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Pediatrician Kelly Curtin-Hallinan discusses her article "My improbable survival of stage 4 cancer." Kelly shares her year-long journey of facing a dire diagnosis, enduring rounds of tests, managing the anxiety of waiting for results, and ultimately experiencing an unexpected recovery with immunotherapy. She reflects on the skepticism she once held about miracle stories, the emotional toll of uncertainty, and the balance between fear and hope that defines living with cancer. Kelly also describes the strain of protecting her daughters from the harshest realities while carrying her own doubts about survival. Listeners will gain insight into the fragility of medical certainty, the emotional reality of stage 4 cancer, and the strength it takes to live fully even when the future is unclear. 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
Patient advocate Timothy Thomas discusses his article "The Cap'n Crunch philosophy of medicine." Timothy shares his personal experiences with gaps in primary care, from learning of his diabetes diagnosis at a Walmart pharmacy instead of through his clinic, to promised tests never being ordered, to medication changes delivered without clear communication. He uses the metaphor of Cap'n Crunch, a title without true rank, to highlight how many clinics assign responsibility by availability rather than expertise, leaving patients vulnerable to rushed care and dangerous oversights. Timothy calls for greater regulation, stronger accountability, and clear communication standards to ensure patients receive safe, reliable care, especially in communities where clinics are often the only access point. Listeners will gain insight into the risks of understaffed systems, the urgent need for higher standards, and the role of advocacy in making health care more accountable. 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 Jessie Mahoney discusses her article "Imposter syndrome is not a personal failing." Jessie explains how self-doubt among physicians is less about individual weakness and more about a conditioned mindset reinforced by medical culture. She describes how hypervigilance, relentless preparation, and constant comparison are framed as excellence but instead fuel overwork, burnout, and compliance with unreasonable demands. Jessie emphasizes that imposter syndrome may benefit productivity in the health care system but comes at a profound cost to physician well-being, sustainability, and patient care. She reframes self-doubt as evidence of growth rather than inadequacy and calls for a cultural shift that stops normalizing imposter syndrome as inevitable in medicine. Listeners will learn how recognizing systemic patterns and reframing self-perceptions can empower clinicians to thrive without sacrificing their health or authenticity. 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
Psychiatrist Muhamad Aly Rifai discusses his article "A psychiatrist's 20-year journey with ketamine." Aly recounts his first encounters with ketamine at the National Institute of Mental Health, where its rapid impact on despair reshaped his understanding of depression treatment. He explains the neurobiologic mechanisms, the shift from research to real-world practice, and the FDA's evolving stance on esketamine and off-label IV ketamine. Aly emphasizes the importance of pairing ketamine with psychotherapy, screening patients carefully, and honoring both the power and limitations of this intervention. He also highlights access challenges, safety concerns, and the need for clinicians to build structured protocols. Listeners will take away a nuanced view of ketamine not as a miracle cure but as a catalyst for healing when embedded in comprehensive, patient-centered 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
Die Zürcher Stadtverwaltung nutzt Microsoft Programme wie Word, Excel oder aber auch die Microsoft Cloud. Weil bei der Nutzung dieses virtuellen Speicherortes der Datenschutz aber nicht gewährleistet sei, fordert die Alternative Liste nun, dass die Stadt ganz darauf verzichtet. Weitere Themen: · Wegen geplanter Neutralitätsinitiative: Kantons- und Gemeinderat Bernhard im Oberdorf tritt per sofort aus der Zürcher SVP aus. · Am Montagmittag wurde ein 12 jähriges Mädchen bei einem Unfall schwer verletzt. · Die Stadtpolizei hat am Sonntag einen bewaffneten Mann festgenommen. In seiner Wohnung wahren mehrere Armbrüste.
