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You feel guilty for calling in sick, taking earned vacation, or setting a boundary at work. What if that guilt was never really yours? Christie Mulholland is a palliative care physician and certified physician development coach. This episode is based on her article "Why your physician guilt may not actually be yours," published on KevinMD. She unpacks what psychoanalyst Laurence Blum called hidden guilt, the kind that often begins in childhood and turns capable kids into compulsive achievers who feel wrong for resting. You will hear how administrators and insurance companies can step into the role an authority figure once held, and why that quietly fuels burnout. Christie also shares how she helps physicians question where the guilt comes from, and the small first steps, from using all your PTO to weighing a part-time role or sabbatical. Press play to learn how to tell whether your guilt is real or inherited, and what to do the next time it shows up. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
When your hospital decides how to use AI, will you be in the room or will you be handed whatever someone else picked? Physicians have done this before, letting insurance and then EMRs reshape medicine before they reacted, and AI is the next force they cannot afford to ignore. Augusta Uwah is a hospitalist, physician advisor, and founder and CEO of ClinEfficiency Pro, where she builds AI tools for hospitals and revenue cycle management. This episode is based on her article "Why physician-led AI adoption is essential for health care," published on KevinMD. You will hear why doctors who stay out risk becoming vulnerable to vendors and sidelined in their own field. You will hear the real difference between casually using ChatGPT and using AI responsibly. And you will hear where to start, from securing your ChatGPT to evaluating vendors, and why being in the room is the difference between leading AI and being handed it. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
When a doctor shows real kindness, does it change how a patient heals? For Randy McNeely, the answer arrived the day his wife was diagnosed with cancer, and the calm, caring doctors who treated her became part of her recovery. Randy McNeely is a motivational speaker known as Captain Kindman, joined by physician advocate and physical therapist Kim Downey, who has survived cancer three times herself. This episode is based on their article "Compassionate health care transforms the patient journey," published on KevinMD. You will hear why a doctor's presence and reassurance can matter as much as the treatment itself. You will hear where AI helps, like a scribe that frees a doctor to spend more time with you, and what no tool can replace. And you will hear Randy's challenge to clinicians to build a kind relationship with themselves first. Press play to hear why the people who cared for them mattered as much as the treatment, and what every clinician can do to bring that kindness back to the bedside. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
Fertility specialist and Montgomery Fertility Center founder Oluyemisi "Yemi" Famuyiwa discusses the article "What no one tells you about fertility, from a doctor." Yemi discusses the article through a compassionate look at the emotional, biological, and practical realities patients often discover only after struggling to conceive. She explores fertility myths, reproductive timing, menstrual cycle awareness, egg health, sperm production, male factor infertility, patient anxiety, and the hope and grief that often coexist during the fertility journey. This episode examines why being healthy does not guarantee pregnancy, why both partners need evaluation, and why fertility care must address the human soul as well as the science. It is a reassuring conversation about replacing silence and shame with understanding, support, and choices that help patients feel less alone. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Women doctors joke about being cursed with every complication, but what if the job itself is quietly damaging their health? Jessie Mahoney, a pediatrician and certified coach, returns to share her own story of pregnancy complications, an ICU stay, and a string of surgeries she spent years writing off as bad luck. This episode is based on her article "Women physicians' health is paying the price of medicine," published on KevinMD. You will hear why so many women physicians carry chronic illness, early cancers, and infertility at rates that feel too common to be coincidence, and why almost no one has studied the link. Jessie explains how the culture of medicine teaches women to blame themselves, hide what is wrong, and treat their own bodies as a liability when they fail. She makes the case for retiring the word curse, pushing for real data, and building a culture where taking time to heal is not seen as weakness. Jessie reframes a problem medicine has laughed off for generations and asks what it would take to finally take it seriously. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
There is a version of professionalism in medicine that looks like competence from the outside and feels like self-erasure from the inside. Dr. Kathleen Muldoon is an anthropologist who teaches in a medical school, coaches doctors through burnout, and navigates the healthcare system daily as the mother of a medically complex child with 22 specialists on his care team. In this episode, she brings all of those lenses to a conversation about psychological safety, curiosity, and what it actually costs doctors when they are trained to hide who they are. The question she keeps coming back to is one worth sitting with: what kind of clinical environment are you co-constructing, and what small things could you do differently starting today? Highlights [04:00]: Dr. Muldoon explains what burnout looks like from her vantage point, and why she sees it less as exhaustion and more as a detachment that builds quietly in environments where asking questions does not feel safe. [08:00]: She describes what it is like to be a parent of a medically complex child navigating a care team of 22 specialists, and why staying curious in clinical encounters matters to her in a way that is deeply personal. [14:00]: Dr. Muldoon defines psychological safety in clinical environments, and why the ability to ask a question or challenge a protocol without it being received as a threat is the foundation of both good learning and good medicine. [19:00]: She introduces improv theater as a tool for practicing psychological safety in low-stakes environments, and explains why the techniques were originally developed for building empathy across difference, not for getting laughs. [27:00]: The hidden cost of professionalism. Dr. Muldoon describes what happens when the cultural ceremonies of becoming a doctor teach students to erase themselves, and why that self-erasure may be one of the least examined drivers of burnout. [36:00]: A five-second check-in practice she uses at the start of every workshop she runs, and why something that small can shift the entire dynamic of a clinical team. Three Key Takeaways 1. Psychological safety is not about being comfortable. It is about being able to ask the question. Dr. Muldoon is precise about what she means by psychological safety in clinical settings. It is not warmth, friendliness, or the absence of conflict. It is the specific experience of being able to ask a question, name a concern, or push back on a protocol without it being received as a challenge to someone's authority. In hierarchical environments like medicine, that experience is rarer than most people acknowledge. And without it, doctors stop asking, students stop questioning, and teams stop learning. The cost is not just cultural. It is clinical. 