Podcast appearances and mentions of Sarah Smith

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Our host Dr. Sarah Smith interviews Coleman Associates staff Amanda Laramie and Chief Innovation Officer Adrienne Mann about how Coleman Associates helps healthcare clinics—especially community health centers—redesign care delivery through their Dramatic Performance Improvement (DPI) methodology. Adrienne describes how Coleman's work in her Chicago community health center targeted goals such as cycle time under 30 minutes (from patient arrival to departure), no-show rate under 5%, and 100% real-time charting completion, leading to improved patient and staff satisfaction and reduced burnout. They explain cycle time as a measure of organized care and patient experience, and discuss how patient visit tracking reveals bottlenecks, handoffs, and physical-layout issues that slow flow. They cover strategies to reduce no-shows, framing them as a sign of a broken relationship and an access problem; examples include mystery shopper calls to identify barriers like long hold times, easier cancellation processes, and proactive visit confirmation and preparation. They discuss role realignment and preparing for visits through team-based workflows, including the “sheep-shepherd model” where MAs or nurses shepherd clinic flow to protect clinician time, reduce interruptions, and support “today's work done today.” Specific tactics include team “dance steps,” robust intake and concise handoffs, the “midway knock” check-in (physical or virtual), and having staff “bodyguard” clinicians while charting to prevent interruptions and avoid getting behind on notes. They also discuss inbox/worklist overload, aiming for net-zero inbox at day's end through better routing/oversight, team support for tasks, and a “red carpet exit” to reduce follow-up calls by addressing questions and ensuring orders/referrals are completed before the patient leaves. The conversation addresses individual needs and disabilities (including neurodiversity), emphasizing that frontline staff should design and adapt solutions; examples include noise-canceling headphones for charting and using space creatively (e.g., an exam room as a quiet charting space). They discuss shifting visit prep from clinicians to teams so multiple “brains” are aware of patient needs (e.g., hospital follow-ups, missing labs, forms), including pre-visit calls asking about ED visits, specialists, and concerns. They argue checkbox-heavy requirements (e.g., Medicare-related items) should be handled by nurses or staff through pre-visit “concierge” workflows, and note EHR limitations can be addressed through optimization and interdisciplinary decisions about filing and access. They conclude by encouraging curiosity and questioning existing systems (“why” thinking), noting that everything is changeable except load-bearing walls, and provide ways to find Coleman Associates online. They state they primarily work across the U.S. but are open to working anywhere, including Canada and Australia. Here are 3 key takeaways from this episode: Cycle Time Under 30 Minutes Indicates Organized Care: Cycle time (patient arrival to departure) isn't about rushing—it's about eliminating confusion, handoffs, and mishaps. Shorter cycle times mean better-organized care that respects patients' time, especially those without PTO or childcare access. The goal is efficiency through coordination, not speed through corners cut. No-Shows Signal Broken Relationships, Not Patient Irresponsibility: When no-show rates exceed 10-15%, it reveals systemic issues: long hold times making cancellations difficult, appointments booked months in advance, or lack of relationship-building. The solution involves confirmation calls, easier cancellation processes, and recognizing that patients who no-show often need care the most—they're the ones appearing in emergency departments instead. The Shepherd-Sheep Model Empowers Teams and Protects Clinician Focus: Medical assistants and nurses should "shepherd" the clinician's flow—staying slightly ahead, looping back to check needs, and bodyguarding charting time from interruptions. This allows clinicians to focus on what only they can do while the care team handles preparation, coordination, and protection of workflow. The result: 100% real-time charting completion becomes achievable. Meet Amanda Laramie & Adrienne Mann: Amanda is experienced in process design, training, and leadership development. Before working with Coleman, Amanda worked for a women's health center in Providence, Rhode Island. She was a Medical Assistant and later, a Health Center Manager. Amanda has been working with Coleman Associates since 2011 and has coached hundreds of health center teams. She is a team leader and current COO of Coleman Associates. Adrienne Mann is a dynamic coach, trainer, healthcare leader, speaker, and podcast host passionate about driving positive change. She develops training on succeeding in Alternative Payment Models and leadership. As a Step-In Executive, Adrienne helps organizations tackle tough challenges. She also spearheaded Coleman Associates' IACET accreditation and Joint Accreditation, ensuring high-quality continuing education. With a background in nursing and a love for innovation, Adrienne trains national cohorts in Dramatic Performance Improvement and tracks long-term results. Her work has transformed hundreds of health centers, making a lasting impact on patient care and staff morale. She is a RN by training and current Chief Innovation office of Coleman Associates Connect with Amanda Laramie & Adrienne Mann:

Ash Wednesday

Gen. 3:5-6 & Matt. 4:1-11

Welcome to Part 3 of our annual Thriving in the New Year interview series! Every January, I sit down with physician coaches to hear how they're thinking about the year ahead—and there's always something that shifts my perspective. I'm joined by Dr. Sonia Wright (pediatric radiologist and midlife sex coach), Dr. Sarah Smith (family physician and charting coach), and Dr. Lea Grace Famularcano (family medicine and obesity medicine physician, health coach).  We got into why the "push, push, push" approach we learned in training doesn't work for reaching your personal goals, how small pivots beat giant overhauls every time, and what it looks like to focus on experience instead of achievement. If you're exhausted from trying to achieve your way to feeling better, this conversation offers a different path forward. Featured Guests: Dr. Sonia Wright – Pediatric radiologist and midlife sex coach for women. Find her at soniawrightmd.com, on Instagram/TikTok @SoniaWrightMD, or listen to The Midlife Sex Coach for Women Podcast Dr. Sarah Smith – Family physician and clinical day advisor. Find her at chartingcoach.ca or listen to the Sustainable Clinical Medicine Podcast Dr. Lea Grace Famularcano – Family medicine and obesity medicine physician, health coach. Find her at thepivotingphysician.com

Valentine's Day sells grand gestures, expensive dinners, and picture perfect love. So why does it leave so many women feeling unseen? In this episode, we break down the biggest love myth behind the holiday and why romance novels deliver something far more satisfying. Real intimacy. Emotional accountability. Being chosen consistently, not just publicly. If you have ever rolled your eyes at roses but swooned over a fictional man who listens, grows, and shows up, this conversation will hit home. Let's talk about why romance readers expect more and why we should. **Both Authors Have New Releases!** Sarah Smith's Amazon Page Skye McDonald's Amazon Page

Sarah Smith, Owner of Dynamic Print, joins Deborah Corn to discuss her leap of faith from a prosperous career in paper sales to selling her home and purchasing a print business, building a niche around high-value work and specialized products, and how planting seeds during COVID grew into brand relationships and attracting customers who value craft and creativity above price. Mentioned in This Episode: Sarah Smith: https://linkedin.com/in/sarah-smith-17498a26/ Dynamic Print: www.dynamicprint.co.uk Sarah Smith: https://paperconsultant.co.uk The Print Show: https://theprintshow.co.uk/ 'VAT & Printing': https://dynamicprint.co.uk/vat-printing-when-is-it-chargeable-and-when-is-it-not/ Deborah Corn: https://linkedin.com/in/deborahcorn/ Print Media Centr: https://printmediacentr.com Subscribe to News From The Printerverse: https://printmediacentr.com/subscribe-2 PrintFM: https://printfmradio.com Girls Who Print: https://girlswhoprint.org Project Peacock: https://ProjectPeacock.TV

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Happy Women Physician Day! In this special episode, Dr. Sarah Smith sits down with Dr. Sunny Smith, founder of Empowering Women Physicians, to discuss the unique challenges facing women physicians and the coaching tools that are helping hundreds break free from burnout—without quitting medicine. If you've ever felt trapped, exhausted, or wondered "when does it get better?"—this conversation is for you. Here are 3 key takeaways from this episode: The Arrival Fallacy - Happiness Won't Come Later: The belief that you'll be happy "once you become an attending" or "once the kids are in school" is a fallacy. Happiness isn't found at some future milestone—it requires intentional choices now. The system won't change on its own, and no one is coming to save you. Agency Over Learned Helplessness: Medicine systematically exposes physicians to situations beyond their control, leading to learned helplessness. The antidote is recognizing you have agency and choice—even small 1% changes compound over time. Start with one closed chart, one boundary, one small decision that shows you can impact your outcome. Connection Breaks Isolation: You can't understand the mental load of being a physician unless you've been one. Being in community with other women physicians who normalize your struggles and model different choices is therapeutic. When you see others advocating for themselves—taking leave, setting boundaries, pursuing passion projects—it gives you permission to do the same. Bonus insight: It's not your job's job to make you happy—that's your job. And 77% of physicians entering coaching programs meet burnout criteria, but only 33% do after just 8 weeks, without changing jobs. Meet Dr. Sunny Smith: Sunny Smith MD is the Founder and CEO of Empowering Women Physicians. Dr Smith brings her background as an awarded Medical Educator, and Clinical Professor of Family Medicine and Public Health into the coaching space. She advocates for physician wellness through her comprehensive and collaborative coaching program, podcast, retreats and Facebook group that seek to change the culture of medicine through normalizing and humanizing the experience of being a physician. Connect with Dr. Sunny Smith:

