Podcasts about microsoft cloud

Health care executive Max Rollwage discusses his article "The promise and perils of AI in health care: Why we need better testing standards." Max highlights the risks of relying on AI systems that are evaluated through artificial scenarios or even other AI models, emphasizing the dangers of circular validation in high-stakes environments like emergency care. He discusses why true readiness requires real-world clinical trials, expert human evaluation, and impact studies on patient outcomes. Max also points to the role of regulators like the FDA and AI Safety Institutes in setting higher standards, and he offers practical insights on how the medical community and technology developers can ensure safe and effective AI deployment. Listeners will come away with a clearer understanding of both the promise and the perils of AI in medicine, and what it will take to responsibly bring these tools to the bedside. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Cardiologist Stanley Liu discusses his article "The business lesson new doctors must unlearn." Stanley explains why the habits of being a "good soldier" during residency—such as accepting excessive workloads, never questioning compensation, and suppressing dissatisfaction—can harm physicians as they transition into attending roles. He discusses the importance of reframing one's professional identity from soldier to CEO, emphasizing the need to establish win-win professional relationships, protect valuable clients, and avoid restrictive contracts. Stanley highlights practical strategies for preventing burnout, maximizing career options, and treating medical practice as a personal business. Listeners will learn how adopting this mindset shift can create resilience, financial independence, and long-term career satisfaction. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician Jessie Mahoney discusses her article "Why physicians struggle with caregiving and how to cope with grace," reflecting on the unique challenges doctors face when caring for aging parents and ill family members. Jessie explains how medical training, far from easing the role, can intensify stress through hyperawareness, overresponsibility, and self-judgment. She shares how mindfulness and coaching provide physicians with tools to manage guilt, perfectionism, and anticipatory grief, while fostering presence, perspective, and resilience. Listeners will gain practical strategies to approach caregiving with compassion, balance, and grace—caring for themselves as well as their loved ones. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Board-certified nurse practitioner Shabeena Hirani discusses her article "From nurse practitioner to quality improvement leader in sleep medicine," sharing her journey from clinical care to driving systemic change. Shabeena explains how her experiences in internal medicine, pulmonology, and sleep medicine revealed gaps in follow-up care, underdiagnosed conditions, and barriers to treatment. She describes initiatives she led to improve outcomes for patients with obstructive sleep apnea and asthma, enhance patient education for labor epidurals, and strengthen care coordination. She also highlights the importance of mentorship, equity, and advancing the role of nurse practitioners as leaders within health care teams. Listeners will gain actionable insights on how providers can lead quality improvement, redesign systems for better outcomes, and inspire future clinicians. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Health care executive Shelli Pavone discusses her article "Why retail pharmacies are the future of diverse clinical trials," highlighting the urgent need to improve representation in clinical research. Shelli explains how barriers like mistrust, cost, and lack of access have historically excluded women and minority populations, leading to less effective treatments and persistent health disparities. She describes how leveraging retail pharmacies—trusted, accessible community hubs—can decentralize trials, expand recruitment, and boost retention. Listeners will gain practical insights on how pharmacies' existing infrastructure can be adapted for clinical research, why inclusivity matters for health outcomes, and how patient-centered innovation can reshape the future of medicine. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this episode I talk about a recent series of blog posts I wrote about some analysis I did on various AI services available today as well as my thoughts on these. I also cover off the latest news and information in the Microsoft Cloud for you. Listen along. Resources CIAOPS Need to Know podcast - CIAOPS - Need to Know podcasts | CIAOPS X - https://www.twitter.com/directorcia Join my Teams shared channel - Join my Teams Shared Channel – CIAOPS CIAOPS Merch store - CIAOPS Become a CIAOPS Patron - CIAOPS Patron CIAOPS Blog - CIAOPS – Information about SharePoint, Microsoft 365, Azure, Mobility and Productivity from the Computer Information Agency CIAOPS Brief - CIA Brief – CIAOPS CIAOPS Labs - CIAOPS Labs – The Special Activities Division of the CIAOPS Support CIAOPS - https://ko-fi.com/ciaops Get your M365 questions answered via email   Welcome to the Microsoft Incident Response Ninja Hub – https://techcommunity.microsoft.com/blog/microsoftsecurityexperts/welcome-to-the-microsoft-incident… Listen to an audio recap of your meetings in Teams – https://techcommunity.microsoft.com/blog/Microsoft365InsiderBlog/listen-to-an-audio-recap-of-your-m… Introducing Surveys Agent, your personal survey expert – https://techcommunity.microsoft.com/blog/microsoft365insiderblog/introducing-surveys-agent-your-per… What's New in AI for Security from Microsoft Entra? – https://techcommunity.microsoft.com/blog/microsoft-entra-blog/what%E2%80%99s-new-in-ai-for-security… Microsoft ranked number one in modern endpoint security market share third year in a row – https://www.microsoft.com/en-us/security/blog/2025/08/27/microsoft-ranked-number-one-in-modern-endpoint-security-market-share-third-year-in-a-row/ Securing and governing the rise of autonomous agents – https://www.microsoft.com/en-us/security/blog/2025/08/26/securing-and-governing-the-rise-of-autonomous-agents/ How systems integrators are scaling innovation with Microsoft 365 Copilot and agents – https://partner.microsoft.com/en-US/blog/article/copilot-partner-spotlight-august-2025 Microsoft deployment blueprint – Address oversharing concerns for your M365 Copilot deployment – https://techcommunity.microsoft.com/blog/healthcareandlifesciencesblog/microsoft-deployment-blueprint—address-oversharing-concerns-for-your-m365-copi/4434598 Staying Ahead of Compliance: Keep Up with Key Insights from our Quarterly Compliance Update – https://techcommunity.microsoft.com/blog/microsoft365copilotblog/staying-ahead-of-compliance-keep-up-with-key-insights-from-our-quarterly-complia/4448011 Microsoft Security Copilot in Intune deep dive – Part 1: Features available in public preview – https://techcommunity.microsoft.com/blog/intunecustomersuccess/microsoft-security-copilot-in-intune-deep-dive-%E2%80%93-part-1-features-available-in-pu/4406244 What's New in Microsoft Intune: August 2025 – https://techcommunity.microsoft.com/blog/microsoftintuneblog/what%E2%80%99s-new-in-microsoft-intune-august-2025/4445612 OneNote for Windows 10 support is ending – https://techcommunity.microsoft.com/blog/microsoft365insiderblog/onenote-for-windows-10-support-is-ending/4445230 Think before you Click(Fix): Analyzing the ClickFix social engineering technique – https://www.microsoft.com/en-us/security/blog/2025/08/21/think-before-you-clickfix-analyzing-the-clickfix-social-engineering-technique/ Deep Dive: DLP Incidents, Alerts & Events – Part 1 – https://techcommunity.microsoft.com/blog/microsoft-security-blog/deep-dive-dlp-incidents-alerts–events—part-1/4443691 Deep Dive: DLP Incidents, Alerts & Events – Part 2 – https://techcommunity.microsoft.com/blog/microsoft-security-blog/deep-dive-dlp-incidents-alerts–events—part-2/4443700 New SKUs available for M365 Business premium - https://techcommunity.microsoft.com/blog/microsoft-security-blog/deep-dive-dlp-incidents-alerts–events—part-2/4443700 Testing the differences between AI services – CIAOPS - https://blog.ciaops.com/2025/09/06/testing-the-differences-between-ai-services/  An analysis of how AI services vary – CIAOPS - https://blog.ciaops.com/2025/09/07/an-analysis-of-how-ai-service-vary/ Comparison of AI-Generated Articles – CIAOPS - https://blog.ciaops.com/2025/09/08/comparison-of-ai-generated-articles/ 

