Podcasts about kevinmd

Ketamine made headlines for the wrong reasons, and people who could be helped by it are staying away. Jim Ellwood is an anesthesiologist who has given ketamine in the operating room and taken it himself for depression that nine medications failed to touch. This episode is based on his article "The truth about ketamine: an anesthesiologist explains drug safety," published on KevinMD. He explains what the research shows about how it works in the brain, and what to ask before you walk into a clinic. You will hear why he compares the panic around ketamine to what happened with propofol and fentanyl, how to find out who is actually writing the prescription at a clinic that advertises to you, and what he tells patients about how long the relief lasts and what it costs. He is candid about the stigma of a physician saying out loud that he has depression. Press play to hear a physician who has used ketamine both ways describe what a safe setting actually looks like. 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

You can have five doctors and still have no one actually in charge of your care. That gap is where patients get lost. In this episode, retired surgeon and patient advocate Alan P. Feren walks through a common case where the surgeon, primary care, and specialists each assume someone else is directing the plan, and no one is. This episode is based on his article "Fragmented care needs clinical direction, not more data," published on KevinMD. You will hear why coordination is not the same as clinical direction, how disconnected medical records leave patients to piece their own care together, and why confusion can look like progress from the outside. He also explains where AI can genuinely help patients and where it falls short. Hear the exact questions he says every patient with multiple doctors should be asking. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A resident read a student's personal statement and asked why she didn't just use ChatGPT. The comment landed like a wound. In this episode, certified coach and professor Kathleen Muldoon returns to unpack what a residency personal statement is actually for, and why an algorithm can't do it for you. This episode is based on her article "Why ChatGPT can't write your residency personal statement," published on KevinMD. You will hear why the product was never the essay but the self-knowledge that comes from writing it, how AI tends to average out the distinctive voice and sharp edges that make an applicant feel human, and where a tool like ChatGPT can still help without taking over the whole process. She also weighs whether AI detection tools unfairly flag applicants whose first language isn't English. Hear why she says the real question was never whether AI wrote it, but whether the person still comes through. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

At one university, the share of students receiving disability accommodations rose sevenfold in a decade. Is that progress? In this episode, health care educator and patient advocate Richard A. Lawhern argues that psychiatric overdiagnosis is handicapping the very students it aims to help, and that the research underneath much of modern psychiatry may not hold up. This episode is based on his article "Why psychiatric overdiagnosis fails the students who suffer," published on KevinMD. You will hear why he says a rise in student diagnoses reflects misallocated help rather than real need, how the replication crisis has undercut studies that shaped the field, and why critics like Allen Frances have questioned the expanding reach of the DSM-5. He also lays out where he thinks families harmed by misdiagnosis may have recourse. Hear the case he makes for why the science behind these diagnoses may not hold up, and what he thinks families can do about 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

After 20 years as a pediatrician, she stopped believing burnout meant she couldn't hack it. The problem was never her. In this episode, pediatrician and physician career development coach Gita Balakumar reframes burnout as a systemic burden wrongly blamed on the individual, and offers a different way to think about it. This episode is based on her article "What physicians and dragonflies share in resilience and agility," published on KevinMD. Drawing on the dragonfly, an insect revered across cultures for transformation and resilience, she explains why the demands of medicine ask physicians to keep evolving. You will hear why self-compassion is a foundation and not a luxury, how career coaching helps physicians name what they actually value, and why the idea that doctors just aren't resilient enough is a fallacy. Hear why she says the most resilient people in medicine still deserve compassion, and that seeking support is a strength, not a failure. 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

