Podcasts about mailo

Want to dive deeper into topics like this? Master your journey with Physician Empowerment's Masterclass Membership—your gateway to exclusive content, expert-led sessions, and actionable strategies to elevate your personal and financial well-being. Learn more and join us today! https://www.physempowerment.ca/masterclass—In this episode, Dr. Kevin Mailo welcomes back Dr. Jayna Amadasun, an Ethical Strategist and Founder of Ember Impact Global, to discuss how to address the critical challenges facing healthcare retention through supportive environments. Dr. Mailo and Jayna explore the emotional and physical toll on healthcare workers and how to combat poor workplace culture, burnout, and a lack of support. Onboarding should be intentional and integrate new hires into environments rich with mentorship and attentive leadership.  Kevin and Jayna talk about the need for human-centered systems to improve worker retention. It's not enough to simply hire new healthcare workers; administrators must be accountable for ensuring their long-term satisfaction and engagement. Jayna explains that thriving workplaces build their own momentum in terms of attracting and retaining staff. Through thoughtful onboarding, listening, and investing in workplace culture and support, professionals will be fostered in environments they want to stay in. If healthcare leaders can prioritize the needs of frontline workers, patient outcomes will be improved and system strain reduced. About Jayna Amadasun:Jayna Amadasun is a dynamic ethical strategist and consultant who coaches Black medical professionals. With an M.D. from the Dominican Republic, Jayna brings a wealth of experience, having worked as an R.N. in the Bahamas and trained in the U.S. healthcare system. She holds a Master's in Law and Medical Ethics from the University of Edinburgh and is committed to creating equitable healthcare environments. Her unique perspective, shaped by years in emergency and flight medicine, allows her to address the complex issues facing healthcare systems today.__Physician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.caJayna Amadasun:Website: Ember Impact GlobalLinkedIn: Jayna AmadasunInstagram: EmberImpactCalendly: Jayna Amadasun

XONI On Air to muzyczny podcast, który od sześciu lat pokazuje najnowsze trendy w muzyce elektronicznej oraz znanych doskonale z klubów całej Polski dj-ów, którzy co tydzień prezentują na żywo swój muzyczny spektakl. Premiery, sety, wywiady, ciekawostki, konkursy i relacje z imprez w najlepszej jakości znajdziesz na www.xonionair.pl

Want to dive deeper into topics like this? Master your journey with Physician Empowerment's Masterclass Membership—your gateway to exclusive content, expert-led sessions, and actionable strategies to elevate your personal and financial well-being. Learn more and join us today! https://www.physempowerment.ca/masterclass—In this episode, Dr. Kevin Mailo welcomes returning guest Jayna Amadasun, MD - ethicist and founder of Ember Impact Global - to the show to discuss Bill 83. Bill 83 is a legislative measure in Quebec that mandates that doctors who receive their training in the province must work in the public healthcare system for five years; if they don't, they face substantial fines of up to $200,000 per day. Jayna and Kevin critique this policy, calling it coercive and relating it to indentured servitude. They discuss the impacts the bill could have on the healthcare system. Dr. Mailo and Dr. Amadasun highlight certain systemic problems in the medical profession, including the exploitation of residents, student debt burdens, and a lack of respect for physicians' contributions. Rather than imposing restrictive measures, they believe policymakers should improve working conditions by collaborating with doctors. Jayna explains why physicians, like other professionals, deserve fair treatment, and ultimately concludes that governments should prioritize physician well-being to ensure quality patient care. The conversation around Bill 83 focuses on the need for physician empowerment, collective advocacy, and a system reform to regain a more sustainable and equitable healthcare system. About Jayna Amadasun, MD: Jayna Amadasun is a dynamic ethical strategist and consultant who coaches Black medical professionals. With an M.D. from the Dominican Republic, Jayna brings a wealth of experience, having worked as an R.N. in the Bahamas and trained in the U.S. healthcare system. She holds a Master's in Law and Medical Ethics from the University of Edinburgh and is committed to creating equitable healthcare environments. Her unique perspective, shaped by years in emergency and flight medicine, allows her to address the complex issues facing healthcare systems today.__Resources discussed in this episode:Episode 52: Real Change in Our Healthcare System with Jayna Amadasun, MD, LLM__Physician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.caJayna Amadasun, MD:Website: Ember Impact GlobalLinkedIn: Jayna AmadasunInstagram: EmberImpactCalendly: Jayna Amadasun

XONI On Air to muzyczny podcast, który od siedmiu lat pokazuje najnowsze trendy w muzyce elektronicznej oraz znanych doskonale z klubów całej Polski dj-ów, którzy co tydzień prezentują na żywo swój muzyczny spektakl. Premiery, sety, wywiady, ciekawostki, konkursy i relacje z imprez w najlepszej jakości znajdziesz na www.xonionair.pl

Dr. Kevin Mailo welcomes Dr. Kerstin de Wit, a Professor of Emergency Medicine at Queen's University and a very active clinician and researcher practicing both emergency medicine and thrombosis medicine. Dr. Kerstin de Wit was interviewed for an article in the National Post that featured survey data from her latest research into high levels of burnout amongst emergency physicians. Her research was published in June's edition of the Annals of Emergency Medicine and it reveals the levels of emotional exhaustion and depersonalization aspects of burnout spiking in emergency medicine personnel. Dr. de Wit's study compared physician burnout levels during 2020, the first year of the pandemic, to levels reported in October 2022. The initial survey revealed that roughly 50% of physicians participating in the survey exhibited high levels of burnout already. In 2022 the levels had increased significantly. Emotional exhaustion, one of the two measured elements of burnout, had increased by an absolute 16% of the cohort, and depersonalization had increased by an absolute 12% of the cohort. Dr. Mailo and Dr. de Wit discuss how alarmingly high the revealed levels of burnout are, the realities and consequences of depersonalization, the quotes from the study that revealed how people feel about the broken state of healthcare in Canada today, and what can be done to lessen the burnout and mend the damaged healthcare and ER departments across Canada. This is a key episode about emergency medicine and the burnout crisis that will take serious intervention to turn around. About Dr. Kerstin de Wit, MD:Kerstin de Wit holds a Tier 1 Canada Research Chair in Emergency Venous Thromboembolism and is a Professor in the Department of Emergency Medicine at Queen's University. She works clinically as an emergency physician and thrombosis physician at Kingston Health Sciences.Dr de Wit was trained in internal medicine, emergency medicine, and research in the UK. She completed a Thrombosis Fellowship in Ottawa in 2013. Since then, she has worked in both emergency medicine and thrombosis. She leads a research program which focuses on the diagnosis of bleeding and clotting disorders in the emergency department and is funded by CIHR.Dr de Wit is the Queen's University Clinician Investigator Program Director and the Research Director for the Department of Emergency Medicine. __Resources discussed in this episode:“A Longitudinal Survey on Canadian Emergency Physician Burnout” Annals of Emergency Medicine, Volume 83, Issue 6, P576-584, June 2024, by Kerstin de Wit, MBChB, MD; Anna Tran, BSc; Natasha Clayton, CRA, RA; Caroline Gérin-Lajoie, MD; and Mathew Mercuri, PhD, PhD“‘I don't think I'll last': How Canada's emergency room crisis could be killing thousands” by Sharon Kirkey, National Post, July 19, 2024__Dr. Kerstin de Wit:Queen's University Emergency Medicine Faculty: Dr. Kerstin de Wit, MDKerstin de Wit on X/TwitterPhysician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.ca

Dr. Kevin Mailo welcomes Dr. Iuliaa Povieriena as his guest in this episode to talk about boundaries and wellness. Dr. Povieriena is a hospitalist based out of Georgetown in Ontario and also a Lifetime Physician Empowerment Masterclass member. She discusses how she found balance for herself by re-applying her time outside of work to things that she loves like dance and yoga. She and Dr. Mailo talk about how to maintain non-negotiables for personal wellness.The pressure to sacrifice personal time to work is high, especially as a medical student or resident, and the things sacrificed contribute to stress and an inability to carve that time back out later in medical careers. Iuliia and Kevin talk about devoting time to things we love and not striving for perfection in them, necessarily, but simply maintaining the joy of those activities as a way to regulate stress. Setting boundaries around our time, not immediately saying yes to covering shifts, keeping an evening class commitment, and prioritizing family and non-negotiables are all aspects of true wellness touched on by Dr. Mailo and Dr. Povieriena that keep us healthy and engaged in our careers without burnout long-term. About Dr. Iuliia Povieriena:Dr. Povieriena is a Hospitalist at Georgetown Hospital and has been a physician since 2020. She is a primary care physician with a strong interest in inpatient care, and palliative and geriatric medicine. Iuliia finds her work very meaningful and enjoys spending time with patients. She also has experience in GP psychotherapy, which she says was one of the best jobs she ever had.Dr. Povieriena is a firm believer that everyone deserves an equal opportunity to pursue their passion in medicine and would like to express gratitude to all women who have paved the path for the female physicians of today.__Resources discussed in this episode:“Burnout: The Secret to Unlocking the Stress Cycle” by Emily Nagoski PhD and Amelia Nagoski DMA“F*ck No!: How to Stop Saying Yes When You Can't, You Shouldn't, or You Just Don't Want To” by Sarah Knight17 Questions That Changed My Life by Tim Ferriss__Dr. Iuliia Povieriena:Iuliia Povieriena, MD on LinkedInCalming Chamomile on YouTubePhysician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.ca

Dr. Kevin Mailo welcomes dentist and implantology expert Dr. Sajid (Saj) Syed to the podcast to talk about practice building. Dr. Syed currently owns three dental practices in Ontario, all very successful, and he discusses his journey into dentistry and the business side of things with Dr. Mailo. As he says, “...the profession is 85% business and 15% actual dentistry” and emphasizes the importance of quality training to rely on and of not overthinking opportunities that arise.Dr. Syed did not start his medical career wanting to be a dentist. He began with a desire to do cardiology. But once he entered dentistry at the suggestion of a friend's father, he was hooked. Kevin prompts Saj to explain how he's moved beyond simple dentistry into being a highly skilled technician specializing in full mouth reconstruction and implant dentistry and then becoming a successful business owner. Saj and Kevin discuss the necessity of not over-analyzing goals, having a very skilled team around you, and prioritizing customer service when they talk about how to approach entrepreneurship. Dr. Syed draws on his multiple-practice ownership experiences to impart sound advice and financial tips for any medical professional looking to branch into business ownership.About Dr. Sajid (Saj) Syed:After graduating from the University of Saskatchewan in 2003, Dr. Syed began practicing dentistry in Estevan, Saskatchewan, where he worked for two years before moving to Ontario.In 2005, Dr. Syed purchased a practice in Dunnville, using his unique style and service improvements to maintain the quality care the Dunnville community has always enjoyed. Dr. Syed continued to expand his business, purchasing Pavillion Dentistry in 2009. He is dedicated to providing the residents of St. Catharines and surrounding communities with excellent dental care and personalized service.In 2021, Dr. Syed purchased Lakeside Dental in Stoney Creek. He and his family now live in Stoney Creek, where they love being part of a smaller community.Dr. Syed enjoys all aspects of dentistry, with a special interest in complex cases like dental implants, full mouth reconstruction, and orthodontics. He has a passion for performing life-changing treatments that increase a patient's quality of life by providing them with a fully functional smile.Recently, his dedication and hard work were recognized when he became a Diplomate of the American Board of Oral Implantology, the highest level of competency in implant dentistry. He is also an Associate Fellow and a Fellow of the American Academy of Implant Dentistry. Aside from being a big promoter of continuing education, Dr. Syed also mentors other general dentists wanting to enhance their clinical skills in implant dentistry.Outside of work, Dr. Syed loves spending quality time with his wife and two children. He also enjoys staying fit and playing tennis.__Dr. Sajid (Saj) Syed:Dentistry DunnvillePavilion DentistryLakeside DentalPhysician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.ca

Dr. Kevin Mailo welcomes close friend Dr. Dimitre Ranev back to the podcast to share some practice lessons learned in the past months. Dimitre addresses the value of delegation to medical practice and for mental health. Physician Empowerment has touched on the topic of delegation before but Kevin believes hearing about a subject that is key to growth from different perspectives is a major factor in determining happiness. Delegation can be a challenge but both Dr. Mailo and Dr. Ranev believe it is incredibly valuable. Delegation, as defined, is the transferring of the responsibility of a task from oneself to somebody else. In studies of health professionals, doctors, and professionals in general, Dimitre found evidence of the advantages of delegating. What Dimitre and Kevin explore is how to delegate, which tasks to consider moving to somebody else, and vitally, who to delegate to. Building a trusted team is the path to being able to delegate with confidence. Having others contribute to getting tasks done increases available time and, by extension, revenue. But it also relieves stress, improves wellness, and allows a focus on the most valuable aspects of the work.–About Dr. Dimitre Ranev:Dr. Ranev is a duly qualified medical practitioner in the province of Ontario and Quebec. His primary practice is in Gatineau, Quebec. He currently specializes in sexual health, LGBTQ+ health, and fertility health. He also provides private consulting for Telus Health in preventative care. He has past experience with home and palliative care as well as Geriatric rehabilitation medicine at Gatineau Hospital. In Ontario, Dr. Ranev has past experience with home care, nursing home care, and student health. He has a special interest in Medical Education being the co-host for the Primary Medicine Podcast and holding a position of Faculty Lecturer at McGill University.__Interested in going further in your financial journey? Join our national conference and meet the PhE team live in Toronto this May 25 and 26th: https://www.physempowerment.ca/live __Physician Empowerment: Register for the Physician Empowerment Live Conference in Toronto on May 25 - 26, 2024Join the Physician Empowerment Masterclass now

Dear Listeners, Dr. Kevin Mailo is an emergency physician based out of Edmonton, Alberta. He is the founder of Physician Empowerment, an organisation dedicated to transforming the lives of Canadian physicians through education in finance, practice management, wellness, and leadership. During the podcast, we have a chance to talk about his vision about the long-term […] The post Podcast 95: Dr. Kevin Mailo on empowering physicians to be mentally, physically and financially healthy appeared first on Primary Medicine Podcast.

XONI On Air to muzyczny podcast, który od sześciu lat pokazuje najnowsze trendy w muzyce elektronicznej oraz znanych doskonale z klubów całej Polski dj-ów, którzy co tydzień prezentują na żywo swój muzyczny spektakl. Premiery, sety, wywiady, ciekawostki, konkursy i relacje z imprez w najlepszej jakości znajdziesz na www.xonionair.pl

Dr. Kevin Mailo welcomes physician coach, Physician Empowerment masterclass student, and 2024 Physician Empowerment conference speaker Dr. Michelle Jackman to the show today. Physician Empowerment not only focuses on financial health but on the mental and emotional health of physicians as well. Dr. Jackman's coaching aims at that need for emotional well-being and improves the mental health of physicians throughout their careers.Dr. Michelle Jackman came to physician coaching during Covid, by asking questions about her own career path and satisfaction. She worked with Dr. April Elliott, an executive coach, and Dr. Nadeem Lalani, a physician coach, and the self-awareness she gained guided her into leaving the career path that wasn't satisfying her and into coaching instead. She describes coaching as allowing us to prioritize ourselves and allowing us to make a commitment to ourselves and not just to our jobs and demands.Dr. Mailo and Dr. Jackman discuss all aspects of physician coaching from acknowledging strengths and learning from accomplishments to evidence-based neuroscience and how our brains can be rewired to change our thought patterns. Michelle offers small group and one-on-one coaching and she describes the benefits of both to Kevin. She affirms that asking for help is not a sign of weakness but of strength and encourages physicians to seek out coaching if they need support.Dr. Michelle Jackman will be at the Physician Empowerment Live conference in Toronto on May 25 and 26. –About Dr. Michelle Jackman | physician coach, PhE masterclass student, 2024 PhE conference speaker:Dr. Michelle Jackman is a practicing pediatrician, born and raised in Ontario. She grew up in the City of Kawartha Lakes and is a University of Toronto Alumni OT1. She completed three years of surgical residency at Queen's University in Kingston and earned her FRCPC in pediatrics in 2008. Dr. Jackman has been clinical lead at the Pediatric Centre for Wellness & Health at Alberta Children's Hospital since it was established in 2012. Her clinical passion focuses on supporting children and youth at risk for obesity through this multi-disciplinary program. Her clinical expertise is in supporting children and youth with mental health and metabolic and mechanical co-morbidities of obesity to achieve their best health. She recently completed her executive coaching certification and coaching mastery program through Erickson International and is passionate about bringing coaching into the medical field to help her colleagues navigate challenges, excel in their professions and increase their fulfillment in all aspects of their lives.Michelle lives in Calgary with her husband and daughter. She enjoys making her daughter laugh and being out in nature and mountains on bikes, skis and horses.__Physician Empowerment: Register for the Physician Empowerment Live Conference in Toronto on May 25 - 26, 2024*Early Bird pricing ends March 15*Join the Physician Empowerment Masterclass now

Dr. Kevin Mailo welcomes Toronto-based family physician and obesity medicine practitioner Dr. Angie Hong to the podcast. Dr. Hong has been involved in coaching for a few years now and joins Dr. Mailo to talk about the differences between coaching, mentoring and therapy and the specific value of coaching. Dr. Angie Hong stumbled into coaching when she accidentally joined the wrong course at the University of Toronto and found herself in Solution Focused Coaching instead of Solution Focused Therapy. She stayed in the course and “fell in love with coaching”. Angie describes the enjoyment she gets out of helping a client reach a goal that sometimes isn't even their original goal but something born out of self-discovery. Dr. Mailo and Dr. Hong discuss how physicians specifically find Angie and the challenges that drive them to seek guidance. Angie describes the feelings of emotional burnout and exhaustion that coaching can be effective in assisting and preventing. The journey of a physician drives towards burnout in many cases and Angie believes that engaging with coaching earlier, in medical school even, can help combat the issues that compound later. Dr. Angie Hong will be at the Physician Empowerment Live conference in Toronto on May 25 and 26. –About Dr. Angie Hong:Dr. Hong has been a family doctor for over 20 years and has focused on metabolic health and disease for almost a decade. She is a fellow of the CCFP and a diplomate of the American Board of Obesity Medicine, one of the first family doctors in Ontario to earn this credential.Dr. Hong is also an International Coaching Federation Coach, a body recognized globally as the gold standard of professional coaching. In addition, she is a graduate of the University of Toronto Brief Coaching program and was mentored by world-renowned researcher and coach Dr. Haesun Moon.For the past seven years, Dr. Hong has had the privilege of teaching coaches and healthcare providers throughout North America at various schools and organizations, including Obesity Canada, CBT Canada, the University of Alberta, and the University of Toronto, among others.Dr. Hong lives in Toronto with her husband, three teenage daughters, and her dog Hugo. Her downtime is spent with family and friends and laughing at dog memes. However, she can usually be found taking another course to increase her skills and knowledge.Dr. Hong's passion for lifelong learning is driven by her commitment to providing the highest level of care and service to her patients and clients.Learn more about Dr. Hong's services and contact her via her website at AngieHongMD.com__Physician Empowerment: Register for the Physician Empowerment Live Conference in Toronto on May 25 - 26, 2024*Early Bird pricing ends March 15*Join the Physician Empowerment Masterclass now