Internal medicine-pediatric physician Chrissie Ott discusses her article "When the pediatrician is the parent: a personal reckoning with childhood obesity." Chrissie shares the deeply personal story of her own child's struggles with weight, the bullying and shame that compounded them, and the tension she felt balancing her medical knowledge with her role as a parent. She explains how reframing obesity as a relapsing, remitting neurobehavioral metabolic disease shifted her perspective, leading to a decision to pursue GLP-1 therapy in addition to lifestyle support. Chrissie candidly describes the relief of moving from blame to action, the transformation in her child's health and self-esteem, and her own decision to pursue board certification in obesity medicine. Listeners will learn about the challenges of navigating childhood obesity compassionately, the evolving role of medical treatment, and the importance of protecting dignity and autonomy while supporting kids in larger bodies. 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-scientist Diego R. Hijano discusses his article "How humor builds trust in pediatric oncology." Diego shares how personal loss and his own cultural and linguistic experiences shaped his approach to care, teaching him that laughter can be a bridge in even the darkest hospital rooms. Through stories of playful exchanges with children, language slips, and inside jokes with families, he explains how humor softens fear, restores humanity, and strengthens the patient-physician relationship. Drawing inspiration from Danny Thomas and the legacy of St. Jude Children's Research Hospital, Diego emphasizes that presence, not perfection, is what patients remember most. Listeners will gain insight into how humor can serve as both a clinical tool and a personal anchor, reminding physicians that healing extends beyond 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
Primary care physician Jerina Gani discusses her article "My journey to loving primary care again." Jerina shares her deeply personal story of nearly walking away from medicine after burnout, exhaustion, and endless administrative burdens drained the joy from her work. She explains how a shift in mindset — treating her role not just as physician but as CEO of her own practice — helped her reclaim time, energy, and fulfillment. By tracking patterns, optimizing visit flow, protecting time, and building authentic patient relationships, Jerina now works fewer days, earns more, and feels renewed passion for patient care. She offers listeners candid insights into setting boundaries, redefining value beyond CPT codes, and designing a sustainable, joyful version of primary care that honors both purpose and peace. 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
Chief nursing officer Rhonda Collins discusses her article "Nurse-initiated protocols for sepsis: a strategic imperative for patient care and hospital operations." Rhonda explains why sepsis, the leading cause of death in U.S. hospitals and a $62 billion annual burden, demands the same urgency as stroke and STEMI. She highlights the power of nurse-initiated standing orders to speed recognition and treatment, reduce ED congestion, improve outcomes and cut costs. Drawing on real-world results from Franciscan Missionaries of Our Lady Health System, she shows how standardized sepsis protocols supported by FDA-cleared technology reduced mortality by 39 percent, shortened length of stay and saved thousands per patient. Rhonda emphasizes that national standardization, objective tools and empowering nurses to practice at the top of their license are essential to making sepsis the "third S" in emergency 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
Physician leader Janet A. Jokela discusses its article "Collective action as a path to patient-centered care." The piece reflects on the evolution of physician unions since the 1980s, beginning with housestaff associations focused on scut work and duty hours, through the Libby Zion case that transformed resident supervision, to today's growing movement of resident and employed physician unions across major institutions. The article explains how administrative burdens, loss of professional autonomy, and physician burnout have fueled interest in collective action not to abandon patients, but to protect their care. Key insights from ACP's policy paper Empowering Physicians through Collective Action include the need to ensure physicians have a voice in governance, safeguard them from retaliation, and prioritize patient access to safe, affordable, high-quality care. Listeners will come away with a deeper understanding of why collective empowerment may ultimately strengthen both physician well-being and the patient-physician relationship. 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
Urologist Fara Bellows discusses her article "When recurrent UTIs might actually be bladder cancer." Fara shares the story of a 91-year-old patient whose recurrent urinary infections masked an underlying bladder cancer diagnosis, illustrating how easily symptoms can be misattributed. She explains risk factors such as smoking, prior radiation, and occupational exposures, and highlights the alarming statistics that nearly 20,000 women will be diagnosed with bladder cancer in 2025, with close to 5,000 deaths. Fara emphasizes the dangers of delayed diagnosis in women due to symptom overlap with common conditions, and she outlines the three key diagnostic tools—urine cytology, imaging, and cystoscopy—that can save lives when used early. Listeners will learn why vigilance in primary care, proactive referrals, and patient advocacy are crucial to ensuring timely and accurate diagnoses. 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 Ashish Mandavia discusses his article "Why U.S. health care pricing is so confusing—and how to fix it." Ashish explains how systemic misaligned incentives, opaque insurance practices, and weak enforcement drive up patient costs and mistrust in the health care system. He outlines the emotional and financial toll of surprise medical bills and argues for stronger accountability, technology-driven transparency, and shared responsibility across hospitals, insurers, providers, and patients. Ashish offers listeners practical takeaways, such as the role of digital tools in cost clarity, the need for enforcement that closes loopholes, and how patients can advocate for fairer, more predictable 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
Pediatrician and certified coach Jessie Mahoney discusses her article "Why so many physicians struggle to feel proud—even when they should." Jessie explains how medical training conditions doctors to downplay success, deflect compliments, and equate pride with arrogance. She shares her own journey of learning to name and celebrate achievements, and how creating space for physicians to express pride can foster authenticity, confidence, and cultural change in medicine. Jessie highlights moving stories from reflective circles where physicians express pride in acts of courage, resilience, and alignment with values. Listeners will gain insights into how embracing pride can shift the culture of medicine from quiet suffering toward intentional, compassionate leadership. 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
Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "Why kratom addiction is the next public health crisis." Muhamad explains how kratom, a botanical imported from Southeast Asia, has rapidly spread across the U.S., marketed as a natural remedy for pain and opioid withdrawal. He warns that its potent alkaloids act directly on opioid receptors, leading to dependence, withdrawal, psychosis, and even fatalities. Muhamad outlines the surge in use during the COVID-19 pandemic, the risks to youth, and the dangers of contamination and unregulated production. He also highlights the lack of tailored treatments for kratom dependence, the need for stronger regulation, and the importance of educating the public about its hidden dangers. Listeners will gain a deeper understanding of why kratom's growth poses urgent challenges for both clinicians and policymakers. 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
Licensed counselor and certified coach Mary Remón discusses her article "How doctors can turn criticism into collaboration." Mary explains why physicians often react defensively to suggestions from colleagues, citing hierarchy, malpractice fears, time pressures, and challenges to expertise. She reframes criticism as a "gift," using analogies like apples and pears to show how doctors can acknowledge input without necessarily adopting it. Mary shares practical strategies such as proactively inviting opinions, practicing active listening, and creating structured spaces for feedback. Listeners will gain actionable tools to reduce defensiveness, strengthen interprofessional relationships, and improve patient safety and outcomes by fostering a culture of trust and collaboration. 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
Clinical psychologist Faust Ruggiero discusses his article "How to rewire your brain with positive language." Faust explains how the words we use internally shape our thoughts, emotions, and behaviors, and why negative self-talk can reinforce cycles of anger and dissatisfaction. He introduces a simple but powerful two-step process: consciously shutting down angry thoughts as they arise and replacing them with positive statements. Faust emphasizes that this is a neurological retraining program, requiring repetition and patience, but over time it can shift self-perception, improve relationships, and foster lasting emotional resilience. Listeners will gain practical strategies for breaking negative thought cycles and cultivating a more positive, productive mindset. 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
Maternal-fetal medicine fellow Frank I. Jackson discusses his article "Affordable postpartum hemorrhage solutions every OB/GYN should know." Frank explains how postpartum hemorrhage remains a leading cause of maternal mortality, especially in low-resource settings where advanced devices like the JADA® System are inaccessible. He introduces two innovative, low-cost techniques—FOCUS (Foley catheter for uterine suction) and STUT (suction tube uterine tamponade)—that replicate the life-saving mechanism of expensive devices but with tools found in nearly every labor ward. Frank shares evidence from recent clinical trials, describes practical steps for implementation, and emphasizes why every obstetric provider should learn these methods. Listeners will gain actionable knowledge on how to apply simple, affordable interventions that can save lives globally. 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
Family physician Amir Atabeygi discusses his article "Building trust in dyad leadership partnerships." Amir explains why trust is the foundation of successful dyads, highlighting how implicit follow-through and consistent communication turn a partnership into a cohesive leadership unit. He shares practical strategies for over-communicating, maintaining situational awareness, and ensuring that each partner can speak for the dyad with authority and confidence. Amir illustrates how intentional relationship-building transforms dyads into seamless, high-functioning teams that enhance both organizational outcomes and professional satisfaction. Listeners will take away actionable lessons on cultivating trust, setting expectations early, and treating dyad relationships as central to leadership success. 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 "Learning to trust your body again: Healing the hidden wounds of medical training," exploring how the culture of medicine conditions physicians to ignore their basic bodily needs in the pursuit of excellence. Jessie explains how this disconnection erodes trust in self, contributes to burnout, and undermines both personal well-being and professional leadership. She shares how rebuilding trust through mindfulness, acceptance, and compassion allows physicians to heal, lead sustainably, and model healthier practices for patients and teams. Listeners will walk away with practical strategies for honoring their bodies, shifting perspective with small changes, and embracing presence over performance. 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
In today's Cloud Wars Minute, I unpack how Oracle's $455B RPO surge signals a massive shift in cloud leadership.Highlights00:15 — We see across the Cloud Wars Top 10 an incredible sense of demand from businesses across the world — to help those businesses create their futures. And in fact, we've now got, just among the four hyperscalers, a pipeline totaling $1.1 trillion. We've got Oracle in the top spot there at $455 billion. Microsoft is number two in the RPO race, $368 billion.01:17 — So here, I've got the four hyperscalers with RPO and the RPO growth rate, then quarterly revenue and quarterly growth rate. Oracle is on the top, its RPO now sits at close to half a trillion dollars, with a growth rate of 359%. Microsoft: $368 billion in RPO, up a whopping 37%, off that huge base. Quarterly revenue for the Microsoft Cloud — almost $47 billion, up 27%.02:25 — AWS' RPO is now $195 billion, up about 25%. That's coming off its Q2 revenue of almost $31 billion, up 17.5%. AWS is growing more slowly than the other hyperscalers. Google Cloud: backlog $106 billion, up 38%. For Q2, Google Cloud revenue at $13.6 billion, up 32%. So it was the fastest-growing in Q1, doing very well here.03:33 — Now altogether, this adds up to $1.1 trillion. I'm just not used to saying “trillion.” Got to get more used to that as this market gets bigger. Oracle CEO Safra Catz said that there were multiple huge deals that Oracle signed for Oracle Cloud Infrastructure, and more coming. Catz said that, “We anticipate that in the near future, Oracle's RPO will reach $500 billion — half a trillion.”04:32 — Going into the future, as AI comes along and changes so much, RPO — or backlog — gives us a great idea of who the hot companies are coming up. And right now, undisputedly, that is Oracle. The other three companies are doing quite well, but I think AWS has become the “slowpoke” in this sprint that the others are undertaking. Visit Cloud Wars for more.
Medical student Devin Behjatnia discusses his article "The case for a standard pre-med major in U.S. universities." Devin outlines why he believes a unified pre-medical studies major would better prepare students for the rigor of medical school while also providing a valuable degree for those who choose alternative medical careers. He explains how the curriculum could balance core sciences, general education, and community-focused learning, drawing on the roots of the physician as both healer and teacher. Devin shares a detailed four-year plan, including science prerequisites, humanities, foreign language, and MCAT preparation, designed to produce well-rounded, patient-centered physicians. Listeners will learn how this proposed approach could strengthen medical education and ensure future doctors are not only skilled clinicians but also pillars of their communities. 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
Health care executive David Fischel discusses his article "How robotics are reshaping the future of vascular procedures." David explains how robotic-assisted systems are overcoming long-standing challenges in endovascular care by improving precision, reducing variability, and easing the physical strain on clinicians. He outlines the technical and practical barriers that limited earlier adoption, from workflow inefficiencies to high costs, and shows how modern platforms—through integration with imaging, user-centric design, and better throughput—are driving a new era of adoption. David also reflects on the evolving role of the surgeon, shifting from hands-on operator to strategic overseer, and highlights the benefits robotics bring to patients, physicians, and health systems alike. Listeners will gain insights into how robotics are redefining vascular care and why their widespread adoption signals a new foundation for precision interventions. 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
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
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
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
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