At 2 a.m., a surgeon needed an answer fast and had no one to ask. So he built the tool himself, with no coding background. In this episode, consultant cardiac anesthesiologist Ahmed Elsonbaty explains how a single bleeding-patient case in the operating room pushed him to create bedside clinical decision-support tools now used by more than 10,000 doctors across 150 countries. This episode is based on his article "I built clinical decision-support tools at the bedside," published on KevinMD. You will hear why he deliberately avoided generative AI so the tools give the same traceable answer every time, how he built everything on published, documented sources, and why he insists the tools help the doctor rather than replace anyone. He also walks through submitting his work for peer review at a major journal. Hear how he did it, and the exact steps he says any physician can follow to build their own. 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 his shifts were cut during the pandemic, he took a telemedicine job to pay the bills and ended up loving it. Suneer Chander is an emergency physician who co-wrote the article "Telemedicine as a career, not a side gig," published on KevinMD. He makes the case that telemedicine is the most impactful public health advance to come out of the pandemic, yet most doctors treat it as weekend income instead of the career patients actually need it to be. You will hear why so few physicians work in it full time, what a day of asynchronous care in sexual health, obesity medicine, and psychiatry really looks like, and the red flags that signal a company using your license rather than respecting it. Chander argues the field needs committed clinical leaders, not moonlighters. You will hear which doctors are the best fit, the red flags to watch for, and how Chander says to weigh an offer beyond the paycheck. 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

An eye surgeon who used to see forty patients a day now sees one to three in a morning, and he has no staff. Oren Fass, a board-certified ophthalmologist and cataract surgeon, has been an employed physician, a practice owner, and an owner who sold to private equity, and he now runs a solo micro practice. This episode is based on his article "The hidden variable in the physician burnout debate," published on KevinMD. You will hear how his agents read incoming faxes, start the scheduling, and apply his billing rules, and why he says this was not feasible three years ago. He is direct about why doctors feel stuck, from the six to twelve month timelines on licenses and insurance panels to the second shift of charting that starts at six in the evening. He also argues that ownership and creativity are the two bets worth making now, and that the salaried job may be the riskier one. You will hear where he thinks the model fits, and where it does not. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

He was sued for a case he barely remembered, and five years later it pushed him out of medicine. It is not just malpractice. Jordan Grumet is an internal medicine physician and the author of The Healthcare Heist: How Physicians and Patients Can Unite to Transform Health Care. In this conversation he traces how third parties like insurers, pharmaceutical companies, private equity, and malpractice lawyers pull money and agency out of the system and leave doctors and patients worse off. You will hear why most malpractice suits are dropped before court yet still drive billions in defensive medicine, how business entities that never took the Hippocratic Oath end up deciding how medicine is practiced, and why doctors and patients are pushed into feeling like opponents when they are actually the only two real stakeholders. Grumet makes the case that shared storytelling can close the gap between them. You will hear how doctors and patients can start taking power back, and the specific steps Grumet says both can take today. 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

She built a thriving practice in Manhattan and appeared all over the media. Then she walked away, and it was never burnout. Samantha Nazareth is a gastroenterologist and the author of the memoir I Left Anyway: The Life I Was Supposed to Want. In this conversation she describes a deliberate triple exit from her practice, her home, and a ten-year relationship, and the six-week sabbatical that became years of travel. You will hear why she did not wait for retirement or a collapse to ask whether medicine could be all of her. She talks candidly about learning to swim as an adult, rebuilding an identity when your career is no longer the center of it, and sitting with the messy, uncertain in-between that most stories skip. If you have ever wondered what happens after the leap, this is the part no one describes. You will hear why the free fall after the leap is the real work, and what it takes to stay a student when the map runs 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

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Show NotesThanks for tuning in to Episode #1 of the “In-Between” Episodes. The Art of Medicine with Dr. Andrew Wilner has been published every 2 weeks for the last 7 years and will continue that schedule. The Art of Medicine is available on YouTube and all your favorite podcast streamers such as Apple, Google, Spotify, Goodpods, iHeart, and others.Now, for the first time, on the “off weeks”, please welcome the “In-Between” episodes of The Art of Medicine. These programs will be shorter, more personal, and may include updates on my publications, projects, experiences, and perhaps individual sponsored episodes.Today's “In-Between” episode focuses on a recent story I published on KevinMD.com, “The Power of Praise in Medical Education.” My son Jack inspired this essay, and I'm grateful to him for the inspiration! You can read it here:https://kevinmd.com/2026/07/the-power-of-praise-in-medical-education.htmlPlease use your feedback button to let me know what you think of the article.The “In-Between” episodes are a work-in-progress. Your input will be much appreciated!Thanks for watching/listening! Please click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @seaphoto2025X: @drwilnerlinkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com. Thanks for listening!@uthsc @drwilner @chg @yaleu  #theartofmedicinewithdrandrewwilner @amazonmusic @medscape  #podcastsonamazonmusic