Doctors Kevin Mailo and Wing Lim join forces to talk about the “d word” that isn't talked about enough: delegation. They lead a discussion explaining why we need to move away from assuming we know everything there is to know and instead embrace the expertise of others to achieve the best results. And how delegation is the key. Dr. Mailo and Dr. Lim break down what can and can't be delegated out. There are crucial tasks that only we can do and must continue doing, but there are plenty of other tasks we don't need to be spending our personal resources on tending to. They talk about the difference between delegation and abdication because very different results emerge from adhering to the wrong one. Dr. Wing Lim shares a checklist on how to do delegation the best way, with clear instructions and expectations keeping everyone informed on their part of the equation. This is an episode that's key to freeing up our time by ensuring that we do only those tasks which require us and that we responsibly delegate the tasks that don't need our direct involvement. –About Dr. Kevin Mailo:Kevin is an emergency physician based out of Edmonton, Alberta. He is known for his highly engaging teaching style that breaks down complex topics into memorable experiences. Kevin cares deeply about the long-term wellness of the medical profession and wants to see physicians and their families succeed personally and financially.About Dr. Wing Lim:Apart from his clinical & teaching roles, Wing has extensive experience in Practice Management and Business Development. He is passionate about sharing his extensive knowledge & experience (both clinical & business) with others in various settings, from his clinic mentoring younger colleagues, to churches, senior groups, ethnic functions, radio broadcasts, retreats, seminars, and national conferences.–Physician Empowerment: website | facebook | linkedin--TranscriptDr. Kevin Mailo: Hi, I'm Doctor Kevin Mailo, one of the co-hosts of the Physician Empowerment podcast. At Physician Empowerment we're dedicated to improving the lives of Canadian physicians personally, professionally, and financially. If you're loving what you're listening to, let us know! We always want to hear your feedback. Connect with us. If you want to go further, we've got outstanding programing both in person and online so look us up. But regardless, we hope you really enjoy this episode. Dr. Kevin Mailo: Hi. Uh, it's Kevin again on the Physician Empowerment podcast. And, of course, we've got Wing here joining us. And today's topic is very near and dear to my heart because it has taken me a long time. To develop this skill because I was very much in the micromanaging, do it yourself space. And it's been not only, I think for myself, you know, in terms of life being less stressful, but it's also been really a lot of fun because as you expand your network, you begin to broaden your horizons, see things through other people's eyes, and grow as a person. And what I'm getting at here, and I didn't use the D word yet, is delegation. And that's what's so powerful in improving our lives. So in an earlier episode on the podcast, we talked about time management. And one of the keys to time management is being able to either automate a task and streamline its process, or hand off to somebody that you trust, who maybe you've even invested some time in training up, let's say if it's a medical office assistant. So today, Wing is going to be exploring the power of delegation in our lives. Because again, you know, Wing, you've achieved so much in the space of real estate practice building while maintaining a robust and happy family life. And I would venture to guess a big part of that success has been through delegation. Dr. Wing Lim: Yeah. Delegation doesn't come easy. So let's go deeper. And this one is not going to be a talk, Kevin and I, we're just going to chat on this. The delegation, I think we all talk about the D word, right, but deep down we don't want to. We really don't want to because we trust ourselves. Right? And this is a recurring theme at Physician Empowerment. The biggest enemy of freedom may be the guy in the mirror. Because we have so many years of education and processes and because lives are at stake. Mistakes are costly to other people and to yourself. So we tend to just do it, right, and they say, if you want to do it right, do it yourself. And so years after years, post-graduate training, residency, one fellowship and all that, teaching you that you are it, you're the expert. And so you have to do it right. And because of that, we have this intrinsic trust in ourselves. And some of us become very egotistical, giant ego, and even the God-like syndrome. Right? And we don't trust anyone. So as a result, it's very difficult for medical professionals to actually delegate. I'll give you an example. There are people who would rather take the, I have colleagues that would take the blood pressure themselves, like on a patient, rather than trusting a medical staff to do it. Why do you have to do that? Right? Because even blood pressure, you know, there's a good way and bad way to do it. Okay, I understand there's some procedures you cannot delegate out, but more and more we're team based. So I think the first thing to fight is this intrinsic bend towards just trusting yourself and not trusting others because I'm smart, therefore everybody else is dumb. So therefore I don't want to water down my quality. So I don't want to delegate to you. Dr. Kevin Mailo: And let me just interrupt there and say like, this is not about delegating the crucial tasks, right? You know, like if you're a surgeon, you know, and you're elbow deep in somebody's abdomen, you really want to make sure that it's done right. That's where you want to focus your energy is on those crucial, crucial tasks, right? I mean, I do the same thing in the ER in the trauma bay, right? Like sitting at the airway, making sure it's done properly. Because that's the crucial task. But realize that delegation, and I'm just going to go on a little bit of a rant here, delegation is a resource saving measure for us, right? Because we only have so much concentration and intensity and focus. So do you want to dissipate that by like measuring every single one of your patients blood pressure, because you don't trust that somebody will put the automatic blood pressure cuff on properly on the arm? Dr. Wing Lim: Exactly. Dr. Kevin Mailo: Right? Like there has to be some limits here because if you're so focused on that, are you really hearing the history? Do you know what I mean? Or if you are doing your own taxes because you don't want to pay an accountant, or you're doing your own bookkeeping, are you missing the big picture on high level tax planning that could mean hundreds of thousands of dollars to you. Right? So there is a limit to how much attention and focus we can bring in, right? Like I can't sit there and, you know, make sure every IV that, you know, my nursing staff in the department are doing it, doing it perfectly right. Like, no, I have to sit there and be able to focus on the things that no one else can do but me and then, and be comfortable delegating and trusting my team. So that's a personal growth thing, but don't feel bad about the parts that you need to micromanage in your life. By all means do it. You can't outsource personal relationships and friendships, but you want to be present for those. Dr. Wing Lim: Exactly. So you hit it right on the nose there, Kevin. So the paradigm here is this: only do what only you can do. That's the whole thing about delegation. Only do what only you can do. You're the only one that could be your significant other's significant other, spouse, or whatever you want to call it. You're the only dad or mom your kids have, right? You cannot delegate that out, right? When you have the chief surgeon, you have to do stuff that you have to do. But then everything else you should not do, right? It's like a flashlight versus a laser pen. Right? We all understand that, right? The point of focus is to just put everything out and just do only what you can, only you can do. And then, you know what? If you're a team lead in the department and your practice and your division, you know, what's the most scarce resource is a thing called thinking. Thinking--. Dr. Kevin Mailo: -- but it's true-- Dr. Wing Lim: -- is a hard thing. Otherwise everybody will be doing it. Dr. Kevin Mailo: It's very easy to do. And I think this segues nicely backwards to our earlier talk about time. I think it's very easy. Our minds like to get into that rut of, well, I want to focus on this one detail or task because it requires less mental energy. Dr. Wing Lim: Mhm. Dr. Kevin Mailo: When really, thinking, as Henry Ford said it, is the hardest job of all. And that requires some mental space. And to get that mental space, we need to delegate. Dr. Wing Lim: Exactly. So you cannot rely on your allied professional that you delegate down to do that for you. Right? Otherwise they should be sitting in your chair. Then you need to be delegated the task and they need to do the thinking. So if you're a clinic owner, you need to absolutely do the thinking. If a department head, the list goes on and on, right? And so, yeah, so do only what you can do. And if we can chew on that and then just plan your life accordingly, your life would absolutely change and everybody around you would absolutely change. But for that to happen, to only do what you want to do, only you can do, that means you have to have the intrinsic trust in other people. And I tell people that I love to work with people smarter than me. I love to be the dumbest person in the room. I love to because then I gain a lot, right? So I have no background in architecture construction. When we built this 156 unit senior home, state of the art building that won an award, second in the world, I didn't even know that until we got the award. And who won the award? What we did collectively. But the designers did, and I found myself and my partners, this was my dream, right? And I sat in a room downtown Edmonton, top architect, or biggest architect firm in the nation, in the Edmonton branch and in there is like 15 engineers. And I look around. These guys are all very, very smart. I didn't even know there could be 15 engineers, different disciplines. They kept looking at me and my partners. What do you want? Right? So if the why is big enough, the how comes. And so once you delegate the people who are smart and I said I'm the dumbest person in this room. And time and time again and once you do the delegation, things get done despite of you. I love that, not because of me, but things got done in spite of me, right? And then big things could happen. So that's  delegation. Okay. Let's talk about what delegation is not. Delegation is not abdication. Okay, let me repeat. Delegation is not abdication. And why would you say that? Because that's the common mistake we have. And the top, top, top example is in finance. Okay, I just had a chat with one of our Physician Empowerment Masterclass attendees and this professional, we're talking about this application that we give our money to these transaction based, commission based people that set their financial advisors. And meanwhile, he's selling us products, right? Sorry. They are selling us products and they're going to help you be financially free. Maybe, maybe, maybe maybe not. Dr. Kevin Mailo: I don't know, I don't know. Dr. Wing Lim: What's assured is their commission, not your future. Right? And so this abdication just because oh, because you said you're good. I just give it to you. Give my whole life hard earned money to you. That's your abdication, right? Dr. Kevin Mailo: I mean, but I mean, you can also go the other way. I mean, you can blindly buy the market on a broad spread ETF and not pay attention to what, not that you want to time the market, but you want to time your life around the market like, you know, and ask yourself, am I ready to fall off the cliff 12 months before retirement if the market crashes, you know? And again, you can't just blindly trust a person or a process and say, well, that's good enough. You do have to, you have to manage your managers. I think that's what we teach at the course. Dr. Wing Lim: Another example. There's lots of horror story examples. We're just looking at a building in our city that was owned by a physician that went into receivership. Right.? And this dude trust to somebody else who is the expert who's going to run the whole thing. And I drove by that plaza, that plaza is full. It's hard to find parking. How does somebody run it down to the ground? Right? And now it's in judicial sale. And this, unfortunately, this guy's in deep trouble now. And so if you think, oh, real estate is going to, or whatever, you know, you pick a asset class, it's going to make me rich. No it doesn't. And unless you have a good management team, if you just blindly trust somebody, just abdicated your future, they're going to bite you back in the butt. Right? So that's a sobering example.  Dr. Kevin Mailo: And I think the other reflection here is like a lot of the time when we've done something ourselves for many years, we unconsciously know all the ins and outs of it. We unconsciously know all the ins and outs of it, and so there has to be some patience when we're working with somebody and teaching them and some humility. Right? And put yourself in their shoes and remember when you were learning that process and that thing. And so just pause, put the time in and and make sure that they understand and make sure you understand their position as somebody new to this task. And so check your assumptions before you begin to sit down and have that instructions conversation with the person that you're about to delegate to. Dr. Wing Lim: Right. And then they don't perform well and you give them heck. You know what? You should give yourself heck, right? I'm just training a new staff, a highly reliable staff just left for a higher-paid position in the hospital. Right. We do that, lose staff all the time, right? We start with new and there's a lot of assumptions. So I got angry that why is this not done? Because they're new. I didn't teach them. Right? Next thing is you need to give a clear time frame. The song I love you tomorrow, you're just a day away. It keeps postponing tomorrow. If there's no clear time frame, don't expect to get it done. And relationships get tarnished, work relationships, even personal relationships get tarnished because you always say that I'm going to do it when. Right? So if you don't have a time frame, don't expect it to be done in a hurried manner. And then there has to be measurable outcomes. If there are no measurable outcomes, it's just a bunch of warm fuzzies. Sorry. It has to be measured. If you cannot measure it, it cannot be done. There has to be accountability. So you give the task to somebody. Is that accountable? Okay, let's jump from clinical practice to finance again. I have a colleague that was told by his wealth manager, doctor in the last 20 years, in the stock portfolio, you earn 20% a year for the last ten years. Is that even possible? Right. And the only reason, if you take that up... Dr. Kevin Mailo: Of course, I know where this is going. Dr. Wing Lim: It's the annual contribution. Then you had this was making money every year. Right? Dr. Kevin Mailo: Yeah. Dr. Wing Lim: Right. And there's no accountability because you just believe them, right? Whatever they say. And same, we delegate a task to the accountant. Like I do, I trust my accountant, but I don't run business decisions with my accountant. My accountant is not the guy who makes that business decision. He makes accounting decision. Right? So the accountability structure has to be well defined, and they have to be accountable to you or somebody else on something that is measurable. That's true. Dr. Kevin Mailo: Absolutely. Absolutely. Dr. Wing Lim: Final thing is consequence. If you let people do something where whether they do or not, there's no consequence, you have endorsed the non-performance. So somebody says if you, if your staff or whoever you trust in your team, they can get away with XYZ. And they keep getting, they will continue to get away, because you blessed it. You condone it. There has to be consequences. Yay or nay, right? Good or bad. So these are some of the guardrails that is supposed to be intrinsic. But you know what, I don't think it's really common knowledge. And while talking about it, I reminded myself 3 or 4 things that, oh shoot, I didn't follow what I preached. Right? This is just reminder for all of us that to be effective, you need team. And to have effective team, you need to have this delegation process. Dr. Kevin Mailo: I love it. I love it. Dr. Wing Lim: Right. And then to have a systematic thing. If you do this together as a systematic process that's at different level, right. Delegation was just talking about this act of delegating. But then you still, somebody still need to create the architecture, the whole conveyor belt, the whole, what do you call that, assembly line. Right? And A on B fold on C glue on D and you achieve E. Like so this has to be processed, and that's called systemization which is a different talk altogether. But this is really important for us to understand that to achieve more than what you can achieve by yourself, you got to let go of this ego thing, trust somebody. But with criteria. Dr. Kevin Mailo: And again this is people skills. This is absolutely people skills and I think that's so important. Right? Not only the words you choose, the time frames you give the person you're delegating to, how you provide feedback, how you discuss consequences or outcomes, all of this is people skills, right. And again this is the barrier to delegating because you go oh I'm not looking forward to this conversation. Maybe I'll just do it myself. But again, that's not how we grow as individuals. When we grow as individuals personally, professionally, financially, it's because we're able to have those tough conversations, but just have it with yourself in the mirror before you go in there. And again, emphasize to yourself that this is a people skill. This isn't about the given task or your process or anything more than, it is a people skill. Dr. Wing Lim: Right. And it's to empower your team up to their capacity. So we have, I've joined a practice management course a long time ago and that's a different talk as well. But basically what we learned is a doctor should never do a nurse's job, RN should not do LPNs job, LPNs should not do MAs job, MAs should not do a receptionist job, receptionist shouldn't do a janitorial job. But you can see all this in every clinic, every department, right? It's all screwed up. I was a patient once a few years ago, and I found a Sunday morning there's a RN changing bed sheets. I thought, why do you need to do that? Right? That's an absolute waste of public resource. And so if we understand that process we would be a lot more effective. Dr. Kevin Mailo: I'll just chime in with a few high level practical points about delegation. And this applies, because delegation can be done in our personal life and professional life. You know, do you change the oil on your vehicle or you take it into the shop to get it done? Do you mow your own lawn or do you hire it out? And so the first sort of matrix that I get people to look through, the first lens actually, is probably a better description, the first lens I get when I teach this topic at our conference or in the Masterclasses, is the first thing you want to look through is your hourly rate. Know how much per hour you make gross. And then net after overhead. And remember, when you're calculating your hourly rate, it is not just time in front of patients. It is administrative work, CME, emails, charting, whatever have you. It could even include your commute. Right? So understand what your hourly rate is. And I think unfortunately when you add up all of the unpaid things you do as a doctor, your hourly rate plummets and it's pretty depressing. Nonetheless, go through the exercise. I encourage everybody to do it. I know my hourly rate. And so number one is know your hourly rate because it allows you to make decisions on how much you're going to pay somebody to do something, right? And remember there are tax consequences. So if it's a corporate expense then it's a corporate expense. And you're more tolerant of, you know, that higher hourly rate to bring in a great professional, for instance, a great accountant or a great bookkeeper. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: These people that help you build wealth. And then in your personal life, remember, it's after tax dollars, so you probably don't want to hold, you don't want to delegate to Skip the Dishes every night. Put it that way. You really don't. And or, you know, Uber Eats or whoever else is out there, right? Like you actually have to be very mindful of the after tax cost to yourself before you delegate. The other lens that I get people to look through, you know, we talk about this in an earlier episode, is what is crucial and cannot be delegated. That list is actually very short in our personal and professional lives. But don't delegate away the things that are actually going to matter in your life, whether it's driving your kids to soccer, spending time with your spouse or partner, even if it means taking him or her to the airport, right? Yeah, could you delegate a cab? But what about that moment that you could have shared together? Be mindful in delegation. This is, I hate the word efficiency in our lives, especially in our personal lives. I remember coming across, I remember I met an ophthalmologist once who was outstanding, said be efficient with things, not with people. Dr. Wing Lim: Mhm. Wow. Dr. Kevin Mailo: Like ideally if you have done time management and delegation properly, you should have lots of like free moments where you don't have to be anywhere else but enjoying that moment, right? Whether it's reading a book, spending time with family or friends, going for a walk, whatever, like or even just be free to like have like a day that just goes all over the place. But you didn't have to do anything else in your life because it was all properly delegated and you created that space. That's a gift to you. That is so powerful. And so that again is the next criteria that I ask people to use as a lens is, is this making my life happier? Like for instance I changed the oil on my truck with my kids because I like that time with my son and at times it's been three generations of us doing it just to teach and bond. I would never delegate that out. Right? That's just an example from my personal life. So try to be mindful and reflective of where you are delegating and delegate the things but don't delegate people. Don't be efficient with the people that matter in your life. And don't even be efficient with yourself. Like, you know, create downtime for yourself. Dr. Wing Lim: Mhm. Dr. Kevin Mailo: So that you can invest in yourself. So those are, those are again my reflections, you know having maybe learned the hard way about either under delegating or over delegating, frankly. There is a balance. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: Okay. Maybe we'll wrap it up. Again that was another great one. I love, I love these topics because these are the things again that we all struggle with but don't even have a framework to talk about it or think about it. But if you can effectively delegate in your personal and professional life, you can go anywhere and build anything you want. That's a key. Dr. Wing Lim: And to earn back the freedom. Dr. Kevin Mailo: Oh goodness. The freedom's everything, honestly. Dr. Wing Lim: Mhm. Yeah. Dr. Kevin Mailo: Honestly I look at my, I look at my own teenagers living that free life and I'm deeply envious of their time richness. Dr. Wing Lim: Exactly. Dr. Kevin Mailo: You know? Dr. Wing Lim: No kidding. Dr. Kevin Mailo: Not all the drama of being a teenager. Not all the drama of being a teenager, but certainly envious of that, the wealth of time that they have compared to the rest of us who are so busy and overscheduled. Dr. Wing Lim: Mhm. Yeah. Dr. Kevin Mailo: All right. All right. Let's wrap this one up. Thank you. Dr. Wing Lim: Yeah okay. Thank you everyone. Dr. Kevin Mailo: Thank you so much for listening to the Physician Empowerment podcast. If you're ready to take those next steps in transforming your practice, finances, or personal well-being, then come and join us at PhysEmpowerment.ca - P H Y S Empowerment dot ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend and head over to Apple Podcasts to give us a five star rating and review. If you've got feedback, questions or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@PhysEmpowerment.ca. Thank you again for listening. Bye. 

As we celebrate the holidays, let's reflect on the meaningful impact of the Sustainable Clinical Medicine Podcast. Leanne's review is a testament to the positive influence of the podcast in promoting well-being and balance. Wishing you all joy and peace this season. In this special holiday episode, we are replaying one of our more popular episodes from 2023. Episode #30 was a conversation I had with Kevin Mailo on his podcast, Physician Empowerment. It's a conversation that can help you in your journey towards sustainable clinical medicine. We discussed what to think about with regards to resourcefulness and how to help ourselves create a sustainable clinical day. So, whether you're a healthcare professional looking to improve your practice, or simply interested in understanding the challenges physicians face, this episode is packed with valuable information. Here are 3 key takeaways from our discussion: 1️⃣ Efficiency is crucial: We highlight the importance of optimizing workflows and effectively managing tasks beyond patient care. 2️⃣ Prioritizing patient needs: The episode delves into the importance of setting boundaries and protecting time for meaningful patient interactions. 2️⃣ Harnessing the power of effective documentation: We dive into the significance of comprehensive medical documentation, including essential elements to include in patient notes. Don't miss this insightful conversation! Tune in to Episode 30 of the Sustainable Clinical Medicine Podcast, available on your favourite podcast platforms. And remember to visit www.physempowerment.ca for additional resources and support for physicians on their journey to empowerment!

There's a conundrum that, as physicians, many of us face after finishing all our training. We've accomplished so much in so little time, and from the outside, our lives seem perfect and sparkly. Then, all of a sudden and for the first time ever, we're looking a 30 year career straight in the face, and at that point, questions start to come up about our purpose, identity, priorities, ambitions, etc...!These questions can be scary, and often times they get pushed aside or buried under our work load. But when this episode's guest, Dr. Kevin Mailo, started to question his identity outside of medicine, he knew it was something that he wanted to get right. He made a real concerted effort to be honest with himself and what he wanted from his life/career, and it set him on a path towards empowerment.Now, in addition to practicing as an ER physician in Alberta, Canada, Dr. Mailo works to transform the lives of other physicians with his organization, Physician Empowerment. He is passionate about helping others to find real wellness, optimize their medical practices, and find freedom through financial security. He also hosts the Physician Empowerment Podcast where he and his guests share bits of wisdom that empower other physicians to take control of every aspect of their lives.You can find additional information about Dr. Mailo's work at:Website: https://www.physempowerment.ca/Podcast: https://open.spotify.com/show/6tsfhwTOV2Rq0yMMgYKJxX?si=95372dc0308343a9Instagram: https://www.instagram.com/physicianempowerment/Facebook: https://www.facebook.com/physicianempowermentLinkedIn: https://www.linkedin.com/company/physempowerment/ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