Osteopathic medical student Scarlett Saitta discusses her article "Integrating vitamin education in mental health care," highlighting the growing evidence that nutritional deficiencies can profoundly impact psychiatric outcomes. Scarlett explains how deficiencies in vitamin D, B12, and folate are common in patients with depression, and how targeted supplementation can dramatically improve treatment response and reduce hospitalizations. She emphasizes that nutritional psychiatry is evidence-based, not alternative medicine, and advocates for its integration into medical education and clinical practice. Listeners will gain actionable insights on screening for deficiencies, reframing nutrition as science-based care, and adopting low-cost, high-yield strategies to support better mental health outcomes. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician Daryna Bahriy discusses her article "How Ukrainian doctors kept diabetes care alive during the war," sharing how medical teams in western Ukraine adapted to protect vulnerable patients amid the chaos of conflict. Daryna explains how disrupted supply chains threatened insulin access, how doctors rapidly coordinated resource redistribution, and how patient education initiatives provided life-saving guidance in bomb shelters. She reflects on the importance of leadership, foresight, and humanity in medicine during crisis. Listeners will learn how health systems can prepare for instability, support chronic disease patients under extraordinary conditions, and draw strength from resilience and solidarity. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Neurologist Vikram Madireddy discusses his article "How Japan and the U.S. can collaborate for better health care," examining the parallels and contrasts between two of the world's most influential health systems. Vikram explains how Japan's universal Social Health Insurance model emphasizes preventive care, affordability, and trust, while the U.S. excels in medical innovation, precision medicine, and specialized care. He highlights opportunities for mutual learning—from Japan's aging-in-place strategies and holistic practice culture to America's team-based workforce models and digital health leadership. Listeners will gain insights into how transnational collaboration can reduce burnout, improve equity, and build resilient systems that honor both patient dignity and global health progress. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician executive Carlos Nunez discusses his article "Why sleep is the missing pillar in modern health care," emphasizing the urgent need to treat sleep as essential to overall wellness alongside diet and exercise. Carlos explains how poor sleep contributes to chronic conditions, highlights the scale of untreated sleep disorders like obstructive sleep apnea, and underscores the lifesaving benefits of timely diagnosis and CPAP therapy. He also outlines how digital health tools, wearable technology, home testing, and AI-driven platforms are transforming access to sleep care, making it more personalized and patient-centered. Listeners will take away actionable strategies for improving sleep health, embracing technology, and closing the gap between awareness and effective treatment. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Nephrologist Timothy Pflederer discusses his article "How value-based care transforms chronic kidney disease management," highlighting how value-based care (VBC) is reshaping the treatment of chronic kidney disease and end-stage kidney disease. Timothy explains how VBC encourages continuity of care through interdisciplinary teamwork, empowers long-term patient engagement, and addresses health inequities that disproportionately affect minority populations. He emphasizes that shifting from a volume-based to a value-based approach supports prevention, improves outcomes, and enhances patient experiences. Listeners will walk away with actionable takeaways on how VBC supports whole person care, integrates support services, and builds a sustainable future for chronic disease management. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Attorney and wealth manager David B. Mandell discusses his article "Why physicians are unlike the 'average' investor," highlighting why doctors face unique financial challenges compared to most U.S. investors. David explains the significant income and tax liability differences physicians must navigate, the complexity of their net worth, and the critical opportunity cost of their limited time. He also outlines why many doctors choose to outsource investment management, and what they should demand from financial advisors in terms of transparency, communication, and alignment. Listeners will gain practical insights on how physicians can protect their wealth, make tax-efficient decisions, and focus on their highest and best use of time while still staying engaged in their financial future. Mentioned on the show: Wealth Strategies for Today's Physician: A Multi-Media Playbook. Get your free print copy or eBook download, available exclusively to members of the KevinMD community: https://www.ojmgroup.com/promo/KevinMD/ Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, iit'sbacked by a proven track record and decades of clinical expertise—and iit'sbuilt on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician Jessie Mahoney discusses her article "Ending burnout through structure, not gimmicks," making the case that the most effective remedies for physician burnout are systemic changes—reasonable patient loads, thoughtful schedules, supportive leadership, and reduced clerical work—not token perks or quick fixes. Jessie highlights the essential role of lifestyle medicine, mindfulness, and coaching in sustaining physicians' health and purpose, and warns against treating burnout as an individual failing instead of a cultural distress signal. She offers a layered approach combining institutional accountability, personal responsibility, and cultural evolution to create a medical environment where physicians can thrive and, in turn, deliver better patient care. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In today's Cloud Wars Minute, I look at how the four hyperscalers are now spending a billion dollars every day on CapEx to keep up with explosive AI demand.Highlights00:19 — The four hyperscalers — AWS, Microsoft, Google, and Oracle — are now spending, as of Q2, a combined billion dollars a day on CapEx to try to keep up with explosive AI demand. Here's where these numbers come from. And I will say here, I'm calling it Q2, but Oracle's quarter ended May 31.01:00 — But these are very close for the four CapEx spending numbers for the four hyperscalers: AWS, $31.6 billion; Microsoft, about $27 billion. Google Cloud, $22.4 billion. Oracle, $9.1 billion — far more than Oracle has ever spent before. That's a total of $90.1 billion. We had 91 days in the quarter. So yeah, I cheated a little. It's actually $990.1 million per day. But I got a little crazy.02:02 — Andy Jassy, the CEO of Amazon said, “You know, this is a new industry. It's pretty crazy. You know, we've built at AWS a $123 billion annualized run rate business, and we're still in the early days.” All of the business leaders are realizing that to be able to compete going forward, they're going to have to turn their businesses into AI-powered enterprises.03:20 — They don't see this as a one-time seasonal boom that will go back down. They all say, “We think we're going to be spending at these rates going forward.” Oracle CEO Safra Catz, reflecting on the $9 billion that Oracle spent in its quarter ended May 31, said for the coming year, “We are expecting to spend more than $25 billion in CapEx — way more than ever before.”04:05 — CFO Amy Hood gently guided the questioner through this, saying, “That is a lot of money, there's no question about it. But our RPO, or remaining performance obligation — we have future commitments at Microsoft Cloud for $368 billion in customer contracts, and we don't currently have enough capacity to meet that. It's going to continue to go up.” Visit Cloud Wars for more.

In today's Cloud Wars Minute, I reveal why AWS's growth, though strong in isolation, looks sluggish compared to its peers.Highlights00:29 — We're seeing a distinct split looking at the Q2 numbers. We've got three sprinters — Microsoft, Google, and Oracle — and we've got one stroller, which is AWS. Now, also, just a quick detail: the first three companies — Microsoft, Google, and AWS — all follow the quarterly calendar pattern.01:30 — Microsoft in Q1 grew 20% to $42.4 billion. In Q2, that growth shot up from 20% to 27%, revenue for Microsoft Cloud was $46.7 billion. Google: Q1, 28% growth to $12.3 billion. Q2, that growth accelerated from 28% to 32%; revenue reached $13.6 billion. Oracle: 23% growth in what I'm calling Q1 to $6.2 billion. That growth jumped to 27% in its most recent quarter: $6.7 billion.02:39 — Oracle has guided that its fiscal 2026 RPO — that'll end May 31 — will grow 100%. So while its cloud revenue currently isn't that big, its RPO is enormous, and its growing very fast there. Now, here's the outlier: AWS. Q1 grew 17% to $29.3 billion. Come over to Q2 — again, it was the slowest growing — 17.5% to almost $31 billion.03:21 — I think the point to look at here, though, is all four of the companies' growth accelerated from Q1 to Q2. But while the others all showed significant jumps in growth rate Q1 to Q2, Amazon — or AWS — was a modest half-point: from 17 to 17.5%.04:01 — Taking their total Q2 revenues, who got what chunk? Microsoft: 47%. Google: 13.9%. Oracle: 6.8%. AWS: 31.6%. Who is grabbing more of the new business? Who are customers — right here, right now — signing up with? Look at AWS: 31.6% of the total, but only 20.8% of the new revenue meaning that it is taking less share than its overall size and mass would indicate.05:19 — Now, AWS — I will say before I close here — it's perhaps unfair, in the category of, you know, "life's not always fair," that AWS — almost at about a $30 billion scale — grew 17.5%. And in any other industry, at any other time, that would be lauded as absolutely stunning and fantastic. But compared to their competitors, it's not doing as well. So it's a wild time in the Cloud Wars. Visit Cloud Wars for more.

business history.Highlights00:14 — Now, any question about this greatest growth market the world has ever known was blown away last week, when Microsoft reported its fiscal Q4 earnings. And I think Microsoft's Q4 results have to be regarded as the greatest quarterly results of any company in any industry of all time.00:40 — Now, I cannot say that I have done a rigorous analysis of every quarterly report from every company in every industry there's ever been. But I will be wide open to hearing from anybody about anything that expands this. It could have grown even more, but customer demand is just swamping ability to build out data center capacity.01:38 — Microsoft Cloud used to be a nice, healthy portion of its business. It's now 61% of Microsoft's overall revenue. The total number for Microsoft's remaining performance obligation: $368 billion — a phenomenal, huge number. But it grew 37%, so you've got a combination here of scale with an incredible rate of growth here on this.03:31 — Azure in Q4, it grew 39%. If you look at the full year, Azure grew 34%. Now, revenue for Azure is over $75 billion. And the Q1 growth guidance for Azure is 37%. So again, even at these very large numbers, the growth rates are astonishing. Also looking ahead to Q1, which will end September 30, CFO Amy Hood said the CapEx is expected to be $30 billion.04:45 — We saw Google Cloud last week report very, very strong Q4. It's up 32% to $13.6 billion. Oracle's reporting just spectacular growth rates. RPO in its most recent quarter was 62%, and they're predicting 100% RPO for their fiscal year, which will end May 31 of next year. AWS numbers haven't come out yet, so I will get to them later next week. But hats off to Microsoft. Visit Cloud Wars for more.

In today's MadTech Daily, we discuss Amazon & Microsoft's cloud dominance harming competition, Reddit's revenue surge on AI and ad growth, and Google losing a US appeal in the Epic Games app store case.

Health law attorney Dennis Hursh discusses his article, "Why hospitals are quietly capping top doctors' pay." For nearly 40 years, he has reviewed physician employment agreements and reveals a shocking recent trend: hospitals are increasingly capping physician salaries, often at the 90th or even 75th percentile of national benchmarks. Dennis explains that hospitals often justify this practice with the ludicrous claim that it prevents fraud, an argument that illogically presumes 10 to 25 percent of the top-earning physicians are breaking the law. The conversation details the legitimate reasons for high compensation—from top-tier productivity to practicing in undesirable locations—and exposes the flaw in allowing hospitals to use their own biased, in-house staff to determine "fair market value." Listeners will learn actionable advice on how to demand an independent, third-party valuation and the specific contract language needed to protect their compensation. Finally, Dennis warns how this practice has an insidious, long-term effect of artificially lowering salary benchmarks for all physicians, penalizing the very workhorses the health care system relies on. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Microsoft is expected to report nearly $74 billion in fourth quarter revenue for fiscal year 2025, driven by increased corporate demand for artificial intelligence and growth in cloud services such as Azure OpenAI Services and GitHub Copilot. The company's capital expenditures reached over $21 billion in the third quarter, contributing to an estimated $80 billion in annual infrastructure spending and resulting in a decline in cloud gross margins from 72% to 69%. Microsoft implemented layoffs affecting over 15,000 employees to manage rising costs, citing shifting priorities and resource reallocation, while overall headcount remains stable due to ongoing hiring. Microsoft Cloud, including Azure, Microsoft 365, Dynamics 365, and LinkedIn commercial services, reported $42.4 billion in revenue last quarter, up 20% year-over-year. Analysts identify operational expense control and continued investment in AI and cloud infrastructure as key factors for sustained growth.Learn more on this news by visiting us at: https://greyjournal.net/news/ Hosted on Acast. See acast.com/privacy for more information.

In this insightful episode of the PowerShell Podcast, host Andrew Pla welcomes longtime friend and seasoned technologist Ryan Coates. Together, they explore the intersection of PowerShell and C#, discuss the natural evolution of tech careers, and examine the role of continuous learning in long-term success. Ryan shares a wealth of perspective from decades in IT—covering everything from early networking to modern cloud architectures and why C# is a practical next step for PowerShell users. Whether you're deep in automation or eyeing your next language leap, this conversation is packed with career wisdom, developer philosophy, and some solid tech nostalgia. What You'll Learn: Why C# is a great next step for experienced PowerShell users Use cases where C# offers performance or capability advantages over PowerShell How PowerShell and C# skills complement each other in the .NET ecosystem Ryan's journey from MCSE teen prodigy to early retirement Why soft skills are just as vital as technical skills for senior roles The value of working across many technologies and industries early in your career Insights into DevOps maturity, architecture thinking, and lifelong learning Bio & Links: Ryan Coates is an Enterprise Architect with 25+ years in IT, evolving from systems ops to DevOps and developer advocacy. He leads internal API and DevRel strategy at a global consulting firm. Passionate about mentoring, Ryan speaks at conferences on cloud and automation and helps run Microsoft Cloud, DevOps, and PowerShell user groups in Boise, Idaho. https://linkedin.com/in/ryandcoates https://twitter.com/ryandcoates https://discord.gg/pdq https://andrewpla.tech/links Ryan's C# Talk at PS Wednesday: https://www.youtube.com/watch?v=hOaFdHTlDXE Ryan's Summit Talk: https://www.youtube.com/watch?v=AePjFyuWvg8 Join the PowerShell Scripting Channel on PDQ Discord: https://discord.gg/pdq Check out PDQ Connect: https://pdq.com/podcast The PowerShell Podcast on YouTube: https://youtu.be/72UCneA1X40 The PowerShell Podcast Hub: https://pdq.com/the-powershell-podcast 

In Episode 350 of the CIAOPS “Need to Know” podcast, along with the latest news from the Microsoft Cloud, we explore how Microsoft Power Pages is revolutionising web development for SMBs. Learn how this low-code platform enables businesses to build secure, scalable portals—without needing full-stack developers. From customer support portals to partner onboarding, discover real-world use cases, a step-by-step guide to building your first portal, and how Managed Service Providers (MSPs) can offer Power Pages as a service. This episode is a must-listen for IT professionals, MSPs, and business leaders driving digital transformation. Resources CIAOPS Need to Know podcast - CIAOPS - Need to Know podcasts | CIAOPS X - https://www.twitter.com/directorcia Join my Teams shared channel - Join my Teams Shared Channel – CIAOPS CIAOPS Merch store - CIAOPS Become a CIAOPS Patron - CIAOPS Patron CIAOPS Blog - CIAOPS – Information about SharePoint, Microsoft 365, Azure, Mobility and Productivity from the Computer Information Agency CIAOPS Brief - CIA Brief – CIAOPS CIAOPS Labs - CIAOPS Labs – The Special Activities Division of the CIAOPS Support CIAOPS - https://ko-fi.com/ciaops Get your M365 questions answered via email   Show Notes Security & Compliance Microsoft Purview powers data protection in Security Copilot: https://techcommunity.microsoft.com/blog/microsoft-security-blog/microsoft-purview-powering-data-security-and-compliance-for-security-copilot/4433522 AI Governance with Purview: https://techcommunity.microsoft.com/blog/microsoft-security-blog/secure-and-govern-ai-apps-and-agents-with-microsoft-purview/4429925 Defender for Office 365 email security performance: https://www.microsoft.com/en-us/security/blog/2025/07/17/transparency-on-microsoft-defender-for-office-365-email-security-effectiveness/ Cloud Storage Protection in the age of AI: https://techcommunity.microsoft.com/blog/MicrosoftDefenderCloudBlog/protecting-cloud-storage-in-the-age-of-ai/4433854 New Regulatory Frameworks in Defender for Cloud: https://techcommunity.microsoft.com/blog/microsoftdefendercloudblog/microsoft-defender-for-cloud-adds-four-new-regulatory-frameworks/4433440 AI & Copilot Copilot Memory for personalised AI: https://techcommunity.microsoft.com/blog/microsoft365copilotblog/introducing-copilot-memory-a-more-productive-and-personalized-ai-for-the-way-you/4432059 Security Copilot Admin Tools: https://techcommunity.microsoft.com/blog/securitycopilotblog/new-tools-for-security-copilot-management-and-capacity-planning/4432723 Intune Integration with Copilot: https://techcommunity.microsoft.com/blog/intunecustomersuccess/microsoft-security-copilot-in-intune-deep-dive---part-3-explore-and-act-on-your-/4433019 Surface Management Portal now supports Copilot: https://techcommunity.microsoft.com/blog/surfaceitpro/now-generally-available-microsoft-security-copilot-in-surface-management-portal/4429558 Learning & Productivity Microsoft Forms Tips: https://techcommunity.microsoft.com/blog/microsoft365insiderblog/get-the-most-out-of-microsoft-forms-with-these-little-known-features/4432179 Threat Intelligence Octo Tempest Attacks: https://www.microsoft.com/en-us/security/blog/2025/07/16/protecting-customers-from-octo-tempest-attacks-across-multiple-industries/ Defender Experts on proactive threat hunting: https://www.youtube.com/watch?v=iqlxXf6JeQg Platform & Tools Apple Device Enrollment in Intune: https://techcommunity.microsoft.com/blog/intunecustomersuccess/understanding-apple-enrollment-methods-in-microsoft-intune/4434586 Recognition & Industry Updates Microsoft Named Leader in Gartner Magic Quadrant for Endpoint Protection: https://www.microsoft.com/en-us/security/blog/2025/07/16/microsoft-is-named-a-leader-in-the-2025-gartner-magic-quadrant-for-endpoint-protection-platforms/ AI Governance & Design Agent Governance in Microsoft 365: https://techcommunity.microsoft.com/blog/healthcareandlifesciencesblog/mastering-agent-governance-in-microsoft-365/4416620 Media & Branding Microsoft Stream & Clipchamp brand unification: https://techcommunity.microsoft.com/blog/microsoft_365blog/microsoft-stream-and-microsoft-clipchamp-brand-unification-update-for-microsoft-/4433155  