A teacher came in for migraines and weight loss with a stack of leaky gut test results and a diagnosis that never fixed her. Shiv K. Goel is a board-certified internal medicine and functional medicine physician who argues that leaky gut is not a diagnosis but a physiological response, and that the upstream driver is often chronic stress and a dysregulated cortisol rhythm. This episode is based on his article "Why your leaky gut tests aren't fixing your symptoms," published on KevinMD. You will hear why a normal scope and an IBS label can still leave a patient uncured, why no single permeability test is reliable on its own, and why objective results still matter because they drive patient adherence. He explains why he reaches for sleep, stress reduction, and targeted support over a generic supplement stack, and why you should neither dismiss patients with normal labs nor over-order unvalidated panels. Press play to hear why the fix starts with the story behind the symptoms, not the next panel. 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

A young patient walks in with ordinary back pain and leaves on a path that can quietly weaken the muscle holding the spine together. Francisco M. Torres is an interventional physiatrist who noticed these patients coming back to him sooner, and traced it to radiofrequency ablation denervating the multifidus, the back's most important stabilizer, until the muscle atrophies and fills with fat. This episode is based on his article "Radiofrequency ablation and the young back pain patient," published on KevinMD. You will hear why insurers began steering these patients toward the procedure, why most of the evidence comes from older patients with degeneration rather than people in their twenties, and why he believes the muscle damage should be spelled out in the consent form. He explains why generic core exercises fall short, how facet injections and targeted rehabilitation offer a lower-risk path, and the exact questions to ask before you agree. Press play to hear the questions worth asking before you let anyone burn a nerve in your 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

For years, doctors told this pediatrician her pain was fibromyalgia and depression. It was quietly starving her aorta. Victoria Rundus is a board-certified pediatrician who spent four years being misdiagnosed before an ER physician finally listened to her abdomen and heard what everyone else had missed. This episode is based on her article "Diagnostic bias almost cost me my life," published on KevinMD. You will hear how a single label can close the door on everything else, both for the physician treating you and for the patient who starts writing off new symptoms as just the old diagnosis. She explains why the physical exam still matters when labs come back normal, why she felt she was not being heard, and why curiosity and humility belong next to medical knowledge, not beneath it. We usually see horses, but the zebras are real. Press play to hear how a diagnosis can close a door that should stay open, and what it takes to keep looking. 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

A tech founder used one pediatrician's public advice to train her own AI. Sonal Patel decided doctors should own the tools built on their knowledge instead. Patel is a pediatrician and neonatologist who built and controls her own AI for the fourth trimester. This episode is based on her article "Physicians must shape AI in medicine, not watch it," published on KevinMD. You will hear why she believes the doctor who uses AI, not AI itself, is the real threat to the one who ignores it. She explains how insurers already use AI to deny claims, and how she keeps patients from being sold products they do not need. You will learn why a paid subscription model matters before you experiment, why physician critical thinking cannot be automated away, and why the human connection at the center of medicine is the one thing a machine can never replace. Press play to hear why the doctor who ignores AI is more at risk than the one who uses it, and where to start. 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

Your doctor may help you live longer, but has likely never asked if intimacy still matters to you. In this episode, Michael Reed, a board-certified obstetrician-gynecologist, certified menopause practitioner, and fellowship-trained cosmetic gynecologic surgeon, explains why so many women are never given the chance to raise sexual health concerns with their physician. You will hear why medicine taught women that these topics are off limits, why doctors trained to fix what is broken often miss what a patient actually wants, and the plain-language questions any clinician can start asking. You will also hear the small, concrete steps Reed recommends, from handing a patient a mirror to understand her own anatomy, to prescribing vaginal estradiol for dryness and recurrent infections, to knowing when to refer. This episode is based on his article "The exam question OB/GYNs were never taught to ask," published on KevinMD. Press play to hear the one question physicians were never taught to ask, and the simple changes that can help women live well, not just longer. 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