Dr. Kevin Mailo welcomes board-certified family physician and obesity medicine specialist Dr. Megan Melo to the show. Megan has a coaching business, Healthier For Good, focused on transforming the lives of physicians through one-on-one or group coaching. Megan and Kevin talk about burnout, shame, and how physicians can learn to set boundaries and overcome perfectionism. Dr. Melo explains how perfectionism sounds benign and hardworking but is actually often shame avoidance. If we are perfect enough, we can avoid being shamed or called out. She talks about how that plays out in affecting the day-to-day lives of physicians. Megan and Dr. Mailo share stories from their own experiences and discuss what steps physicians can take to start pulling out of perfectionism and shame cycles. They address setting boundaries for self-care and why taking care of ourselves is such a vital aspect of being a physician. Megan offers coaching for physicians to help them achieve these goals, and this episode highlights some of the insights she has that can change lives for the better.  About Dr. Megan MeloMegan Melo is a physician, board-certified in Family Medicine and Obesity Medicine, as well as a Certified Life Coach for physicians. She helps physicians struggling with burnout and overwhelm to feel better, including those who have been labelled "toxic" or "difficult" by their employers.Megan is on a mission to help physicians and other healthcare professionals heal from burnout and change their lives for the better. She does this through one-on-one and group coaching, as well as podcasting, blogging, and speaking to groups.Resources discussed in this episode:Ending Physician Overwhelm podcast--Physician Empowerment: website | facebook | linkedinDr. Megan Melo: website: HealthierForGood.com | linkedin | instagram--TranscriptDr. Kevin Mailo: [00:00:01] Hi, I'm Dr. Kevin Mailo, one of the co-hosts of the Physician Empowerment podcast. At Physician Empowerment we're dedicated to improving the lives of Canadian physicians personally, professionally, and financially. If you're loving what you're listening to, let us know! We always want to hear your feedback. Connect with us. If you want to go further, we've got outstanding programming both in-person and online. So look us up, but regardless, we hope you really enjoy this episode. Dr. Kevin Mailo: [00:00:34] Hi, everybody. I'm Dr. Kevin Mailo with Physician Empowerment, and I am very, very pleased to introduce you to Dr. Megan Melo. Megan is a board-certified family physician and obesity medicine specialist based out of Seattle, Washington, and she has an incredible coaching business focused on group as well as individual sessions called Healthier For Good. And the goal here is to transform the lives of physician clients who are coming through. And I think you've kind of got a focus, if I can describe it as that, Megan, on perfectionism. So why don't you tell us a little bit about your career journey to start with and how you got to this place, and then we'll get into today's topic? Dr. Megan Melo: [00:01:20] Yeah. So I grew up in a household of two nurses, and from a very young age I was like, I'm going to go be a doctor, right? And when you grow up that way, you get a lot of positive reinforcement. Oh, a doctor is a great thing to be. And oh, you sort of learn a lot of sort of people pleasing things along the way. And of course, socialized as a woman, we can throw that in there as well. Went straight from college to medical school and then into family medicine residency and did well, but was always kind of looking for gosh, like I wonder when things are going to feel better. And I remember my residency advisor would always be like, oh, second year is easier than first year, and third year is easier than second. And I was like, that doesn't seem to be true. I'm not sure why you keep telling me that over and over, because it seems like things are getting harder, more responsibilities, more people asking me to do things. But regardless, I graduated and went into practice doing pretty broad scope of family medicine for the United States. So I was delivering babies, doing clinical practice, occasional hospital medicine as part of teaching residents, and started a family at that point as well, pretty early in my career, and again, just had this experience of constantly looking for, When am I going to feel better? When is it going to get easier? When have I done enough that people will sort of start to ease off on all the things they're asking me to do? Along the way I picked up teaching in our family medicine residency, joined the faculty there, two kids by that point and life just kept feeling harder and harder, and I didn't know why and I thought it was me. I thought there was something wrong with me, that I don't feel happy. I feel like I'm constantly working harder and harder. And it never feels like enough. Dr. Kevin Mailo: [00:03:22] Wow. I think we can all relate to that. I'll share my own reflections. I mean, it's, you know, you sort of touched on this. This starts long before we even enter medical school. I mean, medical schools select for conscientiousness and a sense of duty and obligation, which is not a bad thing. I mean, that's how you want your doctors, but it is a perfect recipe for this perfectionism burnout cycle. And we're all surrounded by each other on top of it. Dr. Megan Melo: [00:03:56] Right? And we're all hiding how we feel from each other. Dr. Kevin Mailo: [00:03:59] We're hiding how we feel. Right?  Dr. Megan Melo: [00:04:03] Absolutely. Dr. Kevin Mailo: [00:04:04] But you just, you don't want to raise your hand and say, I'm not happy, right? Or I don't feel like doing it. Dr. Megan Melo: [00:04:10] Like this isn't enough for me. Dr. Kevin Mailo: [00:04:12] This isn't enough for me. So then talk about, talk about perfectionism. Talk about how this impacts us in a very real sense. I'd love to dig down on this and hear more. Dr. Megan Melo: [00:04:28] Yeah. So you probably grew up with this same idea that perfectionism sounds great, right? It sounds like, oh, I'm just a perfectionist, right? It sounds like this very benign, hardworking sort of process. But a lot of the way that it's defined, especially by Brené Brown, who I follow closely, is that perfectionism is really shame avoidance. Right? So if I act perfect enough, if I know enough, if I, you know, look right and sort of perform excellently, then no one can shame me, right? No one can cast me out. No one, you know, I'll have to be a part of the group. And no one will see any flaws in me. And there is a huge difference between that perfectionism, right, that desire that I have to do everything just right, and excellence, right? Wanting to do a good job, wanting to learn more. If you've got a knowledge gap, you know, wanting to do the right thing. Those two things are not the same. But often, you know, again, our medical training has really reinforced this notion that I need to avoid shame at all costs. I mean, that's literally, you know, when we're on rounds, right? And we're being pimped by our attendings, you know, they're trying to find out all the things we don't know. And we are humiliated. Dr. Kevin Mailo: [00:05:53] Yeah, it's a shame-based learning system. Dr. Megan Melo: [00:05:56] So we're all steeped in that. Right? And it often, for many of us, just keeps going. But the stakes get harder. You know the responsibilities get more. We throw families and other, you know, kind of outside responsibilities in there. And then we're trying to keep up on those planes too. Have that perfect Christmas card or whatever the keeping up with the Joneses is. It's an unwinnable game and it's so toxic inside. Dr. Kevin Mailo: [00:06:24] And you know, I'll share my own reflection. I mean, you know, we talk about those external voices, right? Whether it's, you know, family or friends that have expectations of us, our broader community, of how we should behave or look, what colleagues say, superiors say. But the hardest one, the hardest voice, is that voice inside saying I'm not good enough. Or not worthy to be here or shouldn't be here. Dr. Megan Melo: [00:06:51] Yeah. And often that person that you may see, you know, and may be working alongside who is someone who seems really harsh, really judgmental, really, you know, kind of always unhappy with other, your performance, other people's performance. If we could listen inside of them, we would often find that that negativity, that judgment, that shame is even more intensely turned towards themselves because we can't shame and blame others without having a high degree of it within ourselves. Dr. Kevin Mailo: [00:07:26] Wow, wow. So. How does this play out in terms of our day-to-day practice as physicians who have now, you know, settled into our careers? Talk about how it impacts our scheduling, our patient interactions. Our, you know, vacations. Talk about how this, you know, bleeds boundaries, if you will. Dr. Megan Melo: [00:07:56] Yeah. And I often talk about this, you know, looking at perfectionism and people-pleasing and lack of boundaries together. Because there's a lot of overlap between them. But, you know, it shows up as us being unwilling and afraid to say no. Unwilling and afraid to set boundaries on our schedule, or whether we can throw in an extra patient or, you know, whether we'll set an agenda with the patient and say, I'm sorry, we don't have time to continue today. I know that you'd like to discuss these other things, but we're out of time for today. Right? So much of the time, too, we're operating in very broken healthcare systems, which are strapped and under-resourced. You know, there can be things like, you know, lack of beds, as we've discussed earlier or, you know, we don't have nursing staff or things like that. So everybody's responsibilities seem to have gone up, right, while our bandwidth has gone down. But if I'm internalizing that I'm not doing enough for my patients, and I'm bearing the weight of all of the shortages and the brokenness of health care, then that is a recipe for disaster, because I will not take the time to take care of myself. Make sure that I'm eating, sleeping, peeing, you know, feeling connected with my family, having some fun, God forbid. Right? Dr. Kevin Mailo: [00:09:18] And let me interrupt there and just say that this notion of shame in our careers and perfectionism bleeds into our inability to be present during family and personal time, because you feel this nagging inadequacy eating away at you in the back of your mind that you should be doing more, or that you could have done more. Maybe I should have. Dr. Megan Melo: [00:09:39] Or maybe I didn't do that right. Or maybe... Dr. Kevin Mailo: [00:09:42] Maybe I should have squeezed this other patient in. Dr. Megan Melo: [00:09:44] Absolutely, absolutely. And we often interpret, if we're used to sort of people pleasing and lack of boundaries, we often interpret other people's disappointment as proof that we're wrong or, you know, proof that we can't do that. Right? If I'm uncomfortable with saying no to you and you get upset with me, right? If my default is just to roll over and do it anyway, right? Like, oh, okay. You know, I guess so, I guess I'll do that. I guess I'll join that committee. I'll do these extra things for you today. Then I'm interpreting my own discomfort with their disappointment as proof that I shouldn't be trying to set boundaries, right? And that's where we often really hit a struggle because we can talk about boundaries, but we need to talk about us not controlling other people's expectations as well. Dr. Kevin Mailo: [00:10:34] That's theirs. Dr. Megan Melo: [00:10:35] That's theirs. Dr. Kevin Mailo: [00:10:36] You don't have to own that. You don't have to internalize that. That's an iss-them, not an iss-you. Dr. Megan Melo: [00:10:43] Right? I love that: iss-you. Yeah. Because, you know, I don't control, you know, how sick my patients are when they show up. I don't control that they've got a list of 17 items. What I'm working in, though, is, you know, a health care system that has, you know, time constraints and constraints on what is available to me to solve that day. Similarly, you know, sometimes in primary care or in the emergency room, right, we might get pushed to do things that, you know, are really, you know, at a specialist level. We want to help. We want to do more and provide the care that the patient needs. But that's not always the best solution. And the difficulty with finding, you know, finding specialists, if we continue to sort of suck it up and take on more than is reasonable for us to take on, then we're enabling the health care system to not make any changes. And as long as we do that, there's no pressure on the system to hire the appropriate amount of staff or resources, you know, get the appropriate amount of resources because they'll just continue to push us. Well, you care about people. Just take one extra person. Just do more. Dr. Kevin Mailo: [00:12:01] One year at our conference, we had an incredible speaker come who cares for physicians primarily in her practice as a psychiatrist. And she stood up and told the whole room, don't tell us to be more resilient. Don't give us another online module to do telling us to be more resilient. Dr. Megan Melo: [00:12:22] Yoga at lunch. Dr. Kevin Mailo: [00:12:23] Yeah, yoga at lunch. Dr. Megan Melo: [00:12:25] Or yoga before work. Dr. Kevin Mailo: [00:12:27] Yeah, like goodness, it is not about doing more and adding more to our to-do list. It's actually about doing less and doing it happily. But yeah, don't tell the profession to be more resilient. We are already highly selected for this resiliency. And we are trained in it and we practice in it. It's what is the limits of human capacity? Dr. Megan Melo: [00:12:51] Yeah, we need to learn how to turn it off. Dr. Kevin Mailo: [00:12:53] And most physicians who are burnt out are working beyond what is a reasonable limit for human capacity. Dr. Megan Melo: [00:13:00] Yes, yes, we need to learn how to turn it off. To say yep, even though I see it's very busy here and technically speaking, I could stay longer and do more, but it's ultimately better for me and every other person that I go home and rest, that I go home and take care of myself so that I show up again tomorrow. Dr. Kevin Mailo: [00:13:23] Yeah, yeah. Dr. Megan Melo: [00:13:25] But that's not something that often comes to us from the outside. People don't sit us down, our managers and clinical leadership and hospital... Dr. Kevin Mailo: [00:13:33] Nobody is going to sit you down say you know what -- Dr. Megan Melo: [00:13:36] -- they do not share that with you -- Dr. Kevin Mailo: [00:13:37] -- don't worry. Things are rough right now, but it's important you get home. But we actually need to start having those conversations in the workplace. Saying like, listen, you know, I know it's really busy today, but none of us is going to fix this. Let's just go home and, you know, we'll have to just hit it again tomorrow, right? So then okay, so talk to us about like some concrete steps to make this better. I mean love on your website it says I am a recovering perfectionist. Right? And in recovery, always in recovery. Dr. Megan Melo: [00:14:13] Right. Always in recovery. Dr. Kevin Mailo: [00:14:15] Because we always have those tendencies. I know for myself I've made a lot of progress in this space, but I always feel this backslide to take another sip of perfectionism. You know what I mean? And so talk to us about like, what we can do in a concrete sense. Because if I can be honest, I think a lot of this goes back to even early developmental stages in our childhood. Dr. Megan Melo: [00:14:37] Absolutely. Dr. Kevin Mailo: [00:14:37] Right. So how do you begin to rewire? What does that look like, Megan? Dr. Megan Melo: [00:14:45] Yeah, I mean, I think, you know, one really important step, right, is really tuning into our emotions. We've been taught to ignore our emotions often, the same way we've been taught to ignore our bladders, right. Or our stomachs. And this can be hard to do at first. Because if we're tuning into our emotions more, we'll often notice more negative emotions. We'll notice that we're feeling frustrated or resentful or overwhelmed or angry. But if we can start to understand what the thoughts are that are creating that, and often that's really where we see that perfectionism or that people pleasing, because the thoughts that are connected to those things are, I can't believe someone is asking me to do one more thing. Or don't they see how hard I'm working? Or how on earth could I possibly do more? Or I have to do this all right. You know, when we can start to really understand those negative emotions and those negative thoughts, we can start to unravel them and start to say, you know, it doesn't actually serve me to think that I'm the one who has to do all of this, that I can't ask for help. It doesn't serve me to continue to use other people's disappointment as a reason why I can't set boundaries for myself. Dr. Kevin Mailo: [00:15:57] Wow, that's a wrong fuel. Dr. Megan Melo: [00:16:02] So really sort of tuning in to understanding that dynamic. And it's hard work at first. Right? Because the well-worn ruts that are, you know, kind of that we're used to are saying yes, doing more, you know, not disappointing other people. And when we're doing this work, when we're tuning into who we are and what we need, we have to get out of those ruts. Right? And that's uncomfortable. One of my group members was saying, yeah, not only is it uncomfortable to, like, bump ourselves out of those ruts, but we're exposed. It's cold. You know, we're up at the elements. And I'm like, yeah, that's a perfect way to think about it because it's different. Right? Change is something that we have to put more energy into than following the well-worn ruts. But we also have to. You know, tune into ourselves and realize that I don't actually control other people's experience, right? I don't control whether my patients are happy, I don't control what their expectations are. But if I want to take care of myself and continue to serve patients in this model, in this place that I work, or however I take care of patients, then I'm going to have to set some limits on what I do for me. Because ultimately taking care of me is my job. No one's going to do that for me. And I think for such a long time, I wrestled with wanting and expecting that the healthcare system would somehow take care of me, right? That they would somehow, you know, tap me on the shoulder and say, hey, you need a break. Like, you know, here's a week's vacation. Or they would lighten my load somehow or pay me more or something. Dr. Kevin Mailo: [00:17:35] Or even just the reward and joy of practice. Dr. Megan Melo: [00:17:39] Right? Right. Dr. Kevin Mailo: [00:17:40] It doesn't... Dr. Megan Melo: [00:17:42] It's not enough. Dr. Kevin Mailo: [00:17:43] That's not, that shouldn't be the fuel. And it certainly isn't the antidote to burnout and perfectionism. Right? You have to be able to go in and love your job even when it's hard, right? And even when you struggle or, you know, you have complex patients or whatever it is, you have to be able to love your job, right? But that can't be the, that can't be the crux of, you know, oh, I'm really exhausted at work at 70 hours this week, but had some great cases. Yeah, that's not sustainable. That's not healthy. That's not the right reference point or goalpost that we should be using. Dr. Megan Melo: [00:18:22] Well in so much of, you know, kind of what we, what we think of, you know, in health care, so much of it seems tied to the physician. Patients do this, hospitals do that, like so much of a patient's outcome seems to be tied to the quality of the physician care. Right? That's what metrics are driven by. And we believe it too. So we are often carrying around this burden: I've got all these sick people, it's my job to make them better. Meanwhile, we're ignoring the fact that most of a person's health outcomes are related to their socioeconomic status, their genetics, how they've been living their life for the last 70 years, whether they got a vaccine, you know, and all of these other components that have much more of an impact than me taking care of them right now and trying to reverse things that are going on that are already pretty deep in the process. But again, when we go back to our training, right, treatment failures, bad outcomes are so often blamed on us, right? I must not have the knowledge, skills or experience to have properly taken care of this. Ignoring the fact that this patient came in septic with chronic kidney disease, poorly controlled type two diabetes, right? A really sick body. And I'm meeting it very late in the process. My ability to actually make impact is quite small, right? Something like 20% of our healthcare outcomes is related to the care provided by the physician and the healthcare team. The majority of it, generally speaking, is so many other factors that are outside of us. Dr. Kevin Mailo: [00:20:04] Much of the story is told before we ever arrive in the plot. Dr. Megan Melo: [00:20:09] Right. But if I'm carrying around this idea that most of the responsibility is mine, yeah, there's this little lifestyle and, you know, yeah, they inherited bad genetics, but most of the burden is mine, right? I'm going to keep in that perfectionism model. Because I'm going to feel like I'm never going to be able to do enough for that patient. We have to let go of that responsibility. Not to say that we're going to provide poor care, but let's be realistic about what is possible and what's not. Dr. Kevin Mailo: [00:20:39] Even just accepting the complications, misses inevitably happen. Dr. Megan Melo: [00:20:47] They do. Dr. Kevin Mailo: [00:20:47] I mean you're setting yourself up for failure if you become a surgeon and you say, I'm never going to have surgical complications. Well, that's, you know, that's just completely unrealistic. And yet when those complications occur, we feel horrible about ourselves. Well, I could have done this differently or that differently, or I missed this, or I missed that. And we, you know, we can tear ourselves to pieces, but without accepting the fact that every surgeon has complications. Dr. Megan Melo: [00:21:15] Right. And every body is a little different. Dr. Kevin Mailo: [00:21:17] And everybody's a little different. Dr. Megan Melo: [00:21:18] We learn where most of the organs are supposed to be, right, and how they're supposed to operate, but they don't always follow those instructions. Dr. Kevin Mailo: [00:21:24] So it's this notion of struggle is inevitable in a career like this. Right? I mean, you know, you're a professional athlete and you're going to have bad games. And so it's okay, well, how do I overcome that? And how do I keep going and not just limp along. But truly thrive. Say, okay, something happened. I'm, I've learned, I'm wiser. I put it into context and I can continue to confidently move forward in my career. That takes a lot of work, but it can be done and it should be done because like we said, like we discussed on your podcast, Megan, is if not now, when? If I'm not happy and thriving in my day-to-day clinical practice now, when am I going to? Because it isn't going to be sometime in the future, like you said. Dr. Megan Melo: [00:22:21] Right. We won't get to retirement and magically be a different person. Right? We won't have the capacity, honestly, to feel joy and gratitude because it's been, if we haven't been practicing it, we won't spontaneously experience it. Dr. Kevin Mailo: [00:22:37] And it's a skill. You have to work at it, but it does get better. So speak, you know, I don't want to keep going on and on and on, although I could. Trust me, we should just get you back on the show and dive deeper into these topics. But talk to me about, like, how coaching in this space can be so helpful for physicians. Dr. Megan Melo: [00:22:58] Yeah, I think a lot of the work that I end up doing with physicians is really about dialing down that messaging that I have to do perfect, I have to do everything perfectly. I have to say yes to everybody. I have to hold all of this. Because so often the messaging and the pressure on that physician is that they should just say yes with a smile. They should, you know, see more patients, make it to all the meetings, they should bring cookies. That's that's often, you know, for us, socialized as women. Right? Like we should contribute to the potluck and be just fine with, you know, being called that lady doctor or being mistaken for the nurse. Right? Dr. Kevin Mailo: [00:23:43] Yeah. I've got daughters myself, and it boils me over, and I'm working so darn hard to raise them without that, you know, socializing, as you call it. Because it is, it's horrifying. Dr. Megan Melo: [00:23:56] And it's quite pervasive. And it's, you know, we'd like to think, oh, we should be done with that, you know, in medicine. But no, of course, it's still just like racism persists, right? Like we're working on it, but we're not done with any of that. But really sort of trying to figure out like, what is that internal dialog that is going on for that physician about what they owe to others? You know, what's getting in the way of them taking care of themselves? Where are they struggling? A lot of times people come to me and they're really struggling with charting, or they're thinking they want to leave that job, you know? And we really sort of use that as a jumping-off point to really untangle this internal dialogue and figure out, okay, you're not broken, and you do have agency and choice, and you can start to say no. And here's how we, you know, start working on this. And through that process, really learn to, you know, be with our emotions, to see that connection between our thoughts and our emotions, and see that we are not responsible for fixing the broken health care system. But if we're going to continue to work in it, or if we're going to choose to leave, right, we need to learn how to take care of ourselves. Dr. Kevin Mailo: [00:25:07] Mhm. Dr. Megan Melo: [00:25:07] Because so many of my clients, you know, have been working 80-hour weeks and always putting others first and they, don't know how to do self care and they don't know how to answer the question what is it that I want. Like that question just stops them. Dr. Kevin Mailo: [00:25:23] Yeah. A lot of us don't actually know what we want. We maybe have a sense of what we don't want. Dr. Megan Melo: [00:25:31] I wanted to be a doctor. Okay, well, I am, but now what? What else? Dr. Kevin Mailo: [00:25:38] Yeah, yeah. Dr. Megan Melo: [00:25:40] Yeah, yeah. Dr. Kevin Mailo: [00:25:41] So powerful. Dr. Megan Melo: [00:25:42] It really does a lot to kind of offload the mind. Right? The mind that is telling them you're the only one who's like this. You should be happy just with the joy of taking care of patients and serving others, you know, and the guilt and the resentment and frustration that are kind of all tied into that. So really sort of understanding that internal dialogue and where that came from, and how do we start to undo it so that no matter what you decide to do, you will feel better, you will have better boundaries. You will see that you are not responsible for fixing the broken healthcare system, and you're not responsible for other people's emotions. Dr. Kevin Mailo: [00:26:21] I love that. Love that. So how do we reach you, Megan? For anyone that's listening. Dr. Megan Melo: [00:26:29] Yeah. So I've got a podcast called Ending Physician Overwhelm, and that's available on all the major podcast players. And then you can also find me at my website which is www.HealthierForGood.com. And I have a blog there. You can link to my podcast from there and you can find out about working with me either one-on-one or in my group coaching program. Dr. Kevin Mailo: [00:26:49] Wonderful. I love it. Thank you again so much for your time today and your insights, because I think this is the the unspoken... Dr. Megan Melo: [00:26:58] It's what we needed to learn. Dr. Kevin Mailo: [00:26:59] ... issue that we have pervasive within the medical culture. Right? And even when you just talked about like how others may be externalizing their internal shame was just eye opening for me. So again, I really want to thank you for, you know, highlighting such a big issue. And it's difficult to, I think I'll just share my own reflections before we wrap up, but it's difficult to, you know, except on the outside, you could say, well, this has been since my childhood. This is the way the profession is. But the truth is, it's highly empowering because it just, it's a matter of turning the cameras inward and doing the self-work. And we are highly resilient. We are highly intelligent and we're hard workers. So if we direct those energies towards self-improvement, it can get better. And it's independent of what hospital you work in, who your colleagues are, you know, what happened to you years ago in your life. The truth is, you can make it better now with that self-work. So I think that's so, so powerful. And again, it was wonderful having you on the podcast, Megan. Dr. Megan Melo: [00:28:11] Yeah, thank you so much for having me. It's been a real pleasure. Dr. Kevin Mailo: [00:28:14] Thank you for all your work supporting the profession. Dr. Megan Melo: [00:28:17] And for you. Dr. Kevin Mailo: [00:28:20] Thank you so much for listening to the Physician Empowerment podcast. If you're ready to take those next steps in transforming your practice, finances, or personal well-being, then come and join us at PhysEmpowerment.ca - P H Y S Empowerment dot ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend and head over to Apple Podcasts to give us a five-star rating and review. If you've got feedback, questions or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@PhysEmpowerment.ca. Thank you again for listening. Bye. 