Burnout doesn't always show up as falling apart.Sometimes it looks like holding everything together for too long.In this episode of AND/BOTH, Ashley sits down with Sarah Smith — founder of Iconoclast Innovations, mom of two, and self-described iconoclast — for a deeply honest conversation about motherhood, mental health, and rebuilding yourself after burnout.Sarah shares her experience navigating postpartum anxiety and depression during the pandemic, being laid off multiple times, starting a business while pregnant, and learning how to advocate for herself in a system that often loses sight of mothers after birth.Together, Ashley and Sarah talk about identity shifts after becoming a parent, why burnout is information (not failure), how community and support can be lifesaving, and what it really means to choose yourself and your family — even when it's messy.This episode is for anyone who has ever wondered: Why does this feel so hard — and am I the only one struggling?You're not alone. And you're not doing it wrong.Connect with Sarah:Website: https://iconoclastinnovationsllc.com/Connect with Ashley:Website: https://www.ashleyblackington.comPodcast website: https://www.andbothpodcast.com/Dovetail® App: https://apps.apple.com/us/app/dovetail-app/id6744341822Instagram: @mydovetail.appLinkedIn: https://www.linkedin.com/in/ashleyblackington/

Today, Adam and Chris discuss ex-Conservative home secretary Suella Braverman defecting to Reform. She's the third sitting Tory MP to do so in the last eleven days.Also happening in Westminster — the Prime Minister has been defending the decision to block Manchester mayor Andy Burnham from standing in the Gorton and Denton by-election. It's reported that 50 Labour MPs wrote to Keir Starmer to complain about the decision.And, a 37-year-old man — Alex Pretti — was shot dead in Minneapolis by Border Patrol agents on Saturday. This is the second shooting by federal agents in less than three weeks. Adam speaks to BBC North America editor and Americast host Sarah Smith.You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers. You can join our Newscast online community here: https://bbc.in/newscastdiscordGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a WhatsApp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bbc.in/4guXgXd Newscast brings you daily analysis of the latest political news stories from the BBC. The presenter was Adam Fleming. It was made by Anna Harris and Shiler Mahmoudi. The social producer was Joe Wilkinson. The technical producers were Philip Bull & Mike Regaard. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.

Sarah Smith, Qualitative Specialist and Global Behavioral Science Strategy Lead at Oracle Life Sciences, is focused on the critical role of behavioral science in improving recruitment and retention in clinical trials.  Oracle Life Sciences is working to address historical underrepresentation in clinical trials by combining behavioral insights with integrated technologies to identify at-risk populations and understand barriers to participation. Using nudges to encourage trial participation, conducting decentralized trials, and applying AI to reshape patient engagement are strong tools for building trust and improving accessibility. Sarah explains, "Behavioral science is about understanding behavior. It draws from a number of disciplines like psychology, anthropology, and behavioral economics. But what it tells us is that people aren't rational. They don't always do the things that we expect them to do. So if we want to engage people, if we want to engage them properly, if we want to ensure that all the things we do are equitable and have an equal playing field, then we need to really understand why people do the things they do and to try and help us make sense of that in a way that encompasses everybody."   "We see treatment and technology advancing, but there are many communities that aren't part of that still, that are underrepresented. Factors like gender, ethnicity, culture, conditions that carry a stigma, socioeconomic issues, and geographic limitations - all of these things can limit the opportunity, ability, and willingness of individuals to participate in clinical trials. And that means the impact of those trials is less generalizable because those people are not represented. They're just simply not there. So the treatment that is aimed at these people is not measured in those groups. Oracle is working to address this by combining a deeper understanding of behavior with integrated technology to try to close this gap in representation to give more inclusive patient-centered care that unifies clinical, behavioral, and safety data across settings. To give a more holistic view, to give more coordinated care, to identify risks earlier, to identify patients that perhaps just need a bit more attention - a more personalized engagement."   #OracleLifeSciences #lifesciences #ClinicalResearch #PatientCentricity #PatientEngagement #ClinicalTrials #Healthliteracy #BehavioralScience #HealthEquity #AI #Healthcare #Diversity #Inclusion #MedicalResearch #Innovation Oracle.com/life-sciences  Download the transcript here  

Sarah Smith, Qualitative Specialist and Global Behavioral Science Strategy Lead at Oracle Life Sciences, is focused on the critical role of behavioral science in improving recruitment and retention in clinical trials.  Oracle Life Sciences is working to address historical underrepresentation in clinical trials by combining behavioral insights with integrated technologies to identify at-risk populations and understand barriers to participation. Using nudges to encourage trial participation, conducting decentralized trials, and applying AI to reshape patient engagement are strong tools for building trust and improving accessibility. Sarah explains, "Behavioral science is about understanding behavior. It draws from a number of disciplines like psychology, anthropology, and behavioral economics. But what it tells us is that people aren't rational. They don't always do the things that we expect them to do. So if we want to engage people, if we want to engage them properly, if we want to ensure that all the things we do are equitable and have an equal playing field, then we need to really understand why people do the things they do and to try and help us make sense of that in a way that encompasses everybody."   "We see treatment and technology advancing, but there are many communities that aren't part of that still, that are underrepresented. Factors like gender, ethnicity, culture, conditions that carry a stigma, socioeconomic issues, and geographic limitations - all of these things can limit the opportunity, ability, and willingness of individuals to participate in clinical trials. And that means the impact of those trials is less generalizable because those people are not represented. They're just simply not there. So the treatment that is aimed at these people is not measured in those groups. Oracle is working to address this by combining a deeper understanding of behavior with integrated technology to try to close this gap in representation to give more inclusive patient-centered care that unifies clinical, behavioral, and safety data across settings. To give a more holistic view, to give more coordinated care, to identify risks earlier, to identify patients that perhaps just need a bit more attention - a more personalized engagement."   #OracleLifeSciences #lifesciences #ClinicalResearch #PatientCentricity #PatientEngagement #ClinicalTrials #Healthliteracy #BehavioralScience #HealthEquity #AI #Healthcare #Diversity #Inclusion #MedicalResearch #Innovation Oracle.com/life-sciences  Listen to the podcast here  

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr, Sarah Smith interviews Dr. Andrea Austin, an emergency medicine physician, educator, and new program director of a residency program in Pensacola, Florida. Dr. Austin shares her journey from an early interest in medicine inspired by a 'Take Our Daughters to Work' day to her current roles in emergency medicine amidst the challenges of COVID and beyond. She discusses her experiences with burnout, the importance of therapy and coaching, and her transformative role in developing curriculum focused on positive changes in healthcare. Dr. Austin also highlights her recently published book 'Revitalized,' which aims to guide physicians toward a fulfilling career. The conversation covers key factors for change-making in medical institutions, the critical need for supportive leadership, and the shared struggles of global physician burnout.The episode provides valuable insights and strategies for recognizing and dealing with burnout effectively. Here are 3 key takeaways from this episode: Change Makers Need Supportive Organizations: Effective change in healthcare requires both individual qualities (insatiable learning, courage, resilience) and organizational support (funding for education, coaching, just culture, appropriate staffing, and the ability to actually take vacation time). Recovery Requires Time and Space: After experiencing burnout during COVID, Dr. Austin took a part-time remote teaching job that gave her three months to sleep, attend therapy, do coaching, and regulate her nervous system. This pause was essential for her body to "feel human again" and ultimately led to her pursuing a master's degree and starting a residency program. Caring Leadership Makes the Difference: The most critical factor in preventing physician burnout isn't metrics or ROI—it's caring. Leaders who see the big picture, invest in their people, provide meaningful feedback, and create psychologically safe environments enable physicians to thrive and create positive change, rather than just burning out from institutional betrayal. Meet Dr. Andrea Austin: Dr. Andrea Austin is the inaugural Emergency Medicine Program Director at Sacred Heart in Pensacola, Florida. As a Navy veteran, her military service taught her how to perform under pressure and lead teams in high-stakes environments. She brings that same focus to her work in medical education, physician well-being, and healthcare systems change. Dr. Austin is the author of Revitalized: A Guidebook to Following Your Healing Heartline and host of the Heartline: Changemaking in Healthcare podcast. Connect with Dr. Andra Austin:

Happy Holidays from the Sustainable Clinical Medicine Podcast! In honour of the holidays we are replaying our top two episodes of 2025. This week we're excited to bring you a replay of Episode 125 of the Sustainable Clinical Medicine Podcast. In this special episode, Dr. Sarah Smith brings together her “brains trust”—the talented team of assistant coaches from Charting Champions and Smarter Charting—for an inspiring and honest roundtable discussion. Join Dr. Jacqueline Holm-Jhass, Dr. Milene Argo, and Dr. Noel Nelson as they open up about their personal journeys from burnout to rediscovering joy in medicine and share their passion for helping clinicians create better clinical days. You'll hear first hand stories about the real costs of working after hours, practical strategies for managing the chaos of unpredictable clinic days, and priceless reminders that you are not alone in the struggle. The coaches offer compassionate advice on emotional regulation, self-compassion, and the vital importance of finding celebration and purpose—even on the hardest days. Whether you're deep in the trenches of clinical work or just starting to think about how to make medicine more sustainable, this episode is packed with relatable insights, encouragement, and actionable wisdom to help you reclaim time for your life outside of medicine. Get ready to meet the coaches who are changing the way clinicians approach their clinical days and rekindling love for the profession—one conversation at a time. Here are 3 key takeaways from this episode: You're Not Alone: Every physician experiences overwhelm—even the coaches and leaders we look up to. Vulnerability and community are key to finding solutions and breaking the cycle of isolation. Small Wins & Self-Compassion Matter: Shifting from self-criticism to celebration of even tiny wins each day (like finishing one tough chart, or supporting a grieving patient) helps change the narrative and builds resilience over time. The System is Broken, Not You: The impossible demands of modern medicine make it crucial to set boundaries and redefine what “good enough” looks like for you, rather than striving for unattainable perfection. The Charting Champions Coaches Dr. Sarah Smith and her vibrant Charting Coach team: Dr. Jacqueline Holm-Jhass, Dr. Milene Argo, and Dr. Noel Nelson. Get ready for an honest, supportive, and practical conversation about what it truly takes to create a sustainable, joyful clinical day as a physician or clinician. -------------- Would you like to view a transcript of this episode? Click here ****Get in on the Backlog Buddies Sale where All Session in June are only $10 https://www.backlogbuddies.com/ **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to the Sustainable Clinical Medicine Podcast! In this special episode, Dr. Sarah Smith joins forces with Dr. Priyanka Venugopal from the Unstoppable Mom Brain Podcast for a deeply insightful conversation all about reclaiming time and creating more sustainable clinical practices. Together, they dive into the real-life struggles physicians face when it comes to finishing work at work—and not letting charting and paperwork spill into precious family time. Dr. Smith shares her own journey of burnout, the “aha” moments that changed her approach forever, and the practical strategies that helped her—and now hundreds of other clinicians—conquer endless documentation and interruptions. This episode is packed with actionable gems, from simple mindset shifts to rethinking workflow, delegation, and team dynamics. Whether you're a physician, a professional working mom, or anyone craving more balance between career and home, this conversation will inspire you to rethink what's possible. Tune in for tangible tips, relatable stories, and a whole lot of encouragement to create those “bucket loads of time” you've been searching for. Here are 3 key takeaways from this episode: Redesign Your Workflow—One Small Step at a Time: Challenging your status quo doesn't require a massive overhaul overnight. Dr. Smith emphasizes starting with one thing you wish were different, then getting curious about how to make that change—whether it's charting as you go or setting clearer boundaries for finishing tasks before heading home. Choose the 'Goat Track' over the 'Superhighway': Our brains crave familiar (often inefficient) routines. Breaking those habits will feel awkward and slower at first, but staying consistent creates more “bucket loads of time”—those open evenings and weekends we all crave. Teamwork and Delegation Create Freedom: Whether you have a team or work solo, look for ways to delegate, systematize, and create assets that make recurring tasks easier. Training others (or even your future self!) means you spend your best energy on what truly requires your expertise. Episode 102: Burn Stress. Lose Weight. Podcast (Formerly the Unstoppable Mom Brain Podcast) https://www.burnstressloseweight.com/blog/getting-work-done-at-work-with-dr-sarah-smith In this episode of the Unstoppable Mom Brain Podcast, I have Dr. Sarah Smith sharing her journey from being a rural family physician to becoming an expert in optimizing work-life balance for physicians, particularly focusing on completing tasks efficiently during clinical hours. Dr. Smith's transformation from struggling with work-life balance to finding simplicity and joy in her professional and personal life is inspiring. Through her coaching, she helps physicians reclaim their time, reduce stress, and prioritize their well-being while excelling in their careers. Tune in to this episode to unlock valuable insights and actionable strategies that will empower you to achieve greater balance, joy, and success in your professional and personal life. Sarah Smith is the Charting Coach for Physicians and clinicians and a practicing Rural Family Physician in Alberta. Sarah is the founder of the Charting Champions Program helping more than 150 Physicians in the specific area of getting home with their charting done. She has a passion for reducing burnout and overwhelm resulting from the administrative burden of clinical medicine. Using evidence-based coaching to help Physicians find their most simple solutions within the clinical environments that they work in. Sarah is married to her husband of 21 years and has two sons and lives on her small farm. Evenings and weekends are for enjoying pursuits such as farming, exploring, reading and coaching. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

In today's episode, I'm joined by Hannah Wells and Sarah Smith, the practitioners behind The Mending—a virtual wellness collaborative focused on root-cause, personalized healing. Both Hannah and Sarah share their deeply personal stories of navigating years of diagnoses, symptoms, and frustration within both holistic and allopathic medicine. Their journeys led them to a quieter, more discerning approach to wellness—one rooted in listening to the body, integrating science and soul, and resisting the pressure to chase every trending protocol. If you've felt overwhelmed, discouraged, or unsure where to begin in your health choices, this episode offers clarity, compassion, and a grounded path forward.Work with The Mending CollaborativeConnect with Hannah + Sarah on Instagram

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Today, we're joined by Mary Remón, a licensed counselor and experienced coach who has spent over two decades supporting healthcare professionals. Mary brings a wealth of insight from her work managing Employee Assistance Programs and coaching physicians through the unique challenges of burnout, compassion fatigue, and career sustainability. In this conversation, Mary and Dr. Sarah Smith dive deep into the realities of working in healthcare, the stigma around seeking help, and practical strategies for building resilience and well-being. Whether you're a clinician, a leader, or simply interested in the human side of medicine, this episode is packed with wisdom and actionable advice. Here are 3 key takeaways from this episode: Confidential Support Is Available for Healthcare Professionals: Employee Assistance Programs (EAPs) offer confidential counseling and support for physicians and clinicians. Most concerns about privacy and stigma are unfounded—these services are designed to protect employees and are not part of personnel files or medical records, except in rare safety-related cases. Burnout and Compassion Fatigue Are Common—But Not Personal Failures: Many physicians experience burnout, imposter syndrome, and compassion fatigue due to the demanding nature of their work. These are normal reactions to challenging environments, not signs of weakness or failure. Recognizing and talking about these issues is the first step toward healing. Small, Positive Changes and Support Networks Make a Big Difference: Sustainable well-being comes from making small, manageable changes—like setting boundaries, celebrating small wins, and seeking support from peers or coaches. Sharing struggles and accepting help can break the cycle of isolation and lead to meaningful improvements in mental health and job satisfaction. Meet Mary Remón: Mary Remón is a licensed counselor, certified coach, and Certified Employee Assistance Professional with over 20 years of experience in healthcare. In her professional role, she has coached physicians and leaders at hundreds of healthcare institutions across North America, including many leading academic medical centers. Mary previously managed employee assistance programs on-site at two academic medical centers, supporting physicians, leaders and frontline staff. She continues to support physicians and leaders through her private practice. Connect with Mary Remón:

Do you ever feel like your workday follows you home — in the form of unfinished charts, inbox messages, and nagging guilt about what's still left to do? You're not alone. For many physicians, charting is the part of the job that never seems to end — and it can leave you feeling exhausted, behind, and questioning whether you'll ever catch up. Today's guest, Dr. Sarah Smith, knows that struggle firsthand. As a rural family physician, she spent years buried under a mountain of paperwork until she discovered a way to completely transform her workday. Now, as the founder of Charting Coach, she's helped hundreds of physicians learn to finish their notes on time — and reclaim their evenings, weekends, and peace of mind. In this empowering conversation, Dr. Smith and I dive into the mindset and systems that help physicians finally get ahead of their charts. You'll learn why this isn't just about efficiency, but about freedom — the freedom to leave work at work and enjoy the rest of your life again. In this episode we're talking about: The moment Dr. Smith realized she couldn't keep living in "charting chaos" How noticing — rather than judging — your patterns is the first step toward change How perfectionism and impostor syndrome impact charting Practical strategies for charting in real time and managing your day more intentionally How to set boundaries, reduce interruptions, and get notes done before the next patient What "good enough" documentation can look like — and why it's more than enough Some tips for using AI to help with charting You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/episode235 Links for this episode: Connect with Dr. Smith: Website: https://www.chartingcoach.ca Facebook: https://www.facebook.com/ChartingCoach/ Instagram: https://www.instagram.com/thechartingcoach/ LinkedIn: https://www.linkedin.com/in/sarah-smith-999101200

Isaiah 2:1-5

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this podcast episode #150 we shine a light on the real experiences of early-career medical professionals and listening to the voices of junior doctors. I'm your host, Dr. Sarah Smith, and today we're joined by Victoria Lister—researcher, workplace coach, and passionate advocate for change in healthcare. Diving into the hidden struggles junior doctors face: the culture of silence, the impact of discrimination and burnout, and the critical importance of psychological safety at work. Victoria shares her research and personal insights on why so many doctors feel unable to speak up, and what leaders and colleagues can do to create safer, more supportive environments. Whether you're a medical professional, a student, or simply interested in the future of healthcare, this conversation is packed with eye-opening stories and practical advice. Let's get started! Here are 3 key takeaways from this episode: The Culture of Silence in Medicine: Junior doctors often feel unable to speak up about their working conditions due to fear of retaliation, career setbacks, and entrenched hierarchies. This silence can have serious consequences for both staff wellbeing and patient safety. Psychological Safety is Essential: Creating environments where junior doctors feel safe to voice concerns is crucial. Leadership that listens, acts, and genuinely supports staff can transform toxic workplaces into supportive, high-performing teams. Discrimination and Burnout are Widespread: Issues like bullying, harassment, and discrimination—based on gender, race, or background—are still prevalent in medical training. Addressing these challenges requires systemic change, open conversations, and collective action to ensure a healthier future for all healthcare professionals. Meet Victoria Lister: Victoria Lister is a researcher in the Business School at Griffith University in Brisbane, Australia. Her PhD research investigates junior doctors' working conditions silences and how the medical profession acts as a barrier to voice. To support junior doctors, Victoria trained as a workplace coach and is currently researching and delivering a ‘coaching for communication' program for emergency medicine clinicians. She also works on other research projects in the medical context; has consulted on a healthcare workforce wellbeing initiative and a cultural change program designed to address bullying, harassment and discrimination in medicine; and has published on these themes. Connect with Victoria Lister:

Episode 217Series: On the Mission Field - 24We have another great opportunity to sit down and talk with missionaries! In this episode, we are talking with Zach and Sarah Smith, missionaries to American Samoa. If you are anything like Jay, the only thing you might know about American Samoa are the famous people that originate or descend from there, like Tulsi Gabbard or Dwayne Johnson. There is so much more to the territory than its celebrities, of course, like the more than 50,000 souls that currently live there. Many of them would say they are Christian, but they do not have a personal relationship with Christ. These are the ones with whom Zach and Sarah would like to share the gospel. You will get to hear about God's call on both their individual lives and their life as a married couple, the work that has yet to be done in American Samoa, and what God is doing there right now. Could God be moving you to partner with them in the work?Listen to the Removing Barriers Podcast here:Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://cutt.ly/Ega8YeI⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Apple Podcast: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://cutt.ly/Vga2SVd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Edifi: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://cutt.ly/Meec7nsv⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://cutt.ly/mga8A77⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Podnews: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podnews.net/podcast/i4jxo⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠See all our platforms: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://removingbarriers.net⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Contact us:Email us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://removingbarriers.net/contact⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Financially support the show: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://removingbarriers.net/donate⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Affiliates:Book Shop: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bookshop.org/shop/removingbarriers⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Christian Books.com: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.christianbook.com/Christian/Books/home?event=AFF&p=1236574⁠⁠⁠See all our affiliates: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://removingbarriers.net/affiliates⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notes:Website: https://smithstosamoa.com/

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith explores the challenges of balancing mental load and domestic labor, particularly for women in medicine. She is joined by Dr. Pip Houghton, a family physician, facilitator, and advocate for women's wellness. Dr. Houghton shares her expertise in mental health and her personal journey with the Fair Play Method, offering practical strategies for creating more equitable and joyful lives at home and at work. Together, they discuss how open communication, trust, and small changes can lead to big results for busy professionals and families. Listeners will gain valuable insights into sharing responsibilities, building supportive partnerships, and lightening the mental load—making this episode a must-listen for anyone seeking balance and sustainability in their personal and professional lives. Here are 3 key takeaways from this episode: The Fair Play Method Empowers Equitable Domestic Labor Pip Houghton shares how the Fair Play Method helps families clearly define, distribute, and take ownership of household tasks. This system reduces mental load, prevents resentment, and creates more space for joy, self-care, and professional fulfillment—especially for women physicians. Open Communication and Trust Are Essential Successful implementation of Fair Play and equitable labor requires honest conversations and mutual trust between partners. Letting go of micromanagement and allowing each person to fully own their responsibilities is key to reducing stress and building a supportive partnership. Small Changes Lead to Big Results Pip emphasizes starting with one small task—like managing garbage or backpacks—to build momentum and confidence. Gradually, these small wins can transform household dynamics, involve children in responsibilities, and even improve teamwork in professional settings. Meet Dr. Pip Houghton: Dr Phillippa "Pip" Houghton is a family physician on Vancouver Island providing addiction, mental health and primary care to adults and youth in her community. Dr Pip completed a B.Sc. in Kinesiology from the University of Victoria (2011), medical school at The University of Wollongong (2015) and family practice residency through the University of British Columbia in 2019. In addition to her formal education, Dr Pip is particularly supporting families in navigating the many challenges that we all face when it comes to balancing the demands of the three P's (partner, professional, parent). Dr Pip has pursued additional education in the areas of perinatal Mental Health, digital health and wellness and most recently as a Fair Play Facilitator. In addition to her assigned roles, Dr Pip is also a mother to three boys, wife to an amazing husband, house hippo owner, new-ish CrossFit enthusiast, creative writer, book club enthusiast and cut-flower garden newbie. Connect with Dr. Pip Houghton:

Jennifer Lowe, Director of Foundations and Community Relations at Cuyuna Regional Medical Center, and Sarah Smith, Executive Director of Smiles for Jake, preview Snow Many Smiles and Cuyuna Christmas at Crosby Memorial Park on December 6. They highlight all the fun, free family activities planned for the day and share gratitude for the sponsors whose continued support helps Cuyuna Christmas grow year after year.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Becket Mahnke, a pediatric cardiologist and seasoned Chief Medical Information Officer, to explore the evolving landscape of clinical informatics and practical strategies for making your clinical day more sustainable. Together, they dive into the complexities of electronic health record (EHR) systems—especially Epic—and discuss how thoughtful design, team-based approaches, and data-driven solutions can reduce physician burnout, enhance care efficiency, and foster more meaningful patient interactions. From leveraging AI-powered ambient dictation and chart summarization tools, to reimagining clinic workflows and setting healthy boundaries for clinicians, this conversation is packed with insights to help you reclaim time for yourself while delivering excellent patient care. Whether you're an EHR power user, an informatics enthusiast, or simply searching for ways to optimize your workday, you'll find actionable tips and a dose of inspiration in today's episode. Here are 3 key takeaways from this episode: Thoughtful EHR Design: Dr. Becket Mahnke emphasized that EHR systems, especially EPIC, are shaped by user requests—leading to many ways to do the same thing, but also plenty of opportunities to streamline workflows by standardizing processes at the organizational level. Teamwork for Efficiency & Wellness: Measuring teamwork (like tracking how many orders are started by team members rather than just physicians) can reveal powerful opportunities for redesigning clinical workflows. Taking a team-based approach relieves cognitive load and enables clinicians to spend more quality time with patients. AI & Ambient Documentation: Dr. Becket Mahnke shared how new AI-driven ambient dictation and chart summarization tools are true game changers, letting providers focus on real patient conversations—benefiting not just the clinician, but also the patient experience. Meet Dr. C. Becket Mahnke: Dr. C. Becket Mahnke is the Chief Medical Information Officer at Confluence Health and a practicing pediatric cardiologist. He is board‑certified in Clinical Informatics, an Epic‑certified Physician Builder, and serves on Epic's Physician Advisory Council. Under his leadership, Confluence Health has delivered measurable improvements in clinician experience—reducing EHR burden and after‑hours work, increasing patient portal adoption, and earning top‑quartile ARCH Collaborative EHR satisfaction, AMA Joy in Medicine™ Gold, and the WSMA Apple Award. His current focus is pragmatic, sustainable design and AI that protects clinician attention and improves care. You can find Dr. C. Becket Mahnke on: LinkedIn: www.linkedin.com/in/cbecketmahnke -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Luke 20:27-38