Your blood pressure is fine. Your cholesterol looks great. So why do you still feel exhausted, wired, and unwell? Internal medicine and functional medicine physician Shiv K. Goel returns to explain what standard lab panels miss when chronic stress quietly reshapes the body. This episode is based on his article "Normal labs miss what most patients are living through," published on KevinMD. You will hear how sustained stress ripples through your hormones, gut, and immune system, and why a patient can be genuinely sick while every routine result comes back normal. Shiv walks through the targeted tests he uses, from salivary cortisol to the Dutch test, and is candid that not all of it is covered by insurance or backed by the usual evidence. He also makes the case for listening longer and treating the root cause, with real ways to do it inside a packed schedule. You will come away with practical ways to hear more in a short visit and follow the clues standard labs leave behind. 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

A medical student offered a professor $1,000 to write their residency essay, and the reason why was not laziness. In this episode, Kathleen Muldoon, a certified coach and medical education professor, shares what she learned when she sat that student down for an honest conversation. You will hear why so many students freeze on the personal statement, why the fear is less about writing and more about who they think they are allowed to be on the page, and how this connects to a kind of burnout that looks less like exhaustion and more like identity erosion. You will also hear why AI cannot solve this, since it blends every applicant into the same voice, and what Muldoon does instead to help students find their own story. This episode is based on her article "The residency personal statement is an identity problem," published on KevinMD. Press play to hear why the essay that decides so many residency spots is really a question about identity, and what students can do about 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

A 30-year-old soldier can have the knees of a 60-year-old. Not from one bad injury, but from carrying a load every single day for years. Family medicine and sports medicine physician Ann Lebeck returns to explain why she came to see soldiers as tactical athletes, and what that means for their bodies. This episode is based on her article "Military sports medicine and the cost of readiness," published on KevinMD. You will hear why young recruits who never played sports kept saying the Army broke them, how early joint damage shows up predictably with years of service, and why a soldier is a year-round athlete for two decades, not a four-year career. Ann shares the program she built that taught running mechanics, strengthening, and even the right shoes, and the results after 1,200 soldiers came through. You will come away seeing soldiers, and every physically demanding job, through the eyes of the doctor who learned to treat the body that carries the load. 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

Your patients are asking ChatGPT what's wrong with them before they call your office, and getting an answer in seconds. In this episode, Tod Stillson, a board-certified family physician, medical device inventor, and health care entrepreneur, explains how AI chatbots became the new waiting room, and what that means for the doctor who used to be the first call. You will hear why patients turn to ChatGPT, Claude, and Gemini instead of waiting days for a reply, how AI companies are racing to own the front door of a system that is 20 percent of the economy, and why staying passive hands that ground away. Stillson makes the case that physicians can shape how these tools are governed, through medical advisory roles and digital health committees, so the guidance patients get is accurate. This episode is based on his article "AI chatbots and patient safety need physician design," published on KevinMD. Press play to hear why you are becoming the second opinion, and what you can actually do to stay in the patient journey. 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

A patient asked for her knee surgery by its brand name. She used the term perfectly. She just had no idea what it actually meant. Orthopedic surgeon Cory Calendine, who does nearly 700 to 800 hip and knee replacements a year, returns to unpack how marketing is quietly reshaping what patients ask for in the exam room. This episode is based on his article "Knee replacement marketing undermines informed consent," published on KevinMD. You will hear why trademarked procedure names now get searched more than the implant companies that make the hardware, how many carry no published data of their own, and why false expectations can genuinely slow recovery. Cory shares how he guides patients who arrive with a name and a wish list, meeting them where they are instead of talking them out of it. You will come away knowing how to separate an honest surgical claim from a marketing one, and the exact questions to ask before you agree to anything. 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