Welcome back to the Sustainable Clinical Medicine Podcast! In today's episode, I have something a little different for you. I wanted to share with you a recent conversation I had with Kevin Mailo on his podcast, Physician Empowerment. It's a conversation that can help you in your journey towards sustainable clinical medicine. We discussed what to think about with regards to resourcefulness and how to help ourselves create a sustainable clinical day. So, whether you're a healthcare professional looking to improve your practice, or simply interested in understanding the challenges physicians face, this episode is packed with valuable information. Here are 3 key takeaways from our discussion: 1️⃣ Mindset Shift: Feeling overwhelmed and burnt out often stems from a lack of control and powerlessness in the workplace. Accepting the things we cannot control can lead to improved well-being and a more sustainable approach to our clinical practice. 2️⃣ Delegation and Boundaries: Delegating tasks and setting boundaries with colleagues can help manage interruptions and improve workflow. Dr. Smith shares her invaluable advice on harnessing the power of teamwork and utilizing each member's strengths effectively. 3️⃣ Self-Care and Well-Being: As healthcare professionals, we must prioritize self-care and acknowledge the stress that comes with our jobs. Taking breaks, having downtime, and even going on holidays are crucial for our well-being. Dr. Smith shares valuable tips on how doctors can create space for rest and rejuvenation. Don't miss this insightful conversation! Tune in to Episode 29 of the Sustainable Clinical Medicine Podcast, available on your favourite podcast platforms. And remember to visit www.physempowerment.ca for additional resources and support for physicians on their journey to empowerment!

Welcome back to the Sustainable Clinical Medicine Podcast! In today's episode, we are joined by the incredible Dr. Kevin Mailo, the founder of Physician Empowerment. Dr. Mailo has been at the forefront of empowering physicians to take control of their financial futures and find fulfillment in their careers. In this thought-provoking conversation, we explore the challenges and struggles faced by physicians in today's complex healthcare landscape. From rising overhead costs to burnout, Dr. Mailo offers practical solutions and insights to help physicians thrive. Here are 3 key takeaways from this episode: 1️⃣ Prioritize Self-Care: Dr. Mailo highlights the importance of self-care and self-reflection in physician wellness. 2️⃣ Aligning the Three Selves: Dr. Mailo introduces the concept of the "three Selves" - career, personal self, and financial self. 3️⃣ Financial Security for Longevity: Financial stability is not just about material possessions. It is about building better lives and having the ability to handle unexpected challenges comfortably. Listen now to gain valuable insights from Dr. Mailo's experiences and learn practical strategies for achieving financial sustainability in clinical medicine. You don't want to miss this empowering episode! Dr. Kevin Mailo Bio Founder of Physician Empowerment. An organization dedicated to transforming the lives of Canadian physicians through financial security, practice optimization, and real wellness. You can find out more on Dr. Mailo at https://www.physempowerment.ca/ -------------- 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 @chartingcoach 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.

Dr. Wing Lim interviews Physician Empowerment co-founder and frequent co-host Dr. Kevin Mailo on the subject of burnout. Kevin addresses how the language we use for recovering from burnout makes us sound like a drained battery and reminds us we are not simply vessels that are either full or empty. He discusses building daily wellness and resiliency.  Dr. Mailo resists the language that makes us sound like fuel tanks and instead shares his vision of each of us being a great oak tree that can withstand storms, drought, and pesticides without breaking. That is the image he uses when he teaches wellness: the notion of us as growing living beings, needing daily nourishment, not just a refuel when we are empty.In this episode, Dr. Wing Lim and Dr. Kevin Mailo talk about the very real stresses of physician's careers and how frequent burnout truly is. They address the need to be honest about our needs, about needing time off, or cutting back on hours. Kevin reveals the three selves that need to be nourished in balance: the personal, professional, and financial selves. He has some ideas on how to both do more to achieve constant growth and self-care, and also how to do less in order to rest. This episode is vital for understanding the importance of cultivating resiliency and healthy boundaries.About Dr. Kevin Mailo:Kevin is an emergency physician based out of Edmonton, Alberta. He is known for his highly engaging teaching style that breaks down complex topics into memorable experiences. Kevin cares deeply about the long-term wellness of the medical profession and wants to see physicians and their families succeed personally and financially.Resources Discussed in this Episode:“YOU as the most important investment” mini-course by Dr. Kevin Mailo—Contact Information:Physician Empowerment: website | facebook | linkedin __TranscriptDr. Kevin Mailo: [00:00:01] Hi, I'm Dr. Kevin Mailo, one of the co-hosts of the Physician Empowerment podcast. At Physician Empowerment, we're dedicated to improving the lives of Canadian physicians personally, professionally, and financially. If you're loving what you're listening to, let us know. We always want to hear your feedback. Connect with us. If you want to go further, we've got outstanding programming both in-person and online. So look us up. But regardless, we hope you really enjoy this episode. Dr. Wing Lim: [00:00:34] Okay. Welcome everyone, to our episode of Physician Empowerment. I am Dr. Wing Lim. I'm a family physician, one of the co-founders of Physician Empowerment, and we're really glad to interview my partner and co-founder, Dr. Kevin Mailo, emerged out of Sherwood Park as well. And today we're going to talk about a topic that he presented in Mexico. This is back in 2021, 22. We brought in the New Year at that time, Kevin, right? So we had a lot of fun. And this topic that you presented was very well received and there was a lot of echoing from the depth of people's souls. So we'd like to bring this up. And the topic is you're more than an empty vessel. So Kevin, tell us why you had that name as a topic. Dr. Kevin Mailo: [00:01:19] So if you want to get down to sort of what we're going to be covering in brief today, this is not by any means the comprehensive discussion that I had during our time in Mexico. Thankfully, we're not going to spend that much time. But it's the notion of burnout. Right? And one of the first things that I came to realize in the current model of physician wellness, and occupational wellness in general, is this idea of burnout being that you are some kind of empty vessel, right? Like how many times do we hear that imagery kicked around in wellness circles of you are some kind of fuel tank that runs out of fuel or you are a battery that runs out of power. And somehow in the current model, when we get close to empty, we're supposed to do something dramatic or not so dramatic to refuel the tank to get better. Dr. Wing Lim: [00:02:18] Of course, that was not just our phone, even our car. It's got to be plugged in overnight. A zoom, two, three, four, five, six hours later, you're good as new. Dr. Kevin Mailo: [00:02:25] Exactly, right? But like, we're people. We're not electric cars. I'm not a Tesla. Okay? And frankly, that model is exhausted because when we think about the length of our careers, it has to be better than a pendulum or a yo-yo where you oscillate between being okay, you know, relatively full and empty. So that's why I titled the talk 'You are more than an empty vessel'. And so this is a Physician Empowerment concept in the notion of personal growth and resiliency. And in my opinion, it's a far more optimistic model of looking at physician wellness because burnout is only half the discussion. Yes. Is it a very real fact of life? You bet it is. We work extremely stressful jobs. We have one of the most stressful jobs in society. We deal with people's lives. And more than that, we make decisions that are, frankly, life and death. And it doesn't matter what kind of specialty you're in. As a psychiatrist, you're constantly assessing your patients for risk of self-harm or suicidality. As a pathologist, how good are the margins on that sample you looked at? As a radiologist, is it a benign nodule or is it cancer that needs to be followed up aggressively with a repeat CT. Right? So we're constantly faced with this and we're very highly trained. So we don't necessarily consciously have an awareness of this. But the burnout is a very, very real fact. Dr. Kevin Mailo: [00:03:50] And the other thing that I came across is the CMA data. And if you have not looked at this data, I would strongly encourage you to look at this data. It was published in 2017, 2018, somewhere around there. And I know the post-pandemic data is even worse. But to summarize in very broad strokes, I'm not going to get into the numbers or the figures, is that at any given point, six out of ten physicians are experiencing some kind of burnout. And at any given point, three out of ten of us are screening positive for depression. So, and that doesn't mean that we're not performing well in our jobs. It doesn't mean that we aren't great doctors, but it means that we're barely treading water. For many of us, we are just surviving in our careers and our personal lives. And frankly, life has to be better than that. We need to be thriving. And that's really my mission. One of the reasons why I started Physician Empowerment is to see physicians truly thriving, truly happy in their lives, happy in their careers, healthy, doing the things we should be doing to be our best selves. Dr. Wing Lim: [00:04:57] So let's yes, let me just have a point of reflection. Right? So I think we know, I've been around 30 years, so we went from hush-hush with ten feet tall, bulletproof. Nobody's stupid. Nobody's weak. Everybody's Superman. Right? There's no Kryptonite, right? Everybody's strong. To a point that now we realize that, oh, gosh, people are burning out, but we still hiding. Right? But then suddenly I've heard some colleagues, the department now have these forcible sessions of wellness. Dr. Kevin Mailo: [00:05:25] Oh, forced wellness modules. Dr. Wing Lim: [00:05:27] Yeah. Forced modules. Suddenly you're supposed to be well, now. Okay. Dr. Kevin Mailo: [00:05:31] You're supposed to be well, you did a module, Wing, and the organization got to check the box. Dr. Wing Lim: [00:05:37] So how do you manufacture wellness? Dr. Kevin Mailo: [00:05:41] Yeah. So let's agree that, you know, you're probably not a battery. I'm not a battery. I'm not a fuel tank. You're not a fuel tank. Um, the image that I have, and this is actually the image that I teach with, so I had one slide in Mexico when I taught this. There was only one slide. And that was a picture of a big, beautiful tree standing on a hilltop with the sun. And that, you know, when you think about a plant, it's a living thing like us. And you don't wait until the plant withers and begins to shrivel before you water it, sun it or weed it. But at the same time, the plant itself has an intrinsic resilience, an intrinsic drive to grow and to become stronger. To reach greater heights. And that's the way I look at it when we talk about ourselves and our lives personally, professionally and financially. So when it comes to wellness, I have this vision of a tree, a great big oak or something along the lines of that, a tree that withstands droughts, hail, attempts to cut it down, pesticides, storms, lightning and the tree lives for hundreds of years and encounters those things. And it does not break. It continues to grow. And that's the vision that I try to have for myself as I go through the ups and downs of life and career. Where despite whatever struggles I face, I continually invest in myself, continually grow. And that's really how I've been teaching it for a few years now. This notion that we are growing living beings, very three dimensional, that we need to nourish ourselves every day, physically, emotionally, and spiritually. The other thing that I would challenge you on, and again, I brought this forward to our attendees in Mexico, challenge you on if you were your own patient, what would you say to yourself? You'd probably say work less, sleep more, strengthen your personal relationships, strengthen your relationship with yourself. Set boundaries. You would do all of those things, or at least you would tell your patient to do all of those things. Dr. Wing Lim: [00:08:00] Isn't that ironic? It is ironic, right? We tell people this and there's a very high degree of hypocrisy about ourselves. Dr. Kevin Mailo: [00:08:08] Yeah. Dr. Wing Lim: [00:08:09] Right? Do we exercise enough when you go to these pharmaceutically sponsored meals, people just gorge themselves, but then, you know, they prescribe it. Do they actually exercise and eat well? Right? Dr. Kevin Mailo: [00:08:21] And it's not about being a model of perfection because that itself can actually be a source of burnout. Right? I am not saying, you know, we all have to be, you know, exemplary. I'm hardly that when you watch me hit the McDonald's drive-through. If I'm having a busy day with the kids or whatever and work, right? There has to be lots of room for self-forgiveness. There has to be lots of room for, you know, being the humans that we are, not robots but imperfect beings. But we should be striving not to be someone else, but to be the best version of ourselves, right? And so again, it comes back to that challenge of if you were your own patient, what would you be telling you to do? And we rarely take time to reflect on that. So I want to, you know, share two sides of the coin here. Number one is the notion that there's burnout and that's the negative aspect of high-stress jobs like health care. And then there's resiliency, which is the beauty, you know, within. Right? It's our ability to overcome. It's our ability to grow despite challenges and setbacks. And so let's explore burnout first, very briefly. And again, this isn't going to be a definitive exploration. This, actually we do have this full talk on the website, so we'll show you how to, how to link to it, or if you have questions, just reach out to me because I think it's worth, I really think it's worth watching. Honestly. It's one of my best. It's one of the things I'm most proud of in this journey. Dr. Kevin Mailo: [00:09:57] But number one is burnout. These so-called lows, they can be prevented. They're not all preventable. But over the course of a 30-year career, maybe you have fewer of them. And maybe the lows aren't so low, right? So maybe the lows don't have to be as low as they get. Again, when you consider this kind of yo-yo back and forth between, you know, struggle and success is one of the first things they want to highlight. Okay. And I've got a few strategies that I'll go over, but only very briefly, because again, we don't have a lot of time for that. Okay. Dr. Wing Lim: [00:10:35] Okay. Sure. Dr. Kevin Mailo: [00:10:36] So again, it starts with self-care and the notion that suffering in our professional and personal and financial lives is inevitable. You know, it's like saying I'm going to be a diagnostician, so I'm going to be a physician, you know, who works on the front lines and primary care, internal medicine, emerge, whatever, you're going to have a certain miss rate. Or being a surgeon and saying, well, I'm never going to have surgical complications. Of course you are going to have surgical complications. This is an inevitability, right? So accepting some of those inevitabilities in our practice lives can be very powerful because when they arise, we can put them in context. And rather than flogging ourselves, we can look at them as a point of deep reflection and improvement in our practices. And I'm not just talking about technical improvement, but saying what is the context? How much was I working? How much call was I doing that week? Whatever it is-- Dr. Wing Lim: [00:11:31] Can we just stop right there, please? Because I think this is huge, right? So we don't even allow ourselves to park there because a) is there's a lot of shame. Dr. Kevin Mailo: [00:11:41] Yes. Dr. Wing Lim: [00:11:42] And b) there is a lot of consequence. Right? So there will be a lot of cover-up and denial. And actually people ended up with malpractice complaints and lawsuits are the ones that either a) denied or b) over embracing and apologize when it's not their fault. Right? Because we are our own worst enemies, right? Dr. Kevin Mailo: [00:11:59] Oh, without question. Without question, Wing. And that can become a kind of a, you know, a negative, self-feeding cycle where we get down on ourselves and it begins to rock our confidence. And so it's really important that we address that. And there's lots of formal supports and informal supports. There's lots of reading that can be done around it. But even spending time with, you know, in counselling or some other formal support like that can be extremely, extremely powerful. But just recognizing the inevitability of complications and setbacks in our career can be a very powerful source of resiliency for us because we're not alone. We're not the first and we're not the worst, to borrow the words of one of my mentors, when we go through our struggles. The other thing that I try to highlight is that there are three selves, and this is another Physician Empowerment concept. And one day I'll go on a big deep exploration on the podcast or something like that. But there's a personal self, a professional self - so the MD - and there's a financial self, and those all have to be in harmony. Right? And they all affect one another differently. So if you are struggling in your personal life immensely, it will inevitably at some point bubble up in your professional life. Likewise, if you have financial struggles, they will at some point impact you professionally or personally. Right? So these things are all tied to one another. But resiliency. Resiliency is about having margin. So resiliency is when the system is putting pressure on us and the work environment becomes too stressful, having the ability to set boundaries and step back and work fewer hours when we need to, is a huge source of personal professional renewal. Right? And the way we do that is by having that constant awareness of self in our professional lives going, Wow, you know what? Call has been really busy on the wards these days, and I think I'm getting a little tapped out. Maybe I should be working less. Dr. Wing Lim: [00:14:07] Yeah, that's a really good patch there, Kevin. So let's dwell a little bit on it. Number one in response to that, a) we're taught and we bred and we're still expected to be so professional that we don't let anything come through, right? And when we do, we fail, right? But, you're right, the personal and financial side does affect the professional side. So. And then when you say, okay, let's just cut back some calls. Well, I think you and I lived through it, the shame, the guilt, the hate that we get from our colleagues, you know? Dr. Kevin Mailo: [00:14:43] But in my opinion, that's not a marker of weakness. That's a marker of strength. Strength says I'm aware of my limitations. Strength says I'm powerful enough to be vulnerable with my colleagues and say I need to work less. And financial strength says I can afford to do it. Right? But again, we struggle with that culture in medicine of like being the quiet warrior and you just go in, no matter how much it negatively impacts your personal health or your relationships, and just work more and more. But resiliency in our personal lives also affects our professional life, right? So when we have lots of, you know, margin in terms of sleep, exercise, diet, you know, healthy relationships with people that build us up and support us, healthy time for self where we're not consumed with work, those things, again, can be an enormous strength of resiliency and an enormous strength of happiness in our lives that let us keep going and go back to that stressful ward where we're struggling with high volumes and patients laying in stretchers in the hallway, which, let's be honest, we're increasingly facing. Dr. Kevin Mailo: [00:16:01] The other thing that I want to talk about, and this underpins wellness both personally and professionally, is money. Financial resiliency. A lot of people, you know, will ask, you know, why at Physician Empowerment do you guys talk about money or teach financial literacy like you do? I'm not here as an educator in finance to help, if I can be blunt, to help doctors buy nicer cars, homes, boats, vacation properties or whatever. That's not my goal. That's not my dream at all. And I'll be very blunt about it. The power of financial security and why I teach it is that it allows us to step back from the stresses of the profession when we need to. Right? That we're not worried about paying the bills. That we have a, that we work in an efficient practice where if we need to take a week off for a personal or family matter or a health issue, that we can do it. And we're not worried. We're not dragging ourselves in. So we're doing better medicine when we are financially secure. Dr. Wing Lim: [00:17:08] Or, may I add too, the guts to stand up and speak against authorities that could affect your livelihood. Dr. Kevin Mailo: [00:17:14] Exactly. So one of my mentors who spoke up very boldly at a lot of meetings, one time I sort of walked up to him and said, like, how do you do that? And he goes, I have money. I don't care. They can fire me. And I thought that was very powerful. Like, if you want to change the system, you need to be able to do it from a place of personal, but also financial strength. So you're not worried about any retributive behavior. The other other side to this is, you know, when we talk about financial resiliency is, you know, being able to do those wellness things that matter. Right? Like so when your wellness module is online, take you to you should do more yoga and meditate and exercise and go on a nice vacation. Well, all of that costs money, whether it's a direct expenditure, or whether you're giving up clinic time to do it. So again, when I teach this to residents - and I do a lot of teaching to residents about money, not through Physician Empowerment, but as, you know, an academic doctor that I am - I say that money is not the cake, but it's one of the ingredients. And so, you know, again, financial resiliency is so key. It's about financial security. It's about peace of mind. It's about when things are getting rough in the hospital or you start having physical ailments or there's a loved one that needs you, you can cut back on your clinical hours without worrying about money, because in those situations, that's the last thing you should be worrying about. Dr. Wing Lim: [00:18:44] Well, let's face it, wellness has a price tag, right? A colleague of mine just had a minor surgery, and they said that, well, I can't afford not to come back within two weeks. Right? So just saying. It's so real. It's so real. Dr. Kevin Mailo: [00:18:58] It is so real. We all face it. And it's not necessarily that it's going to go away, but we can do a lot to make it better. And so let me talk about resiliency more practically. And then we're going to wrap up here because I know this is already going on and I can keep going on and on. So resiliency, when I think about it, this constant investment, growing the tree of our lives, is a daily activity. That it's something we set out daily to do. It should be consciously and mindfully undertaken and shared with those closest with us, like so our colleagues, our spouse or our partner, even our children. Setting a positive example. Resiliency should go across the three selves - personal, professional, and financial - and it should occur regardless of our mood. So the people that are, you know, training, let's say for a marathon, that person gets out there and runs, whether it's a good day or a bad day, whether they feel like it or not, good weather or bad weather, they're out there training. Okay. And resiliency can be big things like saying, okay, you know what, I've got a very powerful goal to be retired within ten years and I'm going to take the steps to get there. Or it can be something small, which is like, I'm going to go for a walk every single day. Right? And, you know, resiliency needs to be built into our dreams, our aspirations, and our goals, and not just our own personal individual dreams, but the shared ones with our spouse, family, or even our colleagues. Dr. Kevin Mailo: [00:20:28] Okay. So let me just go with a brief overview of what we call quick wins and what we call long-term strategies. So when it comes to like quick, easy things you can do to feel better and to be more resilient rather than running out of the tank, try just some of these sorts of things. So the first category I have on quick wins is doing less. Actually let me go with doing more. I like doing more better to start with because doing less is funnier. So doing more. Spend a day laying in bed and sleeping. Watch a favorite movie. Go and exercise. Walk or go for a drive. Have a wonderful meal, like cook one, you know, go buy the ingredients, go real slow, take your time. Have some comfort food. Phone a mentor or a friend that you can confide in. Hug your spouse or partner, tell them how much you love them. Hug your kids or your pets, tell them how much you love them. Spend time with the people who aren't medical. Like get out of the health care space, you know, and hang out with non-medical friends or family, people in your, you know, religious or cultural community if you're affiliated with one. And again, those are just examples. I don't want to be prescriptive here. That's the whole point of this is not to give you a bunch of modules or a checklist, right? But to do, you know, but to share just some ideas of what you can do to invest in yourself on a day-to-day basis. Dr. Kevin Mailo: [00:22:04] So when it comes to quick wins, though, there's actually a lot in the doing less space. And this is where I kind of have a little more fun with these. So draw up a clinic day. We already alluded to that. If you are feeling burnt out, then start cutting back, right? It's not only better for you, it is better for your patients, it is better for the system in the long term. Our patients deserve to have happy, healthy, resilient doctors who are taking their own advice. Here's another good one. Turn off the notifications on your phone. Or better yet, put it away for the day and just unplug. Don't check your email or your EMR. Stop. Set some boundaries. Don't go and spend more money that you don't have. Buying more consumer items that you know deep down are not going to make you happy. Right? Like, truthfully, and again, that's not why we started Physician Empowerment when we started talking about financial education. And then here's my favorite, skip another useless meeting. Honestly, do that for yourself. Do that for yourself. Another big one that I rely on is practicing gratitude, really trying to sit down and be thankful for what I have in my life and not just focusing on the problems. Dr. Kevin Mailo: [00:23:25] Obviously, we can't be avoidant towards problems or try to distract ourselves. You know, we have to face our problems because that's the only way that life gets better. But at the same time that we face them, keep looking ahead at the beautiful things in our lives and remind ourselves of what's really important. And then in the long run, it's about like having very clear, personal, professional, and financial goals that you are working towards every day because those things keep you on your path. They help you set your priorities. More importantly, they help you set boundaries. They help you say no when you need to say no. Because there are system-level issues that are never going away. Health care is inherently stressful and it will only get more stressful and more complex. So you as one person in this giant, giant machine, need to care for yourself. Okay. And so I regularly check-in. I regularly write my dreams down. I regularly write down my goals. And I'll talk in another episode about the difference between dreams and goals. I think maybe last Zoom meeting we had, Wing, I was accidentally screen-sharing my dream panel. I had them written down. Maybe you didn't see it all, which is probably just fine. Um, but I've got a, it's probably my biggest note on my computer. Dr. Wing Lim: [00:24:50] There's a name for that. It's called the power page. Dr. Kevin Mailo: [00:24:52] Yeah. Ooh, I like that. Ooh, I like that a lot. Dr. Wing Lim: [00:24:55] Yeah. The power page. Dr. Kevin Mailo: [00:24:56] Okay. So again, at a future point, I'm going to talk about dreams. And I really want you to hold on to that concept because that's something that's very near and dear to me. And I really, really love talking about it because it's so important. So with that being said, I think we're going to wrap up and, again, check us out on the website. And if this resonated with you and you want to talk further, hear some of the things that I've done over the years to become more resilient. I'd love to connect. I am so, so passionate about this, so just reach out to us over email or you can text me. Thanks so much. Dr. Wing Lim: [00:25:31] Yeah, thanks Kevin, for sharing. And yes, to recap, everybody knows about burnout. Everybody talks about it. Everybody knows seven out of ten of us and maybe us was just denying it. And we look around, nobody is owning it up and saying, I'm the one that burned out. Right? So this is a very toxic environment. And as you know, in Alberta and any other places, the working environment is getting so stressful post-pandemic. Well, we're not even post-pandemic yet. And then we cannot just manufacture wellness just based on a few wellness modules. And it's not something to plug a USB in the brain and then you download a wellness app and you're better, right? This is a lot of hands-on stuff and I hope we just creating an awareness and we're ready to walk through with our colleagues, east to west coast, right? Dr. Kevin Mailo: [00:26:19] Absolutely. Absolutely. Dr. Wing Lim: [00:26:20] Wonderful. Good. Well, so thank you, everyone, for joining us today, and we'll look forward to seeing you at the next event. Check our website. All right. Dr. Kevin Mailo: [00:26:29] Thank you so much for listening to the Physician Empowerment podcast. If you're ready to take those next steps in transforming your practice, finances, or personal well-being, then come and join us at PhysEmpowerment.ca - P H Y S Empowerment dot ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend. And head over to Apple Podcasts to give us a five-star rating and review. If you've got feedback, questions, or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@PhysEmpowerment.ca. Thank you again for listening. Bye. 