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "Physician patriots: the forgotten founders who lit the torch of liberty." Muhamad calls for a remembrance of the five physician-patriots—Dr. Benjamin Rush, Dr. Josiah Bartlett, Dr. Lyman Hall, Dr. Matthew Thornton, and Dr. Oliver Wolcott—who signed the Declaration of Independence, risking everything for the principles of equality and unalienable rights. He contrasts their revered role with the current plight of physicians who face persecution, silencing, and legal battles within a politicized health care system, citing violations of First, Fourth, and Sixth Amendment rights. Muhamad emphasizes Dr. Benjamin Rush's profound influence beyond medicine, in shaping the nation's moral and educational fabric. The conversation serves as a rallying cry for contemporary physicians to reclaim their heritage as defenders of liberty, to organize, speak out against injustice, and fight for the ability to practice medicine ethically and without political interference, much like their predecessors did. Muhamad asserts that this new revolution is just beginning, with doctors ready to defend life, liberty, and patient dignity on new battlefields like clinics, courtrooms, and the internet. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Founding director of the Doctor of Medical Science program at The College of St. Scholastica, Kenneth Botelho, discusses his article, "In the absence of physician mentorship, who will train the next generation of primary care clinicians?" Kenneth highlights the accelerating crisis caused by the erosion of physician mentorship, particularly impacting physician associates (PAs) in primary care who historically relied on close, hands-on guidance. He explains that with an aging physician workforce and doctors leaving primary care, this traditional apprenticeship model is breaking down, leaving many new PAs with minimal supervision and high-pressure roles, increasing risks of burnout and clinical error. Kenneth argues that while the old system cannot be revived, innovative solutions like postgraduate PA fellowships and residencies, supported by Doctor of Medical Science (DMSc) programs, offer a path forward. He details how these programs can create a new pipeline of PA leaders equipped with advanced clinical competence, leadership skills, and an understanding of value-based care and health care economics, enabling them to fill mentorship gaps and improve a strained health care system. Kenneth stresses that this is a system issue requiring bold, collaborative action to support learners and ensure patient safety. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Hospitalist Jasminka Vukanovic-Criley discusses her article, "When grief hits all at once: a morning of heartbreak and love." Jasminka shares a deeply personal account of a Saturday morning where unexpected news of the passing of two friends, Natasa's mother Mirjana and her friend Thomas, both from cancer, suddenly immersed her in profound grief. She reflects on the fragility of life and the ripple effect of these losses, which led to a cascade of memories: her grandfather who would have turned 116, his mother who passed away on his birthday 49 years prior, and her own mother, whose 486th day of absence she was marking. Jasminka explores the experience of noticing signs and seeking meaning in numbers like 486, pondering the universe's mysterious ways of connecting events and emotions. The conversation delves into the nature of grief as an overwhelming yet navigable ocean, emphasizing the importance of cherishing loved ones, expressing love openly, and allowing oneself to feel sorrow, ultimately finding strength in remembrance and the enduring power of love. Jasminka's narrative is a poignant reminder to live fully and love fiercely, even amidst the inevitability of loss. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Medical students Kaitlynn Esemaya, Anamaria Ancheta, and Annique McLune discuss their article, "Why vaccine access still fails America's most vulnerable groups." They highlight how social determinants of health drive pervasive inequities in vaccination rates among marginalized U.S. communities, exacerbated by the COVID-19 pandemic. Kaitlynn, Alexis, and Annique cite CDC data showing updated COVID-19 vaccine uptake for Non-Hispanic Black and Hispanic adults at 8 percent, nearly half that of white adults (15 percent) for 2023–2024. This disparity extends to other vaccines like HPV and influenza, with poverty being a key factor. The discussion covers the post-pandemic drop in childhood vaccinations due to access barriers like lack of insurance and provider shortages, particularly in rural areas. They also touch on HPV vaccine disparities, where only 76 percent of U.S. children received one dose by 2022, and varying awareness levels, such as only 40 percent of adults with less than a high school education being aware of HPV compared to 78 percent of college graduates. Kaitlynn, Alexis, and Annique point to the resurgence of measles, with 301 U.S. cases by March 2025, and address the critical issues of vaccine hesitancy, medical mistrust, and misinformation, noting that these challenges even affect health care workers. The conversation emphasizes the need for increased education, public promotion of vaccinations, and improved access to address these persistent failures. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Want to know how top product leaders are navigating the AI revolution? In this episode of the CPO Rising Series hosted by Products That Count Resident CPO Renee Niemi, Microsoft Cloud for Industries General Manager Monica Ugwi will be speaking on the future of product management in the AI era. Monica shares her unique insights from working at tech giants like Google, Meta, and Microsoft, offering a deep dive into building empathetic, innovative products that truly count.

