional investments for better patient outcomes Handle conflict by listening to understand, not respond, and redirecting personal attacks back to the core issue Advocate for autonomy, competency, and relational skills to combat burnout and improve healthcare systems Inspire change through vulnerability, scripting hard conversations, and pursuing additional education like conflict resolution degreesIf you're facing workplace conflicts or seeking to reignite your passion in medicine, this episode provides honest insights and practical strategies for personal and systemic transformation.About the Guest"Conflict is not good or bad—it's an opportunity to improve and deepen relationships." – Dr. Lee SharmaDr. Lee Sharma is a board-certified OB/GYN in private practice for 24 years, with a master's in conflict resolution from Columbia College. Host of the podcast Scalpel and Sword, she consults on dispute systems, leadership, and conflict skills for hospitals and physicians. A health policy fellow at Brandeis University's Heller School, Lee advocates for women's health, teamwork, and systemic change, drawing from her experiences in Auburn, Alabama, where she returned to practice after training.

How can podcasting transform the way we deliver health information to patients and providers?In this episode, Dr. Andrea Austin speaks with Dan Kendall, as he recounts his path from a sales career at Siemens to launching Digital Health Today in 2016, inspired by his family's experience with multiple sclerosis and his daughter's type 1 diabetes diagnosis. He discusses the power of podcasting to fill gaps in patient education, combat misinformation, and create human-centered content. From launching the Health Podcast Summit to developing Health Unmuted miniseries, Dan emphasizes serving niche audiences with authentic, trustworthy stories. The conversation explores challenges like funding, the allure of misinformation, and the need for ongoing dialogue to rebuild trust in healthcare.You'll hear how they:Address the gap in patient education by creating audio miniseries tailored to newly diagnosed patientsCombat misinformation by prioritizing storytelling that's evidence-based and human-centeredAdvocate for podcasting as a tool to empower patients and providers during commutes, workouts, or daily routinesInspire hope through a Health Content Integrity Pledge to ensure transparency and trust in health mediaIf you're passionate about health communication or seeking ways to make patient education more accessible, this episode offers practical insights and a vision for change.About the Guests“Podcasting meets people where they are, filling the spaces between activities with transformative knowledge.” – Dan KendallDan Kendall is the founder of Mission-Based Media, a digital media company dedicated to engaging, educating, and empowering audiences through trustworthy health information. With platforms like Health Podcast Network, Health Podcast Summit, and Health Unmuted, Dan leverages podcasting to deliver evidence-based content. Inspired by his family's experience with chronic illness, including his daughter's type 1 diabetes, he's committed to making health information accessible and impactful. A Virginia Tech alum, Dan's work is guided by the principle of service: Ut Prosim (“That I May Serve”).

Can any physician pivot to open a ketamine clinic, and what does it take to do it safely?In this Echo Episode, Dr. Andrea Austin continues her conversation with Dr. Kim Chan Ko, about common questions on ketamine infusions for mood disorders and chronic pain. As an ophthalmologist turned creative director for her emergency physician husband's clinic, Kim shares insights on transitioning careers, required training, and ethical considerations. She discusses building a patient-centered practice, managing risks like emergencies and addiction, and navigating business challenges while prioritizing family and values.You'll hear how they:Clarify licensing and training needs for ketamine clinics, emphasizing specialties like emergency medicine, anesthesia, and psychiatry  Address safety protocols, including emergency preparedness, patient monitoring, and addiction risk management Explore staffing requirements, from nurses to administrative roles, and marketing strategies for attracting patients Inspire physician entrepreneurs with tips on balancing business with personal life, values alignment, and avoiding burnout through intentional pivotsIf you're a physician considering ketamine therapy or entrepreneurial ventures, this episode provides honest FAQs and strategies for ethical, sustainable change.About the Guest“Action brings clarity.” – Dr. Kim Chan koDr. Kim Chan Ko is a board-certified ophthalmologist, diplomat of the American College of Lifestyle Medicine, and co-founder of Ketamine Startup, an online course teaching physicians to open ketamine infusion clinics. After years as creative director of Reset Ketamine in Palm Springs, CA, alongside her emergency physician husband, Kim stepped away from academic ophthalmology to pursue a path aligned with her passions for patient education, mentorship, and innovative healthcare. Her journey through burnout and coaching has shaped her mission to help physicians find clarity and build fulfilling careers.

What happens when burnout pushes physicians toward innovative, autonomous careers?In this Echo Episode, Dr. Andrea Austin continues her conversation with Dr. Kim Chan Co,  to speak about her journey from ophthalmology to launching Reset Ketamine in Palm Springs. Kim discusses supporting her husband Sam's shift from ER medicine to ketamine infusions, the clinic's focus on treatment-resistant depression, PTSD, anxiety, and chronic pain, and the business challenges of starting a private practice. She emphasizes intentional use of ketamine, collaborative care, and the importance of "set and setting" to minimize risks like emergence phenomena or addiction.You'll hear how they:Explore ketamine's evolution from ER staple to therapeutic tool for mood disorders and chronic pain ·Discuss managing patient expectations, emergencies, and addiction risks in a clinic setting  Share strategies for physicians considering their own ketamine clinics, including market research and business planning Inspire action amid burnout through small steps, clarity on values, and trying new pathsIf you're a physician facing burnout or envisioning entrepreneurial ventures in medicine, this episode offers practical advice and motivational insights for reclaiming autonomy and purpose.About the Guest:“Action brings clarity.” – Dr. Kim Chan koDr. Kim Chan Ko is a board-certified ophthalmologist, diplomat of the American College of Lifestyle Medicine, and co-founder of Ketamine Startup, an online course teaching physicians to open ketamine infusion clinics. After years as creative director of Reset Ketamine in Palm Springs, CA, alongside her emergency physician husband, Kim stepped away from academic ophthalmology to pursue a path aligned with her passions for patient education, mentorship, and innovative healthcare. Her journey through burnout and coaching has shaped her mission to help physicians find clarity and build fulfilling careers.

What happens when the “perfect” medical specialty no longer fits, and you dare to forge a new path?In this Echo Episode, Dr. Andrea Austin sits down with Dr. Kim Chan Ko, a former academic ophthalmologist and co-founder of Ketamine Startup, to explore her transition from repairing eyes to building a ketamine infusion clinic and teaching other physicians to do the same. Kim opens up about the challenges of practicing at a high-pressure Level 1 trauma center, the emotional weight of patient care, and the struggle to reconcile her identity as an ophthalmologist with her need for creativity and connection.Through personal development coaching and a circuitous journey, Kim discovered her passion for patient education, mentorship, and innovative healthcare models. She shares how embracing her multifaceted identity and saying “yes” to new opportunities—like video editing and coaching—paved the way for her current work. This episode dives into the power of redefining “physician,” the value of coaching for personal growth, and the courage to step away from traditional medicine to serve patients on your own terms.You'll hear how they:Navigate the emotional and professional challenges of leaving a specialty that no longer alignsUse coaching to uncover personal strengths and reframe physician identityEmbrace creative outlets like video editing to build new ventures in healthcareHighlight the growing trend of physicians starting independent practices, from ketamine clinics to telemedicineIf you're a physician feeling stuck or seeking a more fulfilling career, this episode offers honest insights and practical inspiration for your own journey.About the Guest“I am a multifaceted individual. I am just practicing medicine.” – Dr. Kim Chan KoDr. Kim Chan Ko is a board-certified ophthalmologist, diplomat of the American College of Lifestyle Medicine, and co-founder of Ketamine Startup, an online course teaching physicians to open ketamine infusion clinics. After years as creative director of Reset Ketamine in Palm Springs, CA, alongside her emergency physician husband, Kim stepped away from academic ophthalmology to pursue a path aligned with her passions for patient education, mentorship, and innovative healthcare. Her journey through burnout and coaching has shaped her mission to help physicians find clarity and build fulfilling careers.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on The Heartline Experience: Achieving Long-Term Participant Engagement in Digital Health Technology Trials.

How can emergency physicians thrive in a broken system while staying true to themselves? In part two of this Echo Episode, Dr. Andrea Austin and Dr. Leslie Crawford explores sustainable solutions for physician well-being and systemic change in healthcare. Leslie shares insights from her journey as an emergency physician, reflecting on the toll of circadian rhythm disruptions, the limitations of quick-fix administrative solutions, and the power of personal practices like meditation and fitness. From navigating burnout to embracing compassion over judgment, this episode offers practical strategies for physicians and system leaders alike.You'll hear how they:Challenge quick-fix solutions like bonuses and travel nurses, advocating for cultural shifts in healthcare.Explore whether full-time emergency medicine is sustainable long-term and the value of diversifying income streams.Share mindfulness techniques, like five-minute meditations and loving-kindness practices, to combat burnout and judgment.Emphasize fitness and parasympathetic activities (e.g., yoga, swimming) for stress relief and longevity.Offer metaphors from surfing and paddleboarding to face life's challenges with resilience and acceptance.If you're feeling overwhelmed by shift work or seeking ways to reclaim joy in medicine, this episode provides actionable steps and hope for lasting change.About the Guest“Meditation isn't about clearing your mind—it's about investigating what's there.” – Dr. Leslie CrawfordDr. Leslie Crawford is a board-certified emergency physician, Afghanistan combat veteran, and author of the Stress Relief Survival Guide. With experience on the COVID frontlines and a career shaped by military service, she has developed practical, research-backed techniques to manage stress in high-stakes environments. Now training to become a meditation teacher through The Path program, Dr. Crawford is passionate about helping physicians embrace mindfulness, track heart rate variability, and prioritize recovery to combat burnout.

How can emergency physicians thrive amidst chaos and stress? In this Echo Episode, Dr. Andrea Austin reconnects with Dr. Leslie Koenig, a fellow residency alum, board-certified emergency physician, and creator of the Stress Relief Survival Guide. Dr.  Koenig shares her story of navigating COVID exposure, military service, and the demands of emergency medicine while raising a family. She discusses her transition to mindfulness, the power of heart rate variability (HRV) as a vital sign, and her journey to becoming a meditation teacher. From her "battery technique" for grounding thoughts to embracing meditation as a tool for neuroplasticity, Dr.  Koenig offers actionable strategies for physicians to combat burnout and reclaim balance. The conversation also explores the need to view physicians as elite performers, prioritizing recovery and self-care to sustain long-term impact.You'll hear how they:Tackle stress with simple, evidence-based techniques like the battery method to stabilize emotions in minutesUse heart rate variability to monitor and improve physical and mental resilienceReframe meditation as an accessible practice for Type-A physicians, focusing on investigation rather than clearing the mindAdvocate for a cultural shift in medicine to prioritize physician recovery, drawing parallels to elite athletesIf you're an emergency physician or healthcare professional seeking practical tools to manage stress and prevent burnout, this episode offers a lifeline of hope and strategies for change.About the Guest“Meditation isn't about clearing your mind—it's about investigating what's there.” – Dr. Leslie KoenigDr. Leslie Koenig is a board-certified emergency physician, Afghanistan combat veteran, and author of the Stress Relief Survival Guide. With experience on the COVID frontlines and a career shaped by military service, she has developed practical, research-backed techniques to manage stress in high-stakes environments. Now training to become a meditation teacher through The Path program, Dr. Koenig is passionate about helping physicians embrace mindfulness, track heart rate variability, and prioritize recovery to combat burnout.

What happens when insurance companies and emergency physicians clash over fair payment, leaving patients caught in the middle? In this Echo Episode, part two of a two-part series, Dr. Andrea Austin talks with Dr. Jillian Schmitz about the pressing challenges in emergency medicine today.Dr. Schmitz explains the intricacies of surprise billing, where out-of-network emergency care leads to unexpected patient costs, and the No Surprises Act's intent to protect patients by removing them from billing disputes. She highlights the implementation challenges, including insurance companies' failure to follow regulations, skyrocketing arbitration fees, and delays in payments that threaten small practices. The conversation also explores ACEP's advocacy efforts, the power of collective action, and an exciting initiative to accredit emergency departments to set standards for resources, staffing, and transparency.You'll hear how they:Break down surprise billing and its impact on patients and emergency physiciansExpose flaws in the No Surprises Act's implementation, including insurance companies' manipulation of dispute processesAdvocate for collective action through ACEP membership, Political Action Committee (PAC) contributions, and sharing real-world storiesPropose accrediting emergency departments to ensure proper resources and fair practice environmentsChallenge misconceptions about ACEP's ties to corporate medicine and emphasize its physician-led advocacyIf you're an emergency physician feeling the weight of systemic challenges or seeking ways to drive change, this episode offers practical insights, advocacy strategies, and a hopeful vision for the future of emergency medicine.About the Guest:“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the  past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian's career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.

What does it take to lead emergency medicine through unprecedented challenges like workforce shortages and systemic burnout?In this Heartline Echo Episode, Dr. Andrea Austin sits down with Dr. Gillian Schmitz to explore her career trajectory, from civilian roles in military medicine to becoming ACEP's past president. Gillian reflects on her path, inspired by her father's military service, and how she balanced family life with a demanding career. They discuss the hidden opportunities in government jobs like those at the VA or Uniformed Services University, the resilience of EM physicians, and the impact of events like the FM talk that reshaped her focus on advocacy.You'll hear how they:Navigate civilian careers in military and VA settings, highlighting opportunities for academic and clinical rolesAddress burnout and moral injury in EM, emphasizing resilience, teamwork, and the need for systemic supportExplore leadership in organized medicine, from grassroots involvement to national policy influenceDiscuss evolving reimbursement models, like the shift to thought-process-based documentation for better compensationIf you're an EM physician facing burnout or seeking ways to amplify your voice in healthcare policy, this episode offers inspiration, practical advice, and a call to action for involvement in organized medicine.About the Guests“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the  past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian's career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.

What happens when the demands of academic emergency medicine collide with personal health and family priorities? In this Heartline Echo Episode, Dr. Andrea Austin speaks with Dr. Shannon McNamara about her transition from simulation director and ED physician to urgent care provider amid burnout, moral injury, and the pandemic.Shannon recounts her nomadic upbringing, love for emergency medicine's complexity, and challenges in dysfunctional systems—including chronic illness, night shifts, and institutional politics. She discusses stepping away from academics, embracing urgent care for autonomy and balance, and applying simulation principles like huddles and debriefs to real-world teams. The conversation explores dehumanizing healthcare conditions, the need for career mobility in EM, and redefining emergency medicine as a mindset, not a location.You'll hear how they:Address moral injury from boarding, resource shortages, and systemic inequitiesUse complexity science to foster team communication and adaptability in high-pressure environmentsAdvocate for off-ramps in EM careers, from telemedicine to specialized outpatient practicesInspire hope through personal routines, boundaries, and upstream solutions for patient care.If you're grappling with burnout or envisioning new paths in medicine, this episode provides honest insights and practical strategies for change.About the Guests“Emergency medicine is a mindset, not a place.” – Dr. Shannon McNamaraDr. Shannon McNamara is an emergency medicine physician, simulation educator, and writer with experience in academic centers across Philadelphia and New York. After facing burnout and long COVID, she transitioned to urgent care while maintaining her passion for humanizing healthcare through complexity principles and team dynamics. She runs the Plus Delta newsletter and speaks on resilience, career transitions, and innovative medical education.