Welcome back to the Sustainable Clinical Medicine Podcast! In today's episode, I have something a little different for you. I wanted to share with you a recent conversation I had with Kevin Mailo on his podcast, Physician Empowerment. It's a conversation that can help you in your journey towards sustainable clinical medicine. We discussed what to think about with regards to resourcefulness and how to help ourselves create a sustainable clinical day. So, whether you're a healthcare professional looking to improve your practice, or simply interested in understanding the challenges physicians face, this episode is packed with valuable information. Here are 3 key takeaways from our discussion: 1️⃣ Efficiency is crucial: We highlight the importance of optimizing workflows and effectively managing tasks beyond patient care. 2️⃣ Prioritizing patient needs: The episode delves into the importance of setting boundaries and protecting time for meaningful patient interactions. 2️⃣ Harnessing the power of effective documentation: We dive into the significance of comprehensive medical documentation, including essential elements to include in patient notes. Don't miss this insightful conversation! Tune in to Episode 30 of the Sustainable Clinical Medicine Podcast, available on your favourite podcast platforms. And remember to visit www.physempowerment.ca for additional resources and support for physicians on their journey to empowerment!

Sitz, platz, bleib! Diese Befehle beherrscht der Hund von Coralie (11) und Luca (14) schon bestens. Nun wollen die beiden, dass ihr Bordercollie namens Mailo ein Therapiehund wird. Was braucht es dazu? Begleite «SRF Kids Reporter:in» in die Hundeschule! Dein Abenteuer bei SRF Kids Reporter:in Du hast eine Idee für SRF Kids Reporter:in? Dann nix wie los, erzähl uns davon! Dafür gibt es verschiedene Möglichkeiten: Schick eine Nachricht an 076 317 44 44 Schreib einen Blog im Treff auf srfkids.ch Sende eine Email an redaktion@srfkids.ch Das SRF Kids Team ist gespannt auf deine Ideen! Produktion & Moderation: Dania Sulzer Sounddesign: Serge Krebs

El Loco Mailo dice lo que realmente piensa, está loco pura vergx, ta' mas cuerdo que uno, dale oido y un vistazo en YouTube.

Dr. Wing Lim, co-founder of Physician Empowerment, turns the tables and interviews Dr. Kevin Mailo for a change. Kevin talks about real estate investment for physicians and shares insights and advice from his own personal real estate journey.With a family history of investing or buying in real estate, Kevin acknowledges that he came to real estate naturally. He sees real estate as a very powerful wealth creation tools and he names three main reasons for that: appreciation, positive cash flow generation, and mortgage paydown. Kevin gets into detail with Wing about how each of those three work. In this episode, Dr. Wing Lim and Dr. Kevin Mailo discuss how an incorporated physician can start in real estate investing, why Kevin feels real estate gives him more peace of mind than stocks or other portfolios, how to start if someone is not incorporated, and why eventually it's advisable to bring experts in to help with property management. They shed light on real estate as a powerful tool for physicians to use to their benefit.About Dr. Wing LimApart from his clinical & teaching roles, Wing has extensive experience in Practice Management and Business Development. He is passionate about sharing his extensive knowledge & experience (both clinical & business) with others in various settings, from his clinic mentoring younger colleagues, to churches, senior groups, ethnic functions, radio broadcasts, retreats, seminars, and national conferences.About Dr. Kevin MailoKevin is an emergency physician based out of Edmonton, Alberta. He is known for his highly engaging teaching style that breaks down complex topics into memorable experiences. Kevin cares deeply about the long-term wellness of the medical profession and wants to see physicians and their families succeed personally and financially.Resources Discussed in this Episode:Save the Date for May 6-7, 2023 in TorontoRobert Kiyosaki“The Growth Mindset with Dr. Wing Lim” episode on beyond MD with Dr. Yatin Chadha“How Finance Relates to Personal Wellness with Dr. Kevin Mailo” episode on beyond MD with Dr. Yatin Chadha—Isn't it enough to have a personal CPA & a regular lawyer for annual tax & corporate returns? What does a Tax Lawyer offer & when would we need one? Come & learn from a “fire side” chat between Wing & Jason the Tax Lawyer on February 2nd at 6pm.—Physician Empowerment: website | facebook | linkedin __TranscriptDr. Kevin Mailo: [00:00:00] Hi, I'm Dr. Kevin Mailo and you are listening to the Physician Empowerment Podcast. At Physician Empowerment, we're focused on transforming the lives of Canadian physicians through education in finance, practice transformation, wellness and leadership. After you've listened to today's episode, I encourage you to visit us at PhysEmpowerment.ca - that's P H Y S Empowerment.ca - to learn more about the many resources we have to help you make that change in your own life, practice and personal finances. Now on to today's episode. Dr. Wing Lim: [00:00:34] Well, welcome everyone. So good to have a few people show up on Wednesday evening. Alberta time 6, I guess it's 8 p.m. in Ontario. And so yeah, so I'm really delighted to have this webinar and so we hold this on a regular basis once a month. And so we're going to talk about real estate for incorporated physicians. All right. So this is not for the faint of heart, I guess, and I'm very delighted to welcome everyone and actually I'll be turned the table around. Usually I got interviewed by Kevin, but I'm going to interview Kevin. So I'm Wing. I'm Wing Lim, one of the co-founders of Physician Empowerment. And so I'm turning the table around to interview Kevin about this, this interesting topic. So of course, people have different backgrounds and people invest in different things, and there's a wide spectrum across all of four asset classes. And so let's start off by saying that why real estate, right? There are people who do nothing but index funds and people do nothing but mutual funds, some do stocks, bonds, some do exclusively crypto, bless their heart right now. And then there are also people, even within real estate, they flip and there are a lot of things they do. So let's just have a bird's eye view over why real estate compared to other asset classes. So, Kevin, what's your take? Dr. Kevin Mailo: [00:02:03] Yeah, let me talk a little bit about my my story about real estate and why it came to me and fairly naturally. But I come from a family where, for a few generations, has always been somebody on either my mom's side or my dad's side who has invested and bought in real estate. And I saw a lot of wealth created in real estate. So real estate started with me at a very early age. I kind of got into it by accident. Initially, having bought our first property as our personal residence years ago in medical school, and eventually didn't get rid of the place but rented it out. And so that was years and years ago that I started. And since then it's been a really, really great journey. But real estate, it's a very powerful, very, very powerful wealth creation tool for a number of reasons. The classic three are the following benefits of real estate. Number one is appreciation. So if you look historically across all different types of real estate in buoyant markets in North America, right? So I'm not going to talk about other parts of the world that are depopulating or aging or, you know, stagnant economies like the Rust Belt in United States or things like that, where real estate can be stagnant or drop. What I'm really referring to is a buoyant market and it doesn't have to be red hot like the GTA or the Lower Mainland in Vancouver. But real estate appreciates. That's the first pillar of why I love real estate and why I invest in it. Number two is real estate, if done properly, generates positive cash flow. So if you were in a buy and hold model where - and it depends on the ownership structure and we'll get into this in a little bit - but if you're in a buy and hold model and there is a tenant, whether it's a commercial tenant, whether you own your own clinic, whether you have residential tenants, ideally you're generating positive cash flow every month, which is income that comes into either your your own pocket personally or corporately. And then lastly, this is the most powerful of the three, is mortgage paydown, right? So when you acquire that property in year one and this is a very simple example, when you acquire that property in year one, you're using a down payment of 20% or less, typically on residential real estate. And then you flash forward to year 26 when the when the property is paid off and the mortgage is cleared. That property has appreciated in value three times, maybe four times what you paid for, but what you didn't you didn't pay with all of your own money. You used a loan from the bank, use the mortgage to acquire 80% of that property in year one. Dr. Kevin Mailo: [00:04:52] So somebody else, the whole 25 years that you held the property, paid that mortgage, and that is your tenant, whether it's a commercial tenant or practice colleagues or a residential tenant. And this is incredibly powerful and we've got our conference coming up, so for anybody that's listening to this or joining us on the webinar tonight, our conference is coming up May 6th and 7th in Toronto. We do it every year. It's an outstanding event where we talk about wealth creation for Canadian physicians, and we're going to be focusing on real estate this year because we keep getting more and more interest. But we're going to break this down in a lot more detail in May, but just put that in the back of your head that the wealth creation through real estate very passively is this mortgage pay down and appreciation. And it's stunning what the annualized returns are on that on very, very basic entry level real estate investing. Right? Like you don't need to be out there as some aggressive high level investor who's buying up, you know, shiny office towers. You can make a lot of money in real estate in lower class properties for sure. So Wing, do you want to take us to the next question, then? Sorry, you can tell I just keep going and going because I love it. Dr. Wing Lim: [00:06:04] Yeah, you're right. Yeah. So, there are advantages of the real estate. So while there are advantage of others, how does that compare to stocks, bonds, all those others? Dr. Kevin Mailo: [00:06:17] Yeah. I mean, you know, we teach at our events, we talk about investing in the markets. And for those of you that have listened to our speaker, Dimitri, he's phenomenal, right? Dimitri has been very active in the stock markets, very active in crypto. And I always say there are many, many ways to make to create wealth as a position. We have many advantages and many opportunities. It's really about finding what works for us. One of the things I love about real estate is, number one, to allude to my point earlier, is you get access to credit for it, right? So you can't walk into the bank and say, Listen, I'm really good at buying stocks and bonds. I'm really good at investing in crypto. Give me a mortgage for $1,000,000 and watch me grow it at 15% annualized return. The banks are just going to laugh you out the door, right? They don't do that. But if you say I found a property, I want to acquire it, I need a mortgage, the bank goes Sure, right? Because the banks inherently recognize the stability and the long term growth that real estate offers. They do not offer the same for the markets, and I think we're in a great year to prove that point. And not that you can't make money in a down market, there are going to be many people that make a lot of money in a down stock market, but it's tricky. Real estate for me at least, I love because it's relatively simple. You put your money in as that down payment. You put a tenant in and over the course of years that mortgage is rapidly paid down. The property accrues in value and you get cash flow. Dr. Kevin Mailo: [00:07:50] And what I'm really getting at is peace of mind. One of the central things we teach at Physician Empowerment is that when it comes to investing, your investment portfolio, your strategy should reflect your life. So we have stressful jobs, we work long hours. So I really don't want to be up at night wondering what the markets are doing, wondering what crypto is doing. I wonder if my Tesla stock is sinking, not that I own no Tesla stock, not one bit of it. But just to give you a sense of like what's going on in the markets and appreciating that that can take a mental toll, whereas real estate, there's a lot more stability there, right? Like, you know it's trending upward. You know that every month, even in a down market, those mortgages are getting paid down. And so it offers a lot of peace of mind. And again, at the conference, I'll show you the math on this, where you can sit down and say, well, if I invest X amount in real estate and if it grows at a certain very conservative rate, then I'm going to be worth millions of dollars in 20 years time. And it's as simple as that, right? So it really brings a lot of peace of mind. So that's personally why I love real estate is and it's a very tangible asset, right? It's not an electronic signal on the internet like crypto. You can drive, I can go look at the properties I've invested in or the properties I own directly. So I hope that kind of answers the questions. I mean, there's a lot here, Wing. Dr. Wing Lim: [00:09:15] Yeah, so maybe let's go one step further, right? Because the topic is for INC positions. So does it matter whether we INC, let's talk about INC and let's talk about those that are not INC. Dr. Kevin Mailo: [00:09:30] Yeah. So yeah, real estate as an INC position there are a few advantages and one of the big ones is you can retain earnings within your professional corporation. You pay corporate tax on that right, like we all do. But then you have that extra $100,000, let's say sitting in your professional corporation, you can then transfer to a holding corporation and invest in real estate. And whether that's direct ownership or a limited partnership or syndicated deal or something like along those lines is it's a very flexible, relatively easy thing to do. Setting up a holding corporation is very straightforward. Your accountant and any average kind of lawyer can easily set one up and then it can be funded with shareholder loans from your professional corporation. So in that regards, there's a huge tax advantage, at least to start out with when you're acquiring real estate because you're not forced to take the money out of the corporation. Because in Ontario, as an example, the top marginal tax rate I believe is 53.53%. So if you had that extra $100,000 retained in your corporation and you wanted to take it out and buy a rental property, let's say, well, you're going to be paying that, most of that is probably going to be in the top marginal tax bracket, which is going to leave you with only 43,000. 47,000, pardon me, I'm very bad at math, especially public math, 47,000 ish to invest. Right? Whereas if you held that corporately, you'd be probably sitting closer to 90,000. So that's a big spread. So you can see, like if you're trying to build that portfolio, it can grow quite rapidly using retained corporate earnings. And again, we're going to be diving into this a lot more at our conference. Dr. Wing Lim: [00:11:13] Yeah, exactly. So, yes. So I like the big gurus, like the Robert Kiyosaki of the world saying that I love real estate because I borrow the money for free. Everything I leverage. And he brags about owing $1,000,000,000 in debt, leveraging, getting higher on other people's money. Dr. Kevin Mailo: [00:11:33] I put some caution there. I put some caution there because there are risks to that, to overleveraging in real estate. And, you know, the truth is and again, we can show you this at June just as a side dig, but in some cases, you can actually create an infinite return for yourself on real estate by using totally other people's money. I again, I caution because there is there is some risk associated with that and we can explain what that looks like. Can I step back and just talk about personal real estate personally, because I own a little bit personally and that was also an interesting journey. So, you know, converting one of my personal homes that I previously lived in into a rental property because I couldn't sell it in a down market with rising interest rates. So I kept it. And that was kind of an interesting journey and it works out all right in terms of the same things apply. You have annual appreciation, you have mortgage paydown. But the issue is, is that whatever cash flow you're making, whatever profit you're making on that place, you're paying top marginal income tax rates. So that's one of the, that's one of the big ones that I struggle with, is that whatever money you're going to make off of your personal holdings, you're paying, you're probably going to be paying at the top marginal income tax rate. So that's a bit of a struggle. And then the other downside is, is whatever you own personally is because it's not your personal residence, you don't get the capital gains exemption. So if you go to sell the property and let's say a gain 500,000 in value over the 20 years that you owned it, you're going to pay capital gains on that. So again, it's sort of, it's not that great. And then there are some questions as to whether you're exposed to more liability. But this is all direct ownership of real estate when you probably want to get to other types of real estate investing. Dr. Wing Lim: [00:13:30] Yeah, but maybe we just pause. So what about those who are not incorporated? They don't have a PC. What do they do? Should they give up? Dr. Kevin Mailo: [00:13:40] No, no, no. There are many ways to invest. I mean, you can run it as a proprietorship. Absolutely. Again, I would recommend very robust insurance on that and definitely sit down and talk with your accountant and talk to your lawyer before doing anything in real estate in general, but especially, you know, as operating as a proprietorship. But you can still invest in real estate deals, you know, as an individual. So most physicians are what we call an accredited investor, which allows them to step into private equity deals in real estate that the average person can't access. And you want to just explain what an accredited investor is for a minute, Wing? Dr. Wing Lim: [00:14:16] Sure. Accredited Investor, well, there's a very technical definition, but basically, from what I can gather as a layman, is you need to own $1,000,000 worth of free property, have $5 million of cash, sorry $1 million cash, $5 million of of properties, in everything you hold liquid and illiquid, but also for most people is $200,000 a year of income for the last two years. Well, $300,000 a year of income counnting the spouse. So most physicians qualify. Dr. Kevin Mailo: [00:14:48] Yeah. Yeah. So again, there are ways to invest personally as well, even if you are not incorporated. But again, sorry continue Wing. Dr. Wing Lim: [00:14:59] So we step into it already, so we're ahead of ourselves. So yeah. So then what are the different ways to own real estate? Dr. Kevin Mailo: [00:15:06] Yeah. Yeah. So let me talk about my journey a little bit and why I'm changing growing maturity as as a real estate investor. And for anybody that follows Yatin Chadha's podcast, I was on there talking about my own real estate adventures and lumbar puncture night, which was pretty memorable. People still mention that when I bump into them and I won't go through that war story again. But the bottom line is I started out investing real estate, buying doors. Right? And that's sort of the the colloquial term we use for acquiring small single family dwellings, whether it's an individual condo unit or apartment unit or an individual home or a duplex or fourplex. But what I'm getting at is something small scale that I own myself as an incorporated position, and then go and effectively manage it myself. And even with a property manager, it ends up being work. It's always work, right? And I think this is one of the things that turns people off of real estate, right? And so I bought enough doors that I got to a point where I had quite a few doors, if I can be honest with you, that was keeping me really busy, you know, in terms of phone calls about some small issue, big issues, vacancies, paperwork, bookkeeping, accounting, there was a lot there that added up. And, you know, I've got property management on most of my doors and it's excellent. But in the end, somebody's still going to phone you about things, even if it's not you in the middle of the night dealing with that broken toilet, which after a while when you realize, like if I keep going down this journey and keep just buying more doors, I'm just going to get busier and busier until I bought myself another job, right? And I'm busy enough with emergency medicine and raising my kids that I really don't want to take away from my personal time. And to go back to echo that point earlier, this is about building a better life, right? Whatever we invest in, whether it's the markets, crypto - crypto, right, this is not the year - you know, whatever it is, it should be buying us peace of mind, right? So there comes this kind of tipping point, and every physician's different, I mean, some people, you know, I'm sure there are physicians out there with like 50 doors and love it. Right? I'm nowhere close to that and already feel busy enough with what I've got, you know, realizing that as somebody who is initially very hands on, like, you know, I go paint walls with my kids because I want to teach them a little bit about the business. You know, I can swap out appliances like nobody's business. You know, maybe it's all that practice on central lines and airway equipment. It just gives me handy skills, you know, swapping out appliances. I don't mind it, but I realize that as time consuming as I get busier, I'm going to struggle with this. And even if you have to find a contractor for a lot of this, it becomes difficult. So now this year for the first time is I finally stepped into private equity, right? I realized that I didn't want to keep scaling up, getting more and more doors, more and more mortgages and more and more phone calls. Even if I am making money and loving that part of it, there comes this kind of tipping point where, as a busy physician, I say to myself, you know, how much of my time, even personal time can I deploy here? And so that's where I stepped into private equity. And that's where I really think most physicians are going to be happiest, right? Because I come from a background where I grew up enough around this stuff to understand it. I'm pretty handy. But at some point, if you're busy, you may just be, as a physician, you may be much more interested in private equity. And so physicians make a lot of money in this space when it's done properly. And what private equity is, is you're not on the hook for mortgages or personal guarantees in many cases, what you're really doing is you're lending money into a project where somebody else carries the credit risk and somebody else is in charge of developing the property and managing the property. And I did that for the first time this year, and I'm very excited and very happy about that, that new phase in my real estate journey as I mature from being kind of the hustler that's doing it all myself to now stepping away and investing at a higher level with people who are professionals in this space, right? People who are experts, because that's what we do in practice, right? When we're in over our head, it's time to consult. The same sort of thing goes in our financial journey, whether that's finding an excellent portfolio manager, whether that's finding a great accountant, whether that's finding a great tax lawyer or somebody to help us with insurance or again, property management or deals, at some point we have to let go. And that's one of the things I struggled with as a physician was that instinct, that impulse to micromanage. But as you can step away from that, you could make a lot of money and be happier and enjoy more peace of mind, which I think that's the the triple win there. So keep going. Dr. Wing Lim: [00:19:53] So. Yeah. So there are different things you talk about: actively managing, change your own toilet all the way to private equity, you're totally hands off. So for those of us who are brand new at this, how does a busy physician start? Dr. Kevin Mailo: [00:20:10] Yeah, I mean, this is always the thing. And so we talked about this earlier in this month's small group. So we lead a master class and Wing actually took us through a great one called Navigating the Asset Jungle. And one of the key pieces of wisdom that I'm going to say before you even get started is actually start. Right? I encounter physicians all the time who talk year after year about investing in real estate and never pull the trigger. Some of whom I followed for years. I have physicians that say, I'm going to get into the market, right, whether it's the public markets, stocks and bonds year after year, and you find out that they have six, even seven figures worth of cash stacked in their professional corporation because they are too scared to finally step out and put it someplace. And knowing that your cash is dropping. In our current inflationary environment by 10% a year. So if you have $800,000 in cash stacked up in your professional corp and you're too scared to invest it in real estate or the markets or whatever, you just lost 80,000 this year in purchasing power. Right? So the first piece of wisdom in this space is having the courage to actually do it, right? Dr. Kevin Mailo: [00:21:24] So saying to yourself, I'm never going to know everything, but at some point I have to step out there and do that. And you know what? That's not that different than our clinical careers, right? I mean, I remember my first few weeks in practice being like, Oh my goodness, there is a lot here, but it's on me because I'm now an independent physician. And we have to carry that same mindset of being able to step out knowing that we don't have all of the answers, knowing that there's always going to be some risk. So the first piece of wisdom is do something, number one. The next piece is realize that you cannot fully eliminate risk, and that goes across any asset, be it crypto, the markets, real estate, whatever you want to buy, there is no zero risk here. So be willing to accept some risk in real estate. Create that wealth mindset which is optimistic, informed ability to manage risk. Right? We're not talking about blind gambling and we're not talking about blind trust of the professionals you're working with. We're talking about understanding risk and being able to accept and put a little bit of money on the line. The next big one-- Dr. Wing Lim: [00:22:28]  -- Sorry, let me interject to plug in. So the masterclass that we're doing next month, December, we're going to do the risk jungle, navigating risk jungle.  Dr. Kevin Mailo: [00:22:39]  Good, good, good, good. That one took me years to learn, and I'm still learning it for anybody that's on this webinar. Drop us a line. Email us because we would love to have you join us just to drop in and see what a single, what a single webinar or masterclass with Wing looks like because they're outstanding. But yeah, we're going to talk about risk. So let me move to the next thing here in what I recommend as first steps, and this is start reading, start learning about real estate so that you understand how it works, so you understand the terminology and you can begin to talk the language a little bit. And again, you don't have to be the expert here. You don't have to be the most knowledgeable person in the room. But just having some awareness goes a long way. The other thing that I anchored to, through the good times and the bad with real estate, is those three truths - cash flow, why would we call them 3 truths, 3 powers of real estate - cash flow, appreciation and mortgage paydown. The reason why is because there are ups and downs in real estate. I've been through Alberta's real estate market with some downs over the years and you have to just open up those numbers and go, Well, I'm not gaining through appreciation this year, but I'm still making cash flow and my mortgages are still getting paid down, right? Because when you get to those core realizations about real estate, it allows you to hold the road, right? You know, when people with the stock market plummeting like it is, we'll say Historically the stock market goes up, I'll ride out this rough patch, even though it's an eye watering loss in a given year, which is why I have very little in the public markets. And I have no answer for crypto. None whatsoever. Don't. How about that? Sorry to be so blunt. Yeah, crypto keeps coming up, but it's just, this is the month that went under. So anyhow, just going on about educating yourself in risk, educating yourself in the basic terminology of real estate, and having a commitment to say, Okay, I'm not going to freak out here, I am going to put some money into a project and you can start small, right? You don't have, do not go throw a million bucks into a deal. Right? As your first deal. Like, don't do that. There's no rush. There's always new real estate deals coming up, always new opportunities coming up. So go cautiously, go slowly, and get comfortable with what you're doing. And then once you see those returns coming in, you can start saying, Okay, now I get it. I'm okay with this. And you can gradually put more and more in and that's how I did it. And 15 years on, I couldn't be happier. Dr. Wing Lim: [00:25:16] Right. Cool. So maybe Kevin can share with us some pitfalls and lessons learned that you wish knew earlier. Dr. Kevin Mailo: [00:25:25] Absolutely. Yeah. So, number one, I wish I hadn't worried so much. I spent so many years investing in real estate over the years, and I worried. It's kind of like raising kids. You know, you sit there and you worry about them day to day, and then you look back and you're like, What did I worry about? They're actually all right. And so number one is, I wish I hadn't worried so much over the last ten years when I've really been much more active in real estate. I wish I had scaled up sooner and gone into private equity sooner. I spent far too many years in my life managing my own doors and chasing smaller returns because I wanted to be able to micromanage it. And I wish I had stepped into private equity five years ago and gotten involved in bigger projects. The other big one is don't overleverage, really don't overleverage. The banks are going to give you a lot of money if you go out and ask for it. But that doesn't mean you take all of it because you're on the hook for that. And in the end, like real estate is, like, you make a lot of money leveraging. I'm not saying not to, but I'm just saying to be mindful that in the end you've signed personal guarantees on all of those mortgages. And so don't overdo it. Go cautiously. Go slowly. And build within your risk tolerance. Right? But don't be scared. Like I got, there are physicians out there that have $2 million worth of personal mortgage and it's on them to show up every month with a with a mortgage payment. Whereas if you had $2 million in rental properties, somebody else is coming up with those mortgage payments every month. And whatever you have to subsidize, if it's a slow patch or a slow month, it's a tax write off, right? So it's a huge, huge advantage to being in debt corporately with rental properties versus personally. And so I would say compare those two. What does $1,000,000 in mortgage, personal mortgage debt look like versus $1,000,000 in rental property debt, and realize that personal mortgage debt is far riskier than rental property debt. And then the other big one that I would encourage people to do is not get too caught up in faddish returns or all the glitz and glamor because there's a lot out there. Right? As an accredited investor, you're going to have a lot of people potentially approaching you, looking to invest with you, but you have to be mindful who you invest with and when you can speak to that because you've had more experience in private equity as a real estate developer. Right? But there's a lot of caution, right? The people in the finance and real estate industries do not hold the same fiduciary responsibilities that we hold towards our patients. So don't go into it with rose colored glasses. Be very aware of who you're working with and who you're investing alongside. I would say it is very important if you're looking at going into private equity. Dr. Wing Lim: [00:28:19] Right on. So those are really good pieces of gem that you offer, Kevin. So while we're going to wrap up, so we intentionally don't want to make this a long, drawn out thing, because if you want to do more technicality, come join our master class. We'll do the deep dive. We're doing a whole year's worth of, well building strategies and real estate, and June would be a big, big event in Toronto face to face. And we're going to have a lot of fun and we're going to plan for some some nice trips down the road. This is a further down the road project. Dr. Kevin Mailo: [00:28:50] Yeah, Yeah, exactly. Lots of great, lots of great opportunities to come together. But yeah, we're going to be talking about this in a lot more depth in May in Toronto at our national conference. So again, that's May 6th and 7th. We're going to be covering this. We are just in the process of moving to new email. So this is my personal email that I just send out to our webinar participants. But reach me personally if you have questions or you want to learn more because this is, there are a lot of great opportunities in real estate, and in my opinion, every physician should be invested in real estate, not all of it, right? Like you can be diversified if you want, but I'd say every physician should be looking at real estate because there are just so many advantages as an incorporated professional to invest in this space and so much return to be had and peace of mind. Like I said, real estate's been such a positive thing in my life. Dr. Wing Lim: [00:29:38] Yeah. All right. Good. Super. So thank you. I want to thank Kevin for sharing your wisdom. And thanks. I want to thank everybody for joining. Dr. Kevin Mailo: [00:29:47] Thank you so much for listening to the Physician Empowerment Podcast. If you're ready to take those next steps in transforming your practice, finances or personal well-being, then come and join us at PhysEmpowerment.ca - P H Y S Empowerment dot ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend and head over to Apple Podcasts to give us a five star rating and review. If you've got feedback, questions or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@PhysEmpowerment.ca. Thank you again for listening. Bye. 