Surgeon Suhaib J. S. Ahmad discusses his article, "Why even the best employees are silently quitting health care." Suhaib explores the phenomenon of highly competent and once-passionate health care professionals disengaging and leaving their roles, often without overt complaint. He argues that this "silent quitting" stems not just from issues with the system or individual leaders, but critically from a dysfunctional organizational culture characterized by a lack of clear values, poor communication, and an environment where mediocrity and toxicity can thrive. Suhaib contrasts this with a thriving culture where employees feel empowered and listened to, referencing the Google walkout as an example of employees feeling safe to speak up. He emphasizes that leaders must actively engage with staff, understand their needs, and foster open dialogue to shift the culture from "survival mode" to one of growth and shared vision. For employees feeling stuck, Suhaib suggests that actively choosing to move to a better environment or to stay and strategically work on issues is preferable to silently disengaging. The conversation offers a call to action for leaders to ask their teams: What don't we talk about around here that we should be talking about? Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Medical students Vineeth Amba and Archita Goyal discuss their article, "What's driving medical students away from primary care?" They share the widespread discouragement medical students encounter regarding primary care careers, despite initial aspirations to serve communities. Vineeth and Archita highlight the ongoing crisis in primary care, evidenced by a decline to just 25 percent of the physician workforce, high burnout rates, and a projected U.S. shortage of approximately 68,000 PCPs by 2036, which impacts patient access for about 100 million people. They argue that underinvestment is a core issue, contrasting the 5–7 percent of health care spending primary care receives with the 35 percent of visits it handles. The discussion explores how increased investment, as exemplified by initiatives in states like Delaware, Rhode Island, and Oregon, and the proposed PC4YOU legislation in Massachusetts, can transform the field. Vineeth and Archita explain that PC4YOU aims to shift to value-based care, mandate 15 percent primary care spending by 2029, and incentivize innovations to improve health equity and make primary care a more sustainable and attractive specialty for future physicians. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Family physician and certified executive leadership coach Lisa Herbert discusses her article, "From burnout to breakthrough: How a coaching culture transforms health care." Lisa shares her personal journey with physician burnout, a crisis affecting 54 percent of physicians, and how discovering coaching revolutionized her approach to leadership and her career. She explains that a coaching culture, which emphasizes curiosity, continuous growth, and collaborative problem-solving over traditional command-and-control management, is a powerful antidote to burnout. Lisa outlines a roadmap for physician leaders to build this culture, starting with self-awareness, mastering fundamental coaching skills, and institutionalizing coaching practices. The conversation highlights the ripple effect of coaching, extending beyond physician well-being to improve patient interactions, medical training, and even personal relationships, ultimately benefiting health care organizations through better retention and patient experience. Physician leaders are encouraged to explore coaching, while executives should assess how organizational systems can support this transformative shift. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician coach and marriage and family therapy graduate student Jillian Rigert discusses her article, "Fear of other people's opinions nearly killed me. Here's what freed me." Jillian shares her harrowing journey through medical discharge from the military and transitioning out of surgery residency, which plunged her into guilt, shame, and a near-fatal struggle with self-worth tied to her career and others' approval. She describes how isolating and starving herself, she reached a rock bottom where apathy paradoxically led to a turning point: publishing deeply personal articles on KevinMD. This act of vulnerability, initially a way to get her story out before an anticipated death, brought unexpected support and began to lift the shame. Jillian explains her process of recovery, which involved detaching her worth from career achievements and, crucially, from the fear of other people's opinions. She emphasizes that understanding others' judgments as reflections of their own biases, and cultivating a curious, compassionate, and non-judgmental mindset towards herself and others, were key to her freedom. Jillian's powerful message is that your life is paramount, and she encourages listeners to question why they might prioritize external validation over their own self-perception, advocating for self-compassion and seeking support to reclaim their narratives. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Nephrologist Saad S. Alshohaib discusses his article, "Why truth still matters in the courtroom: lessons from a physician witness." The conversation provides a profound reflection on his decade of experience serving as a medical expert witness, a role he describes as walking a "narrow bridge between medicine and the law." Saad shares his seven core principles for physicians called to testify, emphasizing that their ultimate loyalty must be to the truth, not the side that hired them. The discussion covers the importance of integrity over convenience, clarity over complexity, and honesty over comfort. He makes a compelling case for seeing the humanity in both the patient in the chart and the clinician accused of making an error, and using testimony not just to judge, but to heal the system. This episode is an essential guide for any medical professional on navigating the ethical complexities of the legal system while holding fast to the truth. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Historian and ethicist Nigel Cameron discusses his article, "How DrKoop.com rose and fell: the untold story behind the Surgeon General's startup." The conversation chronicles the dramatic history of the iconic dot-com era company, from its modest beginnings as a personal medical record system to its meteoric rise as the world's top health site. Nigel explains how the company's core strategy was to leverage the unparalleled credibility of former Surgeon General C. Everett Koop, leading to a wildly successful IPO that raised over $84 million. The discussion then details the company's rapid collapse, focusing on the ethical blunders, like blurring the line between advertising and information, that eroded public trust. This episode serves as a cautionary tale about brand credibility, startup hubris, and the ultimate indignity Dr. Koop faced when his name and brand were sold in a fire sale after accumulating over $200 million in losses. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

IN THIS EPISODE...Joseph Landes, Co-founder and Chief Revenue Officer of Nerdio, shares insights into the company's mission, culture, and growth. He explains how Nerdio simplifies Microsoft Cloud technologies for businesses of all sizes, emphasizing their commitment to remote work through programs like the "Mayor Program" and the "Nerdio Break Room."Joseph discusses transitioning from Microsoft to leading a high-growth startup, highlighting the importance of hiring resilient team members and focusing on recurring revenue. He also details Nerdio's customer education initiatives, leadership philosophy, and "outside-in" approach, prioritizing customer feedback.------------Full show notes, guest bio, links to resources mentioned, and other compelling episodes can be found at http://LeadYourGamePodcast.com. (Click the magnifying icon at the top right and type “Joseph”)Love the show? Subscribe, rate, review, and share! Learn more about us! https://shockinglydifferent.com/-------------WHAT TO LISTEN FOR:1. What is Nerdio's mission?2. How does Nerdio support remote work?3. What is the "Mayor Program" at Nerdio?4. How does Nerdio educate its customers and partners?5. What is the importance of recurring revenue?6. How does Nerdio stay updated with market trends?------------FEATURED TIMESTAMPS:[02:29] Joseph's Personal Interests[04:21] Joseph's Career Journey at Microsoft[07:54] Nerdio's Services and Market Reach[11:32] Remote Work Culture and Challenges[18:02] Signature Segment: Joseph's entry into the LATTOYG Playbook: Nerdio's Growth and Recognition[20:32] Nerdio's Future Plans and Customer Focus[24:07] Signature Segment: Joseph's LATTOYG Tactic of Choice: Leading with Drive for Result------------ADDITIONAL RESOURCES FOR YOU:Overview: Our Signature Leadership Development Experience: http://bit.ly/DevelopYourGame