What does it take to break free from financial stress and become a changemaker in healthcare? In this episode, Dr. Andrea Austin connects with Michael Swartz, a fee-only financial planner and coach who specializes in guiding physicians from residency to retirement. Drawing from his work at Schwartz Financial Planning, and his Health and Wealthness podcast, Michael offers a roadmap for physicians to navigate financial challenges and align their careers with their purpose.They explore how the psychological weight of student loan debt can drive overwork and burnout, with Michael sharing strategies to reframe debt as an investment in future earning potential. He emphasizes the importance of a wealth-based mindset—where decisions are driven by values, not just income—and provides practical advice on balancing clinical demands with personal well-being. From empowering physicians to say “no” to toxic work environments to planning for a sustainable retirement. The conversation also covers the pitfalls of rigid financial goals, the power of coaching to shift mindsets, and the importance of surrounding yourself with supportive professionals who share your vision for change.If you're a physician feeling trapped by student loans, overwork, or a misaligned career, this episode provides actionable tools and inspiration to reclaim financial and personal freedom.Together, they dive into:Reframing student loan debt as an investment in earning potential, not a burdenBalancing clinical work with personal well-being to avoid burnoutEmpowering physicians to make value-driven career decisions with financial confidencePractical retirement planning tips for high-income professionalsIf you're a physician feeling trapped by financial pressures or seeking to align your career with your purpose, this episode offers actionable strategies to reclaim control and drive meaningful change.About the Guest:“I help physicians find clarity and confidence in their financial and personal lives.” – Michael SwartzMichael Swartz is a fee-only financial planner, coach, and owner of Schwartz Financial Planning, specializing in financial planning for physicians from residency to retirement. He is the author and host of Health and Wealthness, a book and podcast dedicated to guiding physicians through financial and life transitions. With personal insight from his wife's career as a physician assistant, Michael helps physicians navigate student loans, career transitions, and retirement planning with a focus on empowerment and well-being.

 What does it take to lead change in healthcare's most challenging environments? In this episode, Dr. Andrea Austin connects with Stephen Berkeley, a healthcare administrator turned change facilitator, and Anne Boland, a coaching psychologist, to explore how leadership, self-awareness, and curiosity can reshape healthcare systems.Stephen shares his 35-year journey in healthcare administration, from Australia to India, and how a shift from self-focused to service-oriented leadership transformed his approach. Anne reflects on her privilege of coaching leaders who turn dysfunctional teams into thriving ones, emphasizing the power of listening and collaboration. Together, they discuss overcoming biases against administrators, the value of triads in leadership, and the importance of mindful exits when it's time to move on.You'll hear how they:Reframe healthcare administration as a service-driven role, not the “dark side”Use 360 evaluations and coaching to foster self-awareness and growthSupport leaders through mindful entry and exit strategiesInspire hope through their Forks in the Road podcast and retreats for healthcare professionalsIf you're navigating leadership challenges or seeking ways to create meaningful change, this episode offers practical wisdom and inspiration.About the Guests“Clarity and harmony within me and around me. My body is a temple.” – Stephen Berkeley“I never know what's really going on in the other person or the system.” – Anne BolandStephen Berkeley is a change facilitator and coach with over 35 years of leadership experience in healthcare across Australia, England, and India. A former healthcare administrator, he now helps leaders build capacity for change through curiosity and service-oriented leadership.

 Ever wonder why healthcare policy feels like a maze? Or how one doctor can spark systemic change? In this episode of Heartline: Changemaking in Healthcare, Dr. Andrea Austin talks with Dr. Scott Pasichow, an assistant professor of emergency medicine at Rutgers New Jersey Medical School and a passionate advocate for equity and reform.Scott's advocacy journey began with a personal realization: the inequities in family leave policies for residents. His push for fairer policies led to incremental changes at the ACGME and ABEM, ensuring better support for new parents. From testifying on EMS bills to representing ACEP in the AMA House of Delegates, Scott's work spans mental health, burnout, and student loan burdens.You'll hear how he:Turned a personal experience into a fight for equitable family leave policiesBuilds mission-driven teams by listening for dissent and fostering collaborationUses storytelling to make policy issues resonate with lawmakers and the publicFinds hope in the growing energy of physicians pushing for progressIf you're frustrated by healthcare's challenges or curious about advocacy, this episode offers practical insights and inspiration.About the Guest“The arc of history bends toward justice—but it takes people to pull on it.” – Dr. Scott PasichowDr. Scott Pasichow is an emergency physician, assistant professor at Rutgers New Jersey Medical School, and a relentless advocate for healthcare reform. A former board member of the Emergency Medicine Residents' Association (EMRA) and current representative for ACEP in the AMA House of Delegates, Scott has testified on EMS and emergency medicine bills in multiple states. His work focuses on family leave equity, physician wellness, and protecting access to care. He lives in Maplewood, NJ, with his wife, two kids, two pit-mix dogs, and a growing New York Rangers collection.

Healthcare's broken system hurts patients and physicians, but collective action can heal it. In this episode of Heartline: Changemaking in Healthcare, I sit down with Kim Downey, a physical therapist, three-time cancer survivor, and Community Ambassador for Medicine Forward and the Dr. Lorna Breen Heroes Foundation. Kim shares her transformative journey—facing thyroid and breast cancer, multiple surgeries, and the loss of her radiation oncologist to suicide—which sparked her mission to found Stand Up for Doctors. She discusses how gratitude, like thank-you notes, fosters connection, and how patients can advocate for physicians to improve care. Kim highlights the need for a culture shift in medicine, starting in med school, and emphasizes leadership and self-leadership to navigate toxic environments. Her upcoming 2026 retreat in New York promises community and resilience-building.You'll hear how to:· Use gratitude to bridge patient-physician divides.· Challenge limiting beliefs to find fulfilling work environments.· Build a culture of kindness and collective advocacy in healthcare.If you're seeking hope amidst healthcare's challenges, this episode offers actionable inspiration.About the Guest“If your goal is to change the world in one fell swoop, you will fail. But if you brighten the corner where you are, you will succeed.” – Kim DowneyKim Downey is a physical therapist, three-time cancer survivor, and passionate advocate for physician well-being. As Community Ambassador for Medicine Forward and the Dr. Lorna Breen Heroes Foundation, and founder of Stand Up for Doctors, she amplifies physicians' voices through her YouTube channel, Substack, and book White Coats, Courageous Hearts. Her journey through thyroid and breast cancer, and the loss of her radiologist to suicide, fuels her mission to foster gratitude and systemic change in healthcare.

Burnout and trauma can feel like dead ends, but what if they're inflection points for growth? In this episode of Heartline: Changemaking in Healthcare, I, Dr. Andrea Austin, share a deeply personal chapter from my book Revitalized, reflecting on my recovery from soul-level burnout during the pandemic. Drawing on lessons from therapy, coaching, and vulnerability, I explore the power of “and”—embracing pain while finding joy. I discuss top-down (e.g., CBT) and bottom-up (e.g., EMDR, somatic) therapies, along with the role of coaching for future-focused growth. Inspired by Dr. Lorna Breen's story, I advocate for stigma-free mental health support and share the power of having hard conversations to foster revitalization.You'll hear how to:· Differentiate therapy and coaching to address burnout or trauma.· Embrace vulnerability to build connection and resilience.· Navigate life quakes with intentional inner work.If you're grappling with burnout or trauma, this episode offers hope and practical steps for healing.

Burnout doesn't have to be the only option in medicine. In this conversation, Dr. Diane Shannon shares her personal journey through burnout and how she found her way through. We explore the small, yet impactful changes that can completely transform a physician's career—whether it's learning to set boundaries or recognizing the trauma and moral injury that so often go unspoken in our profession.I'm excited to dive into how Dr. Shannon has been coaching and empowering other physicians, especially women physicians, to overcome the pressures of perfectionism, manage their emotional well-being, and embrace micro-changes that allow them to thrive instead of just survive. We also talk about how leadership and communication can shape the healthcare system and help doctors find balance in a system that's so often stacked against them. About the Guest"Failure means you're learning. And in healthcare innovation, learning fast is everything." – Dr. Diane ShannonDr. Diane Shannon is an internal medicine physician, wellness coach, writer, and podcaster. After experiencing burnout firsthand, Dr. Shannon left clinical practice to dedicate her career to helping other physicians prevent and overcome burnout. Through her podcast, Vital Signs: Thriving as a Woman in Medicine, and her coaching work, she empowers physicians, especially women, to set healthy boundaries, overcome guilt, and take back control of their careers.She has spent over 20 years advocating for systemic changes in healthcare, helping physicians find fulfillment both in their work and personal lives.

You shouldn't need a PhD in insurance billing to understand why your medication costs $600 this month and $60 the next. But for millions of Americans, that's the reality.In this episode of Heartline: Changemaking in Healthcare, I talk to pharmacist and startup founder Vinay Patel, whose decade-long career spans high-volume pharmacy operations, clinical program design, and now, drug pricing reform.Vinay's origin story begins with a moral injury: watching patients forced to choose between rent and medications. Instead of accepting the system as-is, he built one that works better. From negotiating fair reimbursement rates to empowering local pharmacies and cutting out predatory Pharmacy Benefit Managers (PBMs), his work is restoring agency—one prescription at a time.You'll hear how he:Turned failure and scarcity into a superpower as a founderBuilt a mission-driven team by prioritizing soft skills over perfect résumésDesigned cost-plus drug programs that serve patients firstProtects independent pharmacies while keeping GLP-1s accessible About the Guest:"Failure means you're learning. And in healthcare innovation, learning fast is everything.” – Vinay PatelVinay Patel is a pharmacist, entrepreneur, and healthcare reformer. After years running a home delivery pharmacy for 15,000+ patients a month, he founded MakoRx, a company that bypasses traditional pharmacy benefit managers to lower costs for employers and improve access for patients.Vinay's mission is deeply personal—and systemic. His company's cost-plus model strengthens local pharmacies, bypasses industry bloat, and brings transparency to one of healthcare's most broken sectors.

In episode 104, I sit down with David Norris, a seasoned entrepreneur and AI innovator, to explore the transformative potential of artificial intelligence in healthcare. As the CEO of Affineon, David brings a wealth of experience and a passion for solving real-world problems in the medical field.Our conversation delves into the exciting possibilities AI offers for reducing administrative burdens on healthcare providers, particularly in managing clinical inboxes. We discuss how AI can act as a powerful ally, helping clinicians focus more on patient care and less on paperwork.Key insights from our discussion include:The importance of involving healthcare providers in the development of AI solutionsHow AI can triage clinical inboxes, saving hours of administrative work each weekThe role of AI in enhancing patient safety and improving care qualityThe need for responsible AI use in healthcare, including transparency and ethical considerationsDiscover how to:Approach AI adoption in healthcare with optimism and practical considerationsBalance the rapid pace of technological advancement with the need for thoughtful implementationStay informed about AI developments in healthcare through various resourcesMaintain work-life balance as an entrepreneur or healthcare provider in the fast-paced world of medical technologyThis episode offers valuable insights for healthcare professionals curious about AI's potential to alleviate administrative burdens and enhance patient care. It's a must-listen for anyone seeking to understand how AI is reshaping the healthcare landscape and how they can be part of this exciting transformation."I think based on what I've seen, I think it will produce results that will be better for patients, it will be safer and more trustworthy. And that's really, in the end, what you want is you want patients to feel a trust factor, that they're getting help." - David Norris Join us for this thought-provoking conversation that challenges conventional views on AI in healthcare and inspires optimism about the future of medicine. Learn how embracing AI responsibly can lead to more fulfilling careers for healthcare providers and potentially transform patient care for the better.Connect with David Norris and Affineon:Visit ⁠Affineon's website⁠Email David at david.norris@affineon.comLook for Affineon at major healthcare conferences like HIMSS and HLTH—------------------------------------------------------------------------------------------------------------------

In episode 103, I sit down with Dr. Bradley Block, an ENT surgeon and host of the Physician's Guide to Doctoring podcast, to explore the art of effective communication in healthcare. Our conversation delves into the challenges physicians face when interacting with patients and offers practical strategies to enhance these crucial interactions.Dr. Block shares his journey from an "uninspiring" path to medical school to becoming a passionate advocate for better doctor-patient communication. We discuss the importance of addressing patients' underlying concerns, navigating difficult conversations, and maintaining professional boundaries while providing compassionate care.Key insights from our discussion include:The importance of identifying and addressing patients' unspoken worriesStrategies for handling patients who arrive with preconceived notions from online researchTechniques for maintaining professional boundaries when faced with inappropriate requestsThe value of self-care and resetting between patient encountersDiscover how to:Improve your communication skills to enhance patient satisfaction and reduce burnoutNavigate challenging conversations with patients more effectivelyMaintain your professional integrity while addressing patient concernsImplement simple techniques to reset and recharge between patient encountersThis episode offers invaluable insights for healthcare professionals at all stages of their careers. Whether you're a medical student, resident, or experienced physician, you'll find practical tips to enhance your communication skills and improve your interactions with patients.Join us for this thought-provoking conversation that challenges conventional approaches to doctor-patient communication and offers fresh perspectives on creating meaningful connections in healthcare settings.Articles and Studies MentionedPatient Trust in the Age of Misinformation (JAMA, 2022) Susannah Fox's Rebel Health — insights into patient-led education and online advocacy About the Guest "I need to protect my own mental headspace so that I can serve my next patient better." - Dr. Bradley BlockDr. Bradley Block is a board-certified ENT (Ear, Nose, and Throat) surgeon, storyteller, and the voice behind the long-running podcast Physician's Guide to Doctoring. With over a decade of clinical experience and a passion for humanizing healthcare, Dr. Block has built a platform that gives physicians the tools to communicate better—with their patients, their peers, and themselves.His journey into medicine wasn't scripted, and neither was his evolution as a changemaker. What began as a personal quest to improve his own communication skills transformed into a community-driven resource covering everything we should have learned in med school—from patient experience and health policy to burnout and boundaries.Dr. Block is also a founding member of the Doctor Podcast Network, where he helps amplify physician voices and build community through storytelling. When he's not in the clinic or behind the mic, he's probably sipping hot black tea (with a splash of whole milk) between patient encounters—and thinking about what it really means to be heard.Physician's Guide to Doctoring PodcastDoctor Podcast NetworkBradley Block, MD on LinkedInTop 3 Key Takeaways Say the thing – Patients often leave unsatisfied not because you missed a diagnosis, but because you didn't name their fear. Address it.Boundaries protect everyone – Saying no is hard. But it's part of keeping the profession—and yourself—intact.Invite collaboration – Patients turning to Google or ChatGPT aren't the enemy. They're looking for agency. Invite them into the conversation.About the HostDr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out.With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she's mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn't happen in isolation. It happens heart to heart.Let's ConnectFollow the journey of changemakers in medicine and join a community reimagining what's possible in healthcare. 

In episode 102, I sit down with Dr. Anita Bengale, a fellow emergency medicine physician who has expanded her career beyond the ER walls. We explore the concept of appreciative inquiry and how it can transform healthcare from within, focusing on what's going right rather than dwelling on the negatives. Dr. Bengale shares her personal journey of rediscovering joy in medicine after experiencing burnout. She discusses the pivotal moment when she realized the need for change and how she embarked on a path of self-discovery and career diversification. Key insights from our conversation include: The importance of defining success on your own terms, rather than adhering to external expectations How coaching education can lead to personal transformation and new career opportunities The concept of "social prescriptions" and their role in healing and overall well-being The power of ketamine therapy in treating severe anxiety and depression Strategies for combating the loneliness epidemic, especially among healthcare professionals Discover how to: Recognize and address burnout by listening to what it's trying to teach you Create a portfolio career in medicine that aligns with your passions and values Implement small, manageable changes to increase social connection and combat isolation Navigate the challenges of metric-driven healthcare while maintaining personal satisfaction Explore unconventional conferences and networking opportunities to spark new ideas and connections Dr. Bengale's journey from burnout to a thriving, multifaceted career offers inspiration for healthcare professionals seeking to practice medicine on their own terms. Her insights on social prescriptions, ketamine therapy, and the importance of community in healing provide a fresh perspective on the future of healthcare. "There is so much power in being able to still practice emergency medicine or any field of medicine on your terms." - Dr. Anita Bengale Join us for this thought-provoking conversation that challenges conventional career trajectories in medicine and inspires healthcare professionals to explore the full spectrum of possibilities in their field. Connect with Dr. Anita Bengale: Website Instagram: @anitabangale

In this Heartline Echo Episode, I sit down with Sharee Johnson, a psychologist, executive coach, and author of "The Thriving Doctor," to explore the critical role of leadership in transforming healthcare. As we navigate the complexities of modern medicine, we delve into the essential skills and mindsets that can help physicians not just survive, but truly thrive in their careers. Our conversation sheds light on the pressing need for a new approach to physician leadership, one that goes beyond traditional management and embraces a more holistic, human-centered perspective. We discuss the importance of self-awareness, emotional intelligence, and the courage to challenge the status quo in healthcare. Key insights from our discussion include: The distinction between management and leadership in healthcare settings The vital role of self-reflection and personal growth in developing effective physician leaders Strategies for cultivating courage and resilience in the face of systemic challenges The power of community and peer support in nurturing leadership skills Discover how to: Develop crucial interpersonal and intrapersonal skills that enhance your effectiveness as a physician and leader Navigate the complexities of healthcare systems while maintaining your sense of purpose and agency Cultivate a leadership style that inspires and empowers your team Balance clinical excellence with the broader vision needed to drive positive change in healthcare This episode offers invaluable insights for physicians at all stages of their careers, from residents just starting out to seasoned practitioners looking to make a broader impact. It's a must-listen for anyone in healthcare seeking to understand the transformative potential of effective physician leadership. "We need more personal boundaries and we need clarity around what we can and can't do. And we also need the capacity to adapt." - Sharee Johnson Join us for this thought-provoking conversation that challenges conventional notions of leadership in medicine and inspires healthcare professionals to embrace their potential as agents of positive change. Learn how developing your leadership skills can not only enhance your own career satisfaction but also contribute to creating a more sustainable and compassionate healthcare system for all. Connect with Sharee Johnson: Visit her website: Coaching for Doctors Join the international book club for doctors Explore the Recalibrate© program for comprehensive leadership development; Dr. Austin will co-facilitate the 2025 cohort. Join us! Remember, healthcare leadership isn't just about titles or positions—it's about the impact you can make every day through your actions, decisions, and interactions. Start your journey towards more effective leadership today, and be part of the movement that's reshaping the future of healthcare.

In a special cross over episode the Mind Full Medic podcast is delighted to bring you this episode of the Heartline: Changemaking in Healthcare podcast with Dr Andrea Austin. I have the opportunity to flip the mic on Dr Austin, Emergency Physician and FACEP based in San Diego California, educator, simulationist, podcast host and well known to regular listeners as favourite "Frentor" of the Mind Full Medic. In this conversation we explore the fascinating world of changemaking in healthcare. As we delve into the findings of Andrea's recent research, we uncover the essential ingredients that enable healthcare professionals to become effective agents of positive transformation. Andrea sheds light on the delicate balance between individual agency and organisational support, highlighting how these elements intertwine to create an environment where meaningful change can flourish. We discuss the challenges faced by changemakers in healthcare and the strategies they employ to overcome them.Key insights from our discussion include:The importance of insatiable learning and personal growth in driving changeHow changemakers navigate the complex emotional landscape of leading transformationThe critical role of communication and listening in building coalitions for changeOrganizational strategies that foster and support changemaking effortsDiscover how to:Sustain inspiration and motivation throughout the change processDevelop the courage and resilience needed to face setbacks and oppositionLeverage organizational support to amplify your impact as a changemakerBuild and nurture the relationships crucial for successful change initiativesThis episode offers invaluable insights for healthcare professionals at all levels who aspire to make a difference in their organizations and beyond. Whether you're a seasoned leader or just starting your journey in healthcare, you'll find practical strategies and inspiration to fuel your changemaking efforts.“Changemaking is a really big part of that pathway to keeping passionate professionals engaged in healthcare.” – Dr. Andrea AustinJoin us for this thought-provoking conversation that challenges conventional thinking about change in healthcare and inspires a new generation of changemakers. Learn how small acts of courage and strategic thinking can lead to significant positive transformations in our healthcare systems.Link to the paper discussed in this episode https://www.cureus.com/articles/351909-developing-the-next-generation-of-physician-changemakers-you-have-to-love-the-people-and-love-the-process#!/Connect with Dr. Andrea Austin:https://www.linkedin.com/in/andrea-austin-simgal/Twitterhttps://www.instagram.com/andreaaustinmd/?hl=en https://podcasts.apple.com/au/podcast/heartline-changemaking-in-healthcare/id The Mind Full Medic Podcast is proudly sponsored by the MBA NSW-ACT Find out more about their service or donate today at www.mbansw.org.auDisclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not necessarily reflect those of our employers or other official organisations.

In episode 101, I sit down with Dr. Cheryl Martin, emergency physician and host of The Mind Full Medic podcast, to explore the fascinating world of changemaking in healthcare. As we delve into the findings of my recent research, we uncover the essential ingredients that enable healthcare professionals to become effective agents of positive transformation. Our conversation sheds light on the delicate balance between individual agency and organizational support, highlighting how these elements intertwine to create an environment where meaningful change can flourish. We discuss the challenges faced by changemakers in healthcare and the strategies they employ to overcome them. Key insights from our discussion include: The importance of insatiable learning and personal growth in driving change How changemakers navigate the complex emotional landscape of leading transformation The critical role of communication and listening in building coalitions for change Organizational strategies that foster and support changemaking efforts Discover how to: Sustain inspiration and motivation throughout the change process Develop the courage and resilience needed to face setbacks and opposition Leverage organizational support to amplify your impact as a changemaker Build and nurture the relationships crucial for successful change initiatives This episode offers invaluable insights for healthcare professionals at all levels who aspire to make a difference in their organizations and beyond. Whether you're a seasoned leader or just starting your journey in healthcare, you'll find practical strategies and inspiration to fuel your changemaking efforts. "Changemaking is a really big part of that pathway to keeping passionate professionals engaged in healthcare." - Dr. Andrea Austin Join us for this thought-provoking conversation that challenges conventional thinking about change in healthcare and inspires a new generation of changemakers. Learn how small acts of courage and strategic thinking can lead to significant positive transformations in our healthcare systems. The paper discussed in this episode can be found here. Connect with Dr. Andrea Austin: LinkedIn Twitter Instagram

In this Heartline Echo Episode, envision a transformative journey beyond the confines of clinical practice—a path where medical expertise converges with an entrepreneurial spirit! Join us in this week's episode with Dr. Gina Siddiqui as she discusses her passion for patient care and how it led her to become the founder and CEO of ⁠Carte Clinics⁠, a membership-based on-call physician service. Listen in as Dr. Siddiqui offers invaluable lessons that will leave you feeling inspired, informed, and empowered to pursue any business idea. There is a lot of learning that can be done independently if you follow your passion. - Dr. Gina Siddiqui Dr. Gina Siddiqui, the founder and CEO of ⁠Carte Clinics⁠ and a practicing emergency medicine physician, is a trailblazer in modernizing healthcare delivery. Her passion for reimagining the patient care experience has been showcased in pieces for the New York Times, TIME, Scientific American, and other prestigious outlets. With a background as the Chief Clinical Officer for Florence Labs and as a Clinical Leadership Fellow in the Office of Managed Care for New York City Health + Hospitals, Dr. Siddiqui's expertise and dedication to empowering innovation in the medical field are truly inspiring. In this episode, you will be able to: Discover how to navigate entrepreneurship in the medical field. Learn the importance of personalized healthcare for better patient outcomes

In this Heartline Echo Episode, Dr. Shikha Jain discusses her journey into medicine and her multifaceted career. The conversation highlights systemic changes needed in healthcare, such as pay transparency, diverse leadership, and supporting women's career development. Dr. Jain emphasizes the importance of personal joy, career advancement, and family balance in her professional decisions, offering insights into navigating a demanding field while driving meaningful change. Join Dr. Shikha Jain on this inspiring journey as she shares her insights, strategies, and unwavering passion for creating a more equitable future for women in medicine. Immerse yourself in a conversation that promises to ignite your own inner fire, challenging you to embrace your authentic voice and become an agent of positive transformation. "We have to realize that we need to make decisions, even if people are going to keep asking us to do stuff because we're good at what we do. At some point, you have to say no because it's not worth it." -Dr. Shikha Jain As a GI oncologist, Director of Communication Strategy at the University of Illinois Cancer Center, and the founder of the Women in Medicine Summit, Dr. Jain has dedicated herself to a mission that transcends mere professional development. Her unwavering commitment lies in dismantling the very foundations that have hindered women's progress, paving the way for a healthcare ecosystem that truly embraces equity, diversity, and inclusivity. In this thought-provoking conversation, you'll discover: Innovative strategies to address systemic barriers, such as pay transparency, diverse leadership pipelines, and supportive career pathways. The transformative impact of the Women in Medicine Summit, a premier CME conference that equips attendees with practical skills, personal growth opportunities, and a powerful network of allies. Register here. Insights into Dr. Jain's personal journey, from her early inspiration to her relentless pursuit of empowering women and driving positive change within healthcare systems. The Resources Mentioned in this episode are: Visit Dr. Shikha Jain's ⁠website⁠ to learn more about her and to check out her ⁠podcast⁠.  Register for the ⁠Women in Medicine Summit⁠ occurring September 13th to 14th at the Drake Hotel in Chicago and consider attending the ⁠2025 Women in Medicine European River Retreat⁠. Connect with Dr. Shikha Jain: ⁠X⁠ ⁠LinkedIn⁠ ⁠Facebook⁠ ⁠Instagram⁠

In this Heartline Echo Episode, Dr. Shan Liu, a physician and children's book author shares her journey of writing ⁠The Masked Hero⁠. Inspired by her great-grandfather's invention of a face mask to combat the Manchurian plague, Dr. Liu illustrates how heroes come from diverse backgrounds. Join us in this week's episode to learn of how Dr. Liu went from feeling defeated during the worst moments of the pandemic, including when hate crimes and discrimination against Asian Americans peaked, to discovering her voice and a way to connect with her daughter by writing ⁠The Masked Hero⁠. "I wanted to, as a mom, somehow impact my kids in a way that would make them proud of their ancestry and who they are." - Dr. Shan Liu Dr. Shan Liu, an emergency medicine physician at Massachusetts General Hospital and an associate professor at Harvard Medical School, is our special guest on today's episode. With a passion for storytelling and a desire to promote diversity and inclusivity, Dr. Liu recently made her publishing debut with the children's book, The Masked Hero. Inspired by her great-grandfather's work in public health and medicine in China, Dr. Liu aims to help children understand that heroes come from all backgrounds.

In this Heartline Echo Episode, I revisit a powerful conversation with Drs. Maryanna Barrett and Maria Paasch, two innovative OB-GYNs who have transformed their practice by integrating functional medicine. Their journey from traditional obstetrics and gynecology to a more holistic approach offers valuable insights for healthcare professionals seeking to enhance patient care and rediscover their passion for medicine. Our discussion explores the essence of functional medicine, challenging the conventional "collection of body parts" approach to healthcare. We delve into how this integrative method looks at the body as an interconnected system, seeking root causes rather than merely treating symptoms. Key insights from our conversation include: The definition and principles of functional medicine How functional medicine complements conventional approaches The importance of addressing the mind-body connection in patient care Strategies for incorporating functional medicine into traditional medical practices Discover how to: Recognize and respond to signs of professional burnout Align your medical practice with your personal values Navigate career transitions in healthcare Cultivate a unique contribution to medicine that reflects your passions and strengths This episode offers a candid look at the challenges and rewards of charting a new course in medicine. Drs. Barrett and Paasch share their experiences of overcoming fears, redefining success, and finding greater fulfillment in their work. "Recognize that that feeling isn't because your schedule's too full, you've worked too many days in a row. That feeling is probably telling you that what you're doing is in conflict with your value." This conversation provides inspiration and practical advice for healthcare professionals who feel constrained by conventional systems or are searching for ways to better serve their patients. It's a call to action for physicians to reclaim their role as leaders in healthcare and pursue innovative approaches that align with their values. Join us for this thought-provoking discussion that challenges the status quo in medicine and offers a vision for a more integrated, patient-centered approach to healthcare. Whether you're a seasoned practitioner or just starting your medical journey, this episode will inspire you to listen to your heart and pursue a path that truly resonates with your calling in medicine. Connect with Drs. Barrett and Paasch: MyManaWellness.com and Hormone Harmony Facebook Group

In this Heartline Echo Episode, we revisit a powerful conversation with twin OB-GYN twin sisters, Dr. Maryanna Barrett and Dr. Maria Paasch. Their journey from childhood aspirations to becoming trailblazers in women's health care offers a unique perspective on the evolving landscape of medicine. As we explore their story, we uncover the pivotal moments that shaped their career paths, from their father's influence as a surgeon to their unexpected parallel choices in specialization. The sisters' candid reflections on their medical school and residency experiences provide valuable insights for aspiring healthcare professionals. Key Highlights: The sisters' intertwined journey through medical education and specialization Their transition from traditional OB-GYN practice to a more holistic approach Insights into the challenges faced by modern healthcare practitioners The importance of following one's heart in medical career choices Discover How: Early life experiences can shape a physician's approach to patient care Staying geographically close to where you trained can benefit early career development Owning a private practice can open doors to innovative healthcare approaches Recognizing and addressing career dissatisfaction can lead to transformative changes This episode offers a heartfelt exploration of the human side of medicine, touching on themes of sisterhood, mentorship, and the pursuit of fulfilling careers in healthcare. It's a must-listen for medical students, residents, and established physicians seeking inspiration and guidance in their professional journeys. "My heart's breaking because...I don't feel like I'm helping her... we just realized that the current system as... I like to refer to it as a medical-industrial complex. It isn't built to allow us to help patients that way." Join us for this thought-provoking conversation that challenges conventional career trajectories in medicine and inspires healthcare professionals to explore new possibilities in their field. Learn how embracing personal values and innovative practices can lead to greater fulfillment and potentially transform patient care for the better. Stay tuned for part two of this inspiring conversation, where Drs. Barrett and Paasch will delve into their transition to functional medicine and how it has reshaped their approach to patient care.

In this Heartline Echo Episode, I sit down with Dr. Maryam Zia, a hematologist and oncologist at Cook County Hospital in Chicago, to explore the profound impact of compassionate care in challenging healthcare environments. Dr. Zia's journey serving underserved communities offers a unique perspective on the rewards and challenges of working in public healthcare. Our conversation delves into the heart of what it means to be a woman in medicine, the emotional bonds formed with patients, and the delicate balance between professional dedication and personal well-being. Dr. Zia's insights shed light on the complexities of providing care in resource-limited settings and the unexpected ways in which such work can enrich a physician's life and practice. Key highlights from our discussion include: The evolution of Dr. Zia's career path and her decision to specialize in hematology-oncology The unique challenges and rewards of working in a county hospital system Strategies for maintaining compassion and avoiding burnout in high-stress medical environments The importance of recognizing and addressing signs of professional exhaustion Reflections on the disparities in healthcare and the impact on both patients and providers Discover how to: Cultivate resilience and maintain a sense of purpose in demanding healthcare roles Navigate the emotional complexities of forming bonds with patients facing serious illnesses Implement practical strategies for self-care and boundary-setting in medical practice Find inspiration and motivation through patient interactions, even in challenging circumstances Contribute to positive change within your sphere of influence in healthcare This episode offers valuable insights for healthcare professionals at all stages of their careers, as well as anyone interested in the human side of medicine. Dr. Zia's reflections on her experiences provide a compelling look at the realities of public healthcare and the profound impact of compassionate medical practice. "I think patients really bring you back down, and it's very eye-opening every day. Not just what people are going through medically, but in their lives and their families, with their jobs. And I think we really probably get a lot more out of working there than we give." Join us for this thought-provoking conversation that bridges the gap between medical expertise and human experience. Let Dr. Zia's journey inspire you to find meaning and purpose in your own work, regardless of the challenges you face.

In this Heartline Echo Episode, we revisit a powerful conversation about recovery in healthcare. As part of a three-part series, this episode focuses on macro recoveries - extended breaks that go beyond standard vacations. I share my personal experience of taking a three-month sabbatical from clinical work, which led to a transformative shift in my approach to emergency medicine. Joined by Dr. Cheryl Martin and Dr. Dan Dworkis, we explore the importance of long-term recovery for healthcare professionals. Key insights from our discussion include: The changing landscape of emergency medicine and the increased challenges faced by healthcare workers The value of extended breaks in regaining clarity, creativity, and passion for one's work Strategies for maintaining clinical skills during periods of reduced shifts or extended time off The importance of aligning one's career with personal values and priorities Discover how to: Recognize when you need more than just a vacation to recover from burnout Navigate guilt and shame associated with taking extended breaks from clinical work Create a sustainable career path that includes periods of rest and rejuvenation Leverage insights from other high-performance fields to improve recovery practices in healthcare This episode offers invaluable perspectives for healthcare professionals at all stages of their careers, especially those grappling with burnout or questioning their long-term sustainability in the field. We challenge the notion that full-time clinical work is the only path to success and explore alternative models for fulfilling medical careers. "You are worth it. You are worth your recovery... You are 100% worth it. And you're worth that vacation and you're worth taking a sabbatical if you need it." Join us for this thought-provoking conversation that advocates for "radical recovery" in healthcare. Learn how embracing extended periods of rest and reflection can lead to more sustainable, fulfilling careers and ultimately improve patient care. This episode is part of a three-part series on recovery in healthcare. Don't miss the companion episodes on micro and meso recoveries, which are available on The Emergency Mind, episode 65 on YouTube or Apple and The Mindful Medic podcasts, respectively.

It is Episode 155 of the Nerdcast Empire, and Episode 60 of Hard Rock Empire, as heard LIVE on Twitch.tv/nerdcastempire and on YouTube.com/@nerdcastempire on Sunday, April 6, 2025!Today, we'll start off with news headlines, including a preview of Record Store Day, news about some changes to Godsmack's lineup, and a concert venue change for Linkin Park.Then, we'll check out the best new rock and metal from March 21, 2025. We'll listen to awesome new music from Sculforge, Luponero, Heart Line, and Alien. Then, we'll take a trip into the vault to check out classic albums from Foreigner and Beggars & Thieves.Finally, we dive into "The Power Trio" which is our question of the week. This week, we discuss our top three best album-opening tracks.It's the Hard Rock Empire on the Nerdcast Empire. Tune in!

In this Heartline Echo Episode, I sit down with Dr. Arian Nachat, an emergency medicine and palliative care physician who's making waves in healthcare. We explore her multifaceted career and the innovative platform she's created to address critical gaps in palliative care access. Dr. Nachat shares her journey from emergency medicine to palliative care, highlighting the importance of a holistic approach to patient care. We discuss the challenges facing healthcare today, including the corporatization of medicine and its impact on patient-doctor relationships. Our conversation delves into the heart of what it means to provide compassionate care, especially for those facing serious illnesses. Dr. Nachat's insights on the importance of truly listening to patients and understanding their values are both inspiring and practical. Key insights from our discussion include: The evolution of emergency medicine and the need for a more patient-centered approach The critical role of palliative care in modern healthcare and why it's often misunderstood How technology can bridge the gap in palliative care access, especially in rural areas The importance of having difficult conversations about end-of-life care and advanced directives Balancing a medical career with motherhood and personal well-being Discover how to: Navigate career transitions in medicine while staying true to your values Incorporate a more holistic approach to patient care in high-stress environments Use technology to improve healthcare access and patient outcomes Find your voice as a healthcare professional and advocate for change Balance the demands of a medical career with personal life and family responsibilities This episode offers valuable insights for healthcare professionals at all stages of their careers, as well as anyone interested in the human side of medicine. Dr. Nachat's journey from the emergency room to founding a palliative care platform demonstrates the diverse paths available within the medical field. "Talking to me isn't about talking about dying. It's actually talking about how you want to live because your values and what brings meaning to you and how you define those things determines how you're going to live." - Dr. Arian Nachat Join us for this thought-provoking conversation that bridges the gap between medical expertise and human experience, offering a rare glimpse into the world of emergency medicine, palliative care, and the evolving landscape of healthcare. Connect with Dr. Arian Nachat: LinkedIn: Arian Nachat MD Website: https://pallity.com/

In this Heartline Echo Episode, I sit down with Dr. JoAn Monaco, a trailblazing plastic surgeon who has shattered glass ceilings and paved the way for women in surgery. As we celebrate Women's History Month, Dr. Monaco's journey serves as a powerful reminder of the progress made and the challenges that still lie ahead for women in medicine. Dr. Monaco shares her fascinating path to plastic surgery, from an 18-hour jaw reconstruction case that ignited her passion to becoming the first female graduate of her prestigious integrated plastic surgery residency. Her story is a testament to perseverance, resilience, and the pursuit of excellence in a male-dominated field. In this enlightening conversation, we explore: The diverse world of plastic surgery and how Dr. Monaco found her niche Balancing a thriving solo practice with family life and personal pursuits Navigating pregnancy and motherhood during surgical training The evolving landscape for women in surgery and medical education Essential advice for aspiring surgeons on business acumen and practice management Dr. Monaco's experiences offer valuable insights into the challenges faced by women in surgery, including the lack of maternity leave and the pressure to hide pregnancies. Her candid reflections on these experiences highlight the importance of continued progress in supporting women in medical careers. Key takeaways from our discussion include: The critical need for business education in medical training Strategies for creating a positive work culture and retaining quality staff Adapting to the challenges posed by the COVID-19 pandemic in New York City The importance of flexibility and self-care in managing a demanding career "Hard work gets you places. And so it's exactly the same way in the surgical disciplines. Hard work will get you whatever it is you are trying to achieve either as a female or as a male." Dr. Monaco's story is not just about personal triumph; it's a call to action for continued support and mentorship of women in medicine. Her work with female medical students across the country demonstrates her commitment to nurturing the next generation of surgeons. This episode offers invaluable guidance for medical students, residents, and established physicians alike. Whether you're considering a career in surgery, looking to start your own practice, or seeking inspiration to overcome professional challenges, Dr. Monaco's journey will resonate and motivate. Join us for this thought-provoking conversation that celebrates the achievements of women in surgery while addressing the ongoing need for equity and support in the medical field. Connect with Dr. JoAn Monaco: Instagram: @dr.joanmonaco_nyc and @monacoPlasticsurgerynyc Website: www.drjoanmonaco.com TikTok: @drjoanmonaco

In this Heartline Echo Episode, I sit down with my dear friend and fellow emergency medicine physician, Dr. Torree McGowan, to explore the intricate balance of professional demands and personal well-being. As an Air Force veteran with multiple combat deployments and a now-retired member of the Oregon Air Guard, Torree brings a unique perspective to the challenges faced by healthcare professionals in today's ever-changing landscape. Our conversation delves into the complexities of managing multiple roles—from emergency physician to military commander, homeschooling parent, and passionate equestrian. We discuss the importance of recognizing when it's time to step back and reassess our commitments and the unexpected joys that can come from making space in our lives. Key insights from our discussion include: The process of learning to say "no" and the freedom it brings to pursue what truly matters How meditation and mindfulness can help us tune into our body's signals and make better decisions The impact of sleep on our overall well-being and its role as an indicator of stress Strategies for unpacking emotional "boxes" we've stored away during busy times The challenge and importance of becoming comfortable with not being busy Discover how to: Identify and address the addiction to busyness that many healthcare professionals experience Use body awareness to guide decision-making about commitments and responsibilities Create space for creativity, optimism, and presence to return to your life Navigate the ongoing challenges of the pandemic with a mindset of acceptance and adaptability Find joy and fulfillment in unexpected places when you allow yourself to step back This episode offers valuable insights for healthcare professionals at all stages of their careers, as well as anyone grappling with the demands of multiple roles and responsibilities. Dr. McGowan's journey from constant busyness to intentional living demonstrates the power of self-reflection and the courage to make changes. "Don't just do work, do the work that matters." - Dr. Torree McGowan Join us for this thought-provoking conversation that challenges conventional notions of success and productivity. Learn how embracing change, prioritizing self-care, and focusing on what truly matters can lead to a more fulfilling personal and professional life.

In episode 101 (Heartline Echo Episode: Must Listen Conversations), I sit down with Dr. Megan Ranney, a trailblazing emergency physician, researcher, and public health advocate. We explore the intricate landscape of healthcare activism, from firearm injury prevention to reproductive rights and beyond. Dr. Ranney shares her inspiring journey from a young emergency medicine resident to a national voice for innovative public health approaches. We discuss the pivotal moments that shaped her career, including a heartbreaking case that changed her perspective on firearm injuries and the profound impact of the Sandy Hook tragedy. Key insights from our conversation include: The importance of creating coalitions and networks to drive change in healthcare Strategies for balancing clinical practice, research, and public advocacy The role of healthcare professionals in combating misinformation and building trust Finding resilience and hope in the face of overwhelming challenges Discover how to: Navigate career transitions and overcome resistance to change Amplify existing efforts rather than reinventing the wheel Leverage your unique skills to contribute to larger social and health issues Balance media presence with substantive research and clinical practice This episode offers valuable insights for healthcare professionals seeking to make a difference beyond their clinical roles. Dr. Ranney's experiences highlight the power of persistence, collaboration, and strategic communication in driving meaningful change. "Find that one small thing and see where it goes." - Dr. Megan Ranney Join us for this thought-provoking conversation that challenges conventional career trajectories in medicine and inspires healthcare professionals to explore the full spectrum of possibilities in public health advocacy. Connect with Dr. Megan Ranney: Threads @megranney Instagram: @megranney

In this milestone 100th episode of Heartline Change Making in Healthcare, I reflect on the journey that has brought us here and the path that lies ahead. From its inception as "The Revitalizing Doctor" to now, this podcast has evolved into a platform for exploring the multifaceted challenges and opportunities in healthcare transformation. I begin by acknowledging the mentors and colleagues who have shaped this journey, including Dr. Dan Dworkis, founder of The Emergency Mind, who provided invaluable insights into finding one's purpose in medicine. His words serve as a reminder that our roles as healthcare professionals can and should extend beyond traditional boundaries. Celebrating Women in Medicine The podcast's roots in amplifying women's voices in medicine remain a core focus. I discuss the resurgence of FemInEM and my new role as Director of Well-being, highlighting the continued importance of gender equity in healthcare. A powerful clip from Dr. Dara Kass, founder of FemInEM, underscores the unique energy and problem-solving capacity of emergency physicians when united. I interviewed Dr. Shikha Jain, the founder of the Women in Medicine Summit. Don't miss the Women in Medicine conference in September, and in 2025, FemInEM will be there, too! Systemic Change Through Individual Growth Drawing from my ongoing research on Physician Changemakers, I emphasize the critical link between individual transformation and systemic change in healthcare. This podcast serves as a platform for both personal healing and collective action, inspired by theoretical frameworks that underscore the power of transformative learning. Leadership and Well-being in Healthcare Conversations with experts like Dr. Josh Hartzell (author of A Prescription for Caring in Healthcare Leadership: Building a Culture of Compassion and Excellence) and Dr. Eve Purdy highlight the crucial role of effective leadership in addressing burnout and improving well-being in healthcare. Their insights remind us that cultivating strong leaders is not just beneficial but essential for the future of medicine. The Power of Coaching and Self-Reflection Throughout the episode, I revisit impactful discussions on coaching, perfectionism, and self-compassion with guests like Dr. Kara Pepper and Sharee Johnson. These conversations underscore the importance of personal development and self-awareness in becoming effective changemakers. Looking Ahead As we celebrate this milestone, I share exciting updates about the podcast's future, including: A series of re-releases featuring improved audio quality Upcoming miniseries focused on deep dives into specific topics The launch of a YouTube channel The release of the "Revitalized" audiobook This 100th episode is a testament to the power of community, continuous learning, and the unwavering commitment to improving healthcare for both clinicians and patients. Join me as we reflect on our journey and look forward to the next chapter of transforming healthcare, one conversation at a time.