Le voici... Mon tout premier podcast en duo, avec une personne incontournable concernant les conseils pour les Pvtistes, vous la connaissez tous... C'est Mailo ! Elle m'a contacté lorsque je bossais au ranch, dans le Victoria, afin de vous faire partager mon aventure. Si toi aussi tu rêves de bosser dans un ranch en Australie, ce podcast t'apportera sûrement pleins de réponses à tes questions : salaire, logement, tâches quotidiennes, ambiance... tout y est :) ! Pour ceux qui me connaissent déjà un petit peu, le job en ranch a été de courte durée pour moi, il y a eu des hauts et des bas, et j'ai décidé de partir vers d'autres horizons ! Je te livre tout, sans langue de bois, bonne écoute. N'hésites pas à venir vers moi si tu as des questions via mon insta : maneltmi, je me ferais un plaisir de t'aider ! ENJOY!

Kevin Mailo, MD, is an emergency physician based in western Canada. He is the founder of Physician Empowerment - an organization dedicated to transforming the lives of physicians through education in finance, wellness, practice management, and leadership. He is a serial entrepreneur with companies in real estate, finance, and education. We discuss what financial issues impact American and Canadian physicians differently and then pivot into real estate, from owning and managing your own property, all the way to REITs or Real Estate Investment Trusts, why real estate is a popular investment vehicle for physicians, even though we are short on time, and what to do if you are stuck in analysis paralysis. You can find Kevin at physempowerment.ca.

Tercer episodio raza! Como se darán cuenta al principio iba a salir solo Conejo Toys pero que chingón que se animó también su padre, Loco Mailo. Un honor escuchar las experiencias de los dos y un chingo de respeto porque salir del vicio en el que estaban no cualquiera lo logra. Espero disfruten el episodio tanto como yo disfrute grabarlo. #LocoMailo #LosMitotes #conejotoys

Dr. Kevin Mailo welcomes Dr. Nour Khatib, emergency physician and speaker, to the show to talk about her journey through finance and medicine. Dr. Khatib explains why he introduces her as a “Med School dropout” and shares how both her career backgrounds are valuable to her.Dr. Nour Khatib divulges that in her first year of medicine at McGill she experienced burnout and spoke to administration who gave her a year off. During that year she enrolled in business school and ended up with a financial job at Pratt and Whitney. However, she returned to McGill several years later despite enjoying her financial job and she explains why to Dr. Mailo.In this episode, Dr. Kevin Mailo and guest Dr. Nour Khatib discuss why learning something other than medicine can be a very powerful personal growth experience, the importance of the advice to “pay yourself first”, and why self care and personal wellness are such key components of a successful career as a physician, alongside financial literacy. Dr Khatib's story and advice very much align with Dr. Wing Lam's CBE (Continuous Business Education) theory and this episode helps to explain why it's important practice.About Dr. Nour Khatib:Dr. Nour Khatib MD CM, MBA is an enthusiastic and dynamic emergency physician and financial professional with keen interest in Quality Improvement, Patient Education and Global Health. She completed her family medicine training at Sunnybrook Health Sciences Center and did further training in emergency medicine at the University of Ottawa (CCFP-EM). With extensive experience and a professional record as a financial and business analyst, Dr. Khatib has excelled in both international and local firms with determination, hard work, and resourcefulness. Utilizing a broad acumen in healthcare, finance and business practices, she aims to solve issues regarding the quality of healthcare and the patient experience.Resources discussed in this episode:“Millionaire Teacher” by Andrew Hallam“Your Money or Your Life” by Joe Dominguez and Vicki Robin“Beat the Bank” by Larry BatesDalai Lama XIV quoteDr. GlaucomfleckenTakotsubo CardiomyopathyCEGEP—Physician Empowerment: website | facebook | linkedinDr. Nour Khatib MD CM, MBA: Emergency Physician and Speaker: linkedin Transcript:Kevin Mailo  00:00Hi, I'm Dr. Kevin Mailo, and you're listening to the Physician Empowerment Podcast. At Physician Empowerment, we're focused on transforming the lives of Canadian physicians through education and finance, practice transformation, wellness, and leadership. After you've listened to today's episode, I encourage you to visit us at physempowerment.ca. That's P H Y S empowerment.ca to learn more about the many resources we have to help you make that change in your own life, practice, and personal finances. Now on to today's episode. Kevin Mailo  00:34Hi, everyone. I'm Dr. Kevin Mailo, one of the cofounders of Physician Empowerment, and one of the cohosts of the Physician Empowerment Podcast. And tonight, I am very, very excited to introduce to you Dr. Nour Khatib. And Dr. Nour Khatib is a Med School dropout. And she has had a very exciting journey. And we are very happy to have her as part of our team here, speaking at our webinar, and hopefully speaking at some of our future events as well, because she's just so incredible, not only in her medical career, but also in the sphere of teaching and public speaking. And I don't know that I can introduce you properly, Nour. I think it's probably better if I just let you go. And tell us a little bit about your story. And why I introduce you as a Med School dropout. Dr. Nour Khatib  01:24Sure thing. Absolutely. Nice to meet everyone. Thanks for joining tonight. So yeah, Kevin's right. I am a Med School dropout. But I'm currently an emergency physician so how does that work? So what happened with me is I studied in Quebec, I studied in Quebec and I went to CEGEP and that's when you do, you can get into Med School two ways: do an undergrad, or go through quote/unquote the fast track where you can get into pre-med and you've got a guaranteed position into getting into Med School. So I thought, I was studying at Marianopolis College, which was one of the CEGEPs, there and I thought everybody was applying to Med School, maybe I should apply too. I didn't know what I wanted to, I was 18. But I did apply to Med School and I got in and I started. And within two months, I was like this linear path is scary. I don't know if I want to take this linear path. It felt like that's it, my entire life for the next 10 to 15 years is already laid out. And the path is not going to be changed. And I felt all I will know is medicine. And that, in addition to the worries of medical school, was frightening to me. I come from a family of, previously were refugees. We didn't, no one in my family had an undergraduate degree. In fact, they were all working in business or working as entrepreneurs, and just trying to make things happen, not medicine-related not science-related. So I thought to myself, 'What am I doing going into medical school?' Two months in I decided I'm completely burnt out, especially with all that overthinking and overwhelm at the age of 17 or 18, which I still think is too young to be committing to any of this. But that's a different story. And I went to the - it was McGill - so I went to the administration office and I spoke to them, I told them how I was feeling. And they're like, yep, we recognize this. It's called burnout. You're experiencing it, and now we have a solution to your burnout, you're going to take a year off. Doesn't work like that. A solution to burnout is not just a year off. But that's what they said, I was 18 and they gave me a year off. So I decided to take it. In that year off - really within two weeks - I thought to myself, I can't take a year off, that's, you know, Type A personalities, we're not going to take time off. I ended up enrolling in business school. I ended up enrolling at the John Wilson School of Business, doing some finance courses, and absolutely loving it. And thinking to myself, 'Hey, I fit in'. You know? I fit in here. It makes sense to me. It's so exciting, there's presentations, no one's lives are at stake, it's great. And there's no linear path. That part was great because I didn't have to do another degree after or post grad or decide on what specialty. That's it. I can start there, continue, and literally the world is my oyster, I can work in finance or business in any field I want. A year later, McGill gives me a call and they're like, 'Well, you haven't been responding to our emails. So do you want your spot because it's kind of a guaranteed spot, something that's super coveted'. I was like, 'Oh, thank you so much. I actually am in finance now, I switched careers, please give my spot to someone else'. And of course, they've got tons of people to give the spot to and they went ahead and did that. So I worked in finance. I worked in finance and I did co-op and I ended up at graduation, had already worked for three companies after doing some co-op, and the third company basically offered me a contract. And it was Pratt and Whitney Canada. It's an airplane engine manufacturer. And I loved working there. I can't tell you that I loved the job itself. But working there, being in a team, having projects together with engineers, financial analysts, all sorts, I was thriving in that environment. But come and ask me if I liked what I was doing on an Excel spreadsheet? Excel is dear to my heart this very day, but no, not for the rest of my life. I can't imagine myself doing that for the rest of my life. But I loved being in that company. And had I not left, I would have been there forever. Kevin Mailo  05:41Wow. So okay, so you're, you're at this great company? How did you un-drop out of Med School? Nour, tell us how you un-dropped out of Med School? Dr. Nour Khatib  05:52Sure. So the way it works is, really it just goes to show you that sometimes just stars align and, you know, I never used to be a believer of that, but really, like, there was an opportunity, and I kind of went for it. That year, my prerequisites were going to be expired, that like eight years out-- Kevin Mailo  06:15-- yeah, Med School prerequisites, yeah. Dr. Nour Khatib  06:18And then I heard from a friend of a friend that McGill are removing their  MCATS. And I never thought about going back to Med School. Why would I? Pat and Whitney was paying for my MBA, I had already gotten promoted twice, I'm in the middle of the recession in 2008, and I had a job and life was good. There's no reason for me to think of leaving. But someone, there was a seed that was planted that, hey, McGill has removed their MCATs, now it's easier for you to apply. So I decided to look into it. Because there's no way I would have studied for the MCATs, there's no way I would have like been wanting it enough. I decided to, you know what, I'm going to apply, and I'm going to see what happens. And I ended up going for it. I spoke to my manager at work, and the VP Finance of the company, and we were close, like we were, you know, and I told them about what I was thinking. And what they told me is, they're like, 'You know what, you're gonna get bored here. You like it now but you're gonna get bored, you're gonna get promoted, and you're gonna not enjoy the job at some point. You like who you're working with, but they could change. You need to love your career.' And that's, and they told me, they're like, we will write you your reference letters, just go for it. And I decided to go for it. And it felt like I had nothing to lose, I didn't have the pressures of the first time or the pressures that my colleagues had. And that's something that I've told a lot of my friends who, or a lot of people, friends' kids who are trying to get into Med School, I tell them learn something else first. Learn something else, find something else. And don't let it be a one path, a linear path, to the finish line. Because you're living throughout this journey. It's still life, you're not, you don't start living when you graduate, you're living throughout it. Kevin Mailo  08:17You know it, that's very powerful. That's very powerful. I like that a lot. So you got in. Dr. Nour Khatib  08:24And the thing is, though, all throughout this, whether it's the finance degree or the MBA, I can tell you for certain, none of the personal finance knowledge that I know today came from that. It was all theoretical. It was all, you know, project based, case based for certain companies, and theoretical. Just because I have a finance degree and an MBA does not make me better at personal finance than Kevin. Absolutely not. It's really when I started to make money after residency, and I sat back and I said, 'Oh, okay, so now I'm making money. Now I'm paying off debts. What do I do now with this?' What is there to do? Like, do I go to a financial advisor and just say, here, you do everything? Or do I take care of it myself? So that was hard. The first year out of residency is always difficult. Whether it's, you know, you're doubting yourself, your competence, you're just trying to learn the ropes, you've taken over a practice, which in itself is entrepreneurial and business-minded to begin with. And the first year out, I did a lot of working of course, and learning medicine and building that confidence in medicine, in the first few years out. But what I tried to carve out is a little bit of time every week to look into and learn about personal finance. Kevin Mailo  09:50Can I stop you there? Wing came up with a great term for this, and it's not just about personal finance, but it's also about practice management. And he calls it C B E. And that is Continuous Business Education. Just like we constantly invest in our knowledge and skills as physicians, we need to constantly invest in our knowledge and skills as investors and practice managers, or, you know, those that run our practices. So I'll let you continue, though. Keep going. Dr. Nour Khatib  10:19Oh, no worries. I mean, what did that involve? First of all, I felt defeated right from the start. Because I was like, hold on a second, you were in finance, and you worked in the field, and you don't know what you're doing with your money? Like, that's embarrassing. First of all, I told myself don't admit it to anyone, but here I am. Which is totally fine. It really goes to show you that you do not need to have a degree, these things that you're learning are for yourself and through other people's mistakes. And the quicker you learn them, doesn't matter how far out you're in, but the quicker you decide, and take the initiative to learn from other people's mistakes, the more likely you're going to succeed. And the more freeing it is, once I decided that I am going to be taking care of my own finances, doing my own budgeting, realizing that number one is I pay myself first. And I break down what I earn and from where and I actually know where things are coming from. And in the beginning, in the first few months, I wasn't sure where my money was coming from. I was like, from here, from here, from there, what am I spending it on? Oh, probably like, you know, food and rent and before, you know, before owning anything, what? No, that's probably where it went. But the truth is, I needed to break it down and really study and analyze where things are coming from. Kevin Mailo  11:40Can I stop you there? Talk about paying yourself first. This one's thrown around in finance all the time, it's a very old term. Just share with our audience of what it means, because there's going to be some out there that don't know, or you know, don't think about it expansively enough. Dr. Nour Khatib  11:55Sure. I'll just give you an example of, like, what I do first. So what I do is - and when they say pay yourself first, the underlying meaning is really live within your means, and know the measures of what you're dealing with in terms of your money - but here's what I do. Every 15th of every month, right? Like between the first and the 15th, you pretty much make, everything starts coming in from whatever sources that you're working, right? And then towards the 20th of the month or so I decide, okay - and I'm incorporated, so this example kind of goes to those who are incorporated, but it doesn't matter it'll fit both - I first give myself a salary, and pay my taxes on that salary, and I'm living within that salary means. Everything else goes to savings. Kevin Mailo  12:44Wonderful. Dr. Nour Khatib  12:46So let's keep numbers simple. Let's say I pay myself $10,000, and everything else goes into the corporation, or goes into wherever you decide to put it if you're not incorporated. But let's say that $10,000 I think to myself, okay, what am I going to do with this $10,000? What do I, how much do I need? And I'm just giving you a round number. Let's say I just need $3000 or $4,000 just to live that month, whether it's a mortgage, food, gas, whatever it is, that's aside. And now, what am I doing with the rest? Well, I'm putting some in my TFSA. I am putting a few in my savings accounts. And my savings accounts are funny looking. So I've got like six. Why do I have six? I have one emergency fund. I have one car fund for when my car breaks down six, seven years from now. And I have a vacation fund. And what else? I'm interested in flight school. So I have one for flight school. Kevin Mailo  13:39Wow. Of course you do, Nour, of course you're gonna be flying airplanes. Honestly, it's amazing. It speaks to dreams. And you're one of those people that obviously lives your dreams. I admire it and respect it immensely. Keep going, keep going. Sorry. Dr. Nour Khatib  13:55Once I put enough money in the vacation fund, I know I can take a vacation. So that's every month, that's how I divide things up. And that feels in itself super empowering. Just the fact that you've laid out your dreams, you've laid out what you want to spend your money on, you've already paid yourself. And you know, you can't go over that. Kevin Mailo  14:17Well and it gives you space to really enjoy things. Right? You know what I mean? If you have a budget, and you're like, okay, we're going out for a great dinner tonight. And this is something we budgeted for and there's money for it, we're gonna drop 200 bucks on great food and great wine and not feel one ounce of guilt for it because we saved and, you know, planned for it. It's such a powerful thing, right? It's more than just money. More than money, it's more than dollars and cents. It's really about building a better life and being happier and more at peace with your finances, which are a big part of our everyday existences. Can I go a little bit further on paying yourself first, right? Because we talked about like month to month budgeting, but the notion of paying yourself first is you can go past that as well and you can look to the future. And really, you know, that paying yourself first means that you are setting aside money that you're investing every month, every year, for a time in your life years or decades from now, when you are older, and need to be taken care of, right? And it's not just, you know, those frail years, you know, in the final decade or two of our lives, but it can actually be much sooner. And I think many of us who work in medicine are reminded of that on a daily basis, people who become sick or disabled at tragically young ages. And I don't want to be all doom and gloom, but there's this idea that as we age, we have to create more space for our well being. And I'll just share my own personal story. I remember graduating less than 10 years ago, I graduated in practice in 2013. And I remember loving the night shifts, and you're an ER doctor, right Nour, you know, you understand it. I loved the night shifts, I was working, I was fast. I was, you know, I felt great. I would go to the gym after, you know, a night shift and then go to sleep, wake up, go do it again. Of course I did, right? Dr. Nour Khatib  16:09After a night shift? Kevin Mailo  16:11And then, you know, because I mean, because I'm an ER doctor, I should have gone for a bike ride as well, right? Dr. Nour Khatib  16:15With your Patagonia. Kevin Mailo  16:16Yeah, exactly. Like Dr. Glaucomflecken which, by the way, I should send that link out, it's great. Or he's got a number of those skits. But you know, the bottom line is that for myself, within five years of doing that, and working at that pace, I was already feeling tired. And that's when I realized things need to change. And I was shocked at how quick that came. You know what I mean? Like, I was like, oh, well, I'll get tired in 20 years. No, I got tired within five years. You know, four young kids, you know, careers in the household. There was a lot going on. And so, you know, I downshifted and one of the reasons why I was able to downshift is during that time, thankfully, that first five years, I was doing a lot of paying myself first. I was investing in a lot of real estate, not doing it perfectly, not necessarily doing it with a really clear plan, but I was doing it. And I got to a point where I could actually pause and say, 'You know what, I don't need to work these night shifts anymore'. And so I moved off them within five years of practice. So that's just my own little piece. My own little story. Yeah. So it's this idea that there's going to come a time in our lives, there really does come a time in our lives, when we just want to be doing something else. Right, whether it's focusing on family, passions, hobbies, you know, even just our personal well being, even just sleeping more, you know? I had a doctor told me she has not slept since residency, right? You know what I mean? These things happen all the time in our lives. And so just creating that space to live a better life. And, you know, practice how we want to practice is so important. And a cornerstone to that is paying ourselves first, is, you know, putting away money, learning to invest it, and growing that nest egg, so that we take that pressure off to earn. So sorry, I'll let you continue, and hopefully not have any more interruptions from my busy... Dr. Nour Khatib  18:07Oh, no, please, please. Kevin Mailo  18:09It's really cute. Dr. Nour Khatib  18:10You and your daughter are totally welcome. One thing you mentioned, you mentioned, you know, we don't want to be doing this all our lives, we want to move on to other things and hobbies and whatnot. What I learned early on, and I'm so glad I learned it early on - and even for you, Kevin, it looks like you've learned the importance of all of this early on, and I'm thankful for that - is don't wait for these hobbies. Don't wait for the things you want to do. Don't let it be a linear path. I did not want medicine to be a linear path. I promised myself, had I returned the second time, that it like, if I were to continue-- Kevin Mailo  18:51-- I love how you, I gotta interrupt, I love that you say 'return the second time'. To Med School. I don't meet a lot of people who say that sort of thing. Okay keep going. Dr. Nour Khatib  18:59I thought to myself, if I was going to return, I was going to take this as a life experience. I am not going to be a person in, like with my head in the books all the time. I was, because trust me, you go from finance, when you go from finance to try to learn physiology, you're, you know, like, yeah no, it was a disaster. And of course my head was in the books all the time trying to catch up, really. But the truth is, I told myself, this is not just going to be me, it's not going to be the linear path. Because if it is, I will burn out right away. And I realized that one year out, is that I had colleagues doing 20 shifts a month. And you know what? They're doing it, but really, is that longevity? Is that sustainable? Probably not. I don't do that much. I don't do that many shifts a month. I work probably every day a month, but not necessarily in emergency medicine. Kevin Mailo  19:50Well, and this is exactly it. And this was the advice that, you know, I'd gotten years ago in residency and that is a career in medicine is not a sprint. It is a marathon. And by creating that financial space to have a more balanced life, to sleep, to exercise, to eat right, to all the things you need to be doing that you would tell your own patient, means that you are going to be able to really enjoy your career for the long haul and really do your best medicine. You know, my patients are so much happier since I slowed down. If I can be perfectly honest. And it's wonderful. I just I love love being there. Dr. Nour Khatib  20:26You probably miss it, too, if you haven't gone in a few days. You miss it. Kevin Mailo  20:30A little bit, a little bit. This unbeatable summer weather. I don't know about that right now. But yeah, like, and it's just wonderful to share in it. You know, I picked up a Takotsubo cardiomyopathy, there are gonna be some people that are just rolling their eyes, like what does that mean? You know, because they sat there and talked to an elderly gentleman who said he was really experiencing childhood trauma. Right? Yeah. And I would never, like, you know, I just had that time because I wasn't in that big rush. You know, just enjoying my job more. And so anyhow, I mean I love this, Nour. I love what you're sharing. Keep going. We've got a little bit more time. Tell us a little bit more about your journey. Dr. Nour Khatib  21:07And so where was I? So let's say a year out. A year out, I decided I'm going to teach myself personal finance. How did I do it? Whether it's reading blogs, reading certain books that have helped others? A couple of books that have helped me are... Kevin Mailo  21:22What are your favorites, what are your favorites? Dr. Nour Khatib  21:23"Millionaire Teacher" was my favorite because it just hit all the points. Yeah, it just hit all the points. And it was very basic. It wasn't too complex. And it was one of my favorite recommendations. "Beat the Bank" is a pretty good one, too. Thing is, once you start reading these, they all say the same thing in the end. And one that I'm currently reading, and I know I will be rereading, is "Your Money or Your Life?" Kevin Mailo  21:45Oh, I like that. Dr. Nour Khatib  21:46And the whole concept of that one - and it was written, I believe in the 70s or 80s, but then it was revamped in 2018 for nowadays - "Your Money or Your Life", the concept is, if someone were to put a gun to your back and say 'your money or your life', obviously, you know, you'd say, here take all my money. Kevin Mailo  22:04Absolutely. Dr. Nour Khatib  22:05But the truth is, our rat race towards money is costing us our life. And just because it's not as dramatic as a gun to your back, it's prolonged. You are losing life, because we are chasing money in a way that is a poor relationship with money. We are working more and exhausting ourselves to make more, rather than trying to work smarter or work and be happier in our job. Kevin Mailo  22:33So I'm going to interrupt you there. And I'm just pulling up the quote right now. But there's this great quote from the Dalai Lama when he was asked about what surprised him the most in humanity, and he said, "Man himself, because he sacrifices his health in order to make money. Then he sacrifices his money to recuperate his health." You know, and he is so anxious, what does it say here? Sorry, I'm just, I'm going off, but it's so anxious about the future, he doesn't enjoy the present, right? And it's so true, Nour. It's so true, what you're sharing, that we just get caught up in this rat race of earning, thinking, oh, I'll live next year, or I'll be happier next year. I'll be healthier next year, but we really shouldn't be living like that. Dr. Nour Khatib  23:16100% 100%. And it's, you know,what, not every day is perfect. The last few weeks for me have been rough, I have to say. I worked, I ended up, I would say the first year out was rough. A few years after that, trying to, you know, get things along was great. And then you start getting, you go through this burnout phase of the whole profession is collapsing on itself, unfortunately. And you really just have to step back and realize these are systemic problems. That your job is to take it one patient at a time, and take care of whoever's in front of you right now. And just do the best you can with the intentions and with the resources that you can. And just be, every day ends and a shift ends. Right? At the end of it, it's over and you've tried your best, and that's all you can say to yourself is that you've done everything you can at that time. And then you can move on to helping others. The problem is in our profession, is there's all this cumulative PTSD from the horrible cases that have gone wrong. And that that takes a toll on us. And I honestly do think every doctor needs a therapist. Every doctor needs a therapist, every person needs a therapist. But whether it's in the good times or the bad. Kevin Mailo  24:32I think that's incredibly powerful, incredibly powerful. Dr. Nour Khatib  24:36Let the therapist see your good times, hearing your good times in order for you to be able to go through your bad times. Kevin Mailo  24:41I look at it like going to the gym or eating right. It's something you should make a part of your life. Not something you just do here and there or when things get bad. That is exactly my view as well. Everyone should have one. Everyone should have one. We deal with a lot of sadness and trauma and heartbreak in this job. And we don't necessarily internalize that, because we're so highly trained. But the truth is we deal with a lot, across all specialties, across all specialties. And there's a lot of stress associated with it. We deal with a lot of risk, right? We don't necessarily internalize that either, how much risk we deal with when we discharge patients, you know, your psychiatrists, you decide not to form that patient, there's a risk they could go out and harm themselves, right? Like there's risk to everything we do, even as a radiologist. Is it a thing? Or is it not a thing? Right, but it's true. It's true. You know, that's a very beautiful observation, though. About he importance of ongoing mental and emotional health. Dr. Nour Khatib  25:45100% 100%. Kevin Mailo  25:49Yeah. I love it. Dr. Nour Khatib  25:51And so like I mentioned, I don't do as many emergency shifts as, let's say, the typical emergency doctor. But I still consider myself as I am an emergency physician. It is my profession. I might be doing surgical assist, cardiac stress test clinic, event doctoring, I do speaking on the side to corporations. Kevin Mailo  26:14Of course you do, Nour. Of course you do. Okay, keep going, Dr. Nour Khatib  26:17I teach people about personal finance. And I, you know, I enjoy doing all these different things. One thing that I  - remember earlier, I was saying, don't wait for your hobbies, don't wait to do your hobbies later, try to pick them up and do them now, whatever it is that you enjoy it just make it part of your life, just like how you schedule a shift - so I do Muay Thai kickboxing. I'm a voiceover artists that does work on the side for commercials just for fun. It doesn't pay much, but I enjoy it. So if you ,like, I've done a few commercials on the radio and one for Hershey's as well. And it's just something I enjoy doing. And it's something that I think everyone needs to find what it is they like, whether it pays or doesn't pay, just make sure that it's part of your life. Kevin Mailo  27:00You know, I really, really love that. So we're kind of coming up on 30 minutes. I'm shocked at how quickly it's flown by. And then we obviously have to get you back on another webinar and on to like a formal podcast episode as well. Because there's just so much wisdom here, right? I mean, one of my reflections on this financial journey for myself in talking to physicians coast to coast about money, is that the world is full of knowledge, facts and information. I mean, go on YouTube, you learn about real estate, you buy crypto, you learn about buying crypto, you can learn about day trading, learn about all these things, but that that wisdom, what you're sharing today, Nour, is in such short supply in our world in many respects. And, you know, a lot of us are chasing money or, you know, trying to earn or trying to invest. But not asking ourselves what do I really want in life? You know, and does my financial plan align with my life's goals? But I just, I love what you shared. And I just want to recap that notion of paying yourself first, right? Setting a budget, living within the budget, enjoying the budget, celebrating it right? Like if you've got 10 grand for that vacation, go and blow that 10 grand on a vacation and really enjoy yourself. And do it knowing that you've already paid yourself, then you've already filled up your investment accounts, and you've already made that move in real estate or done whatever. So that you have space to live right now. Knowing that also that future version of yourself that is older, sicker, tired, doesn't want to work those night shifts, doesn't want to do that call, that person is also taken care of. And I think that's so, so important. So I gotta wrap it up. But I'd love to hear any final thoughts you have, anything else you want to share about yourself, about your journey. Dr. Nour Khatib  28:49It's really been about learning, making mistakes, ups and downs. And that's what life is no matter what. The quicker you realize that what your business here is called, physician empowerment, is about feeling empowered with regards to your finances and your life. And don't let medicine win. You are in control of medicine. You are the captain of this ship, and you're going to be steering it. Do not let medicine take over your life. It is a tool we use to help people, but physician heal thyself first. Kevin Mailo  29:29Wow. Wow. That was incredible. And so true. So I think we're gonna, I think we're gonna wrap up there. I'm so, so glad and so, so grateful to have you on tonight like this. Thank you so much, Nour. Kevin Mailo  29:47Thank you so much for listening to the Physician Empowerment Podcast. If you're ready to take those next steps in transforming your practice, finances, or personal wellbeing, then come and join us at physempowerment.ca - P H Y S empowerment.ca - to learn more about how we can help. If today's episode resonated with you, I'd really appreciate it if you would share our podcast with a colleague or friend, and head over to Apple podcasts to give us a five star rating and review. If you've got feedback, questions or suggestions for future episode topics, we'd love to hear from you. If you want to join us and be interviewed and share some of your story, we'd absolutely love that as well. Please send me an email at KMailo@physempowerment.ca. Thank you again for listening. Bye.

PROPAGANDAS 7. epizodē studijā viesojas Mailo, nebinārs performanču mākslinieks, LMA students un titulēts drag karalis. Ir pagājuši pāris mēneši, kopš Mailo iznāca no skapja kā nebinārs. Protams, šis solis nācis ar virkni praktisku un sadzīvisku pārmaiņu, kas attiecas uz, piemēram, vārda maiņu, attiecībām ar tuviniekiem, ķermeņa izskatu un citām dzimtes izpausmēm. Mēs dzīvojam sabiedrībā, kas būvēta uz idejas, ka dzimte ir bināra un to veido divi dzimumi, kas strikti definē mūsu katra lomu sabiedrībā, izskatu un manieres. Lielākā daļa sabiedrības, tostarp vairums transpersonu, sevi patiešām arī identificē ar kādu no binārajām - vīrieši vai sievietes - opcijām. Taču mūsu vidū ir arī cilvēki, kas neatbilst šīm kategorijām. Ir personas, kas savās sajūtās apvieno elementus, kas klasiski aosciējušies ar vīriešiem un sievietēm. Ir cilvēki, kas neizjūt piederību nevienai no šīm grupām. Ir arī cilvēki, kam dzimte un tās izpausmes mainās laika gaitā. Kas jāzina par nebinārām personām? Kā cienīt un atbalstīt nebinārus cilvēkus? Es esmu nebinārs. Ko tagad? Resursru krātuvii un virkni praktisku padomu gan kā nebinārai personai, tā atbalstītājam un/vai tuviniekam meklē jaunākajā rakstā šeit: safespace.lv/propaganda/epizodes/7 Par šo un vēl daudz ko citu runājam šajā epizodē! -------------- Ziedo cilvēktiesībām un atver savu Iespēju skapi! Uzzini vairāk, dodoties uz www.safespace.lv/propaganda. Podkāstu programma “PROPAGANDA“ tapusi projekta “Biedrības "Safe Space" finanšu ilgtspējas veicināšana”, ko finansē Islande, Lihtenšteina un Norvēģija caur EEZ un Norvēģijas grantu programmu “Aktīvo iedzīvotāju fonds“, ietvaros.

Dear Listeners, We’re very excited to share that our national conference on wealth creation for physicians resumes this year! Physician Empowerment is returning to Toronto June 3 to 5 with Canada’s top MD voices in the field: https://www.physempowerment.ca/live Beyond attending in person, we’ve got a great livestream option and all registrants enjoy unlimited access to […] The post Podcast 80: Dr. Mailo on Falls in the Elderly appeared first on Primary Medicine Podcast.

The doctor so nice, I had to interview him twice.  Dr. Mailo is an emergency physician based out of Edmonton, Alberta, the founder of Physician Empowerment, and an all-around great guy.  In this episode we talk about key things Dr. Mailo has learned from working with physicians and providing them with a financial education for the past many years.  We talk about examples of 'million dollar conversations', conversations that are worth a million dollars of impact.  We also talk about the key takeaways from the upcoming Physician Empowerment conference coming up June 3-5th in Toronto (with a virtual option of course).  To register for the conference be sure to visit https://www.physempowerment.ca/  Don't forget your promo code! Type in GALEN into the promo code box when you register to get your discount.  I hope you enjoy listening to this episode as much as I enjoyed making it. 

This was an episode a long time in the making and just in time for our upcoming Webinar about Real Estate Investing for Busy Physicians, coming up on March 5th at 10am EST.  Click here to register: https://www.galenhelpsdocs.com/real-estate Join me and Dr. Mailo as we explore physician empowerment, financial literacy, real estate and sleeping better at night and providing better care to patients via financial peace of mind. Dr. Kevin Mailo is a full-time emergency physician and founder of Physician Empowerment – an organization dedicated to transforming the financial and professional lives of Canadian physicians. He has been active in real estate for over 10 years. He is the founder of Physician Empowerment – an organization dedicated to transforming the financial and professional lives of Canadian physicians. Have fun listening and be sure to register for the webinar if you'd like to learn more about Real Estate Investing. 

Kevin Mailo, MD, Co-founder of Physician Empowerment is back.We discuss how finance relates to our overall wellness.Discussion points:Burnout - symptoms, survey data, contributors (9:10)The components of wellness (18:33)How financial security/literacy can mitigate stress/burnout (23:06)Considerations for earlier career physicians (34:51)How to have more control over finances (45:58))Does money = happiness? (53:14)Physician Empowerment is hosting a financial literacy conference June 3-5 in Toronto, by Canadian MDs for MDs.Website: https://www.physempowerment.ca/live

Pascal Voyatprésente au micro d'Éric Coudert Mailo  Laissez un avis sur cet épisode en commentaire ! 

Dr. Kevin Mailo is an emergency physician based out of Edmonton, Alberta. Dr. Mailo cares deeply about the long-term wellness of the medical profession and wants to see physicians and their families succeed personally and financially.Links and MentionsDr. Kevin Mailo's LinkedInPhysician EmpowermentCosta Mujeres, Mexico Conference (Dec. 27th 2021 - Jan. 3rd 2022)Ryan Holiday's Stillness is the Key: An Ancient Strategy for Modern Life***If you enjoyed the podcast, would you please consider leaving a short review on Apple Podcasts?  It takes less than 60 seconds, and it really helps us get the word out about the show.For more thoughts about physician independence and autonomy, visit us at:sycamoredocs.comtwitter.com/sycamoredocsyoutube.com/sycamoredocsfacebook.com/sycamoredocsinstagram.com/sycamoredocsCredits:Theme Music - White Waves by Shearwater

Les invités : Pascal Voyat pour Mailo et Pierre Perret, Douchka, chantal goya , Anaïs Delva et Marlène jobert. Nous parlerons aussi du jeu du Nain jaune , de la série : High School Musical : la comédie musicale : Spécial Noël , de livres : Noël à Paris aux éditions Joyvox, La licorne qui se prennait pour le Père Noël aux éditions Fleurus, 24 contes de Noël autour du monde aux éditions Artège jeunesse, Qui dit la vérité sur le Père Noël aux éditions Glénat jeunesse

Plongez au coeur du podcast qui réunit les Samouraïs du Business et entrepreneurs hors pair ayant exécuté à la perfection leurs projets et obtenu des performances incroyables !

Die 53. Jubiläumsausgabe der Zärtlichen Cousinen hat es in sich: Cousine Atze huldigt der Durchschlagskraft seines Rechtsanwalts, dessen Name nicht nur phonetisch an Mike Tyson erinnert. Seine Partner-Cousine Till erinnert sich derweil reumütig an peinliche Aussetzer mit und ohne Gunter Gabriel. Zusammen präsentieren die beiden Obercousinen die Erinnerungen ihrer Hörerschaft und deren Erlebnisse mit Prominenten wie Brad Pitt oder Bastian Pastewka. Alles wohlklingende Namen im Gegensatz zu „Mailo Karl-Heinz“…! Hier geht es zur unserer Audible Podcast Empfehlung: https://www.audible.de/pd/Jubel-Krawall-Mit-Sophie-Passmann-und-Matthias-Kalle-Original-Podcast-Hoerbuch/B08C9PHFNQ/?source_code=PNHFAP02003182000CM

Wir sprechen im wöchentlichen Podcast mit den Protagonisten des Gothaer Partnervertriebs. Und zwar über Themen aus dem Hause der Gothaer, Branchennews, aber auch interessante Neuigkeiten aus der ganzen Welt. Zu Gast in Episode 7: Ralf Dietrich, Vertriebskoordinator Komposit. Im Podcast spricht er darüber, warum digitale Beratung in der Gewerbeversicherung längst kein Neuland mehr ist, über die Herausforderungen bei der Absicherung von Freiberuflern und Gemeinsamkeiten der Formel 1 und der Assekuranz.

GLG part en Live en mode Live libre antenne dans ton Accrotidienne du dimanche 1 Live toutes les Dimanches avec timers dans la description ! Et toute la semaine sur GLGreviews et Wtsbyglg Dimanche 16h: Super FAQ Live Libre antenne. Un petit Merci pour ta dose d'accro avec 1 like et 3 pubs sur: GLG part en Live en mode Live libre antenne dans ton Accrotidienne du dimanche 1 Live toutes les Dimanches avec timers dans la description ! Et toute la semaine sur GLGreviews et Wtsbyglg Dimanche 16h: Super FAQ Live Libre antenne #Coronavirus #MiStoreBangkok #Live #LibreAntenne #GLGpartenlive Un petit Merci pour ta dose d'accro avec 1 like et 3 pubs sur: https://utip.io/gregutip Aujourd'hui cette Emissions existe grâce aux cafés via Tipeee et pub via utip Les sujets qui pourraient être évoqués aujourd'hui: (Les timers seront ajouté après Emissions) -Nouvelle règle du Chat du dimanche Vous pouvez chatter entre vous, dire bonjour aux nouveaux.... Je ne répondrai qu'aux messages commençants par @glgvideo Lecture du chat dans l'ordre et Priorité aux supers chats Pas de Pub dans le chat, mais vous pouvez via super chat. Les modérateurs feront régner l'ordre et la justice lol Durée du Live 30 mins + arrêt de jeu via superchat et Tipeee -Quand le live de dimanche dernier ne fait pas ses 1000 vues , tout est dans le titre. 0:09:33 -GLG reviews passe la barre des 70000 abonnés 0:14:51 -Mi store de Bangkok et MBK, pourquoi je n'ai pas fait de Vidéos alors que je suis parti pour. 0:44:04 -Westworld saison 1 posait notre monde, la saison 2 notre révolte et la saison 3 l'avènement des sangs noirs dirigés par l'IA et l'arrivé des vrais dieux, qui sont en colères. 0:58:05 -Quand Paris n'est pas la, ne pariez pas qu'ils soient la. 0:27:49 -Fimi palm, la Dji Osmo pocket 2 0:31:09 - #TuLeSais la resistance 2.0 arrive en Mai, 01 net a deja rejoint les rang avec Mailo. 1:02:44 -Les reviews à venir JBL reflect Fit, doogee S68, mes trépieds smartphone & Caméra, top Backpack, prise intelligente non connectée. 0:19:22 -Le gros DOSS de la semaine (pour un super Chat à 30), J'ai survécu au Coronavirus à Bangkok Au revoir et à dimanche prochain Spécial dédicaces aux Poto qui sont abonnés à la Chaîne, qui se sont abonnés à la chaîne récemment, si t'en est pas encore tu peux t'abonner en dessous et cliquer sur la cloche pour les notifications. By GLG c'est 3 Chaines Youtube -GLG Reviews http://youtube.com/glgreviews -GLG Vidéo http://youtube.com/lesmagouilles -WTS by GLG http://youtube.com/wtsbyglg -Site collaboratif https://legeek.tv Soutenez l'accrotidienne sur : https://fr.tipeee.com/jt-geek-china ——————- ● Accro En Podcast ● ——————- Retrouvez votre accrotidienne en Podcast sur: https://soundcloud.com/jtgeek-1/glg-part-en-live-accrotidienne-un-resume-blabla-tech-et-tv-de-la-semaine-16-oct-2019 RSS: http://feeds.soundcloud.com/users/soundcloud:users:75856437/sounds.rss Tuto écouter podcast: https://jtgeek.com/?p=57650 Itunes: https://itunes.apple.com/fr/podcast/accrotidienne-par-glg/id1418866992?l=en Podcast Spotify: https://open.spotify.com/show/32qcRl1KNpFgh6jEhi04J3 ——————- ● Suivez Moi Greglegeek / Jtgeek ● ——————- ► Instagram | https://www.instagram.com/greglegeek_/ ► Twitter | https://twitter.com/glgreviews ► Facebook | https://www.facebook.com/glgreviews ► Google+ | https://plus.google.com/glgreviews ► GLG Blog | https://jtgeek.com #ByGLG

Volvemos con más juguetitos en la sección más tecnológica de Movimiento en ELE: TIC en ELE. Este mes, Mailo de Dios, nos trae tres herramientas para nuestro kit básico como profesores ELE: una aplicación para crear animaciones con mucho storytelling, una herramienta para convertir un texto en un archivo de audio y 1001 fuentes gratis para nuestro material ELE. ¿Nos modernizamos un poco, estimado docente de ELE online? ***** SUSCRIBIRSE AL PODCAST IVOOX: https://www.ivoox.com/s_p2_501246_1.html APPLE PODCASTS: https://itunes.apple.com/us/podcast/movimiento-en-ele/id1347551484?mt=2 SPOTIFY: https://open.spotify.com/show/2LvKpQdqRW8tC9v9Xrb35J RSS: https://www.ivoox.com/podcast-movimiento-ele_fg_f1501246_filtro_1.xml OTROS LINKS DE INTERÉS Página web: https://conmovimiento.com Email: sergio@conmovimiento.com Página Facebook: https://facebook.com/conmovimiento Instagram: https://instagram.com/conmovimiento_ele Canal de noticias Telegram: https://t.me/conmovimiento Grupo colaborativo de profesores de ELE online (Whatsapp): https://chat.whatsapp.com/BACkpuRjXDIBGHXBRdLaoz

Volvemos con más juguetitos en la sección más tecnológica de Movimiento en ELE: TIC en ELE. Este mes, Mailo de Dios, nos trae tres herramientas para nuestro kit básico como profesores ELE: una aplicación para crear animaciones con mucho storytelling, una herramienta para convertir un texto en un archivo de audio y 1001 fuentes gratis para nuestro material ELE. ¿Nos modernizamos un poco, estimado docente de ELE online? ***** SUSCRIBIRSE AL PODCAST IVOOX: https://www.ivoox.com/s_p2_501246_1.html APPLE PODCASTS: https://itunes.apple.com/us/podcast/movimiento-en-ele/id1347551484?mt=2 SPOTIFY: https://open.spotify.com/show/2LvKpQdqRW8tC9v9Xrb35J RSS: https://www.ivoox.com/podcast-movimiento-ele_fg_f1501246_filtro_1.xml OTROS LINKS DE INTERÉS Página web: https://conmovimiento.com Email: sergio@conmovimiento.com Página Facebook: https://facebook.com/conmovimiento Instagram: https://instagram.com/conmovimiento_ele Canal de noticias Telegram: https://t.me/conmovimiento Grupo colaborativo de profesores de ELE online (Whatsapp): https://chat.whatsapp.com/BACkpuRjXDIBGHXBRdLaoz

Bonus episode! The ultimate compilation of scenes involving The Family's relationship with the worst (or best?) NPC ever... Meepis Drownwill. Stay tuned for Season 2 of Goats & Dragons: The Fates of Ryn, premiering Monday, September 30! Check out our new podcast feed, Helpful Goat Presents: A Games & Gaming Podcast, for whole new roleplaying and D&D campaigns! And if you've enjoyed listening, please consider giving us a rating and review on Apple Podcasts or Stitcher -- we'd really appreciate it. Thanks! Featuring scenes from Episodes 2 ("Mailo and Meepis and Melees, Oh My!"), 3 ("Vamaris's Vision"), 5 "Tempted At Sea"), 11 ("Friends in Lo' Places"), 18 ("Meet Hakari!"), 20 ("Esprit de Scorp"), 21 ("A Devil Among Us"), 23 ("Toward Shersto"), 25 ("Wingman"), 26 ("The Candy Apple Incident"), 27 ("To Catch an Oni"), 28 ("Meet Nehet!"), 29 ("Beauty and Strength"), 31 ("Lo' Captain! My Captain!"), 39 ("Gnoll and Void"), 43 ("In My Mind"), 44 ("The Wondrous Wonders of Wilfred Woe"), 45 ("Korin"), 47 ("Meet Ariesa!"), 49 ("Burbage Kemp Day"), 50 ("The Great Burning"), 66 ("The Emerald Falls"), 67 ("Remembrance of Things Past"), and 68 ("Burbage Kemper Fi"). - In-game music - Incompetech & Tabletop Audio Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/- Podcast theme song - "8 Bit Win!" by the HeatleyBros Royalty Free Music: https://youtu.be/vX1xq4Ud2z8

Bonus episode! The ultimate compilation of scenes involving The Family's relationship with the worst (or best?) NPC ever... Meepis Drownwill. Stay tuned for Season 2 of Goats & Dragons: The Fates of Ryn, premiering Monday, September 30! Check out our new podcast feed, Helpful Goat Presents: A Games & Gaming Podcast, for whole new roleplaying and D&D campaigns! And if you've enjoyed listening, please consider giving us a rating and review on Apple Podcasts or Stitcher -- we'd really appreciate it. Thanks! Featuring scenes from Episodes 2 ("Mailo and Meepis and Melees, Oh My!"), 3 ("Vamaris's Vision"), 5 "Tempted At Sea"), 11 ("Friends in Lo' Places"), 18 ("Meet Hakari!"), 20 ("Esprit de Scorp"), 21 ("A Devil Among Us"), 23 ("Toward Shersto"), 25 ("Wingman"), 26 ("The Candy Apple Incident"), 27 ("To Catch an Oni"), 28 ("Meet Nehet!"), 29 ("Beauty and Strength"), 31 ("Lo' Captain! My Captain!"), 39 ("Gnoll and Void"), 43 ("In My Mind"), 44 ("The Wondrous Wonders of Wilfred Woe"), 45 ("Korin"), 47 ("Meet Ariesa!"), 49 ("Burbage Kemp Day"), 50 ("The Great Burning"), 66 ("The Emerald Falls"), 67 ("Remembrance of Things Past"), and 68 ("Burbage Kemper Fi"). - In-game music - Incompetech & Tabletop Audio Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/- Podcast theme song - "8 Bit Win!" by the HeatleyBros Royalty Free Music: https://youtu.be/vX1xq4Ud2z8

Estrenamos nueva sección en la que cada mes, Mailo de Dios, nos traerá herramientas digitales y TIC para nuestras clases de ELE online. En esta primera "TIC en ELE", Mailo nos trae dos supermega aplicaciones que nos permitirán convertir aburridos cuentos o Powerpoints en actividades interactivas y gamificadas: Pubcoder (https://www.pubcoder.com/) y Genially (https://www.genial.ly/) ARTÍCULO CON TODA LA INFO: https://conmovimiento.com/tic-ele-genially-pubcoder/ ------------------------------ MAILO DE DIOS Infoproductos para la enseñanza del español para niños http://www.spanishforlittleones.com RRSS: Facebook https://www.facebook.com/spanishforlittleones/ Instagram https://www.instagram.com/spanish_for_little_ones/ Youtube https://www.youtube.com/channel/UCwxLjEMKmjmWmDngCqx-0Ow ------------------------------------------------------- MOVIMIENTO EN ELE IVOOX: https://www.ivoox.com/s_p2_501246_1.html APPLE PODCASTS: https://itunes.apple.com/us/podcast/movimiento-en-ele/id1347551484?mt=2 SPOTIFY: https://open.spotify.com/show/2LvKpQdqRW8tC9v9Xrb35J RSS: https://www.ivoox.com/podcast-movimiento-ele_fg_f1501246_filtro_1.xml Página web: https://conmovimiento.com Email: sergio@conmovimiento.com

Estrenamos nueva sección en la que cada mes, Mailo de Dios, nos traerá herramientas digitales y TIC para nuestras clases de ELE online. En esta primera "TIC en ELE", Mailo nos trae dos supermega aplicaciones que nos permitirán convertir aburridos cuentos o Powerpoints en actividades interactivas y gamificadas: Pubcoder (https://www.pubcoder.com/) y Genially (https://www.genial.ly/) ARTÍCULO CON TODA LA INFO: https://conmovimiento.com/tic-ele-genially-pubcoder/ ------------------------------ MAILO DE DIOS Infoproductos para la enseñanza del español para niños http://www.spanishforlittleones.com RRSS: Facebook https://www.facebook.com/spanishforlittleones/ Instagram https://www.instagram.com/spanish_for_little_ones/ Youtube https://www.youtube.com/channel/UCwxLjEMKmjmWmDngCqx-0Ow ------------------------------------------------------- MOVIMIENTO EN ELE IVOOX: https://www.ivoox.com/s_p2_501246_1.html APPLE PODCASTS: https://itunes.apple.com/us/podcast/movimiento-en-ele/id1347551484?mt=2 SPOTIFY: https://open.spotify.com/show/2LvKpQdqRW8tC9v9Xrb35J RSS: https://www.ivoox.com/podcast-movimiento-ele_fg_f1501246_filtro_1.xml Página web: https://conmovimiento.com Email: sergio@conmovimiento.com

A pickle barrel, a sobbing dwarf, and a confrontation on the docks -- all this and more in Episode 2 of Goats & Dragons: The Fates of Ryn! Credits: - In-game music - Incompetech & Tabletop Audio - Twitch theme song - "Adventure Meme" by Kevin Macleod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/- Podcast theme song - "8 Bit Win!" by the HeatleyBros Royalty Free Music: https://youtu.be/vX1xq4Ud2z8

A pickle barrel, a sobbing dwarf, and a confrontation on the docks -- all this and more in Episode 2 of Goats & Dragons: The Fates of Ryn! Credits: - In-game music - Incompetech & Tabletop Audio - Twitch theme song - "Adventure Meme" by Kevin Macleod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/- Podcast theme song - "8 Bit Win!" by the HeatleyBros Royalty Free Music: https://youtu.be/vX1xq4Ud2z8

Blog: https://conmovimiento.com Página de Facebook: https://facebook.com/conmovimiento Twitter: @sergiodlga Email: sergio@conmovimiento.com Después de dos meses de merecido descanso, arrancamos la segunda temporada en Movimiento en ELE. Si antes navegaba solo en este movimiento, ahora vamos a ser un total de 6 voces basadas en la siguiente fórmula de éxito: 5+1, es decir, 5 nuevos colaboradores y mi ya habitual presencial. Sí, has escuchado bien: Movimiento en ELE va a abrir su micrófono a partir de mayo y escucharemos nuevas secciones lideradas por diferentes colaboradores: - Anna Ollé con una sección llamada "Novata en ELE, ¡Qué drama!" en la que, desde la perspectiva de una profesora novel, nos explicará las principales dificultades que supone convertirse en profesor de ELE online. Entre todos, reflexionaremos y convertiremos esos "dramas" en fantásticas oportunidades para seguir creciendo. - Mailo de Dios con una sección de tecnología y herramientas para nuestras clases digitales. ¿A quién no le gusta conocer los nuevos "juguetitos" para nuestras clases online? ¿TIC? - Paloma Morcillo con "Va de ELE", una sección de noticias en el mundo de ELE. Si te da pereza estar informado sobre lo que sucede en nuestro universo de ELE, escucha esta sección porque te traeremos las principales novedades y actualidad. - Laura Serrano con una sección muy digitalizada, en la que buceará cada mes en las redes sociales (Twitter, Facebook...) para traernos las principales novedades y opiniones de la comunidad de profesores de ELE virtual. Si estás en Twitter o Facebook ten cuidado: Laura te puede estar vigilando. - Alejandro Lacasa con una sección de libros. Si aún recuerdas con añoranza mi vida como youtuber y mi sección de "Un libro al mes de educación", Alejandro va a retomar esta sección y la va hacer incluso mejor trayéndonos cada mes una obra con aplicaciones a nuestra profesión como profesor de ELE. Ahora ya no tienes excusa para leer aunque sea con tus oídos... Si quieres ser el primero en escuchar estas secciones, síguenos en Movimiento en ELE y te enviaré un aviso cuando se publiquen :)

Blog: https://conmovimiento.com Página de Facebook: https://facebook.com/conmovimiento Twitter: @sergiodlga Email: sergio@conmovimiento.com Después de dos meses de merecido descanso, arrancamos la segunda temporada en Movimiento en ELE. Si antes navegaba solo en este movimiento, ahora vamos a ser un total de 6 voces basadas en la siguiente fórmula de éxito: 5+1, es decir, 5 nuevos colaboradores y mi ya habitual presencial. Sí, has escuchado bien: Movimiento en ELE va a abrir su micrófono a partir de mayo y escucharemos nuevas secciones lideradas por diferentes colaboradores: - Anna Ollé con una sección llamada "Novata en ELE, ¡Qué drama!" en la que, desde la perspectiva de una profesora novel, nos explicará las principales dificultades que supone convertirse en profesor de ELE online. Entre todos, reflexionaremos y convertiremos esos "dramas" en fantásticas oportunidades para seguir creciendo. - Mailo de Dios con una sección de tecnología y herramientas para nuestras clases digitales. ¿A quién no le gusta conocer los nuevos "juguetitos" para nuestras clases online? ¿TIC? - Paloma Morcillo con "Va de ELE", una sección de noticias en el mundo de ELE. Si te da pereza estar informado sobre lo que sucede en nuestro universo de ELE, escucha esta sección porque te traeremos las principales novedades y actualidad. - Laura Serrano con una sección muy digitalizada, en la que buceará cada mes en las redes sociales (Twitter, Facebook...) para traernos las principales novedades y opiniones de la comunidad de profesores de ELE virtual. Si estás en Twitter o Facebook ten cuidado: Laura te puede estar vigilando. - Alejandro Lacasa con una sección de libros. Si aún recuerdas con añoranza mi vida como youtuber y mi sección de "Un libro al mes de educación", Alejandro va a retomar esta sección y la va hacer incluso mejor trayéndonos cada mes una obra con aplicaciones a nuestra profesión como profesor de ELE. Ahora ya no tienes excusa para leer aunque sea con tus oídos... Si quieres ser el primero en escuchar estas secciones, síguenos en Movimiento en ELE y te enviaré un aviso cuando se publiquen :)

Dr Mailo joins is back for our 46th podcast! The topic was inspired by one of our friends having a syncopal episode and breaking his noggin. The nasal bones are the most commonly fractured bony structures of the face. Patients with nasal fractures will often present to the emergency department with bleeding, swelling, and bruising. […] The post Episode 46: Nasal Fractures with Dr. Kevin! appeared first on Primary Medicine Podcast.

Technosis: 01. No Artificial Colours - Hawk [Original Mix] 02. Rich Wakley - Don't Touch The Record [Original Mix] 03. NTFO - Tot Cubas [Vinyl Only] 04. Ciszak - Body Free [Original Mix] 05. Gene Farris feat. Mihalis Safras - Like This [Original Mix] 06. Rich Wakley - Off The Chain [Wade Remix] 07. Kydus & Moji - Boomtang [Original Mix] 08. Vibe Killers - Control Freak [Original Mix] 09. Markus Enochson - Be My Doll [Original Mix] 10. Harry Ley - The Doctor [Cassimm Remix] 11. Medu - Un Poco Más Abajo [Original Mix] 12. Pablo Puga - Peters Playground [Original Mix] 13. Jaceo - Qubit [Original Mix] 14. Max Dennett - Your Love [Dub Mix] Rod & Mailo [Guest Mix]: n/a

MIXED BY: Technosis, Rod, Mailo // GENRE: Minimal, Techno, Tech House // PLAYING TRACKS BY: No Artificial Colours, Rich Wakley, NTFO, Ciszak, Gene Farris, Mihalis Safras, Wade, Cassimm, Pablo Puga, Jaceo, Max Dennett and more. ›› fb.me/technosismusic

Mailo Power, running in Waterford for Renua defends her party's policies ahead of the election.

Mailo Power, running in Waterford for Renua defends her party's policies ahead of the election. The post Here's How 27 - Mailo Power of Renua appeared first on Here's How.

This week we introduce a brand new feature to the show YOUR MIXES!!! Extended Weekend Mix Session! This weeks it's the no.1 downloaded mix on mixupload.com ************************************************************ This Weeks Full Show Track Listings: Fresh New House 1: STEVE APPLETON – CITY WONT SLEEP (MOTO BLANCO CLUB MIX) 2: ERICK DECKS FEAT JIMMIE WILSON - FEEL IT (SLIN PROJECT REMIX) The BIG 3 1: ALESSIA KAY – ELIXIR OF LIFE (SERGIO MATINA & JACK SMERAGLIA) 2: SESHAMI PLANET – SHELTER (DJ's FROM MARS) 3: JEIKO & MAILO – NOT TO LATE (FUTURE BREEZE REMIX) Justin Steel's Headliners House Chart 1: MARK KNIGT - MANNHEIM 2: IBIZA 2009 - WHITE LABEL 3: LOCO - 8M 4: UNKNOWN - WHITE LABEL 5: DALEY PADLEY - ANIMALS One For The Weekend 1: INCARTEY & ANCIENT ARTISTS - READY OR NOT visit www.mattoakey.co.uk http://www.facebook.com/profile.php?id=1143302179&ref=name www.myspace.com/mattoakeydj