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Cheryl Chase, a clinical psychologist and expert in attention and learning disorders, to explore the unique challenges clinicians face in making their workday more sustainable. Dr. Chase shares her journey from working with children to advising physicians and other adults, highlighting practical strategies for maintaining executive function, managing overwhelming administrative tasks like charting, and coping with burnout and decision fatigue. The conversation dives deep into how both neurodiverse and neurotypical clinicians can adopt simple, habit-based solutions to tackle the ever-growing workload, find ways to set boundaries, and build systems that truly support wellbeing—inside and outside the clinic. Whether it's accepting that perfection is unattainable, learning to disappoint others when necessary, or using visual tools and external reminders to stay organized, Dr. Chase brings relatable wisdom and actionable advice to help listeners preserve their energy and get home with their work done. If you've ever wondered how to start tackling that painful chart backlog, keep your executive function sharp throughout the day, or simply give yourself more grace at work, you're in the right place. Get ready for a thoughtful, empowering discussion packed with ideas you can put into practice today. Here are 3 key takeaways from this episode: Habits Beat Willpower: Whether it's charting, managing emails, or tackling that overwhelming to-do pile, consistent habits and small rewards can make all the difference. Set up simple, repeatable systems to take the edge off tasks you hate—pair a reward with every chart completed, or celebrate reaching micro-goals. Radical Acceptance & Boundaries: It's okay (and necessary) to get comfortable disappointing others. You can't (and shouldn't) say yes to everything—prioritize your energy for the things and people that matter most. Set clear boundaries for email, patient messages, and team interruptions. Support Your Executive Function: Fatigue and burnout are real. Proactively support your brainpower with quality sleep, mindful breaks, minimal task switching, and templates to reduce decision fatigue. Even short, timed bursts of focused work can move you forward! Meet Dr. Cheryl Chase: Dr. Cheryl Chase is a licensed clinical psychologist based in Independence, Ohio (a suburb of Cleveland), specializing in ADHD, learning disorders, and emotional challenges across the lifespan. Through PSYPACT, she is able to serve clients in over 42 states in the US. She's also an international speaker and consultant, known for making complex topics like executive function and dyslexia both relatable and actionable. Whether she's working with families, schools, or businesses, Dr. Chase blends science with real-world strategies—and a dose of humor. -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Kate Adie presents stories from the USA, Jamaica, Uganda, Kazakhstan and Germany.Zohran Mamdani won New York City's race for mayor in a contest that rallied young voters and sparked debate about the future direction of the US Democratic Party. BBC North America editor Sarah Smith considers the political choices and challenges ahead.The world watched last week as Hurricane Melissa slowly crashed into Jamaica, causing extensive damage across the island – and killing at least 75 people across the region. Nada Tawfik witnessed the damage caused on Jamaica's West coast.The glaciers in Uganda's Rwenzori mountains sustain unique ecosystems, but are rapidly reaching the point of no return as they continue to shrink. Hugh Kinsella Cunningham joined local community groups trying to mitigate the effects of climate changes in the region's foothills.Kazakhstan's economy is very much on the up, as it forges closer ties with China. Tim Hartley recently returned to the country after a hiatus of some two decades – as he followed the Wales football team, which was playing there - and saw up-close how the country has changed.The Berlin Wall became a concrete manifestation of the Cold War division between East and West – but it was by no means the only barrier built during this era. John Kampfner travelled to a small village in south Germany that was once divided by a wall of its own, which radically changed the lives of locals living there.Producer: Serena Tarling Production coordinators: Katie Morrison and Sophie Hill Editor: Richard Fenton-Smith

Kate Adie presents stories from the USA, Jamaica, Uganda, Kazakhstan and Germany.Zohran Mamdani won New York City's race for mayor in a contest that rallied young voters and sparked debate about the future direction of the US Democratic Party. BBC North America editor Sarah Smith considers the political choices and challenges ahead.The world watched last week as Hurricane Melissa slowly crashed into Jamaica, causing extensive damage across the island – and killing at least 75 people across the region. Nada Tawfik witnessed the damage caused on Jamaica's West coast.The glaciers in Uganda's Rwenzori mountains sustain unique ecosystems, but are rapidly reaching the point of no return as they continue to shrink. Hugh Kinsella Cunningham joined local community groups trying to mitigate the effects of climate changes in the region's foothills.Kazakhstan's economy is very much on the up, as it forges closer ties with China. Tim Hartley recently returned to the country after a hiatus of some two decades – as he followed the Wales football team, which was playing there - and saw up-close how the country has changed.The Berlin Wall became a concrete manifestation of the Cold War division between East and West – but it was by no means the only barrier built during this era. John Kampfner travelled to a small village in south Germany that was once divided by a wall of its own, which radically changed the lives of locals living there.Producer: Serena Tarling Production coordinators: Katie Morrison and Sophie Hill Editor: Richard Fenton-Smith

Roger Ehrenberg is the Co-founder of Game Changers Ventures and IA Ventures.We talk about the current Seed stage venture environment, what he learned investing in sports teams, how COVID changed sports, what he's investing in today, characteristics of the top founders, advice for emerging managers, and his real estate and consumer brand projects in Detroit.Thank you to Michael Kim, Jon Oberheide, Jesse Beyroutey, James Fitzgerald, Dan Feder, Sarah Smith, Marc Weisser, and Charles Hudson for help brainstorming topics for the conversation.Thank you to Hanover Park for supporting this episode. Upgrade to an AI-native fund admin at https://www.hanoverpark.com/TurnerTimestamps:3:45 Current Seed stage market7:17 Starting Game Changers to invest in sports 12:25 Investing in the Miami Marlins16:45 Investment opportunities in sports18:21 Tomorrow Golf League23:54 Investing in sports teams25:50 Business models in sports27:12 Importance of real estate development, gambling32:53 How COVID changed sports38:41 Clippers experimenting with cheap tickets & concessions41:51 Opportunities monetizing super fans46:51 Sports as an investable venture asset53:24 Great founders find big TAMs56:31 The desire to win58:09 Sending letters to break into Wall Street from Michigan1:02:38 Raising IA Ventures Fund 1 in 20091:07:58 Advice for emerging managers1:13:18 The Trade Desk's three bridge rounds1:18:03 Lessons on recycling capital1:20:16 What it's like working with your kids1:24:53 Brand Detroit1:29:14 Being world class at multiple disciplinesReferencedGame Changers Ventures: https://gamechangers.vcIA Ventures: https://www.iaventures.comEberg Capital: https://www.ebergcapital.comTGL Golf: https://tglgolf.comBrand Detroit: https://www.branddetroit.comFollow RogerTwitter: https://x.com/infoarbitrageLinkedIn: https://www.linkedin.com/in/rehrenbergFollow TurnerTwitter: https://twitter.com/TurnerNovakLinkedIn: https://www.linkedin.com/in/turnernovakSubscribe to my newsletter to get every episode + the transcript in your inbox every week: https://www.thespl.it/

Luke 19:1-10

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this special solo episode, Dr. Sarah Smith—family doctor, clinical day advisor, and charting coach—reflects on a major milestone: the five-year anniversary of the Charting Champions program. She shares her personal journey from burnout and paperwork overwhelm to developing sustainable strategies for physicians and clinicians to reclaim time, boost efficiency, and improve quality of life. You'll hear the inspiring story behind Charting Champions, how the program was built step-by-step, its expansion to help a diverse range of specialties, and real success stories from members who have transformed their clinical day. Dr. Sarah Smith also highlights the value of peer support, assistant coaches, and expert guest workshops that make this community thrive. Whether you're struggling with backlog, searching for better ways to manage your administrative burden, or simply wanting to enjoy more time outside of medicine, this episode is packed with practical advice, encouragement, and a celebration of what's possible when strategy meets support. Stick around for updates on upcoming masterclasses, backlog events, and ways you can get more involved with a thriving network dedicated to making clinical medicine more sustainable—one chart at a time. Here are 3 key takeaways for anyone striving for more sustainable and fulfilling clinical work: Sustainable Strategies Work: The Charting Champions approach (now with 1,500+ doctors) has led to a significant reduction in hours spent on charting and paperwork outside of clinical hours—without impacting patient care or volume. Improved Quality of Life: Data from the program shows doctors reported greater focus, more control over their day, increased mental energy, and a marked decrease in burnout and work-related dread. Community & Lifelong Support: Lifetime access, peer support, and live coaching calls offer tailored help for every stage and change in a clinician's career. Programs like Backlog Buddies provide a judgment-free space to tackle paperwork with others, making tough tasks more doable—and even fun! Meet The Charting Coach: Dr. Sarah Smith is a dedicated family doctor, clinical day advisor, and the innovative mind behind the Charting Champions coaching program. As host of the Sustainable Clinical Medicine podcast, Dr. Smith shares inspiring conversations with colleagues and world experts to help physicians find more sustainable ways to navigate their clinical day and carve out time for life outside medicine. In October 2020, she launched Charting Champions, which now celebrates its fifth anniversary, empowering doctors to transform their charting processes and clinical routines. With remarkable passion, Dr. Smith continues to support and guide healthcare professionals, equipping them with strategies to enhance well-being and thrive both in and out of practice. -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

The Rev. Steve Palmer-All Saints Day-Revelation 7:9-17

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith is joined by Dr. Archana Shrestha—an emergency physician, certified coach, author, and founder of the Mama Doc School and Physician Wellness Solutions. Together, they dive deep into the journey of physician burnout, particularly from the perspective of emergency medicine. Dr. Shrestha shares her personal story of navigating the double burden of clinical and parental burnout, and how she transformed her approach to wellness by addressing not just physical exhaustion, but also the crucial mental and emotional components. Listeners will hear about practical strategies for reclaiming energy, building emotional resilience, and making time for life outside of medicine. Dr. Shrestha opens up about the challenges women in medicine face, the importance of self-stewardship, and why addressing the dread around tasks like charting can have far-reaching impacts on personal health and quality of life. Whether you're looking to overcome burnout, manage stress eating, or simply feel more fulfilled in your medical career, this episode is packed with insightful advice and real-life inspiration for making clinical practice more sustainable. Here are 3 key takeaways from this episode: Burnout has multiple layers: It isn't just physical exhaustion. Addressing mental and emotional fatigue is just as crucial for true recovery and lasting wellness. Processing emotions is a skill, not a luxury: Dr. Shrestha details a practical method (the “H & P” approach) for health professionals to name, rate, and process difficult emotions—crucial in high-stress environments like the ER. Self-stewardship is essential: True self-care goes beyond the occasional treat; it's about reclaiming basic needs like sleep, movement, healthy food, and time for yourself—so you can give your best at work and at home. Meet Dr. Archana Shrestha: Dr. Archana Shrestha is an emergency physician, certified coach, author, and speaker who is passionate about helping physicians create lasting wellness. She is the founder and Chief Wellness Officer of Mama Docs School and Physician Wellness Solutions, where she leads programs designed to reduce burnout and help doctors reclaim their health, energy and joy in medicine. Drawing from both her personal journey and professional expertise, Dr. Shrestha's mission is to empower physicians not just to survive the demands of medicine—but to truly thrive. You can find Dr. Archana Shrestha on: Instagram: https://www.instagram.com/mightymommd/ https://www.mamadocsschool.com/ https://physicianwellnesssolutions.com/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Joining Iain Dale on Cross Question are the climate policy campaigner Scarlett Westbrook, the former Conservative minister Paul Scully, Labour MP Sarah Smith and the political commentator and strategist Matthew Lesh.

When a meet-cute becomes a meet-hate. Want to talk conflict, sparks, and all the delicious tension that comes when two people shouldn't be meeting, yet absolutely do? In this episode, hosts Sarah Smith & Skye McDonald dive into the trope of the “meet-hate,” that moment when attraction isn't instant, misunderstandings fly, and rivalry becomes the unlikely prelude to romance. We'll unpack: Why authors love pitting characters against each other at first sight How a strong “hate” stake raises the emotional and romantic tension Examples of meet-hates in our books romance Reader reactions: what works, what flops, and when the hate flips to love Whether you're a writer building your next meet-hate scene, or a reader who thrills at enemies-to-lovers in fast-forward, you're going to want your headphones for this one. It's quick, it's dirty (romance-style), and we promise to leave you satisfied. Tune in and let's stir up some tension.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In today's episode, Dr. Sarah Smith sits down with Dr. Laura Sutton, a family physician from Texas who has transitioned from full-time clinical practice to a dynamic career in consulting, coaching, and leadership within healthcare organizations. Dr. Sutton shares her journey from frontline family medicine into administrative roles, highlighting the unique challenges faced in both spheres — from adapting to EMRs and managing work-life balance, to navigating the delicate balance between administrative demands and patient care. Together, Dr. Sutton and Dr. Smith explore strategies for creating more sustainable clinical days, reducing administrative burdens, fostering effective team communication, and building supportive leadership structures that empower clinicians. Whether you're a clinician yearning for more time and less burnout, or a healthcare leader aiming to build thriving teams, this conversation offers valuable insights and actionable ideas for making clinical practice more sustainable for everyone. Here are 3 key takeaways from this episode: Effective Leadership Matters: Sutton emphasized how team well-being starts with leadership—respect, transparency, and clear communication are foundational to a clinic's success. Boundaries Create Balance: She shared actionable strategies for clinicians to set boundaries between administrative duties and patient care, like physical/electronic separation and explicit policies for inbox coverage. These systems help prevent overwhelm and improve workflow. Team-Based Support Reduces Burden: Morning team huddles, warm handovers, and a buddy system for inbox management are just a few processes that can bring teams together, streamline care, and foster continuity for patients. Meet Dr. Laura Suttin: Dr. Laura Suttin is a physician, former healthcare executive, certified coach, speaker, organizational consultant, and author of The Purposeful MD-Creating the Life You Love Without Guilt. With decades of leadership experience, Laura partners with healthcare organizations to realign leadership and culture around her proprietary Compass Framework: Purpose, Connection, Empowerment, and Joy. Her work addresses burnout at its root—by transforming misaligned, fragmented cultures into high-performing environments where people thrive, outcomes rise, and the business bottom line improves. Laura's clients stop chasing short-term burnout fixes and instead build resilient, sustainable healthcare systems—where engagement grows and both people and performance flourish. You can find Dr. Laura Suttin on: Linked In: https://www.linkedin.com/in/laura-suttin-md/ Facebook: https://www.facebook.com/lauraksuttin Instagram: https://www.instagram.com/laurasuttinmdcoach Ticktok: https://www.tiktok.com/@thepurposefulmd YouTube: http://www.youtube.com/@thepurposefulMD -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. David Park—a family physician, medical educator, executive coach, and true leadership enthusiast. Dr. Park shares his incredible journey, from immigrating to the U.S. from South Korea, to his early days as core faculty in New York, through pioneering roles as a founding dean in new medical schools across Nevada, Utah, and Montana. Together, they dive into the realities of building a meaningful, sustainable medical career while juggling clinical practice, entrepreneurship, and leadership. Dr. Park opens up about the personal lessons he's learned—including the importance of taking care of your own well-being, strategies for time management, and why effective delegation can empower both you and your team. He also discusses the value of faculty development, executive coaching, and how reconnecting with your purpose can fuel longevity and joy in medicine. If you're a clinician looking to craft a career path that honors your ambition while making room for balance, this episode is packed with wisdom you can put into action. Let's dive in! Here are 3 key takeaways from this episode: Prioritize Self-Care Alongside Career Growth: No role is sustainable if it comes at the expense of your mental, physical, or spiritual health. Carve out time for rest, exercise, and reflection—even in the busiest phases of your career. Delegation and Teamwork Drive Sustainability: Great leaders delegate effectively, leaning on the strengths and passions of their teams. Not only does this elevate others, but it keeps your own workload manageable and fosters a culture of shared success. Invest in Lifelong Growth and Development: Never stop learning. Whether through executive coaching, public speaking courses, or leadership workshops, continued personal and professional development empowers you and those you mentor. Meet Dr. David Park: Dr. David Park is a dual board-certified family physician, medical educator, and nationally recognized leader in medicine. He has served in numerous leadership roles including medical school dean, residency program director, and president of the American College of Osteopathic Family Physicians. Dr. Park has served on boards of various medical organizations at the local, state, and nation levels. He is passionate about leadership development, health and wellness, and developing the next generation of physician leaders. He is also an executive coach and his mission is to cultivate leaders by inspiring purpose, building confidence, and developing action-oriented leadership skills with the ultimate goal of creating a legacy of leadership. You can find Dr. Daavid Park on: Linked In: https://www.linkedin.com/in/davidjparkdo/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Pam Pappas, a seasoned psychiatrist based in Scottsdale, Arizona, whose passion for supporting physicians through burnout has shaped a unique and impactful career. Drawing on her extensive background in psychiatry, integrative medicine, homeopathy, and spiritual wellness, Dr. Pappas shares her personal journey through multiple cycles of burnout and the hard-won wisdom that emerged from those experiences. Together, Dr. Smith and Dr. Pappas explore the realities of working in high-pressure medical environments, the myth that changing jobs will always solve burnout, and the deep cultural expectations in medicine that can make doctors feel isolated and inadequate. Dr. Pappas discusses how coaching—still a novel concept for many in healthcare—became a lifeline for herself and now forms the cornerstone of her work with colleagues seeking more sustainable and fulfilling clinical lives. Listeners will gain insight into the importance of self-reflection, tapping into one's inner wisdom, and making authentic choices—whether that means reshaping your current position or making a courageous transition. This conversation offers tangible hope and guidance for clinicians who are craving real change and a more balanced, joyful path in medicine. Here are 3 key takeaways from this episode: Real Healing Goes Beyond the Surface: Burnout isn't just about toxic environments—it's also about how we process and integrate our experiences as clinicians. Coaching can help us ask deeper questions, like “What do you truly want?” instead of just “How do you cope?” Mentorship Isn't the Same as Coaching: Traditional medical mentorship often models unsustainable work habits, while coaching creates space for reflection, self-discovery, and personalized pathways to change—something most doctors have never been asked to do. Your Wisdom Is a Hidden Superpower: Dr. Pappas highlights the importance of tapping into our own innate wisdom—beyond intellect and rote skills—to guide us toward more aligned, joyful, and sustainable careers in medicine. Meet Dr. Pam Pappas: Pam Pappas MD, FAPA is a highly experienced psychiatrist and physician coach who helps physicians cultivate clarity, compassion, wisdom, and FUN in their personal lives, medical practices, teams, and organizations. She lives and works from a psychospiritual understanding that takes excess worry and stress off our minds, and revives hope, insight, autonomy, and sense of purpose. This "Wisdom-Informed" orientation allows more natural, fulfilling, and effective action in the world -- transforming burnout into wholehearted living, working, and leading. You can find Dr. Pam Pappas on: Facebook: @TheAHADoctor Linked In: https://www.linkedin.com/in/pampappasmd/ Website: https://www.thehappymd.com/physician-coach-pam-pappas Website: https://drpampappas.com/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Psalm 37:1-17

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Brittany Anderson, a passionate rural family medicine physician from Alabama who's breaking the myth that private practice is dead. Dr. Anderson shares her inspiring journey from employed, academic medicine—where bureaucracy and lack of autonomy led to burnout—to launching her own thriving private practice in 2022. She opens up about the challenges and rewards of creating a sustainable, patient-centered clinic from the ground up, how she built a strong team, and the financial realities of going solo. Dr. Anderson also offers valuable advice for physicians considering private practice, emphasizing the importance of vision, efficient teamwork, and maintaining personal well-being along the entrepreneurial journey. If you've ever wondered what it takes to make private practice work in today's healthcare landscape, or you're navigating burnout yourself, this episode is packed with practical insights, encouragement, and hope. Tune in and get ready to be inspired! Here are 3 key takeaways from this episode: Build on a Strong Foundation: Before launching your own practice, get crystal clear on your vision and mission. Let these guide every decision—from hiring to daily processes—so you create a practice aligned with your purpose. Teamwork & Efficiency Matter: Dr. Anderson credits her success to a well-integrated team. Investing in proper team formation, regular huddles, and empowering every staff member (from receptionist to nursing staff) leads to efficient care, happier patients, and less burnout. Start Lean, Grow Smart: You don't need the fanciest setup to begin. Focus on essential expenses, know your numbers, and market purposefully. Dr. Anderson started small, used powerful grassroots marketing, and filled her panel from day one—proof positive that strategic planning works! Meet Dr. Brittney Anderson: I'm Dr. Brittney Anderson, a board-certified family medicine physician and the founder and CEO of Anderson Family Care — a thriving private practice I launched in Alabama in 2022. I completed undergraduate studies at Duke University and medical school at UAB (Birmingham) I did my family medicine residency training at The University of Alabama (Tuscaloosa). I know firsthand how overwhelming (and exhilarating) it can be to step away from traditional models and create something of your own. That's why I'm passionate about helping other physicians reclaim their freedom and joy in medicine by launching successful private practices of their own. In addition to my clinical and coaching work, I host the podcast, Physicians Hanging a Shingle, and I'm honored to serve as current Board Chair of the Alabama Chapter of the American Academy of Family Physicians and Vice-Speaker for the Medical Association of the State of Alabama. I also serve on numerous boards throughout my community and state, working to amplify the voice of physicians and improve healthcare access in Alabama. You can find Dr. Brittney Anderson on: Instagram: @hanging_a_shingle Linked In: https://www.linkedin.com/in/drbrittneyanderson/ Website: https://hangingashingle.com/ Sign up for her weekly newsletter: https://hangingashingle.com/subscribe -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Most physicians don't burn out from patients—they burn out from endless charts, inboxes, and denied claims. After 15 years in “charting chaos,” Dr. Sarah Smith discovered a system to close every chart before leaving work—and now she teaches other physicians how to do the same.In this episode of the NatRevMD Podcast, you'll learn how to:Eliminate 5–30 hours of unpaid work each weekClose charts the same dayStop eligibility denials that drain revenue

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Marcia Kashani, a nurse and experienced healthcare improvement advisor, to explore practical strategies for making your clinical day more efficient, effective, and—most importantly—sustainable. Drawing on years of experience facilitating primary care transformation and team-based initiatives, Dr. Kashani shares stories of real-world success: from leveraging the strengths of every team member, to optimizing clinic workflows, and even reimagining how tasks get delegated to maximize value for both clinicians and patients. If you've ever felt overwhelmed by a never-ending list of tasks, long wait times for appointments, or the challenge of figuring out what you can hand off—and to whom—this is an episode you won't want to miss. Dr. Smith and Dr. Kashani offer actionable insights into improving access, reducing unnecessary physician workload, and embracing change as a path to better care and a better work-life balance. Whether you're part of a large clinic or running a small practice, you'll find inspiration and hope for positive change right here. Tune in and take one step closer to reclaiming time for your patients—and yourself! Here are 3 key takeaways from this episode: Empower Your Team: Distinguish between physician, nurse, and administrative tasks. When tasks are thoughtfully delegated—like patient screening calls or form-filling—clinicians can reclaim time for patient care and improve office efficiency. Reduce Unnecessary Visits: Examine return visit rates and consider whether clinical follow-ups always require physician attention. Thoughtful use of nurses, pharmacists, and even patients' support networks can safely reduce visit volumes and waiting times. Leverage Process Improvement: Document and map out workflows to highlight inefficiencies, duplications, and points of delay (like EMR optimization or referral processing). Even simple changes—like consistently titling scanned documents—deliver significant time savings for clinicians. Meet Dr. Marcia Kashani: Marcia has over 40 years of front-line nursing and progressive leadership experience in primary care, community care and acute care. Notable accomplishments include involvement in the business planning and governance of multiple Primary Care Networks in the Edmonton Zone. In 2005 her focus turned to Quality Improvement and System Redesign where she became the first non-physician AIM faculty, participating in several AIM collaboratives. She completed the Improvement Advisor Program through the Institute of Healthcare Improvement and continued as a facilitator for the program. Most recently, Marcia has been a project manager with the Edmonton Zone Primary Care Networks team and North Zone Primary Care Business Unit, including work with Transitions of Care, Specialty Access and Referral teams, and assisting Practice Facilitators with improvement initiatives. You can find Dr. Marcia Kashani on: LinkedIn: https://www.linkedin.com/in/marcia-kashani-44898638/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Jeff Cohn, a retired hematologist-oncologist whose journey took him from the patient bedside to the halls of hospital leadership and, ultimately, to coaching fellow physicians. Dr. Cohn shares deeply moving stories from his clinical days—like orchestrating a final, meaningful anniversary for two dying patients—as well as the challenges and motivations that led him to transition into healthcare quality improvement. Through engaging anecdotes, Dr. Cohn reveals how he championed transformative approaches to organizational change, particularly the innovative use of “positive deviance” to tackle MRSA infections in the hospital. He explains how listening to frontline healthcare workers and drawing out internal best practices led to remarkable reductions in hospital-acquired infections—by 85%! Along the way, you'll learn about practical facilitative techniques, such as “liberating structures,” that empower teams and ensure every voice is heard. The episode also delves into the realities of clinician burnout, the complexities of driving system-wide change, and Dr. Cohn's current passion: coaching physicians in positive intelligence and mental fitness. Whether you're a healthcare professional or simply interested in sustainable, people-centered medicine, this conversation offers inspiring perspectives and actionable insights on making systems—and ourselves—work better. Here are 3 key takeaways from this episode: Harnessing Frontline Wisdom: Dr. Cohn described the transformative power of inviting frontline staff to identify solutions—a process called “positive deviance.” By genuinely asking nurses, transporters, and other care team members for their ideas (and truly listening), his organization achieved an 85% reduction in MRSA infections, all through internally sourced solutions. Liberating Structures Make Meetings Matter: Traditional hospital meetings too often drain energy and stifle creativity. Dr. Cohn's team used “liberating structures”—simple yet structured facilitation tools—to ensure every voice was heard, which sparked engagement and uncovered innovative solutions. Prioritizing Wellbeing for Sustainable Change: Through his coaching work, Dr. Cohn now helps physicians leverage mental fitness and positive psychology. He emphasizes that systemic change should support—not overwhelm—the clinical workforce, and that even within challenging systems, there are individuals and habits from which we can all learn. Meet Dr. Jeff Cohn: I'm a native Philadelphian, trained as a hematologist/medical oncologist. I practiced/taught/did clinical research full-time for the first 15 years of my career. I then was asked to assume various non-clinical roles (division head, interim Chair of Internal Medicine, Chief Quality Officer). The Chief Quality Officer role ultimately became a full-time role and I held that position for 12 years. Since then I've led a non-profit organization for three years (Plexus Institute) and worked with a couple of design teams as the medical director. I'm now working as a Mental Fitness and Leadership coach with physicians. Along the way I obtained a Masters in Healthcare Management from Harvard School of Public Health. You can find Dr. Jeff Cohn on: Linked In: https://www.linkedin.com/in/jeff-cohn-2738b82b/ Website: https://caretochangecoaching.com/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Philemon 4-21

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. Cynthia Chen-Joea, a double board-certified family and obesity medicine physician, educator, and passionate advocate for physician wellness. Dr. Cynthia shares her personal journey from academic medicine through the challenges of burnout, her transformative experience with coaching, and how becoming a parent reshaped her professional values and priorities. Together, they dive deep into the realities of trauma and harm in medical training, the persistence of unhealthy work habits into clinical practice, and the importance of redefining our identities as physicians. Dr. Cynthia also discusses practical strategies for establishing boundaries, healing from the pressures of perfectionism and people-pleasing, and making medicine truly sustainable. You'll hear about her current work supporting physicians through coaching, retreats, and advocacy, and discover how small daily changes can lead to a more meaningful, balanced career. If you've ever questioned what it means to thrive in medicine, or wondered how to reclaim your empathy and joy for the profession, this conversation is packed with insightful stories and actionable advice. Tune in for a message of hope, transformation, and the reminder that a sustainable career in medicine is possible. Here are 3 key takeaways from this episode: Medical training often normalizes unhealthy patterns: Dr. Chen-Joea highlights how the culture of self-sacrifice and hierarchy during medical training can introduce trauma, shaping physicians to ignore their own needs. Breaking these cycles is essential for lasting well-being. Redefining your career is possible—and necessary: Whether through coaching, boundary-setting, or exploring new roles, Dr. Chen-Joea emphasizes that medicine can be sustainable. Small, intentional changes—like building in non-negotiable personal time—can have a huge impact. Trauma awareness matters (and it's practical): Understanding your own “activation” responses (like fight, flight, freeze, or fawn) is key. Recognizing these signs allows clinicians to proactively care for themselves and model healthy behaviors for colleagues and patients alike. Meet Dr. Cynthia Chen-Joea: Dr. Cynthia Chen-Joea is a physician career and life coach dedicated to helping early-career physicians finding sustainability in medicine by achieving their “career by design” goals while cultivating a healthy work-life balance. She is a double board-certified physician in family and obesity medicine. Dr. Chen-Joea currently serves as a Medical Director of Copa de Oro Medical Group and Inpatient Director at the Charles Drew Family Medicine Residency Program. In addition to her clinical work, Dr. Chen-Joea has held numerous leadership roles, including her past position as Department Chair of Family Medicine, Secretary-Treasurer of the Medical Staff and Physician Advisor at Emanate Health. She is also very active in advocacy on her local, state and national specialty organizations, and currently represents her peers as the New Physician Director on the American Academy of Family Physicians (AAFP) Board of Directors. Dr. Chen-Joea is passionate about advancing physician wellness, advocating at the systemic level, and providing individual coaching support to empower physicians in achieving sustainable careers in medicine. Her interests include inpatient medicine, leadership, advocacy, procedures and women's health. Outside of work, Dr. Chen-Joea enjoys quality time with her two-year-old daughter and her nine-year-old pup, traveling and exploring new cultures with her husband, savoring delicious foods, practicing yoga and Pilates, and indulging in the occasional Netflix reality TV binge. You can find Dr. Cynthia Chen-Joea on: Instagram/Facebook: @thrivationcoaching Linked In: https://www.linkedin.com/in/cynthia-chen-joea-do-mph-faafp-dabom-002b5a1b/ Website: thrivationcoaching.com -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

MThe author of eight novels and two short story collections, Richard Dansky is widely regarded as a leading expert on video game narrative and writing. He has written for franchises including The Division, Assassins Creed, Far Cry, Splinter Cell, and many others, and was also a key contributor to White Wolf's classic World of Darkness horror RPG setting. His upcoming projects include the novel Nightmare Logic from Falstaff Dread, the graphic novel Bridgewater from Delcourt, and the nonfiction book The Video Game Writer's Guide To Surviving an Industry That Hates You.This story is original to StarShipSofaNarration by: Kevin CraybouldKevin Craybould is a newly emerging writer and actor with a background in tech. His upcoming techno thriller Who is Sarah Smith is due out from Ever After Books in 2027. Find him at Metaphors are Lies (kcraybould.substack.com). He also reviews for Bookstack (newbooks.substack.co ). He is a proud alumni of the Ubergroup, an educational non-profit that provides college-level writing courses for working adults, and recommends anyone who wants to learn to write check them out: theubergroup.orgFact: Looking Back At Genre History by Amy H SturgisSupport this show http://supporter.acast.com/starshipsofa. Hosted on Acast. See acast.com/privacy for more information.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! This week, Dr. Sarah Smith sits down with Dr. Diane Sliwka, Chief Physician Experience Officer at UCSF, to explore what it really takes to create a sustainable and fulfilling career in medicine. Dr. Sliwka shares her personal journey through hospital medicine, the challenges of burnout, and how systemic change and leadership can make a real difference for clinicians. Together, they discuss practical strategies for improving work-life balance, the power of advocacy, and the importance of open communication in healthcare organizations. Whether you're a physician, healthcare leader, or anyone interested in the future of clinical practice, this episode is packed with insights and inspiration to help you thrive in your career and support a healthier medical community. Here are 3 key takeaways from this episode: Systemic Change Is Essential for Combating Burnout: Dr. Sliwka's experience highlights that physician burnout is often rooted in systemic issues—such as long hours, inflexible schedules, and excessive documentation. Addressing these challenges requires organizational change, not just individual resilience. Leadership and Advocacy Make a Difference: Taking on leadership roles and advocating for change within the system can lead to meaningful improvements. Dr. Sliwka's journey shows that when clinicians step into leadership and use data to drive decisions, they can influence policies that support well-being, such as improved scheduling, documentation support, and wellness initiatives. Continuous Improvement and Open Communication Are Key: Sustainable clinical practice depends on ongoing feedback, open communication between frontline staff and leadership, and a willingness to adapt. Initiatives like anonymous surveys, regular check-ins, and a culture that values listening to clinicians' needs are crucial for creating a healthier, more supportive work environment. Meet Dr. Diane Sliwka: Diane Sliwka, MD is a Hospitalist and Clinical Professor of Medicine in the Division of Hospital Medicine at the University of California San Francisco Medical Center. In her role as Chief Physician Experience Officer at UCSF Health, she has led provider experience efforts organizationally since 2014. Diane co-designed and facilitated UCSF's well-being centered leadership development program for physicians. She also leads UCSF Health's Center for Enhancement of Communication in Healthcare which provides relationship centered communication skills training for providers. She hosts “The Expansive Life Project” on Instagram, providing personal well-being resources and tips focused on mid-career working professionals. You can find Dr. Sliwka on: Instagram: https://www.instagram.com/theexpansivelifeproject/ Linked In: linkedin.com/in/diane-sliwka-md-59122413b UCSF Web Bio: https://hospitalmedicine.ucsf.edu/people/diane-sliwka -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

The first face to face meeting between Donald Trump and Vladimir Putin since the war in Ukraine started is over, with Donald Trump saying “we didn't get there” on a Ukraine deal, or a ceasefire. The meeting lasted three hours, with the US president insisting progress was made, and Putin saying he is “sincerely interested” in ending the war, but without giving details. The two leaders both addressed the media at the end of the summit, but didn't take questions.In a special collaboration, Adam was joined by Victoria Derbyshire and Vitaly Shevchenko from Ukrainecast and Sarah Smith in Anchorage, Alaska for Americast. You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers. You can join our Newscast online community here: https://tinyurl.com/newscastcommunityhereGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a whatsapp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bit.ly/3ENLcS1 Newscast brings you daily analysis of the latest political news stories from the BBC. It was presented by Adam Fleming. It was made by Tim Walklate and Cai Pigliucci. The social producer was Grace Braddock. The technical producer was Antonio Fernandes. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.

The first face to face meeting between Donald Trump and Vladimir Putin since the war in Ukraine started is over, with Donald Trump saying “we didn't get there” on a Ukraine deal, or a ceasefire. The meeting lasted three hours, with the US president insisting progress was made, and Putin saying he is “sincerely interested” in ending the war, but without giving details. The two leaders both addressed the media at the end of the summit, but didn't take questions.In a special collaboration, Victoria and Vitaly were joined by Americast's Sarah Smith in Alaska and Adam Fleming from Newscast.The producers were Purvee Pattni and Cai Pigliucci. The technical producer was Antonio Fernandes. The social producer was Grace Braddock. The series producer is Tim Walklate. The senior news editor is Sam Bonham.Email Ukrainecast@bbc.co.uk with your questions and comments. You can also send us a message or voice note via WhatsApp, Signal or Telegram to +44 330 1239480You can join the Ukrainecast discussion on Newscast's Discord server here: tinyurl.com/ukrainecastdiscord

Today, Newscast was recorded at the Edinburgh Fringe in front of a live audience.Adam was joined by Americast's Sarah Smith and friend of the podcast James Cook to discuss all things Trump. They chat about what it's like being part of the President's press pack, why Sydney Sweeney's jeans are so controversial, plus what last week's Truth Social posts about nuclear submarines were all about.You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers.You can join our Newscast online community here: https://tinyurl.com/newscastcommunityhereGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a whatsapp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bit.ly/3ENLcS1Newscast brings you daily analysis of the latest political news stories from the BBC. It was presented by Adam Fleming. It was made by Miranda Slade. The social producer was Joe Wilkinson. The technical producer was Mike Regaard. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.

Today, Trump and Starmer have met in Scotland and held a joint press conference covering a range of topics from aid in Gaza and the war in Ukraine, to wind energy. The US President met UK Prime Minister Keir Starmer at a golf course owned by Trump. Speaking as the two men met, President Trump said he was reducing the 50 day deadline given to Vladimir Putin to agree a deal with Ukraine to “10 or 12 days”. Trump also said a ceasefire in Gaza is possible and disagreed with Prime Minister Nethanyahu's assessment that there is no starvation in Gaza. Adam speaks to Chris, James and Sarah Smith, Americast host, to explain the days events. You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers. You can join our Newscast online community here: https://tinyurl.com/newscastcommunityhereGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a whatsapp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bit.ly/3ENLcS1 Newscast brings you daily analysis of the latest political news stories from the BBC. It was presented by Adam Fleming. It was made by Jack Maclaren. The social producers were Sophie Millward. The technical producer was Mike Regaard. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.