Two families raise their kids in completely different ways. Both are doing it right. So why do clinicians so often assume one of them is doing something wrong? Najat Fadlalla, a developmental behavioral pediatric fellow, returns to unpack how cultural bias creeps into parent coaching, the first-line, evidence-based approach for children with or at risk of ADHD. This episode is based on her article "How cultural competence transforms modern parent coaching," published on KevinMD. You will hear why so much parenting research draws from a narrow slice of the world, how the same strict parenting can carry very different outcomes depending on the culture around it, and a real clinic exchange where honoring a mother's values worked better than correcting them. You will learn to pause on your first reaction, ask better questions, and honor a family's values while still giving evidence-based advice. You will come away with a practical way to spot your own blind spots and coach families across cultures without pathologizing what is simply different. 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

A doctor spoke up about problems in his residency, and months later he was walked out in front of his patients. In this episode, Vasilii Khammad, a physician and researcher who came to the United States as a Fulbright Scholar, shares what happened after he and fellow residents raised concerns about their training program. You will hear how the feedback against him was anonymous and never documented, how he was pushed toward a psychiatric evaluation he never asked for, and how he was removed with no chance to respond. You will also hear why no lawyer would take his case, and why residents on visas are left almost entirely on their own when a program turns against them. Khammad explains what he wants other international medical graduates to know about their rights. This episode is based on his article "International medical graduates need real protections," published on KevinMD. Press play to hear why the doctors we recruit to train here have so little protection, and what he says you should do about 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

A nurse survived a violent assault at work, then watched her hospital treat her like a liability, not a victim. In this episode, June Garen, a retired psychiatric and operating room nurse and author, and Carleigh Beriont, a former union organizer who teaches U.S. history and public policy, explain why violence against nurses and doctors gets treated as part of the job. You will hear what actually happens to a health care worker after an assault, why so many facilities do not even track these incidents, and how understaffing and private equity ownership make hospitals more dangerous. This episode is based on their article "Violence against health care workers: the silence must end," published on KevinMD. Beriont lays out the bipartisan legislation and the safe staffing and unionization fights that could change it, and June makes the case for why workers on the front lines have to start speaking up. Press play to understand why the people who take care of us are not safe at work, and what has to change. 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

What if burnout is the wrong word for what doctors are actually going through? Gus W. Krucke argues that calling physicians burned out treats a systemic failure as a personal one, and that physicians are not failing, they are grieving a profession that has changed around them. Using a malpractice case over a reversal drug, he shows how doctors are judged in retrospect for decisions made under pressure in the moment, and how that fear drives a culture of self-protection. He draws a sharp line between resilience, which he says blames the physician, and fortitude, the quality he believes every doctor who finished training already has. Krucke is a board-certified internal medicine and emergency medicine physician and a certified hospice medical director. This episode is based on his article "Physician burnout is not the whole diagnosis," published on KevinMD. Press play to hear why protecting your judgment, your presence, and your fortitude matters more than any metric, and why burnout was never the whole diagnosis. 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 family finds a loved one with a severe bedsore in a nursing home, they often sue. But these cases are rarely decided by the wound itself. They are decided by what the medical record shows. Tracy Liberatore is an attorney and former physician assistant who does expert witness work on these claims, and she explains why a four-step test, not the size of the ulcer, determines whether it is ruled avoidable or unavoidable, and why age and other health problems do not by themselves let a facility off the hook. This episode is based on her article "Unavoidable pressure ulcer claims live and die by the record," published on KevinMD. You will hear how short staffing leads to missed documentation, how a 2023 Supreme Court decision opened a new path for lawsuits against publicly owned nursing homes, and what to record to protect patients and yourself. Press play to hear why the chart, not the wound, decides these cases, and what every nursing home clinician should be documenting. 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

If you have acne, irregular periods, and trouble with your weight, the cause may not be three separate problems. It may be one condition affecting your whole body. PCOS, long called polycystic ovary syndrome, was recently proposed for renaming to reflect its hormonal and metabolic roots, and Oluyemisi "Yemi" Famuyiwa explains why the old name sent patients to separate specialists who each treated one symptom and missed the whole picture. Famuyiwa is a double board-certified reproductive endocrinologist, infertility specialist, and obstetrician-gynecologist, and the founder and medical director of Montgomery Fertility Center. This episode is based on her article "Polycystic ovary syndrome is more than ovarian," published on KevinMD. You will hear why the condition affects one in eight women yet is missed most of the time, why the string of pearls on an ultrasound is not what it seems, and what primary care clinicians should watch for. Press play to hear what your scattered symptoms may be pointing to, and why getting the diagnosis right early is what leads to the right treatment. 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

You keep getting sinus infections, so you keep getting antibiotics. What if the antibiotics are part of the problem? Franklyn R. Gergits is a board-certified otolaryngologist and fellowship-trained otolaryngic allergist with about 30 years in practice. This episode is based on his article "Recurrent sinus infections leave damage beyond your sinuses," published on KevinMD. He explains why 2025 guidelines shifted from reaching for antibiotics to treating inflammation, and how repeated courses can wipe out your good bacteria, let resistant bugs and biofilms take hold, and leave you feeling reinfected when the real issue is inflammation. You will hear how this can progress to stubborn fungal infections, why he tests with a scope and lab analysis instead of guessing, and what he reaches for first, from high-volume sinus rinses to steroid sprays. He also shares what he wishes primary care physicians would do before writing the next prescription. Press play to learn how to tell a true infection from chronic inflammation, and what to reach for before the next antibiotic. 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

The pharma rep with the free lunch is gone. What replaced it is harder to see, and aimed at you and your doctor. Martha Rosenberg is an investigative reporter who has worked at two medical schools and two medical ad agencies, seeing drug marketing from the inside. This episode is based on her article "3 new pharma marketing tactics every physician should know," published on KevinMD. Reporting from a pharma conference, Martha breaks down three tactics drug makers no longer hide. You will hear how AI apps track where a prescriber sits on the "prescription journey," how disease mongering and TikTok influencers turn everyday worries into conditions worth medicating, and how the industry is shifting from "ask your doctor" ads to pop-up and online practices that sell straight to patients and sidestep the FDA. She also flags a Maryland bill that would force disclosure of pharma funding behind patient advocacy groups. Press play to learn how to spot the marketing dressed up as medicine, and why your skepticism is the best defense you have. 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

What happens when you ask ChatGPT to study every conversation you have had and tell you who you really are? One medical student did that, and what it told him changed how he sees his future in medicine. Jack Tiller is a medical student in an MD-PhD program, with doctoral work in neuroscience and neurodegeneration. This episode is based on his article "The reluctant achiever: Navigating identity in medical training," published on KevinMD. You will hear why the AI labeled him a reluctant achiever, and how a single line about having many possible lives but only one timeline stopped him cold. Jack explains how board-exam burnout, perfectionism, and an identity built on achievement all came into focus. He talks about exploring careers beyond clinical medicine, from science writing to policy, and about using AI alongside therapy to understand his own thinking. Press play to hear how AI helped one medical student see himself more clearly, and why he is giving himself permission to imagine a life beyond the path he was told to 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

Your kidney test comes back normal after surgery, so you must have recovered. Except the damage can be hiding in plain sight. John Erbey is an epidemiologist by training and the founder and CEO of Roivios, where he works at the intersection of science and business. This episode is based on his article "When normal creatinine hides post-operative kidney injury," published on KevinMD. He explains why kidney function is dynamic, like the heart, and why the reserve you lose during surgery rarely returns even when creatinine looks fine. You will hear what a JAMA Network Open study found about elevated death and complication risk in the years after a "normal" recovery, why readmissions blamed on heart failure or infection may trace back to the kidney, and why John makes the case for protecting the kidney during the riskiest windows, from cardiac surgery to sepsis, instead of trusting the discharge number. Press play to learn why a normal kidney result can mislead you, and how to protect the kidney before the damage is locked in. 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

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