2. The hidden cost of professionalism is self-erasure. Dr. Muldoon uses the language of anthropology to describe something doctors will recognize immediately. The white coat ceremony, the board exams, the residency rituals, all of the cultural markers that induct someone into the profession of medicine also teach a specific lesson: hide what you are feeling, perform competence, and leave the full version of yourself outside the clinic door. She argues that this inculcation of professionalism, however well-intentioned, is masking emotional suppression on a systemic scale. And that suppression, accumulated over years of training and practice, is one of the most underexamined contributors to burnout. 3. Change in a system that feels immovable starts with influence, not control. Dr. Muldoon is clear that she is not asking anyone to burn the system down. What she offers instead is a reframe: trade control for influence. You may not be able to change the appointment schedule, the EMR, or the staffing model. But you can ask a better question in a difficult encounter, check in with your team before a shift, keep a parallel chart of moments that did not feel right, and model a different way of being in the room. Those small acts compound. And in her experience, they matter more than most people expect. Guest Bio Dr. Kathleen Muldoon is an anthropologist, medical educator, and coach based in Arizona. She is a professor at a medical school where she teaches anatomy and human development, and brings her training in applied improvisational theater into workshops designed to build psychological safety, team connection, and humane clinical environments. Dr. Muldoon coaches doctors and medical students navigating burnout and career transitions, and writes about humanity in medicine through her Substack publication and on KevinMD. She also draws on her experience as the mother of a medically complex child to bring a patient and caregiver perspective to her work with clinical teams. Would you like to view a transcript of this episode? Click Here Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. Come hang out with me on Facebook or Instagram. Follow me @thechartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
Medicare will pay your practice to keep chronically ill patients out of the hospital, so why do most practices leave that money unused? Rachel Yates, a registered nurse and health care executive, joins to explain two reimbursement programs Medicare introduced in 2024, Community Health Integration and Principal Illness Navigation, and why two years later most practices still are not using them. This episode is based on her article "Patients pay when Medicare care coordination codes go unused," published on KevinMD. You will hear who actually qualifies, the patients you already see every day who keep cycling back through the ED, and how a single missed medication instruction can turn into a preventable readmission. Rachel makes the case that this is clinical care, not a billing add-on, and that the work can be delivered by contracted nurses under your supervision without piling more onto your existing staff. She walks through what a real between-visit coordination relationship looks like and why a 15-minute appointment was never going to fix everything. She lays out who qualifies, why the codes go unused, and the decision every practice now has to make. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
When a patient's heart stops, the person leading the code is running on memory alone, and memory fails under that kind of pressure. Michael Peck is an anesthesiologist and retired faculty member at George Washington University who spent more than 30 years watching skilled clinicians get cognitively overwhelmed during a cardiac arrest. In this episode he explains why the problem is not a lack of training but the hard limits of human attention, memory, and decision making during a crisis. This conversation is based on his article "Cognitive overload in cardiac arrest is a human problem," published on KevinMD. You will hear what it actually feels like to run a code with no reference to lean on, why aviation and nuclear power lean on checklists while medicine still does not, and why hospital reviews built on memory may miss what went right as well as what went wrong. Press play to hear why he believes patient safety starts with admitting our limits. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Medicare for All keeps dying in Congress. So what would actually get the major players to agree on universal coverage? Health care journalist Ken Terry returns to lay out a different model, one that keeps insurance companies in the system while putting primary care doctors back in charge of basic care. This episode is based on his article "A Medicare for All alternative that keeps insurers in," published on KevinMD. You will learn why he believes Medicare for All is a political non-starter and how a two-part financing system could split basic care from major medical coverage. He explains why rewriting corporate practice of medicine laws to free primary care doctors from hospital and corporate employers sits at the center of his plan. You will also hear how independent primary care groups competing on cost and quality could raise physician pay through waste reduction, on a five-year path from here to there. Press play to hear how universal coverage might be reached without cutting the industry out. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
For 23 years, an emergency physician stayed calm in the chaos and held the line. Then one night he sat in the hospital parking lot, unable to start his car and drive home. In this episode, Kenneth Scott Burnham shares how depression crept up on him gradually, how his clinical training gave him the tools to deny it for years, and what he learned once he was the patient instead of the doctor. He explains why the health care system is good at stabilizing people in crisis but nearly indifferent to what comes next, where the long wait for care and the gap between knowing what to do and being able to do it is where recovery is won or lost. This episode is based on his article "The real work starts after a mental health crisis," published on KevinMD. You will hear why asking for help is a clinical act rather than a personal failing, and why the crisis is the turning point, not the end of the story. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
For 15 years, a primary care physician saw more than 22 patients a day and slowly lost herself to exhaustion. It followed her home every night and onto every vacation. In this episode, Jerina Gani explains how she broke that cycle by doing the opposite of what administrators push: she saw fewer patients, gave each one more time, and found her life again. The counterintuitive twist is that slowing down did not cost her money. By billing more accurately and resolving problems in a single visit, she ended up earning more than she did full time. You will hear why "see more patients" is the wrong answer for doctors and patients alike, how to make the case for a lighter schedule even inside a rigid corporate system, and why she believes primary care will keep losing physicians until the grind changes. This episode is based on her article "Physician burnout is quietly costing doctors themselves," published on KevinMD. Press play to hear how slowing down gave a doctor both a life and a livelihood. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Clinicians are treated as invincible, so when their own mental health suffers, many stay silent. Namit Choksi, a physician entrepreneur and health care executive, joins to explain how credentialing forms and a culture that treats wellbeing as a perk push doctors to hide depression, anxiety, and substance use until they reach a breaking point. You will hear why disclosing a behavioral health condition can threaten a clinician's malpractice and life insurance and trigger a fit-for-duty review, why this fear creates a vicious circle that hospitals only notice once it is too late, and why losing a single clinician can cost more than a million dollars. Choksi also explains why legacy assistance programs fall short, with visit caps, long waits, and rotating counselors, and what confidential, barrier-free support looks like instead. This episode is based on his article "How credentialing and culture impact physician mental health," published on KevinMD. You will come away understanding what institutions must change to keep their clinicians from suffering in silence. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Clinicians are pushed to do more with less, until many quietly conclude they are not enough. J. C. Sue, a family medicine physician and adjunct faculty member, returns to unpack where that belief comes from and why it does so much damage across medical school, residency, and practice. You will hear how the business side of medicine and a competitive training culture teach doctors that they must be perfect, why serving beyond your real limits leaves patients, employers, and clinicians all worse off, and what a healthier reframe sounds like: you are human, not infinite, and that is enough. Hsu also walks through how to recover after an inevitable mistake, from acknowledging the feelings to separating human error from a faulty system to giving yourself grace. This episode is based on his article "Medical mistakes happen and you are still enough," published on KevinMD. You will come away with a kinder, more honest way to talk to yourself when medicine asks for more than any one person can give. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Orthopedic surgeon Kevin J. Campbell discusses the article "Understanding Generation 2 patient engagement platforms." Kevin discusses the article through a practical distinction between first-generation patient engagement tools that increase access but also increase staff workload, and second-generation platforms designed to answer routine patient questions without pulling every message into an inbox. He explains why portals, apps, messaging systems, and automated content often fail when they turn staff into message processors, and why the next generation of platforms must be built around clinical protocols, physician preferences, clear escalation boundaries, and staff-relieving workflows. This episode explores patient engagement, patient portals, health care technology, surgical communication, staff burden, practice efficiency, and the difference between digital access and true operational leverage. It is a useful conversation about how technology should support patient care without simply making it easier for work to find already overwhelmed teams. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most women lose feeling in their chest after a mastectomy, and almost no one warns them ahead of time. Emily Hansen, a patient advocate who has spent nearly two decades in health care communication working with surgeons and breast cancer survivors, joins to explain a consequence of survivorship that stays largely hidden. You will learn why loss of sensation is nearly universal after mastectomy, why nerves are among the slowest tissues in the body to recover, and why patients so often feel guilty raising it with the surgeons who saved their lives. Hansen describes the real safety risks that follow, from burns to injuries patients never feel, along with the impact on intimacy that rarely gets discussed. This episode is based on her article "Living with numbness after mastectomy: the unseen impact on survivorship," published on KevinMD. You will come away with the specific questions every patient should ask before surgery and how the whole care team can raise this earlier. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most doctor visits do not fail in the room. They fail after you walk out, holding a plan and no clear idea of when something has gone wrong enough to call back. In this episode, retired surgeon and patient advocate Alan P. Feren explains why "call me if it gets worse" is not real guidance, and what clear instructions actually look like. He argues that sharing responsibility with patients only works when both sides share clarity, because a threshold no one defined is one no patient can act on. You will hear why patients delay care when they are unsure what counts as worse, why feasibility, whether a plan is actually doable for that person, matters as much as the plan itself, and the three things every clinician should name before a patient leaves. This episode is based on his article "Shared responsibility in patient care needs boundaries," published on KevinMD. Press play to hear how to turn a vague plan into one a patient can follow. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Doctors spend over a decade training and then quietly leave a fortune on the table when they handle their own money. In this episode, economics professor Hernan Moscoso Boedo explains why high income and years of schooling do not make physicians good investors. He compares the way doctors avoid the stock market to the way some people distrust vaccines, not because they understand the science, but because they do not trust the system protecting them. This episode is based on his article "Why your doctor invests like a vaccine skeptic," published on KevinMD. You will hear why physicians invest like people who earn half as much, why so many default to real estate, and how overconsumption, high advisory fees, and poor allocation can cost roughly 29 percent of retirement wealth. You will also hear his practical fix: open a brokerage account, start small, and let a simple diversified fund compound. Press play to hear why the money doctors lose is money they earned, and how little it takes to keep it. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most physicians who feel stuck in a job could actually afford to leave. They just can't stomach what the worst week might look like. Stanley Liu, cardiologist and fiduciary financial planner, discusses the KevinMD article "Physician career choices come down to risk tolerance." You will hear the gap between risk capacity (what your finances can actually absorb) and risk tolerance (what you can emotionally accept), why the two are not the same, and how the "first do no harm" reflex bleeds from clinical decisions into career decisions. He walks through the specific moves that make a worst-case scenario acceptable: a reserve fund, a debt payoff plan, proactive tax planning. He also explains why this conversation belongs in the family before it belongs on a resume, and how the spectrum of options is wider than physicians are trained to see. You will hear two failure modes to avoid: the rage-quit that lands in a worse job, and the five-year delay in a job you could have left long ago. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
A patient with a dying leg won't drive 20 miles for care. In Devin Zarkowsky's town, that's not a hypothetical. Vascular surgeon Devin Zarkowsky runs a solo office-based practice in a San Diego County town where peripheral arterial disease patients had nowhere local to go, and Jason McKittrick is the executive director of the Office-Based Facility Association. They discuss the KevinMD article "Why local care matters for peripheral arterial disease." You will hear how the Medicare physician fee schedule pays hospitals for big-ticket equipment but pays solo doctors out of the same bundled rate they use to cover staff and wire and drapes, why a four-figure atherectomy or Shockwave catheter swallows a week of revenue when there is no separate reimbursement, and why Congress is finally looking at fixing it after years of small fixes that did not close the gap. You will hear what local care actually means when a patient cannot drive and the limb cannot wait. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
A week off does not fix burnout. The same problems are waiting when you get home, and the same person is walking back into them. Stacey Funt is a radiologist who runs a boutique wellness adventure travel company, mostly for women in their 40s through 60s, including a high share of physicians. She discusses the KevinMD article "Why immersive travel may be a powerful tool for behavior change." You will hear the science behind identity-driven behavior change: awe, novelty, supportive groups, meaningful challenge, and a clear before-and-after marker she calls a temporal landmark. She tells the story of a physician who had a benign brain tumor resected and rebuilt herself from post-operative patient to hiker at the front of the pack, and a burnt-out physician at a crossroads who used the trip to make a hard call about her career. You will hear what to do at home when a trip is not on the table: take an awe walk, set a temporal landmark, build a meaningful goal that requires real training. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Calling a doctor a provider sounds harmless. The American College of Physicians says it isn't. Janet Jokela, former treasurer of the American College of Physicians, professor, and medical educator, discusses the KevinMD article "Physician vs. provider is an ethics issue, not just style." She walks through how the word "provider" entered medicine through Medicare in 1965 and ended up lumping physicians together with hospitals and insurance companies as interchangeable "providers of services." You will hear why the Latin root of compassion (to suffer with) names something physicians do that corporate entities do not, why the ethical obligations physicians take on (do no harm, beneficence, patient autonomy, justice) do not apply to insurance companies or hospital systems in the same way, and why allowing the language to blur that line accelerates the deprofessionalization of medicine. You will hear what to say when someone calls you a provider, and what to call mixed clinical teams instead. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most clinical research treats patients like data points. What gets lost when researchers stop listening to the people they study, and what does it cost the science itself? Niharika Singh is a biomedical engineer and pre-medical student with research experience at Genentech, Abbott, AstraZeneca, and the Keck School of Medicine, and a global ambassador with the United Nations SURGhub. She discusses the KevinMD article "Patient involvement transforms modern clinical research." You will hear the difference between treating a patient as a data set, engaging them as a collaborator, and inviting their emotional and lived experience into the study design. She walks through the Tiger Project hernia training across India and Ghana, what medical device design verification taught her about surgical research, and why AI in medicine is making patient voice harder to hear. You will hear a research methodology that treats the patient's voice as data worth collecting, and a case for defending human connection as AI changes how medicine is practiced. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
A 30 to 40 percent Medicare cut just hit the doctors who keep your local hospital running, and the policy meant to stop hospital monopolies is accelerating them instead. John Birkmeyer, president of the medical group at Sound Physicians and a former Dartmouth health services researcher, discusses the KevinMD article "Medicare practice expense cuts will hurt patients." You'll hear how CMS quietly slashed the practice expense portion of Medicare payments for the first time in 20 years, hitting independent hospitalists, ER doctors, and critical care groups with net cuts of 6 to 10 percent. You'll learn why CMS aimed at hospital-owned practices but instead pulled the rug from under the independent groups already operating at 2 to 4 percent margins, why rural hospitals will struggle hardest to staff, and how the resulting consolidation drives up prices for every patient. You'll also hear what CMS could fix in its 2027 rule and why physician advocacy now is the only correction available before more independent practices fold. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Your child is messaging neo-Nazis on Discord, role-playing the Columbine shooting on Roblox, or making fan art of mass killers, and you have no idea. That is the pattern Matthew Turner, an emergency medicine physician at Hershey Medical Center, is now seeing in his pediatric ER, where parents bring in children after spotting a chat-message leak that exposes months of online radicalization. He discusses the KevinMD article "The true crime community is radicalizing kids online." You'll hear how the true crime community pulls kids as young as eight from casual interest into obsession, imitation, and sometimes real-world violence, with one 14-year-old going on to commit a mass shooting. You'll learn which warning signs matter, why parental firewalls don't work, and the named resources clinicians and parents can use right now, including Parents for Peace, the Prevention Practitioners Network, and the Global Project Against Hate and Extremism. If you treat children or raise them, this conversation names a threat hiding inside platforms you already let them use. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Imagine being penalized for delivering good care to your frailest patients. Medicare's quality scoring program was built for healthy outpatients, not the elderly residents of nursing homes, but it is the system doctors who round in skilled nursing facilities are forced to play. Steve Buslovich, a physician executive and geriatrician, discusses the KevinMD article "How Medicare's MIPS impacts skilled nursing facilities and clinicians." You'll hear how MIPS metrics conflict with the five-star quality measures facilities must report, why tightly controlling A1C in frail elders can cause harm, and how documentation discrepancies between physicians and facilities create financial and legal risk for both. You'll learn which nine measures actually fit post-acute long-term care, why CMS needs frailty-based quality metrics, and how AI and synced EHRs can pull data automatically so clinicians can get back to the bedside. If you practice in or operate a nursing home, this conversation names the rules of a game you didn't choose to play. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
The words doctors use during fertility care can wound the patient sitting across the desk. "Failed cycle." "Poor responder." "Ovarian failure." For a woman already carrying the grief of a child she has never had, those words can feel like nails in a coffin. Oluyemisi Famuyiwa, a fertility specialist, argues that infertility grief is compounded by cultural stigma and by clinical language medicine rarely audits. This episode is based on her article "The emotional impact of infertility is grief unspoken," published on KevinMD. You will hear why up to 40 to 50 percent of infertility cases involve a male factor, why the team-based script ("do it for your partner") often gets a resistant husband to agree to testing, what social media hides about donor eggs and late-in-life pregnancies, why no supplement can reverse the biological aging of eggs, and why being culturally nosy is one of the most useful clinical skills a fertility doctor can develop. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Patients are being cut off from medications they need, doctors are afraid to prescribe, and the reason traces back to political donations most Americans never see. Richard A. Lawhern, health care educator and patient advocate, joins us to explain how lobbying money shapes health care legislation and what patients can do about it. This episode is based on his article "Health care lobbying is destroying the U.S. system," published on KevinMD. You will hear why $4.5 billion was spent influencing the 2024 election, how undisclosed donors block reforms like single payer, and why nearly a quarter of every health care dollar goes to administrative costs that do nothing for patients. Richard explains how the National Campaign to Protect People in Pain trains advocates to reach committee staffers and shift the political calculus. Press play to hear how the system actually works and where ordinary advocates can apply pressure. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most of the people deciding where billions of health care dollars get invested have never treated a patient. Harsha Moole, a physician scientist and health care venture capital founder, joins Kevin to discuss his KevinMD article "The crash cart that taught me physician-led investing." You'll hear how a single overlooked workflow problem on a hospital crash cart became a multi-hospital company, why physician-led groups screen every deal through three gates of clinical, regulatory, and reimbursement diligence, and how doctors can get involved without leaving their day job by advising startups, advising venture funds, or co-investing through a physician network. Harsha also breaks down why angel investing requires a long timeline, the discipline to diversify across 4 to 10 companies, and money you can afford to lose. If you've ever looked at a health care product and thought you could have told them it wouldn't work, this conversation makes the case for using that clinical instinct beyond the bedside. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most doctors were never taught how to sit with a patient's grief, anger, or fear without absorbing it. Eva Minkoff, a health care executive coach, and Kim Downey, a physical therapist and physician advocate, join Kevin to discuss their KevinMD article "How regulating clinical empathy prevents physician burnout." You'll hear why physicians who lean too far into patient emotion burnout, why those who shut down lose trust and treatment adherence, and why both paths end in the same exhaustion. Eva walks through her three-step framework (recognize the feeling, distinguish it from the story, address the emotion first) and explains why naming a patient's anger or grief in five seconds builds the connection that protects both the doctor and the care. Kim brings the patient view, sharing how doctors who stay present without drowning create the kind of relationship she calls sacred. If you're a clinician asking how to keep caring without burning out, listen for the five-second practice Eva walks through. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Medical students who skip writing their own reflections are not lazy, they are surviving an irrational system. Kathleen Muldoon, a coach and professor, returns to discuss what student AI use in medical education actually reveals about the curriculum, the hidden incentives behind it, and why she calls students in instead of catching them. This episode is based on her article "Driving medical education reform through intellectual honesty," published on KevinMD. You will hear why pass-fail courses inside graded curricula push students to put their energy elsewhere, why the hidden curriculum speaks louder than the syllabus, and what students disclosed when she asked them what was going on. You will learn what her workshops are designed to do that AI cannot, why she believes AI cannot teach empathy, and what a more humane medical education would actually require. Press play to find out why she thinks the next generation of clinicians is not the problem, and what the systems training them must change to produce humane physicians. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most patients on antidepressants are told they can't take methylene blue, even for brain fog. Steven E. Warren, a physician and longevity medicine clinician, joins Kevin to discuss his KevinMD article "51 cases that reframe methylene blue serotonin syndrome." You'll hear why 50 of the 51 published serotonin-syndrome cases involved high-dose IV methylene blue given under anesthesia, mostly during parathyroid surgery, rather than the low oral doses used in outpatient longevity practice. Steven walks through the Goldilocks dosing posture he uses for patients with brain fog, why he screens every patient's full medication list for interactions before starting, and why he tells every patient there are no randomized trials behind methylene blue. He also describes the broader longevity practice he sees daily: patients stacking peptides from the gym, megadosing vitamin D from podcasts, and ordering supplements off Amazon without quality control. If you're a clinician fielding methylene blue questions or a patient considering it, listen for the questions Steven thinks should be asked before starting any unstudied supplement. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Up to 40 percent of infertility cases involve combined male and female factors, but the male partner is often skipped. Erica Bove, a reproductive endocrinology and infertility specialist, returns to discuss why that gap exists and what can be done about it. This episode is based on her article "What is often overlooked about male factor infertility," published on KevinMD. You will hear how prescribed testosterone for low energy and low sex drive can wipe out sperm production, sometimes irreversibly, and why men taking it for low T frequently have no idea their fertility is at stake. You will learn what a basic semen analysis screens for and what a full male evaluation adds, including hormonal testing and a reproductive urologist exam. You will hear how varicocele surgery alone can resolve a couple's infertility, why marijuana and tobacco are unusually bad for sperm, and why every change shows up three months later. Press play to find out which male factor causes are most often missed, and which are most often reversible. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Your ER doctor has about 25 minutes to figure out your medical history and decide what to do next. Hamed Husaini, an emergency physician and physician executive, explains why so much of that data never reaches the bedside and what AI can do about it. This episode is based on his article "AI in health care data management: Curing the EHR overload," published on KevinMD. You will hear why records from skilled nursing facilities, primary care, and home health rarely get read in time, why duplicate medications and missed end-of-life directives slip through, and how a one-page AI synopsis pushed into the native EHR before you walk into the room changes what the next 25 minutes look like. Hamed argues the bottleneck is not data volume; it is the pull model that asks busy clinicians to fetch records they never have time to read. If the system already feels like it should know your records and still doesn't, this episode names why and what changes when the data starts flowing the other direction. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
The same instinct that makes you a careful clinician may be the one sabotaging your financial future. Cardiologist and fiduciary financial planner Stanley Liu joins this episode to explain why physicians' deeply trained aversion to risk becomes maladaptive once it leaves the hospital. This episode is based on his article "Physician financial risk: Balancing capacity and tolerance," published on KevinMD. You will learn why risk capacity and risk tolerance are two different variables, and why mistaking one for the other quietly drives bad financial decisions. You will hear why the physicians most at financial risk are those with low capacity and high tolerance, and why high-earning doctors with no debt sometimes stay stuck in toxic jobs they have the financial freedom to leave. You will also learn what questions a planner asks to surface the money scripts shaping your choices. Listen if you have ever wondered whether your discomfort with financial risk is protecting you or holding you back. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
What if the cure for physician burnout has been making it worse the whole time? Lisa Rubiano, an internal medicine physician and physician coach, spent over a decade as a hospitalist before burning out in 2021 and stepping back to figure out what really went wrong. This episode is based on her article "Why resilience is not the cure for physician burnout," published on KevinMD. You will hear why the resilience narrative quietly shifts blame onto individual physicians while letting toxic systems off the hook, how the Quadruple Aim turned clinician well-being into a vague self-care mandate, and what it actually takes to unlearn the belief that you should be able to push through anything. Lisa breaks down why setting boundaries feels so hard, why systems have no real incentive to change, and where physicians are quietly building their own way out. Listen for the moment that makes the self-blame stop. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Patients know when you are not really present with them, and trust is built or broken in the first few minutes. Jess Bunin, an intensivist, and George Mount, a rheumatologist, co-founders of All Levels Leadership, argue that trust in clinical teams is a practiced skill built from three concrete components: empathy, logic, and authenticity. This episode is based on their article "The secret sauce of leadership trust in health care teams," published on KevinMD. You will hear why a critical care fellow was required to say "I don't know" once on rounds even when he knew, what a three-time cancer survivor noticed about the physicians she actually trusted, and how to communicate through genuine uncertainty without losing your team. You will also learn why George Mount spends the first few minutes of a patient encounter on trust before he asks about the chief complaint. Listen for a grounded framework for repairing trust when it wobbles. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most physicians using AI on patient data have no idea what the real security risks are. Francisco M. Torres, an interventional physiatrist, and Purab Patel, a medical student with a programming background, argue that cybersecurity has become a patient safety issue in medicine, and that the AI pipelines physicians now rely on are more complex than most clinicians realize. This episode is based on their article "Navigating the cybersecurity challenges of artificial intelligence in medicine," published on KevinMD. You will hear how changing a few pixels in a medical image can flip an AI diagnosis, why AI note-taking can miss clinically significant findings, and what questions to ask any vendor before trusting a black box with patient data. You will also learn why Francisco tells his kids that AI certification may matter more than an MBA. Listen for a grounded take on treating AI as a tool, not a truth machine. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Medicare Advantage covers more than half of seniors, and the debate over what it really costs is stuck in two camps. Timothy Bulat, a senior consulting actuary who spent nearly two decades leading Medicare Advantage analytics inside a major insurer, raises a question the loudest voices keep avoiding: who actually pays for the program, and is the value being shared fairly? This episode is based on his article "The truth about Medicare Advantage funding and costs," published on KevinMD. You will hear how plans simultaneously manage costs well and extract excess taxpayer dollars through coding intensity and favorable selection, why headlines about Medicare Advantage being "in retreat" are overblown, and which specific policy levers (risk adjustment reform, benchmarking, slowing annual payment growth) the Biden and Trump administrations have already started using. Listen for the distinction Timothy draws between a funding cut and a smaller increase, and why that distinction matters for every clinician dealing with prior auth. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Is medicine a calling or just a job? Christie Mulholland thinks that question is the wrong one, and answering it keeps physicians stuck in burnout. Christie, a palliative care physician and certified physician development coach, returns to the show to introduce a four-quadrant matrix that maps how called you feel to medicine against how satisfied you actually are practicing it. This episode is based on her article "Moving beyond the false binary of medicine as a calling," published on KevinMD. She walks through each quadrant (the calling, the craft, the wound, and the wall) and the specific coaching question that unlocks a next step for physicians living in each one. Christie also talks about how profit-driven systems benefit when "calling" stays the only acceptable answer, why work-life balance keeps getting squeezed out of clinical careers, and when a career pause becomes the move that smaller adjustments cannot replace. Listen for the question that names where you actually are. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Medical AI is evolving faster than the legal system can regulate it. Richard E. Anderson, CEO of The Doctors Company, the nation's largest physician-owned medical malpractice insurer, argues that the gap between what AI can do clinically and what courts are ready to judge has created a difficult position for physicians, and that it will take a long time for the system to catch up. This episode is based on his article "The future of U.S. medicine: 10 health care trends in 2026," published on KevinMD. You will hear why following an AI recommendation that diverges from the current standard of care can put a physician in legal jeopardy, why Anderson has seen almost no AI-related lawsuits so far despite widespread clinical use, what physicians should document every time they choose not to follow an AI recommendation, and what the 17-year lag between scientific discovery and standard-of-care adoption means for anyone practicing with AI today. Listen for a grounded read on medical AI heading into 2026. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Rural doctors hit a ceiling around 35 patients a day, and hiring more clinicians will not move it. Tod Stillson, a family physician, medical device inventor, and health care entrepreneur, argues that the physician shortage is not a headcount problem but a knowledge-scaling problem, and that AI with a doctor in the loop is the only realistic way to extend a physician's judgment to more patients without replacing the human relationship. This episode is based on his article "How artificial intelligence scales physician extension," published on KevinMD. You will hear why he spent two years codifying his own clinical judgment into software, why his text-based triage system outperformed general-purpose AI in a recent study, and what physicians risk if direct-to-consumer companies keep capturing demand while doctors stay on the sidelines. You will also learn why governance of the medical knowledge base has to come from physicians, not from startups in San Francisco or Boston. Listen for a grounded case for AI as capacity multiplier, not replacement. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Most physicians spend more time fighting their software than seeing patients, and piling on new tools has not fixed it. Grace E. Terrell, a physician executive, argues that decades of layering electronic health records, population health tools, remote patient monitoring, and now AI onto sixty-year-old billing infrastructure has produced a Frankenstein stack that burns out clinicians and harms patients. This episode is based on her article "Connected health care workflows: From chore to core patient care," published on KevinMD. You will hear why layering new tools on old infrastructure keeps failing, how prior authorization became an arms race, and what a genuinely connected workflow would feel like for a clinician evaluating a patient with suspected spinal abscess. You will also learn the one question to ask any vendor pitching a new tool, and why her company's CIO believes EHRs themselves may not survive the next five years. Listen for a concrete path from chore to core patient care. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
The same Robert Kennedy Jr. who sued Monsanto over glyphosate in 2017 is now defending an order to expand its production. What does a functional medicine physician do with that? Shiv K. Goel, an internal medicine and functional medicine physician, argues that the Make America Healthy Again movement correctly names the chronic disease crisis, ultra-processed food, and a broken food system, then prescribes the wrong treatment. This episode is based on his article "Make America Healthy Again fails true functional medicine," published on KevinMD. You will hear why MAHA's root-cause language overlaps with functional medicine, why undermining vaccines during a measles outbreak is the contradiction the guest cannot ignore, how silence on Medicaid and SNAP cuts hurts the patients most harmed by chronic disease, and why clinicians must reclaim root-cause language from populist politics. If you have felt torn between agreeing with parts of MAHA and rejecting the rest, this conversation draws the line the guest thinks physicians have to hold. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