Pediatrician and certified coach Jessie Mahoney discusses her article, "Physician wellness is a strategic imperative—not a moral crusade." The conversation focuses on why physicians must shift their advocacy for well-being from a reactive, moral argument to a strategic one that aligns with institutional priorities. Jessie explains that effective change comes not from complaining, but from understanding two key things: how physicians' own training contributes to the culture of unwellness, and what leadership truly values. She provides a framework for physicians to step out of victimhood and into leadership, learning to "speak the language" of executives by framing wellness as a necessity for retention, financial sustainability, and quality patient care. This episode is a guide for doctors who want to stop just enduring the system and start strategically shaping it from within. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Entrepreneur, AI enthusiast, and wellness advocate Vaishali Jha discusses her article, "Gen Z is already transforming mental health care—are we listening?" The conversation explores the vital need for new perspectives in health care, arguing that the system often overlooks the voices of young people. Vaishali explains how Gen Z, having come of age during numerous health crises, brings an essential viewpoint rooted in lived experience, digital fluency, and a desire for more human-centered care. The discussion highlights how young people are already taking the lead in normalizing mental health conversations, building culturally relevant digital tools, and advocating for their peers. This episode serves as a call to action for health care systems to invite young people to the table not as future leaders, but as current, essential voices who can help build a more inclusive, responsive, and compassionate future for all. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Retired surgeon, psychotherapist, and author Patrick Hudson discusses his article, "Why we fear being forgotten more than death itself." The conversation explores the profound difference between the biological act of dying and the existential fear of vanishing from the story of the world. Patrick explains that for many, the true anxiety surrounding death is not about the end of life, but the end of mattering. He shares how his own heart attack transformed this question from a medical abstraction into a personal reality, revealing that dying is often a slow erosion of self that happens long before our final breath. The discussion delves into how our need to leave a legacy is an attempt to outlive ourselves and how the only antidote to the fear of losing control of our narrative is to live with clarity, love honestly, and forgive early. This episode offers listeners a chance to reflect on mortality not as something to be fixed, but as a concept that can teach us how to live more fully in the present. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician executive Sreeram Mullankandy discusses his article, "Bridging the digital divide: Addressing health inequities through home-based AI solutions." The conversation highlights that while the future of health care delivery is moving into patients' homes, this shift risks leaving the most vulnerable populations behind. Sreeram explains that non-medical factors, or Social Determinants of Health (SDOH), can influence up to 80 percent of health outcomes but are often missed by traditional systems. He argues that artificial intelligence, when deployed thoughtfully, can be a powerful equity enabler. The discussion covers how AI can identify hidden SDOH patterns with high accuracy, bridge language and literacy barriers for the nearly 36 million U.S. adults who need it, and serve as a force multiplier for community health workers. Sreeram also addresses the critical need for fairness audits to prevent AI from perpetuating bias and the massive economic incentive for building a more just system, which could save $1.7 trillion in health care costs. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician Sarah Webber discusses her article, "Why it's so hard to admit when we don't like our jobs." The conversation is a vulnerable look into her personal experience with burnout just nine months into what she thought was her dream job as a pediatric hospitalist. Sarah shares her journey of feeling drained and unhappy, and her initial attempts to "fix" things with more mindfulness, gratitude, and journaling, only to find the dread remained. She explores the profound identity crisis she faced, where her self-worth was completely woven into her professional identity, making the thought of not wanting to be a doctor feel selfish and wrong. The episode centers on an emotional breakthrough that led to the freedom of honesty, the courage to leave her role, and the powerful realization that by letting go, she not only opened a door for someone else but also for herself to see the many different ways one can be a healer in the world. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

LGBTQ+ journalist BJ Ferguson discusses the article, "Why physician voices matter in the fight against anti-LGBTQ+ laws." The conversation serves as a call to action for medical professionals, arguing that their duty to protect patient health now extends beyond the clinic and into the legislative arena. BJ outlines how anti-LGBTQ+ laws, particularly those targeting gender-affirming care, directly threaten patient well-being and undermine a physician's core commitment to do no harm. The discussion provides five clear, actionable steps for doctors to engage politically, from testifying at hearings and meeting with officials to using media and organizing their peers. Citing recent examples where physician testimony helped halt harmful legislation, this episode makes the powerful case that advocacy does not compromise medical ethics—it fulfills them. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician and certified coach Jessie Mahoney discusses her article "The broken health care system doesn't have to break you." Jessie discusses the profound changes in the practice of medicine that no longer align with traditional training models. She identifies outdated beliefs prevalent in medicine, such as self-sacrifice, service at all costs, and avoiding discussions of compensation, which contribute to widespread physician burnout and mental health issues. Jessie emphasizes that the pressures of electronic health records, administrative burdens, and corporate medicine demand a new approach rooted in adaptability and self-awareness. She offers actionable strategies for physicians to reshape their approach, including recognizing harmful conditioning, setting boundaries, cultivating a growth mindset, managing energy, and advocating for systemic change. Jessie highlights mindset coaching as an evidence-based approach to rewiring old thought patterns, enabling physicians to reclaim their purpose and passion in a challenging health care environment. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Anesthesiologist Maire Daugharty, who expanded her expertise by earning a master's degree in clinical mental health counseling, discusses her article "Why ADHD isn't just a childhood disorder and what that means for adults." Maire discusses the critical importance of timely diagnosis and treatment of ADHD, highlighting its negative impacts on self-esteem, mood disorders, substance use, and even criminality when left unaddressed. She clarifies that ADHD is not solely a childhood disorder, with many adults having missed diagnoses, particularly girls due to different symptom presentations. Maire delves into the predominantly genetic nature of ADHD and discusses factors contributing to its complexity and the reluctance to treat it. She emphasizes that accurate diagnosis requires a careful history and medical examination beyond assessment scales, and outlines multi-modal treatment approaches, including psychoeducation, behavioral therapy, and medication. Maire also discusses the core role of executive function deficits in ADHD and offers practical strategies for environmental modification and task management that benefit both children and adults. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician Scott Abramson discusses his article "How doctors' words can make or break patient care." Scott shares two compelling scenarios illustrating the profound impact of a physician's communication. He recounts a family conference where a doctor's use of medical jargon like "lesion" completely obscured the diagnosis of cancer for a concerned family, highlighting the barrier that medical language can create. Conversely, Scott details the powerful influence of a surgeon, Dr. Susan Heckman, who, faced with a patient's holistic beliefs and initial refusal of surgery for a suspicious breast lump, used empathetic and culturally resonant language—calling the "blemish" a "guardian angel giving you a wake-up call"—to foster understanding and facilitate timely, life-saving intervention. Scott emphasizes that effective communication, beyond clinical expertise, is crucial for patient understanding, trust, and ultimately, positive health outcomes. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Public policy analyst Julia Drydyk discusses her article "Human trafficking isn't what you think: Why education is key to stopping it." Julia clarifies the crucial distinction between human smuggling and human trafficking, explaining that trafficking involves exploitation through coercion regardless of geographic movement, often occurring within communities rather than solely at borders. She addresses how popular media perpetuates misconceptions, leading people to overlook the subtle, psychological tactics traffickers employ, often involving individuals known and trusted by the victim. Julia emphasizes that traffickers target vulnerabilities like poverty, homelessness, and mental health disorders, posing as caring figures to establish control. She highlights the urgent need for public education to recognize the real signs of trafficking, such as behavioral changes, unexplained absences, or signs of control by another person, enabling Canadians to bridge the gap between good intentions and effective action. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Endocrinologist Michael Morkos discusses his article "Mastering the art of efficient patient encounters: tips for physicians." Michael shares practical strategies for optimizing the patient encounter to enhance both efficiency and patient satisfaction. He delves into effective documentation techniques, emphasizing the importance of maintaining eye contact while touch-typing in the exam room, and adapting clinic setups with adjustable carts and laptops. Michael explains his system for ordering future labs during visits in lab-heavy specialties like endocrinology, ensuring all necessary data is available for follow-up appointments. He also outlines his streamlined EHR workflow, including pre-charting, side-by-side review of outside records, and transparent patient communication during the visit. Michael highlights how these methods enable him to complete all notes and charges by the end of the day, significantly reducing after-hours work and contributing to burnout prevention. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Nurse practitioner Surani Hayre-Kwan discusses her article "Are you protecting your career? 5 essential questions about your NP liability insurance." Surani discusses the critical need for nurse practitioners to secure their own professional liability insurance, highlighting how relying solely on employer-provided coverage can leave significant gaps. She provides insights into common pitfalls, such as employer policies often excluding licensing board complaints or having shared liability limits. Surani explains the crucial differences between occurrence and claims-made coverage and the importance of understanding "tail" and "nose" coverage to ensure continuous protection when switching jobs or carriers. She also offers actionable advice on how robust documentation, including adherence to SOAP note standards and careful patient engagement, can serve as a powerful defense against legal challenges. Surani emphasizes that comprehensive malpractice coverage is vital for protecting an NP's license, career, and financial stability. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Internal medicine and pediatric physician Charles LeBaron discusses his article "How the CDC's opioid rules created a crisis for chronic pain patients." Charles discusses the 2016 CDC opioid guideline, initially framed as a solution to over-prescription and overdose deaths, and critically examines its actual impact. He reveals how the guideline, despite being based on "low quality of evidence," led to widespread restrictions on opioid prescriptions by states, federal agencies, insurance companies, and pharmacies. Charles highlights the severe, unintended consequences for chronic pain patients, including increased pain, worsened quality of life, and a rise in suicides and overdoses among those whose opioid dosages were reduced or discontinued. He also touches on the devastating impact on cancer patients experiencing undertreated pain and discusses criticisms from pain specialists and the damning report by Human Rights Watch, which characterized the de facto denial of pain relief as a potential human rights violation. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Otolaryngologist Kevin C. McMains discusses his article "The hero's journey: Understanding professional identity formation in graduate medical education." Kevin discusses the ongoing crisis of burnout and mental health issues in medical training, critically examining traditional educational and environmental interventions. He identifies a gap in the current narrative surrounding work-life balance, suggesting that framing work and life as dichotomous can inadvertently diminish the intrinsic rewards of caring for others. Kevin proposes an alternative, more emotionally powerful narrative for professional identity formation: the hero's journey. He explains how this framework, rooted in universal storytelling traditions, can help medical trainees find deeper meaning in their sacrifices and engage more profoundly with their patients, fostering a more resilient and compassionate generation of health care professionals. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Osteopathic medical student Scarlett Saitta discusses her article "The school cafeteria could save American medicine." Scarlett discusses the profound connection between childhood nutrition and long-term health outcomes, drawing from her personal experiences and observations in her hometown. She highlights how current food systems contribute to chronic illnesses like type 2 diabetes and hypertension, and how misleading food marketing exacerbates the problem. Scarlett shares her proposed solution: The American Farm and School Nutrition Support Act, a federal policy amendment aiming to expand Farm-to-School programs by reallocating existing funds to support whole, locally sourced foods in schools. She emphasizes that this initiative not only improves child health but also supports rural economies and addresses health disparities. Scarlett explains the political process of advocating for such a bill, stressing the importance of listening and building bridges across political divides. She also shares data supporting the efficacy of improved school nutrition standards and discusses how this work is a part of the future of medicine, focusing on holistic well-being beyond clinical settings. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Licensed clinical psychologist and health care ethicist Jenny Shields discusses her article, "DSM-5 doesn't name it, but moral distress is everywhere in medicine." Jenny illuminates the pervasive issue of moral distress among clinicians, defining it as the psychological toll exacted when they know the ethically appropriate action but are systematically prevented from taking it by institutional constraints such as hospital policies or insurer mandates. She carefully distinguishes moral distress from burnout or trauma, characterizing it as a chronic erosion of professional identity that occurs when daily work consistently conflicts with the core values that drew clinicians to their profession. Examples cited include understaffing in the face of rising executive compensation and adherence to insurer-driven care plans over sound medical judgment. Jenny describes the accumulation of "moral residue"—a lasting emotional injury—and a form of institutional gaslighting where systemic issues are presented as improvements, causing clinicians to doubt their own perceptions. She argues that by not naming moral distress, diagnostic manuals like the DSM-5 contribute to medicalizing symptoms like burnout, thereby avoiding the underlying ethical fractures in a health care system primarily designed around revenue and efficiency, which consistently deprioritizes ethics. The article calls for a shift away from focusing on individual clinician resilience towards demanding fundamental systemic changes to address this profound ethical crisis. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise." Muhamad offers a counterintuitive perspective on the recent wave of layoffs and leadership changes sweeping through federal health agencies like the NIH, CDC, and FDA. He argues that this "rock bottom" moment, rather than signaling collapse, presents a critical opportunity for a fundamental overhaul of a system that has lost public trust. He points to events like the perceived disengagement of many HHS employees during the COVID-19 pandemic's peak in 2021 and the 2021-2022 baby formula crisis as catalysts for this erosion of faith. Muhamad contends that the U.S.'s status as the "sickest wealthy nation," plagued by high maternal mortality, rampant chronic diseases, an addiction crisis, and falling life expectancy, demonstrates the failure of the old guard and conventional approaches. He suggests that the criticism of newly appointed "unconventional" leaders overlooks the desperate need for new thinking. The article calls for these institutions to become truly human-serving, prioritizing patient-centered care, transparency, and direct community engagement over bureaucratic inertia and data-driven detachment, ultimately aiming to rebuild a health system that genuinely protects and serves the American public. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended