How I Doctor with Dr. Graham Walker

AI is everywhere right now. In your inbox, your EHR, your hospital's strategic plan, and probably your last three CME credits. But most of what physicians hear about AI is either hype or fear. We think you deserve something better.In this special Best of AI episode, Dr. Graham Walker revisits three conversations that generated the most messages, DMs, and forwarded links from How I Doctor listeners, plus a Physician Spotlight that has nothing to do with AI and everything to do with why physicians need support right now.These guests don't agree on everything. But together they map a path that every physician needs to understand: where AI actually works today, where it falls short, and what's coming next.Featured Episodes & LinksYann LeCun is the ACM Turing Award Laureate, former Chief AI Scientist at Meta, and co-founder of AMI, Advanced Machine Intelligence. Alex LeBrun is a serial entrepreneur, co-founder of NABLA, and CEO of AMI. Listen to Move Over LLMS! AI Legends Yann LeCun and Alex LeBrun Debut AMI Labs' Bold Ambitions for World Models in HealthcareDr. Bob Wachter is Chair of the Department of Medicine at UCSF, author of The Digital Doctor, and author of the new book A Giant Leap: How AI Is Transforming Healthcare and What It Means for Our Future. Listen to What Doctors Get Wrong About AI with Robert Wachter, MDDr. David Rhew is an infectious disease physician and Global Chief Medical Officer at Microsoft, working at the intersection of the world's largest health systems and its largest technology companies. Listen to Where AI in Medicine Is Actually Headed, with Microsoft’s CMO David RhewWhat You'll LearnYann LeCun & Alex LeBrunWhy large language models have a fundamental ceiling and what world models are designed to do insteadWhy 80% accuracy is considered excellent in research and completely unusable in clinical practiceWhat it actually took to build AI tools physicians trust and why every assumption they walked in with was wrongDr. Bob WachterWhy the healthcare system is uniquely positioned to benefit from AI, and uniquely capable of wasting those gains on a faster hamster wheelThe deskilling death spiral: what happens when the AI becomes more reliable than the human checking its workWhat part of medicine Bob believes we should never hand to AI, and whyDr. David RhewWhy AI in medicine isn't one thing, it's a portfolio of tools, and conflating them leads physicians to trust the wrong onesHow retinal screening AI is finding advanced diabetic disease in people who were told everything was fine months earlierWhy the most important physician skill in 2030 will have nothing to do with clinical knowledgeDr. Stefanie SimmonsThe spheres of control, influence, and acceptance and why physicians chronically misestimate which is whichWhy 43 state medical boards have now removed stigmatizing mental health questions, and how to check if yours is one of them🩺 Offcall is more than a platform — it’s a community. Join today!🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Pamela Buchanan is an emergency physician, author, founder of Melanated Medicine, and one of the most candid voices in medicine on the things doctors aren't supposed to talk about. In this episode of How I Doctor, Dr. Graham Walker sits down with Pamela to have the conversation most physicians have been trained their entire careers to avoid.What does it actually cost to stay silent about pay? What happens when a colleague throws a stethoscope on the ground and tells you that you're worth more than you're making? What does it feel like to be called the N-word by a patient you treat anyway?Pamela doesn't flinch. She talks about the $100,000 pay gap Black women physicians face even when matched for the same role. She walks through the moment a friend told her to rip up a signed contract — and the $75,000 sign-on bonus that landed in her bank account 48 hours later. She speaks openly about burnout, depression, and the mental health crisis medicine refuses to name. And she makes the case that the silence around all of it isn't accidental.This isn't a conversation about victimhood. It's a diagnosis of a broken system and a blueprint for every physician who's ever stayed quiet too long.What You'll LearnWhy pay transparency in medicine isn't just taboo, and why Pamela believes the silence is intentionalHow two candid conversations with colleagues changed her financial trajectory permanentlyWhat to say, what to ask, and what to refuse when you're sitting across from someone offering you a contractHow racism shows up on shift — not occasionally, but every single day — and what it costs to absorb it aloneWhat Melanated Medicine is, why Pamela built it, and what happens when Black women physicians finally find each otherWhy asking for help — professional, domestic, emotional — is not weakness but math🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Raj Narula is a vascular neurologist who walked away from a neurointerventional radiology fellowship to build something that could reach thousands of patients instead of one at a time. Dr. Melanie Winningham is a vascular neurologist, medical director of a comprehensive stroke center in Virginia, and VP of Clinical Strategy at Sevaro- someone who has lived the neurology access gap from both sides of it.In this episode of How I Doctor, Dr. Graham Walker sits down with Raj and Melanie to explore one of the most urgent and most invisible crises in American healthcare. What happens when a stroke patient lands in a rural ER at 2 AM and the nearest neurologist is a hundred miles away? For too long, geography has been the single biggest predictor of whether that patient walks out of the hospital. Sevaro was built to change that. This episode gets into what telestroke actually looks like when it's done right. They explain how Sevaro's AI-enabled platform — built by neurologists, for neurologists — puts a board-certified specialist on screen in 45 seconds, eliminates the call center entirely, and follows patients from the acute encounter all the way through rehab and outpatient care.This isn't a pitch for virtual care. It's a clinician's diagnosis of a workforce crisis that isn't getting better and a concrete look at what it takes to build technology that works the way physicians actually practice.If stroke outcomes are going to improve in rural America, it won't be through more neurologists. It will be through smarter infrastructure that makes the ones we have go further.What You'll LearnWhy geography remains the single biggest predictor of stroke outcomes and what it actually takes to close that gap at scale.How Sevaro eliminated the call center entirely and why that single design decision changes everything about the speed and quality of a telestroke consult.What AI is doing inside an acute stroke encounter and where Raj and Melanie draw a hard line between decision support and decision making.Why the neurology workforce crisis is structural and worsening, and how virtual neurology is reshaping who enters the field and why.How keeping patients in their own communities creates a trust loop that improves outcomes over time.Why state licensing requirements are the single regulatory change that would do the most to expand virtual specialty access in rural America.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Medical misinformation isn't a new problem. But somewhere along the way, it stopped being background noise and became the loudest voice in the room.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Geeta Nayyar a rheumatologist, former Chief Medical Officer at both Salesforce and AT&T, and bestselling author of Dead Wrong. Together they diagnose how medical misinformation went from the fringes of the bell curve to the halls of power, and what physicians can actually do about it.Geeta doesn't come to this conversation as a distant observer. She's spent her career at the intersection of clinical medicine and health tech, advising organizations from the AMA to Fortune 500 companies on how to navigate a healthcare information landscape that has fundamentally broken down.Her perspective is grounded in something personal too. She saved her own mother's life during fellowship by doing what the system failed to do: gathering all the data, laying it out on the floor, and refusing to accept a diagnosis that didn't add up. That experience drove her into rheumatology and eventually into health tech, motivated by a simple question she still hasn't stopped asking: what does the average patient do when they don't have a doctor in the family?That question has never been more urgent. When patients can't get an appointment for six to nine months, they don't wait. They go to TikTok. They follow influencers who are confident, simple, and wrong. And while wellness gurus monetize confusion, hospitals are still telling their physicians they can't mention their institution on social media. Medicine left a vacuum, and the wrong people filled it.This episode is a call to action for every physician who has watched that happen and felt powerless to stop it. Graham and Dr. G make the case that physicians aren't just allowed to take the microphone. They are obligated to! And that the hospitals and health systems who figure that out first won't just be doing the right thing. They'll be winning.What You'll LearnWhy medical misinformation has moved from the fringes to the mainstream and what changed to make it this dangerousHow hospitals' culture of social media silence created the exact vacuum that wellness influencers now ownWhat the business case for physician content actually looks like and why Cleveland Clinic and Kaiser figured it out before everyone elseWhy confidence is not accuracy, and how to help patients tell the differenceThe practical playbook for physicians who want to build a public presence with their hospital's support, not in spite of itResources & Where to Find Dr. Geeta NayyarWebsiteDead WrongLinkedInInstagram

Most physicians see AI as something happening to medicine. Dr. Byron Crowe is one of the few who decided to make it happen himself.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Byron Crowe — internal medicine physician, former Harvard Medical School faculty, and Chief Medical Officer of Doctronic — to discuss the most provocative development in healthcare AI yet: the nation's first state-approved program allowing AI to autonomously renew prescriptions, currently live in Utah.This episode doesn't traffic in hypotheticals. The program is running right now. And the questions it raises are ones every physician is going to have to answer eventually — whether they're ready or not. Who's responsible when AI gets a prescription wrong? Is the current system it's replacing actually any better? And if AI can handle the routine work, what does that mean for the physicians who've been doing it? Byron has thought harder about these questions than almost anyone in medicine. He's the first author on the Society for General Internal Medicine's position statement on generative AI. He's published peer-reviewed research in JAMA on AI's diagnostic capabilities. And now he's running clinical strategy for a company that calls itself your personal AI doctor — and means it.Byron doesn't come to this conversation to sell the technology. He comes to make the case that the status quo — millions of prescription refills processed via portal clicks with minimal physician review — is already broken, and that AI done right, with graduated autonomy, genuine accountability, and clinicians at the center, is an improvement worth taking seriously. It's a conversation that will challenge what you think you know about where medicine is headed and who gets to decide.What You'll LearnWhat "AI-native care" actually means and why Byron argues it's a fundamentally new care model — not just a faster version of telehealthHow Doctronic's graduated autonomy model works in Utah, from full physician review of every refill to eventual full autonomy with retrospective oversightWhy Byron believes not a single doctor will lose their job to AI — and what "doctor reassignment" actually looks like in practiceWhat "careworthiness" means as a moral standard, and why Byron thinks it matters more than any technical benchmarkWhy most health AI companies make the same fatal mistake when entering clinical medicine — and how Doctronic is trying to avoid itWhere Byron draws the hard line on AI autonomy — and the one place he says AI should never act aloneResources & Where to Find ByronByron's LinkedInByron's Substack: Always On CallDoctronic🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

Most people spend their entire lives trying not to think about death. Emergency physicians don't have that option.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Ashely Alker an emergency physician, founder of Meaningful Media, and author of 99 Ways to Die and How to Avoid Them.This episode goes somewhere most medical conversations don't. And that's the point.Because death isn't an abstract concept in the emergency department. It's the patient who never documented their wishes and ended up on a ventilator they never wanted. It's the 19-year-old with undiagnosed Marfan syndrome you catch while suturing a hand. It's the lost patients you carry with you forever.Ashely has been thinking about death since her twenties, when she lost her mother and became the de facto medical translator for a family with no one else to turn to. That personal history, combined with years on the front lines of emergency medicine, is what eventually became a book she wrote for the patients who need it most.This episode is an honest conversation about what emergency medicine teaches you about dying and how that changes the way you live.What You'll LearnWhy ER physicians remember their lost patients more vividly than their greatest saves — and what that means for how we process the emotional weight of the workHow Ashlely thinks about the gap between helping people live longer versus helping them live better, and why the ER is the hardest place to close itWhy storytelling is a clinical skill, and how physicians who don't engage with public communication cede the conversation to people with no trainingWhat writing a book about death taught Ashely about being a better doctor and a more intentional human beingResources & Where to Find Ashely99 Ways to Die and How to Avoid Them — available at Amazon, Barnes & Noble, and independent bookstores everywhereAshely's WebsiteInstagramLinkedIn🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

Every quality metric shaping your career, your bonus, and your reputation traces back to one nonprofit most physicians have never thought twice about.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Vivek Garg, the new President and CEO of NCQA - the National Committee for Quality Assurance - and only the second leader in the organization's 36-year history. This episode is unabashedly nerdy. And that's the point.Because the measures you're chasing, the scores you're being judged on, and the bonuses tied to your performance don't come from nowhere. They come from a deliberate two-year long process of evidence review, statistical validation, and independent clinical committee sign-off. It’s a process most physicians have never seen and don't know they can influence.Vivek doesn't come to this conversation to defend the status quo. He's blunt that the current system produces incomplete data, punishes independent practices for lacking the infrastructure of large health systems, and has overused financial incentives as a lever for change. He calls value-based care underappreciated and AI overhyped, and then spends the rest of the conversation explaining exactly where both could actually move the needle.This episode is an honest reckoning with whether we're measuring what actually matters and what it would take to build a system that clinicians trust and patients actually feel.What You'll LearnWhere your HEDIS scores actually come from and the two-year pipeline behind every measure that lands in your workflowWhy the data feeding your quality scores is often incomplete, lagged, and missing critical parts of your patient's clinical pictureHow Goodhart's Law plays out in real clinical practice — and why even well-designed measures can distort the behavior they're trying to assessWhy independent and small practices carry the same reporting burden as large health systems with entire quality departments

Physicians are making more correcting medical misinformation online than delivering babies.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Fran Haydanek, better known to millions as Paging Dr. Fran, for an unfiltered conversation about medicine in the algorithm era.Fran is a board-certified OB-GYN, residency faculty member, hospital medical director and a physician creator with more than one million followers across TikTok and Instagram. What began as a simple video correcting breastfeeding misinformation during maternity leave has evolved into a full-scale media operation. One that now generates more income than her clinical practice.But this episode isn’t about clicks. It’s about trust.Together, Graham and Fran examine why patients increasingly turn to influencers instead of physicians and why the medical system itself helped create that vacuum. Fran argues that physicians don’t just compete in this digital ecosystem and that they have an obligation to show up in it.This episode isn’t a defense of influencer culture.It’s a reckoning with where patients actually learn about their health and whether physicians are willing to meet them there.What You’ll LearnWhy patients are turning to TikTok for medical advice and how 15-minute visits contribute to the problemWhat it means for medicine when a practicing OB-GYN earns more correcting misinformation than delivering babiesHow religion and politics uniquely fuel misinformation in women’s healthPractical ways any physician can participate in the digital information ecosystemResources & Where to Find Dr. FranWebsite: https://www.pagingdrfran.com/TikTok: https://www.tiktok.com/@pagingdrfranInstagram: https://www.instagram.com/pagingdrfran

Yann LeCun is one of the most influential figures in artificial intelligence. Alex LeBrun is the founder of Nabla and newly announced CEO of AMI Labs, a new AI research company he and Yann are building around a bold idea: large language models aren’t enough for medicine.In this special episode of How I Doctor, Dr. Graham Walker sits down in-person with Alex and Yann to explore the next frontier of AI in healthcare - world models. While today’s AI systems excel at predicting the next word, Yann argues that real clinical intelligence requires something deeper: models that can imagine, simulate, and plan.From the limitations of LLMs in high-stakes environments to the concept of building a “patient model” that can predict the consequences of treatment decisions, this episode dives into what it would actually take to build AI that reasons more like a physician. They discuss why documentation was the first breakthrough use case, how 80% accuracy fails in clinical settings, and why reliability, and not hype, will determine who wins in healthcare AI.This isn’t about replacing doctors. It’s about amplifying them.If AI is going to meaningfully change medicine, it won’t be through better chatbots. It will be through systems that understand the world.Watch or Listen🎥 Watch the full video conversation now — exclusively on https://www.offcall.com/learn/podcast/ai-world-models-medicine-yann-lecun-alex-lebrun🔊 Or stream the audio version on your favorite podcast platform.What You’ll LearnHow predicting the next word isn’t the same as clinical reasoning and where LLMs fall short in medicine.What “world models” are and how they differ fundamentally from today’s large language models.Why 80% accuracy isn’t acceptable in healthcare and what reliability really means in clinical AI.Why medical coding may be one of the next frontiers for AI in clinical workflows.How AI assistants could amplify doctors the way a research lab amplifies a professor, by making clinicians smarter, not obsolete.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

Primary care sits at the center of medicine and yet no one seems willing to truly own it.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Lisa Rosenbaum, cardiologist and national correspondent for the New England Journal of Medicine, for a wide-ranging conversation about why primary care remains both indispensable and persistently undervalued.🎧 Before you go any further: If this conversation resonates, make sure you also listen to Lisa’s excellent NEJM podcast, Not Otherwise Specified. It’s one of the most honest, intellectually rigorous explorations of modern medicine and this past season focuses deeply on primary care.Lisa has spent the past year reporting on primary care across the country, and what she uncovers isn’t a story about technology gaps or workforce shortages. It’s a story about culture. About respect. About responsibility. Together, Graham and Lisa explore how modern incentives have quietly shifted medicine away from ownership - of patients, of decisions, and of outcomes - and why primary care has absorbed the consequences more than any other specialty.They dig into uncomfortable but essential questions:Why is the specialty that knows patients best paid and respected the least?How did “referral culture” replace continuity?And what happens to trust between doctors, and between doctors and patients when no one is clearly responsible anymore?Lisa argues that the crisis in primary care is not inevitable, and not intractable but only if medicine is willing to confront its own values.This episode isn’t about nostalgia.It’s about deciding what kind of profession medicine wants to be.What You’ll LearnWhy the crisis in primary care is fundamentally about respect and ownership, not technologyHow modern systems discourage physicians from fully “owning” their patientsThe hidden costs of referral culture and fragmented responsibilityWhy restoring autonomy may be essential to saving primary careWhat gives Lisa hope—and why cultural change is still possible in medicineResources & Where to Find LisaLisa Rosenbaum, MD – National Correspondent, New England Journal of MedicineNot Otherwise Specified (NEJM Podcast)🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

AI has arrived in medicine faster than anyone expected, but speed doesn’t guarantee wisdom.In this episode of How I Doctor, Dr. Graham Walker sits down with Dr. Robert Wachter, chair of medicine at UCSF and one of healthcare’s most trusted voices on technology, to unpack what physicians are getting wrong about AI.Drawing from his new book A Giant Leap, Bob offers a rare, grounded perspective: neither hype nor fear, but informed optimism. Graham and Bob explore de-skilling, trust, medical education, workflow realities, regulation, and the very human question of what happens when clinicians start relying on machines that may eventually outperform them.This is a conversation for doctors who are already using AI, and those who are uneasy about what comes next. Not a manifesto, but a clear-eyed guide to thinking better about AI before it reshapes medicine for us.What You’ll LearnWhy AI can both improve clinical judgment and quietly erode core physician skills at the same time.What AI means for medical education, training, and the future of clinical reasoning.Why trust in AI systems may arrive sooner than we expect, and why that’s both rational and risky.How health systems should think about regulation, guardrails, and local accountability.🔗 Resources & Further ReadingA Giant Leap: How AI Is Transforming Healthcare and What It Means for Our FutureRobert Wachter on SubstackRobert Wachter, MD – UCSF Faculty PagePrevious Book: The Digital Doctor🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

Medicine is full of people doing the right thing inside systems that reward the wrong work.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Dr. Shikha Jain, a hematologist-oncologist, professor, and founder of Women in Medicine, to discuss why some of the most essential work in medicine happens after hours, off the clock, and without recognition - especially for women physicians.Shikha makes a clear case for why physician distress isn’t a resilience problem, a time-management issue, or a pipeline failure. It’s a systems problem. From RVU-based compensation models that ignore invisible labor, to unpaid committee work that never counts toward promotion, to insurance barriers that put doctors in the crosshairs while profits flow elsewhere, she explains how modern healthcare quietly extracts more from physicians while valuing them less.Together, Graham and Shikha explore how gender expectations shape leadership, why women physicians are “voluntold” into uncompensated work, and how stereotypes around empathy and agreeableness create double standards that follow doctors from the clinic to the boardroom. The conversation closes with practical guidance for change: how physicians can set boundaries without guilt, how institutions can measure the work that actually matters, and how male allies can show up in ways that help rather than harm.This episode isn’t about blaming individuals. It’s about fixing the system so doctors can keep doing the work that brought them to medicine in the first place.What You’ll LearnWhy physician burnout is a structural failure, not a personal oneHow RVU-based compensation undervalues real clinical and cognitive workThe hidden, uncompensated labor disproportionately carried by women physiciansPractical ways physicians and allies can drive meaningful changeLearn More About Shikha & Women in MedicineDr. Shikha Jain: https://shikhajainmd.comWomen in Medicine: https://www.wimedicine.orgWomen in Medicine Summit September 24-26, 2026: https://www.wimedicine.org/summitOncology Overdrive Podcast: https://oncologyoverdrive.com🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Tim Peck has spent his career practicing medicine where the system is most fragile. A Harvard-trained emergency physician, healthcare entrepreneur, and frontline clinician in rural America, Tim has worked inside nursing homes, healthcare deserts, and communities shaped by the opioid crisis—places where delays, payment failures, and policy decisions have immediate consequences.In this episode of How I Doctor, Offcall co-founder Dr. Graham Walker sits down with Tim to explore what emergency medicine teaches about leadership, systems failure, and responsibility beyond the bedside. Tim shares why ER doctors are uniquely trained to lead in chaos, how seeing patients too late distorts outcomes, and what he learned by embedding himself in the environments that generate avoidable hospitalizations.The conversation moves beyond ideology into the mechanics of why U.S. healthcare breaks down—from fee-for-service incentives and uninsured rural populations to ambulance shortages and hospital closures that happen quietly, then all at once.This is not a political debate or a campaign pitch. It’s a clinician’s diagnosis of a system under strain—and a candid discussion of what it would take to fix it.What You’ll LearnWhy emergency medicine is one of the most effective forms of leadership trainingWhat changes when doctors see patients earlier instead of downstream in crisisHow rural healthcare deserts form—and what they look like in real timeWhy nursing homes and opioid care expose the deepest system failuresHow payment models shape clinical behavior more than most physicians realize🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Eve Cunningham has spent her career navigating the hard edges of modern medicine from delivering babies and performing gynecologic surgery to leading large health system initiatives and now serving as Chief Medical Officer at Cadence. Along the way, she’s seen firsthand why chronic disease care continues to fail patients despite more data, more technology, and more dashboards than ever before.In this episode of How I Doctor, Graham Walker sits down with Eve to unpack why clinic-based, episodic care is fundamentally mismatched to conditions like heart failure, diabetes, and hypertension. She explains why early efforts at remote patient monitoring fell flat, how change management and not technology has always been the real barrier, and why most health systems struggle to turn insight into action.The conversation moves from the realities of governance-heavy decision-making and physician burnout to what it actually takes to manage patients upstream before they land back in the ICU. Eve also shares the deeply personal connection that drives her work, including how her father’s experience with chronic illness shaped her view of what patients truly need.This is not a tech demo or a sales pitch. It’s a candid discussion about redesigning chronic disease care in a way that works for patients, clinicians, and the realities of modern medicine.What You’ll LearnWhy episodic, visit-based medicine is structurally incapable of managing chronic diseaseWhat early remote patient monitoring efforts got wrong and what has finally made them workHow change management and incentives matter more than technology aloneWhy health systems struggle to act on data, even when the answers are obviousWhat proactive, upstream care looks like when someone is actually accountable🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

David Rhew has spent his career at the intersection of frontline medicine and cutting-edge technology. An infectious disease physician by training and now Global Chief Medical Officer at Microsoft, David brings a rare perspective shaped by decades of clinical work, health system leadership, and early research on AI in healthcare.In this episode of How I Doctor, Graham Walker sits down with David to unpack where AI in medicine is actually headed and why so many clinicians feel frustrated despite using these tools every day. David explains why physicians aren’t afraid of AI itself, but of poorly designed systems that remove judgment, overload workflows, and fail to reflect how medicine really works.From agentic AI and ambient documentation to population screening, risk stratification, and resource allocation, the conversation moves beyond buzzwords into the real mechanics of how AI can support better care.David makes the case that AI’s true promise is helping clinicians practice at the top of their license, identify disease earlier, and redesign care around human decision-making rather than administrative burden.This is not a futurist thought experiment or a vendor pitch. It’s a grounded, systems-level look at how AI could meaningfully improve medicine.Explore the Data📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:👉 https://2025-physicians-ai-report.offcall.com/What You’ll LearnWhy the biggest failure of healthcare AI isn’t the technology itself, but how it’s measured, implemented, and governedHow agentic AI with multiple models working together on discrete tasks can outperform single “super models” in complex clinical problemsWhy ambient documentation succeeded by addressing burnout and patient experience, not productivity metricsHow AI-enabled screening and risk stratification can identify high-risk patients long before symptoms appearWhat skills physicians will need in the next decade to apply AI responsibly without losing clinical judgment🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe🟧 Follow Offcall onLinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcom

Merry Christmas! Today we are re-releasing one of our favorite episode of the year. We'll be back next week with a brand new interview to kickoff 2026. Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO. In 2022, Mark co-founded Cost Plus Drugs with the goal of lowering prescription drug prices. The direct-to-consumer company makes generic drugs affordable by cutting pharmacy benefit managers out of the distribution chain. But, once Mark starts talking about tackling the pharmaceutical market, you get the sense he has his sights set on an even bigger goal: reforming the healthcare system at large.Offcall co-founder Graham Walker recently got the chance to interview Mark on How I Doctor, a podcast that explores the lives and careers of physicians who are practicing medicine differently. Mark, of course, is not a physician. But, as Graham notes, “I'm talking to him because I think he actually gives a damn about healthcare, and more importantly, he's doing something about it.”Mark pulls no punches in this episode, and frames American healthcare as a David- and Goliath-style fight between good and bad actors.Physicians are on the good team: “I happen to be a fan of people who save lives and make other people feel better, you know? Call me crazy.”Who’s on the bad team? Anyone trying to game the system and extract money from it for their own benefit — insurance companies, hospitals, private equity firms, and others. “In healthcare, that $4.9 trillion wherever anybody can arbitrage whatever they can out of the system, that's exactly what they are going to do.”With clarity of conviction and a hard-charging spirit, Mark shares his vision for how to fix healthcare.🩺 Offcall is more than a platform — it’s a movement! Join today!https://www.offcall.com/For a full transcript of this episode click HEREhttps://www.offcall.com/learn/podcast/mark-cuban-interview-how-shark-tank-star-and-cost-plus-drugs-ceo-would-fix-healthcareFind all episodes of How I Doctor at offcall.com/podcast or subscribe on your favorite podcast player at https://episodes.fm/1767429315.In this episode, Graham and Mark discuss:04:26 Expanding Medical School Enrollment09:33 Insurance Plan Designs16:27 Insurance Company Tactics20:45 Negotiation Loopholes and Legal Tangles28:04 Healthcare Spending34:53 Transparency and Trust Drive Growth43:37 Unfair Broker Fees49:53 Profitability in Specialized Medical Services55:08 Future of AI-Assisted Healthcare👨‍⚕️Follow Dr. Graham Walker:LinkedIn https://www.linkedin.com/in/graham-walker-md/IG https://www.instagram.com/ubergraham/Bluesky https://bsky.app/profile/drgrahamwalker.com✉️ Get our On/Offcall email newsletter: https://offcall.beehiiv.com/subscribe🟧 Follow Offcall:LinkedIn https://www.linkedin.com/company/joinoffcall/IG https://www.instagram.com/offcalldotcom/TikTok https://www.tiktok.com/@offcalldotcomMentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Eric Topol is one of the most influential voices in modern medicine. Founder of the Scripps Research Translational Institute and author of Deep Medicine and Super Agers, Eric has spent decades interrogating medical dogma, calling out hype, and pushing the profession toward evidence, prevention, and humanity.Dr. Graham Walker sits down with Eric for a candid conversation about why physicians shouldn’t fear AI and why when used correctly, it may be one of the most powerful tools we’ve ever had to reduce errors, restore trust, and shift medicine from late-stage treatment to true prevention. From diagnostic error and physician burnout to immune aging, GLP-1s, personalized risk prediction, and the limits of randomized trials, this episode is both a reality check and a roadmap. Eric makes the case that AI’s greatest promise isn’t automation, but rather it’s the ability to see what humans never could, identify risk earlier, and finally decouple aging from chronic disease.This isn’t a hype cycle conversation. It’s a grounded, evidence-based look at how AI could help fix what’s broken in medicine if physicians lead the way.Explore the Data📊 Want to see how your peers are actually using AI today? Download Offcall’s 2025 Physicians AI Report, featuring insights from over 1,000 physicians on daily AI use, adoption gaps, and what doctors really want from these tools:👉 https://2025-physicians-ai-report.offcall.com/What You’ll LearnWhy Eric Topol believes doctors shouldn’t fear AI and why holding it to an impossible standard may be harming patientsHow AI could dramatically reduce diagnostic error and support better clinical judgmentWhy prevention has failed historically and how AI finally makes it possible at scaleThe difference between AI hype and evidence-backed breakthroughs physicians should actually care aboutHow personalized, data-rich medicine may reshape trials, training, and the future role of the physician🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

AI is already shaping how physicians practice. And for the release of The 2025 Physicians AI Report, Graham is taking a different kind of episode: a deep-dive mailbag where he answers the questions doctors are actually asking about AI, grounded in one of the largest physician surveys of its kind.More than 1,000 physicians were polled in this project, and their answers paint a far more nuanced picture than the headlines suggest. 📊 Yes, two-thirds of physicians already use AI every day. ✅ Yes, the majority believe AI can meaningfully reduce administrative burden. ⚠️ And yes, 81% are frustrated with how their organizations are deploying it. In this episode, Graham walks through those realities one by one.He breaks down why doctors trust AI for documentation but hesitate when it comes to decision support. Why the #1 fear isn’t “AI will replace me,” but rather who will control it. How payers, administrators, and mixed incentives shape the way AI enters clinical workflows. And why physicians may quietly be years ahead of their institutions in actually using the technology day-to-day.He also shares the moments from the report that surprised him most and the “dream tools” physicians wish someone would build already. And he offers a roadmap for healthcare leaders, AI companies, and clinicians about how to prevent AI from becoming the next EHR rollout: deployed to doctors instead of with them.👉 If you want to go deeper, you can download the full dataset and insights in The 2025 Physicians AI Report at https://2025-physicians-ai-report.offcall.com/Whether you’re experimenting with AI every shift or still cautiously watching from the sidelines, this episode offers clarity on where physicians actually stand  and where medicine is headed next.What You’ll LearnWhat doctors are really doing with AI right now Two-thirds of physicians already use AI daily, but what exactly are they using it for, and how are they integrating it into their clinical workflows?Why organizational deployment is failing physicians From restrictive policies to unclear guidelines, Graham explains why 81% of doctors are frustrated and what leaders must fix to avoid repeating the mistakes of the EHR era.The #1 fear doctors have about AI and it’s not job loss Physicians overwhelmingly worry about AI falling under payer and administrative control. Graham breaks down the incentives behind that fear.What physicians want from AI companies A clear message to builders: specialty matters. Physicians don’t want “AI for doctors”; they want tools that understand their specific workflows.Why AI adoption is happening with or without institutions Graham explains how grassroots physician use is outpacing formal hospital adoption and what that means for the future of medical practice.Access all findings from The 2025 Physicians AI Report Download the full report, charts, and analysis at  https://2025-physicians-ai-report.offcall.com/🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Independent primary care isn’t a relic of the past — it’s becoming the future of American medicine. In this episode of How I Doctor, Dr. Graham Walker talks with two leaders helping drive that shift: Dr. Umar Bowers, an internist who left a major health system to build the practice he always envisioned, and Dan Bowles, General Manager of Practice Health at Aledade , the physician-led company enabling thousands of doctors to stay independent, financially stable, and clinically autonomous.Umar shares his personal journey from rising frustration inside a large employed medical group to opening Dawson Medical Group with the support of Aledade. He explains what independence really means, why he had zero fear stepping out of the system, and how value-based care became the engine that allowed his practice to thrive. You can read more of his story in Aledade’s physician success profile or connect with him directly on LinkedIn.Dan offers a rare inside look at why so many doctors feel trapped in employment, what’s driving the national shift back toward physician-led care, and how Aledade’s data, contracting expertise, and ready-made community of independent clinicians help doctors cross the bridge to autonomy instead of trying to swim it alone.This isn’t another story about burnout or bureaucracy, it’s a roadmap for physicians who want their careers, their schedules, and their practices back. Whether you’re considering independent practice or simply want to understand the movement reshaping primary care, this episode shows how doctors are taking back control of the profession, one practice at a time.What You’ll LearnWhy independent primary care is resurging and how value-based care is creating new financial stability for small practices.How Dr. Umar Bowers built his own practice from scratch and why he had zero fear leaving a major health system.What Aledade’s turnkey model actually provides, from startup capital and contracting support to data, workflows, and a nationwide physician community.How doctors can reclaim autonomy, flexibility, and clinical decision-making power without sacrificing income, infrastructure, or patient care.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

This Thanksgiving, we’re pressing pause on the chaos of clinical life to honor the physicians, nurses, and healthcare workers who keep showing up tired, hopeful, frustrated,and inspired. In this special “Best Of” episode, Dr. Graham Walker revisits five conversations that have sparked the most messages, DMs, forwarded links, and late-night reflection from our listeners. These clips come from leaders who’ve helped all of us re-examine the work, the system, and ourselves:Featured Episodes & LinksDr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care.Listen to The Physician AI Conversation: How Doctors Can Drive the AI Era in Medicine Forward with Abridge CEO Dr. Shiv RaoDr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Listen to Medicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting CliniciansMark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO.Listen to Mark Cuban: How I’d Reform Healthcare If I Were in ChargeDr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being.Listen to Why Women Physicians Still Earn Less — and What We Can Do About It With Dr. Vineet AroraDr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers.Listen to Breaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali ChaudharyWhat You’ll LearnDr. Shiv RaoWhy AI adoption is accelerating inside health systems faster than anyone expected and how clinicians can shape the guardrails, not get steamrolled by them.Dr. Danielle OfriThe “unbroken chain” of clinicians and why modern healthcare quietly relies on exploiting professionalism to keep the system from collapsing.Mark CubanHow insurance design, pre-auth delays, and underpayment schemes shift financial risk onto physicians while confusing patients — and why it’s not your fault.Dr. Vineet AroraHow women residents fall three months behind in milestone advancement by graduation — and the narrative biases in feedback that fuel the promotion gap.Dr. Ali ChaudharyWhy the traditional W-2 model is structurally unstable — and how locums work can restore autonomy, income stability, and control over your life.🩺 Offcall is more than a platform — it’s a community. Join today!🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Kalie Dove-Maguire is an emergency physician, health-tech leader, and the President and Chief Product Officer at Evidently — a physician-founded company building clinical decision support tools designed to earn trust, not replace judgment. After years on the frontlines, Kalie saw firsthand how critical information gets lost in the noise, how clinicians compensate for broken workflows, and how better tools could prevent avoidable harm. That realization ultimately pushed her from the ER to the product world, where she now designs AI systems that surface the right data, cite their sources, and respect the mental work only clinicians can do.In this episode of How I Doctor host Dr. Graham Walker sits down with Kalie to talk about about why AI must be transparent, why judgment can’t be automated, and what it really takes to create decision support clinicians actually want in their workflow. From the emotional weight of missed findings in residency to shipping software with guardrails, Kalie explains how Evidently approaches trust, verification, and workflow design in a way that empowers physicians.This isn’t just a conversation about AI. It’s a look at how doctors can shape the tools that guide their practice, protect clinical judgment, and help build the next generation of decision support that clinicians rely on.What You’ll LearnWhy clinical decision support fails when it ignores physician judgment — and how Evidently builds tools that do the opposite.How Kalie’s ER experience shaped her approach to product design, safety, and transparency.The difference between predictive models, LLMs, and workflow-level AI — and why lumping them together creates misconceptions.How Evidently “shows its work” by surfacing evidence, matching data to action, and earning clinician trust over time.Practical lessons for physicians considering a transition into tech, entrepreneurship, or product roles.Why the future of AI in medicine is augmentation, not automation — and why the “AI resident” metaphor matters.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care. Built on the belief that healthcare is about people, not paperwork, Abridge is now embedded in more than 200 major health systems, processing millions of encounters each week and helping doctors reconnect with the meaning of their work.In this special in-person episode, How I Doctor host Dr. Graham Walker sits down with Shiv for an unfiltered, wide-ranging conversation about the rise of AI in medicine, the moral crisis facing clinicians, and what it truly takes to build technology that serves the physician instead of replacing them.From Abridge’s early days of being dismissed as a “party trick” to its current role in reshaping clinical workflows nationwide, Shiv shares how the company scaled, why it never called itself an “AI scribe,” and how every patient conversation can now fuel better care, fewer clicks, and more connection.This isn’t just another startup story — it’s a blueprint for how doctors can lead the AI movement from the inside.🎥 Watch the full video conversation now — exclusively on offcall.com/learn/podcast/physician-ai-conversation-shiv-rao-abridgeWhat You’ll LearnHow healthcare AI grew from a party trick to becoming an integral part of healthcare infrastructure.How Abridge turns physician-patient conversations into structured clinical data.Shiv’s vision for the future and where the company will go next from a product standpoint.Why Shiv believes physicians must lead the AI movement and not watch from the sidelines.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Jackie Gerhart is a family physician, clinical informaticist, and Chief Medical Officer at Epic — the company whose software powers much of American healthcare. From ambient documentation and AI scribes to patient-facing AI assistants like Emmy, Epic is now redefining how data, technology, and the human touch coexist in clinical care. Few physicians have seen this evolution from the inside and even fewer have helped shape it.In this episode of How I Doctor, host Dr. Graham Walker talks with Jackie about Epic’s internal culture, its push to make the EHR invisible, and the company’s next wave of physician-centric innovation. Jackie also opens up about Epic’s development philosophy, the company’s obsessive customer-focus, and why she believes we’re entering the most exciting era in modern medicine, but only if physicians can stay engaged in shaping what comes next.This episode pulls back the curtain on one of healthcare’s most influential companies and offers a grounded look at how Epic envisions the future of practice for the doctors who depend on it every day.What You’ll Learn in This Episode:How Epic’s “software-factory” model enables faster innovation across healthcare.Where many EHR frustrations stem from and how Epic considers what to address.How Epic’s new AI tools, Art and Emmy, aim to reduce friction for both doctors and patients.What “the office visit of the future” could look like – powered by ambient AI with no typing and no mouse.How Epic thinks about collaboration vs. competition with startups like Abridge and partners like Microsoft.Why Dr. Gerhart believes this is the most exciting time to practice medicine in decades.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! https://tally.so/r/n0pxeNThis Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! Dr. Sean Codier is an emergency physician at Salem Hospital within Mass General Brigham and one of the leaders behind the first successful physician unionization effort in the system’s history. What started as frustration over understaffing, overcrowding, and a lack of voice in patient-care decisions grew into a movement that’s now inspiring doctors nationwide to organize for change.In this episode of How I Doctor, Dr. Graham Walker talks with Dr. Codier about why more physicians are turning to unions as their only legal avenue to force real dialogue with hospital leadership. They discuss how the corporatization of medicine has stripped doctors of autonomy, the myths administrators use to discourage organizing, and what it actually looks like to form and run a physician union. Dr. Codier also shares the personal risks, lessons learned, and why he believes reclaiming physicians’ collective voice is essential to protecting both the profession and the patients we serve.This episode is a candid look at how medicine reached this crossroads and asks whether the future of physician advocacy depends on this form of collective power.What You’ll Learn in This Episode:Why more physicians are unionizing and what that process really involves.The biggest myths hospitals spread about unions — and what’s actually true.The personal and professional risks of organizing inside large health systems.Whether unionization is a long-term solution to help physicians reclaim medicine’s moral core.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:We're releasing a Physicians AI Whitepaper and need your help!Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! https://tally.so/r/n0pxeN

Dr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being. Her groundbreaking research has exposed how gender bias and pay inequity continue to shape medicine—from how residents are evaluated to how faculty are promoted and paid. But more importantly, she’s focused on what can be done about it.On this episode of How I Doctor, Dr. Graham Walker talks with Dr. Arora about why women physicians still earn less than their male peers—and the systemic, cultural, and personal strategies that can finally close the gap. They discuss the hidden ways bias shows up in training and evaluations, how compounding pay inequities add up to millions over a career, and what real pay transparency should look like. Dr. Arora also shares practical advice for early-career physicians on negotiation, knowing your value, and finding professional fulfillment without burning out.This episode will challenge how you think about pay, power, and progress in medicine—and what each of us can do to make equity the norm, not the exception.What You’ll Learn in This Episode:The real data behind the $2 million lifetime gender pay gap in medicine.How bias in evaluations and promotions starts as early as residency.Why pay transparency alone won’t fix inequity and what else needs to change.How fair pay connects directly to feeling valued, supported, and able to keep practicing the medicine you love.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers. After leaving a traditional W-2 job, he built Locums United and LocumOS - two platforms designed to bring transparency, fairness, and autonomy to how physicians are staffed and compensated. Having lived both sides of medicine, Ali shares how locum tenens work can transform burnout into balance and turn short-term contracts into long-term career freedom.On this episode of How I Doctor, Dr. Graham Walker talks with Ali about what really happens when doctors leave the W-2 world, how to build stability as an independent contractor, and why locums can be the key to both financial freedom and professional fulfillment. They break down the myths that scare physicians away from 1099 work, the financial strategies that make it sustainable, and the mindset shift required to think like a business owner instead of an employee.If you’ve ever wondered whether it’s possible to make more, work less, and still love medicine again then this episode is your blueprint.What You’ll Learn in This Episode:Why the traditional W-2 model is burning out physicians and how locums flips the script.How to set up your locums life for stability.The real financial math behind 1099 work, and how to maximize your take-home pay.How to spot red flags in locums contracts and avoid being underpaid.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Alison Haddock is an emergency physician, educator, and past president of the American College of Emergency Physicians (ACEP). She’s spent her career fighting for physician autonomy and building a sustainable future for emergency medicine. One where doctors aren’t just surviving shift to shift, but leading the systems that shape their work. A national voice on policy and workforce reform, Dr. Haddock has seen firsthand how crowding, violence, and financial pressure are pushing ER physicians to their breaking point and what it will take to bring them back.On this episode of How I Doctor, Dr. Graham Walker sits down with Alison live at ACEP to unpack what’s really driving burnout in emergency medicine, how systemic failures fuel the crisis in the ED, and why unionization and pay transparency may be the boldest tools for reclaiming control. They dive into the politics of boarding, the hidden cost of private equity in healthcare, and the urgent need to rebuild physician power from the ground up. It’s a candid, timely conversation about survival, advocacy, and the kind of leadership emergency medicine needs right now.If you’ve ever walked out of a shift wondering how much longer you can do this, or what it would take to make things better, this episode is for you!What You’ll Learn in This EpisodeWhy burnout isn’t about resilience—it’s about control. How the loss of professional autonomy, not the lack of self-care, drives physicians out of the field.How ED boarding exposes systemic rot. Why emergency physicians are paying the price for hospital inefficiency, and what policy changes could actually fix it.The financialization of medicine explained. How profit-first strategies have warped incentives and left doctors carrying the moral and financial burden.Why unionization is gaining traction among physicians. How collective action could be the next step in protecting clinicians and reshaping the balance of power in healthcare.What ACEP is doing to fight back. Inside Dr. Haddock’s efforts to reform employment models, prevent physician exploitation, and push for meaningful change.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Dr. Brian Dixon is a psychiatrist, entrepreneur, and one of the boldest physician voices pushing for salary transparency and fairness in medicine. He’s the founder of Simply Psych and Mindful, and he’s built his career by pulling back the curtain on contracts, compensation, and the hidden math of how health systems profit off physicians. With radical honesty, he shares not just his wins but also his mistakes—showing doctors the real trade-offs between employment, private practice, and entrepreneurship.On this episode of How I Doctor, Dr. Graham Walker talks with Brian about why most contracts are designed to exploit physicians, how transparency builds trust, and what it really takes to scale a practice without burning out. They dig into the myths that keep doctors underpaid, the psychological traps that make us easy to exploit, and the lessons Brian had to buy - sometimes for $50,000 - that can save you from the same fate. If you’ve ever wondered how to get paid fairly and keep your autonomy intact, this is the conversation you’ve been waiting for.If you’ve ever looked at your paycheck and wondered, “Is this really what I’m worth?”—this episode will change how you see employment, private practice, and the business of medicine.What You’ll Learn in This Episode:Why the salary you’re offered is rarely the salary you’re actually worth—and how employers frame the numbers against you.How the culture of altruism in medicine gets exploited, leading doctors to accept less than they deserve.The three true career paths for physicians (employee, owner, or hybrid) and how to think about risk versus autonomy.Why employed physicians today may face more risk than independent ones—and how non-competes and contract language trap doctors.How to scale a private practice the right way so you don’t burn out trying to do everything yourself.Thank you to our wonderful sponsors for supporting the podcast:Abridge - AI for clinical conversations: https://www.abridge.com/Evidently - Leading AI-powered clinical data intelligence https://evidently.com/🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

This episode is sponsored by Abridge - the leading AI platform that drafts structured, clinically useful notes at the point of conversation.MDCalc turns 20 this year. What began as a scrappy side project in med school grew - without outside funding - into one of the most-used, most-trusted clinical references in the world. In this episode of How I Doctor, host Dr. Graham Walker sits down with his co-founder Dr. Joe Habboushe - an emergency physician, math nerd in the best sense, and relentless advocate for evidence-based care - to unpack how MDCalc was built, why clinicians trusted it early, and what comes next in the age of AI.They revisit the “slow and thoughtful, not move-fast-and-break-things” playbook that earned physician trust, the scrappy years when both were working full-time in the ED while growing the site score-by-score, and how partnering with tool creators and societies raised the bar for quality. From COVID’s chaotic first year to today’s AI hype cycle, Joe explains why guardrails matter, why calculators should augment (not replace) clinical judgment, and how MDCalc plans to lead responsibly.What You’ll Learn in This EpisodeHow two ER docs grew MDCalc organically into a global, trusted clinical toolThe product philosophy behind MDCalc: safe, fast, trusted—and why “don’t break things” works in medicineWhy decision tools must partner with clinical judgment and not compete with “gestalt vs. calculator” false choicesHow MDCalc’s contributor model and society partnerships improved evidence quality and bedside usabilityMDCalc + AI: where responsible, physician-led guardrails can make tools powerful and safePractical advice for physician-founders: finding a complementary co-founder, building step-by-step, and choosing work that actually fits youAbout Dr. Joe HabbousheEmergency physician, co-founder of MDCalc, and long-time champion of evidence-based medicine. Joe helped design MDCalc’s contributor ecosystem, content standards, and “safe-fast-trusted” ethos that clinicians rely on at the bedside.If you’re a clinician who uses MDCalc, this conversation is a rare behind-the-scenes on how it was built for you—and how it will stay clinician-first as AI enters the workflow.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Mentioned in this episode:This Episode is Sponsored by AbridgeAbridge is the leading AI platform that drafts structured, clinically useful notes at the point of conversationAbridge Sponsor

Ethan Nkana spent over a decade as a hospital executive negotiating contracts on behalf of health systems. He knew the inside playbook: how administrators calculated physician value, what mantras they used behind closed doors, and the quiet ways hospitals exploited physician professionalism. Then he switched sides. In this episode of How I Doctor, Dr. Graham Walker sits down with Ethan to explore medicine’s hidden business realities. From the stigma of being called “greedy,” to why the squeaky wheel gets the raise, Ethan unpacks how contracts are really written and how doctors can speak up without jeopardizing their careers. He shares the three buckets every physician should focus on - life balance, practice support, and fair pay - and the practical strategies that turn an uneven negotiation into a fair one.He calls himself the “Jerry Maguire for physicians,” and in this conversation Ethan shares what every doctor needs to know before signing or renewing a contract.What You’ll Learn in This Episode:Why “greedy” is a trap word and how to reframe fair pay as part of safe patient careThe 3 contract buckets that matter most: life balance, practice support, and compensationWhat hospital executives really say behind closed doors about new physician hiresWhy the best physicians don’t always get paid the most—and who doesSimple, non-adversarial scripts physicians can use to ask for what they needAdditional Resource for Physicians:👉 Contract Negotiation Guide Before your next contract discussion, make sure you’ve gathered:Your actual weekly workload (clinical + after-hours documentation)Recent productivity metrics and patient satisfaction scoresEvidence of non-revenue work (committees, teaching, outreach)Market data for your specialty and regionA clear ask for at least one improvement in each bucket: life balance, practice support, fair pay\Find out more about Rocky Mountain Physician AgencyFollow Ethan on Instagram at https://www.instagram.com/physicianagency/?hl=en 🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Through her books, essays, and New York Times op-eds, she has given voice to the emotional realities of medical work and exposed the ways the business of healthcare exploits the professionalism of doctors and nurses. Her clarity and candor have made her a trusted guide for physicians who feel the weight of a system that too often prioritizes profit over patient care.In this episode of How I Doctor, Dr. Graham Walker sits down with Danielle to discuss medicine’s broken promises. From the erosion of trust and the exploitation of clinicians’ goodwill, to the disconnect between luxury hospitals and patient harm, they explore the hidden economy of modern healthcare and the ethical line between professionalism and exploitation. Dr. Ofri shares why nursing shortages are directly tied to patient mortality, how administrators rely on doctors “doing the right thing,” and what it will take for physicians to reclaim their voice in shaping the system.What You’ll Learn in This Episode:Why the “professionalism” of doctors and nurses has become healthcare’s most exploited resourceHow nursing shortages directly affect patient safety and mortality ratesThe ethical and personal toll of 20-minute visits for medically complex patientsThe hidden disconnect between nonprofit hospital profits and patient careStrategies for physicians to speak up without crossing ethical or professional linesSubscribe to Danielle’s newsletter hereFollow her on Instagram at https://www.instagram.com/danielle_ofri/  🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Hillary Lin is a Stanford-trained internist and longevity entrepreneur who is cutting through the hype to bring evidence-based clarity to one of medicine’s buzziest frontiers. As co-founder and CEO of Carecore and host of The Longevity Show, she’s built her career at the intersection of clinical skepticism and innovation, challenging what’s real and what physicians need to know about this fast-growing space.In this episode of How I Doctor, Dr. Graham Walker sits down with Hillary to unpack the science of longevity medicine. From the pillars that actually work to the overhyped products flooding social feeds. They explore supplements, multivitamins, full-body scans, and the influencer-driven myths that confuse patients, while offering physicians a framework for counseling patients who are curious, skeptical, or already experimenting with longevity trends.💡 Want to Go Deeper?We’ve created a companion resource to this episode: Longevity Medicine Resource Guide for Physicians: Separating Fact from Fiction. Inside you’ll find curated evidence, peer-to-peer insights, and practical tools to help you counsel patients to cut through wellness industry hype and stay current on what really works.👉 Download the guide nowWhat You’ll Learn in This Episode:The Lifestyle Pillars That Actually Extend HealthspanSupplements And Multivitamins: What’s Worth It (And What’s Not)The Most Overhyped Longevity Trends—DebunkedWhy Longevity Medicine Isn’t A Real SpecialtyThe Future: Pre-Disease Screening And At-Home TestingSubscribe to Hillary’s newsletter on evidence-based strategies for extending healthspan🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom 

Dr. Gita Pensa is an emergency physician and nationally recognized advocate who knows firsthand the toll malpractice takes on doctors. After enduring a 12-year legal battle that included two jury trials, she emerged determined to break the silence around litigation and its hidden impact on physicians’ identity, mental health, and careers. Today, she uses her story to teach colleagues how to survive what she calls medicine’s “second trauma.”In this episode of How I Doctor, Dr. Graham Walker talks with Gita about the day she was served, the years she spent fighting in court, and how that experience reshaped her mission. From defensive medicine to the isolation lawsuits create, Gita offers hard-earned insights and a blueprint for how doctors can protect themselves, find support, and come out stronger on the other side.The Physician’s Guide to Surviving Medical MalpracticeOffcall has created a comprehensive resource guide to help physicians navigate the realities of litigation. This guide pulls together expert advice, peer support programs, and practical strategies for what to do if you’re sued. Whether you’re early in your career or decades into practice, this guide offers the tools and community you need to protect your career, care for yourself, and move forward with confidence.👉 Read The Physician’s Guide to Surviving Medical MalpracticeWhat You’ll Learn in This Episode:Common mistakes doctors make after being sued  - and how to avoid themHow litigation drives defensive medicine and impacts the way we practiceWhat every physician should know about malpractice coverage including state-by-state differencesReforms that could make the system more fair for patients and doctorsWhy finding support and breaking the silence is critical for surviving litigationWatch A World of Hurt: How Medical Malpractice Fails Everyone🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Article Display Title (Social)

Dr. Paulius Mui is a family physician, technologist, and community builder who refuses to fit into a single box. Instead of choosing between clinic shifts and tech projects, he’s built a portfolio career that blends patient care, experimentation, and creativity. Most recently, Paulius is reimagining what primary care looks like by launching a direct primary care practice that lets patients pay what they can.In this episode of How I Doctor, Dr. Graham Walker talks with Paulius about why full-time primary care has become nearly impossible and why he has decided to choose mission over money for the benefit of patients and his profession. Paulius’ story offers a blueprint for fellow physicians to break the rules — and build something better.📘 Resource Guide for Primary Care PhysiciansWe’ve created a companion resource guide to this episode, including tools, communities, and references for anyone who is interested in learning more about direct primary care.Whether you’re exploring direct care models, looking for innovative tech tools, or are ready to set up a direct primary care practice of your own, this guide offers concrete next steps.👉 Download the Resource Guide hereWhat You’ll Learn in This Episode:Why primary care has gotten so challengingHow Direct Primary Care offers a path forward for doctors who prioritize mission over moneyHow technology, community, and curiosity can help doctors build better systems instead of just fighting broken ones🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Annie Andrews is a pediatric hospitalist, public health advocate, and U.S. Senate candidate in South Carolina taking on incumbent Lindsey Graham. Known for her unapologetic advocacy for children’s health, Annie has spent over 15 years caring for sick and injured kids, only to realize that many of their challenges stemmed from broken policies far upstream of the hospital. From gun violence prevention to protecting Medicaid, she’s made it her mission to bring a physician’s voice into the rooms where decisions are made and to speak with a candor rarely heard in politics.In this episode of How I Doctor, Dr. Graham Walker talks with Annie about why more physicians should step into public life, how to fight misinformation without losing credibility, and the communication skills doctors already have that translate to the campaign trail. They dig into the gender inequities baked into medicine and why telling patient stories matters more than citing p-values. If you’ve ever wondered how to turn clinical advocacy into real political action, Annie’s story will make the case that there’s never been a more important time for doctors to run toward the fire.What You’ll Learn in This Episode:The skills every physician already has that translate to political leadershipHow to fight misinformation without sounding like you’re in an ivory towerWhy gender inequities in medicine persist even in female-dominated specialtiesThe role of storytelling in rebuilding public trust in physiciansWhat politicians would learn if they were required to spend a day in a children’s hospitalFind out more about Annie here and connect with her on Instagram at https://www.instagram.com/annieandrewsmd/Watch her campaign launch video at https://www.youtube.com/watch?v=J8wMNLaSNW4 🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Shoshana Ungerleider is an internal medicine physician, a public health advocate, and one of the most trusted voices translating science for the real world. Whether she’s hosting th TED Health podcast, advising Netflix on end-of-life storytelling, or calling out hype and misinformation in the media, her work is reshaping how clinicians show up at the bedside and in the public square.In this episode of How I Doctor, Dr. Graham Walker talks with Shoshana about the skill every physician needs but few are taught: communication. They explore how bias shows up in clinical encounters, why doctors are often unprepared to talk about serious illness, and how media can be a tool for connection and not just distraction. If you’ve ever struggled to explain something complicated to someone who doesn’t “get it,” this conversation will remind you why curiosity, not certainty, is a clinician’s greatest asset.What You’ll Learn in This Episode:Why most doctors are never trained to communicate serious news, and how that’s harming patientsHow media, film, and storytelling can shift culture around end-of-life careHow unconscious bias shows up in clinical care, and what to do about itWhy misinformation spreads faster than facts and how physicians can fight back without losing trustWhy more physicians need to step into public conversations—and what’s at stake if they don’tFind out more about Shoshana here and connect with her on Instagram at https://www.instagram.com/shoshanamd/Listen to the TED Health Podcast at https://www.ted.com/pages/ted-health 🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Josh Green is an emergency physician who’s done what many doctors only talk about. He’s taken a seat at the table and turned it into a platform for real change. After two decades practicing rural medicine in Hawaii and witnessing firsthand the systemic failures that lead to poor outcomes, he ran for office in his scrubs - and won. Today, as Governor of Hawaii, he’s applying the triage mindset of emergency medicine to some of the most complex public health and policy problems of our time, from homelessness and housing to climate change, Medicaid reform, and AI in healthcare.In this episode of How I Doctor, Dr. Graham Walker talks with Josh about how clinical experience shapes better leadership, why physicians need to be in public office, and what it means to build a healthcare system that actually works - especially when resources are scarce. If you’ve ever felt like your work in medicine should mean more, this conversation will show you how one ER doc turned frustration into a force for statewide change.What You’ll Learn in This Episode:How ER training helps leaders make faster, better decisions during crisesWhy housing should be treated as a core public health interventionHow Hawaii’s unique healthcare model delivers lower costs and longer life expectancyWhy physicians make strong political candidates—and how to start your own campaignHow to think like a policymaker without losing your clinical instinctsHow low-resource rural practice taught him to rely on relationships and diagnostic skill, not technologyFind out more about Josh here and connect with him on Instagram at https://www.instagram.com/govjoshgreen/ 🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Rebecca Mitchell is a physician, product strategist, and founding partner at Scrub Capital - a new kind of venture fund built from first principles to fix what’s broken in health tech investing. Alongside her co-founders, Rebecca is working to make sure that healthcare startups aren’t just built for clinicians, they’re built with them.In this episode of How I Doctor, Dr. Graham Walker talks with Rebecca about why it’s time to give clinicians more power. Not just at the bedside, but on the cap table. They dive into how Scrub Capital is supporting over 800 physicians, nurses, and frontline leaders as active collaborators in early-stage investing. From prescribing infrastructure and fertility tech to virtual specialty care and IVF lab automation, Rebecca shares where she thinks health tech is headed and why the industry’s obsession with hype has blinded it to what actually matters in care.What You’ll Learn in This Episode:Why clinicians should stop waiting for a seat at the table and start investing in the companies shaping careHow Scrub Capital is building a community of over 800 clinicians to co-create the next generation of health techWhat Rebecca looks for in a founder and why “missionary, not mercenary” is her #1 investing filterWhy many health systems fail at innovation and how digital health can succeed where they don’tWhich trends in healthcare are overhyped, underhyped, or actually worth the buzz (GLP-1s? Wearables? Psychedelics?)How software, not just new hardware, is unlocking the future of innovationWhy now may be the best time to start a healthcare company - if you’ve got the right insight and a long-term mindsetFollow Rebecca Mitchell on LinkedIn and learn more about Scrub Capital at https://scrubcapital.com/ Apply to join their clinician community here Submit an investment opportunity here🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Attorney Dennis Hursh has reviewed more than 3,500 physician contracts and has seen the same patterns again and again - doctors being underpaid, overworked, and legally trapped by language they didn’t know to question. In this episode, Dr. Graham Walker talks with Dennis about how RVUs and non-competes are often used against physicians, and how to push back. They dive into the structural imbalance between hospitals and physicians, the myths of “standard contracts,” and the silent clauses that could cost you tens of thousands of dollars.From shocking stories of RVU misreporting to seven-figure locums arbitrage, this episode unpacks how the business of medicine quietly undermines doctors’ financial stability and career flexibility. Dennis brings clarity and tactical advice for any doctor negotiating a contract. Whether you’re fresh out of residency, or already practicing and unsure if you’re getting a fair deal, there’s something in this episode for everyone.If you’ve ever felt like your compensation didn’t reflect your work. Or if you’ve been told “this is just how it’s done”. This episode will show you how to reclaim your leverage and ask the right questions before you sign.Dennis wanted to make his decades worth of knowledge available to all Offcall physicians. So he’s compiled a Contract Negotiation Guide featuring helpful negotiation resources, key questions to ask during a negotiation, and practical pointers. This is a one-of-a-kind resource and it’s free and available exclusively for Offcall physicians. Create an Offcall account (or log-in if you’ve already done so) in order to access the guide at https://www.offcall.com/learn/podcast/the-rvu-trap-physician-contract-red-flags-rvu-pitfalls-and-negotiation-tips-with-dennis-hursh What You’ll Learn in This Episode:Why “standard contracts” are a trap — and how to spot the clauses that limit your freedom or earningsHow malpractice tail coverage can destroy your savings if you’re not carefulThe truth about RVU compensation and why most physicians never get the full pictureHow locums companies profit on your labor — and how to negotiate like a free agentThe Stark Law loopholes and myths that employers use to shut down fair pay discussionsWe’re excited to announce that Dennis is offering a special 10% discount for his legal services for all Offcall physicians. You can book a free consultation here, and be sure to mention “Offcall” during your appointment to claim your 10% discount!🩺 Offcall is more than a platform — it’s a community. Join today!🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Jay Parkinson is a pediatrician and founder who’s been reinventing healthcare from the outside in for nearly two decades. From launching one of the first tech-enabled house call services in Brooklyn to pioneering virtual primary care with Sherpaa, Jay has always believed that doctors can design better systems. Now he’s back with Automate Clinic, a new venture training physicians to fine-tune clinical AI models with real-world judgment and insight.In this episode of How I Doctor, Dr. Graham Walker talks with Jay about bucking the traditional medical career path, designing more human-centered systems, and what most startups (and health systems) still don’t get about primary care. They also dive into Jay’s new work building AI you can actually trust, and why the doctors best positioned to shape its future are the ones curious enough to break stuff and ask better questions. If you’ve ever wanted more freedom, more creativity, or more control in medicine then this one’s for you.What You’ll Learn in This Episode:Why Jay bet on the iPhone, and not the EMR, as the future of medicineWhat healthcare can learn from previous startups like Uber and GoogleWhy most doctor visits don’t need to happen in person and how to rethink the “front door” of careHow AI can surface consensus, not just “the right answer” and why that’s so powerful in medicineWhy design is a form of protest, and every patient deserves a more beautiful experience🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom 

Dr. Ami DeWaters is a hospitalist, medical educator, and one of the leading voices reimagining how we prepare residents for the realities of modern medicine. She’s an associate professor at Penn State College of Medicine that’s known for her sharp insights and deep commitment to building physicians who are not just clinically excellent, but also financially, professionally, and systemically fluent.In this episode of How I Doctor, Dr. Graham Walker talks with Ami about the disconnect between what doctors are taught and what they actually need to succeed. From FTEs and RVUs to PSLF and prior auths, they unpack the hidden curriculum of becoming a practicing physician - and why not understanding how the system works is no longer an option. If you’ve ever felt like medicine handed you the keys without teaching you to drive, this episode will tell you how to take back control.What You’ll Learn in This Episode:Why understanding FTEs is essential for your contract, your income, and your loan forgivenessHow to negotiate your first job like a pro and the surprising reason your desk might be the first red flagThe hidden power of residents to drive change and how one radiology resident helped redesign their entire overnight workflowWhy every doctor needs to speak the language of RVUs, billing, and insurance regulation if they want to lead and not just surviveThe one lesson every intern should learn by the end of their first year🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom Article Display Title (Social)

Dr. Greg Murphy is a practicing urologist and four-term Republican Congressman representing North Carolina’s third district—and the only physician in Congress who still actively sees patients, entirely pro bono. Before entering politics, he served as an affiliate professor, urology group president, and chief of staff at a Level 1 trauma center in Greenville, NC. These days, he’s sounding the alarm about what he sees as a crisis in the medical profession: a generation of young doctors who, in his view, are losing their sense of calling.In this episode of How I Doctor, Dr. Graham Walker talks with Congressman Murphy about the tweet that sparked backlash from younger physicians and the deeper frustrations behind it. Together, they explore the erosion of autonomy, the death of private practice, and what Murphy calls “the ultimate sacrifice” that medicine requires. It’s a fiery, honest, and civil conversation that cuts across generations, full of tough questions, uncomfortable truths, and a shared commitment to fighting for the future of patient care.What You’ll Learn in This Episode:Why Congressman Murphy believes too many doctors are using the system as an excuse to stop doing what’s right for the patient.What he means when he says medicine is “a field of sacrifice”—and why he thinks too many young physicians are prioritizing lifestyle over service.His critique of how medical schools admit, train, and prepare students—and what needs to change now.Why he thinks physicians need to give more than just their time to advocacy—and why money matters in politics.How doctors can get more engaged, whether it’s through policy, protest, or running for office themselves.If you’re a doctor questioning the future of medicine or just looking for a straight-talking take on what it means to stay in the fight this episode’s for you.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Dr. Paul Tran is a pediatric gastroenterologist, award-winning medical educator, and the creator behind Alimentary School — an online platform using storytelling, mentorship, and dad jokes to make medicine more human. He’s on a mission to break down outdated hierarchies and rebuild medical education around trust, real-time feedback, and genuine connection.In this episode of How I Doctor, Dr. Graham Walker talks with Paul about what’s broken in medical training and how we can actually fix it. With warmth and wit, Paul explains why seeing students as “just students” undermines patient care, how virtual interviews and pass/fail boards have reshaped the residency match, and why the way we give feedback needs to change yesterday. He also shares the killer interview question every applicant should ask, and how social media can help bridge gaps traditional training leaves wide open. If you’ve ever wondered what it would look like to blow up med ed and start fresh, this is the conversation for you.What You’ll Learn in This Episode:Why medical training still relies on outdated hierarchies — and how that hurts future doctors and patients alike.How the move to pass/fail Step 1 and virtual interviews is reshaping residency applications (and adding new pressures).The big flaws with “Feedback Fridays” — and Paul’s practical advice for giving and getting better feedback every day.The exact two-part question every med student should ask to uncover a residency program’s real culture.How Paul uses humor and short-form videos to make medical education more accessible, honest, and fun.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

The world of medicine is entering a new era. One where AI isn’t just a buzzword, but a daily presence in the lives of physicians. That’s why Offcall recently hosted a live webinar We're Sharing AI Secrets for Clinicians, featuring Dr. Graham Walker, ER physician and co-founder of Offcall, and Dr. Sarah Gebauer, anesthesiologist and founder of Valara Health. Longtime friends and Stanford med classmates.Their goal? Demystify AI for busy clinicians and provide practical tools to navigate this moment of transformation. Not in five years, but right now. Throughout the session, Graham and Sarah unpacked the real-world impact of AI in clinical practice, offering a blend of foundational education, cautionary guidance, and hands-on tips. You can watch the full video presentation at https://www.linkedin.com/events/7331694686937530368/about/Physicians, visit Offcall.com/AIGuide to download Graham & Sarah’s AI Guide.For everyone else who doesn’t have an NPI number you can download that guide at https://docsend.com/v/3t6h4/offcallwebinarWhat You’ll Learn in This Episode:AI Is Already Here—You Just Might Not Know ItKnow Your AI Types: Generative vs. DeterministicUse Cases Are Expanding RapidlyAsk the Hard Questions Before You AdoptBias and Hallucinations Are Real RisksOverreliance Can Weaken Clinical JudgmentLegal and Ethical Guardrails Are Still Being BuiltClinicians Need to Lead the Conversation🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom

Shawna Butler is a nurse, economist, and creator of the EntrepreNURSE movement — but above all, she’s a force for rethinking how healthcare systems are built and who gets a say.In this episode of How I Doctor, Dr. Graham Walker talks with Shawna about what we lose when we treat nurses like costs instead of collaborators. They unpack the deep roots of burnout and moral injury, explore why innovation often fails without frontline input, and ask a radical but overdue question: what if nurse wellbeing were a quality metric?It’s a bold conversation about power, trust, and how healthcare can only heal when the people delivering it are heard, valued, and supported.What You’ll Learn in This Episode:The Real Reason Nurses Burn Out - It’s not just stress. Nurses are seen as expenses, not expertsm and that perception shapes everything from policy to paychecks.Why Burnout Isn’t Just Exhaustion — It’s Moral Injury - Healthcare workers know what their patients need and are powerless to provide it. That’s not just frustrating, it’s ethically devastating.How Innovation Can Actually Keep Nurses at the Bedside - Nurses aren’t afraid of change, they’re afraid of being left out of it. When nurses lead innovation, they stay longer and solve more.The Untapped Power of Team-Based Care - Doctors and nurses are on the same team, but the system wasn’t built to reward teamwork. Fixing that is key to fixing care.🩺 Offcall is more than a platform — it’s a community. Join today!📝 For a full transcript of this episode click HERE🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315👨‍⚕️Follow Dr. Graham Walker onLinkedIn https://www.linkedin.com/in/graham-walker-md/ IG https://www.instagram.com/ubergraham/ Bluesky https://bsky.app/profile/drgrahamwalker.com ✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 🟧 Follow Offcall on LinkedIn https://www.linkedin.com/company/joinoffcall/ IG https://www.instagram.com/offcalldotcom/ TikTok https://www.tiktok.com/@offcalldotcom