One AI-hallucinated citation on cross-examination, and the expert witness career you built is over. It is already happening. Tracy Liberatore, a former physician assistant turned attorney and founder of the National Expert Academy, walks through the real court cases where clinical experts leaned on generative AI and watched their reports, and their reputations, get thrown out. This episode is based on her article "Expert witness credibility is destroyed by AI opinions," published on KevinMD. You will hear why AI hallucinated citations are ending careers in medical-legal work, why one expert was allowed to keep AI in his workflow because he could account for every prompt, what responsible AI use actually looks like for clinicians writing expert reports, and the brain flip clinicians have to make to defend a process rather than a conclusion. If you do expert witness work, or are thinking about it, this conversation names the line you cannot cross. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
You hit every number: top grades, top test scores, top patients-per-hour. So why does practicing medicine feel hollow? Ben Reinking, a board-certified pediatric cardiologist, medical educator, and certified physician development coach, argues that the same metric-driven mindset that carries pre-meds into medical school is the one leaving attendings disconnected from why they practice. This episode is based on his article "How competency-based education is driving medical education reform," published on KevinMD. You will hear why a 15-minute billing slot frustrates both patient and physician, how competency-based education and entrustable professional activities shift the question from "did you meet the number" to "do we trust you in the system," and why admitting "I don't know, but let me figure it out" gets discouraged when learners are judged only by scores. If you have ever sensed the gap between your scorecard and your purpose, this conversation names what you have been feeling. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
When you open your Match Day envelope, you step into an orthopedic surgery field that looks nothing like it used to. John E. Klibanoff, an orthopedic surgeon, discusses his article "Navigating your orthopedic surgery residency after Match Day," published on KevinMD. He explains why nobody will care about your physiology grade or your rotation honors once you start residency, and why the old archetype of the tall, athletic, Northeast-raised orthopedic surgeon no longer describes the field. You will hear how AI and short online snippets have collapsed a week of attending-to-attending research into thirty minutes over coffee, how impaction devices and minimally invasive tools have opened recon and spine surgery to surgeons of any stature, and why younger faculty and peer networks are replacing top-down lectures. Klibanoff also explains why mentorship and adaptability matter more than competitiveness, and why patients now arrive with hours of their own research to bring into the room. Listen to hear what actually earns you the craft of orthopedic surgery after Match Day. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
You hear code blues overhead in a hospital all the time, but one on a psychiatry unit is different. A young patient died after a cardiac event, and what followed looked nothing like a code blue on a medical floor. Devina Maya Wadhwa, a psychiatrist, discusses her article "When a code blue happens on a psychiatry unit," published on KevinMD. She describes the locked oxygen tanks and missing electrical outlets that slowed the response, the coroner's investigation that opened automatically, and the police interview that felt like an interrogation. You will hear why standard debriefs fall short when staff are trained for emotional safety rather than cardiac arrest, how self-doubt follows a physician long after the incident report closes, and what genuine check-ins could look like weeks later. Wadhwa also names the hypervigilance that settles over the unit afterward and why she believes sharing these stories is empowering and deeply healing. Listen to hear what psychiatric teams carry when a patient dies on their floor. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
A cardiologist who helped set national cholesterol and weight targets for 40 years now says those numbers can mislead. Richard M. Fleming, a physician specializing in cardiovascular and inflammatory disease, argues that weight loss on a GLP-1 does not automatically mean a patient is getting healthier, and that some patients who never lose a pound are already metabolically well. This episode is based on his article "GLP-1 agonists and weight loss: Treating the disease, not the number," published on KevinMD. You will hear why body mass index was never built to diagnose individuals, why inflammatory and thrombotic markers track disease more honestly than the scale, and how clinical trials from CAST to ACCORD have shown what happens when medicine treats the surrogate instead of the patient. He walks through which inflammation tests a primary care physician can run before, during, and after GLP-1 therapy, including high-sensitivity CRP, homocysteine, and fibrinogen. Hear why a 40-year insider says precision medicine requires precision measurement, not precision weighing. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Robert C. Smith is best known for arguing medicine lost its mind. This episode he explains why he is still proud to be a doctor. Primary care physicians deliver 75 percent of the nation's mental health care without training for it, and Smith has spent his career trying to fix that. But before the fix, he makes a case that may surprise his own readers: modern medicine has been astonishingly effective at what it was built to do. This episode is based on his article "How the mind-body split in medicine shaped modern clinical care," published on KevinMD. You will hear how 2,500 years of four humors and bloodletting gave way to a physical-disease framework that doubled life expectancy from 40 to 80. You will also learn why that same framework now leaves psychiatry stalled. Hear why the reformer who wants to overhaul mental health care still says medicine has never been better at the thing it was built to do. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
A federal agency recognized food allergy as a disability, then limited boarding protection to one allergen category. Lianne Mandelbaum, a leading advocate for airline safety measures to protect food-allergic passengers, returns to explain how the March 2026 DOT ruling created a hierarchy within a single medical condition, leaving passengers with egg, sesame, milk, shellfish, and wheat allergies without the same pre-boarding rights granted to those with peanut and tree nut allergies. This episode is based on her article "How the new DOT ruling on food allergies threatens air travel safety," published on KevinMD. You will hear about a Southwest captain who removed a passenger for asking to pre-board with a pistachio allergy, an allergen that is covered under the new ruling. You will also hear why a Northwestern survey of 4,704 food-allergic travelers found that 98 percent experience flight anxiety and 70 percent were promised accommodations that never arrived. Hear why the guest says this ruling cements airline inconsistency as federal policy, and what physicians can do to push back. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended