The Podcast by KevinMD

"COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care. Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our communications to flow without interruption, and maintains most of our transportation systems, even though many of us have fewer places to go. Our elected and appointed officials went to work, most no smarter or less contentious than they were before, but emergency support came through in the form of research subsidies to enable better treatment and prevention, mass purchases to enhance lab capacity, and for many an emergency boost to available personal funds. Heroes all, except for the ones you see on TV that you wish to exclude." Richard Plotzker is an endocrinologist who blogs at Consult Maven. He shares his story and discusses his KevinMD article, "Doctors as organizational stewards." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"It's apparent to most that the dark clouds and stormy waters in the business of health care continue. There is much that needs attention from both health care workers and consumers. We have learned that when we work together, strength, creativity, and energy multiply exponentially. We need to move forward and create a sustainable and caring health care system. We can accomplish this by joining together and acknowledging our struggles, sharing and learning from them. The next step is key to change — we must take those narratives of drowning and shift their energy in a positive direction. We need to help each other start swimming toward a vision for the future of healing. Just think about it; what are the possibilities? No dream is too big or too small. Put it out there. You may be surprised at what sticks. And who knows better than you, the working nurse?" Beth Quaas is a nurse practitioner. She shares her story and discusses the KevinMD article, "A tale of 2 nurses." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Many families still prefer their providers to wear a mask. I have no way to know who carries what political or health views around their mask-wearing. Their masks were off, and mine was on. When I asked them for their preference of whether they feel comfortable with me wearing a mask or not, the parent's response was: 'Whatever you want. It doesn't really matter.' But it does matter. Doesn't it? It matters if you feel comfortable and safe. It matters if I am an agent of viral infectivity. It matters if you want to be able to read my emotions as much as I need to read yours. It matters if your child has autism, is hearing impaired, or even if English is your second language. It matters if we want to 'get back to normal.' But for all the reasons listed above, I find that I don't want to lift my mask just yet. Given a choice, I find myself behind the mask still. At least, for now, this continues to give me the semblance of safety: to wear my heart on my sleeve and my emotion on my face. I will not feel guilty about this. I am just a psychiatrist presenting emotion. PPE for me. Shivana Naidoo is a child psychiatrist. She shares her story and discusses her KevinMD article, "PPE: psychiatrist presenting emotion." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"My IVF baby turns 12 this week — and having attempted frozen and fresh IVF cycles six years ago, which did not result in pregnancies — I can also hold tenderly the space for those who have heard those words, 'Only one child?' Yes. Only one. Only one, magical, amazing, child destined to be ours. How blessed am I? Our thoughts are so very powerful, and I would like to leave you with these thoughts: You are not broken. You never were. Be gentle with yourself." Dympna Weil is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "A physician's infertility story." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of faculty wellness at one institution and the director of wellness at another. This "'final" evasive strategy, working on physician wellness and resilience. Over the years, I have increased the number of disclaimers in my talks: "I know that the system must change, and until it does, here are tips for your own individual resilience." I have tried to impress upon administrators the need to improve staffing, workflow, and documentation requirements. I understand the constraints. There are statewide and nationwide policies. There are requirements set by payors. I am certain that the impact of policy decisions is often not understood by those creating them. I feel that the fundamental structural flaws must be addressed: a daunting task." Claudia Finkelstein is an internal medicine physician. She shares her story and discusses her KevinMD article, "Burnout follows from physician to wellness director." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical tool. The approach itself is not nearly as important as the discipline to use a formal approach. One approach, for example, is a simple, proven framework that, on average, leads to a significant reduction in the time to resolve problems. " Jim Sholler is a consultant and author of Solved in 7: The Power of Disciplined Problem-Solving. He shares his story and discusses his KevinMD article, "Patient care is not a spectator sport." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"There are numerous ways your contract (and your life) can be made better. If you do not want to do it for yourself, do it for your patients. A burned-out physician will not give those patients the same quality of care as a reasonably rested physician would give. For the sake of your patients, please renegotiate your contract!" Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "The Great Resignation is a great opportunity to renegotiate physician employment agreements." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"How does it work? We teach people to speak to one another's values. Have you heard of listening to answer vs. listening to understand? Well, we take that one step further. We teach first to use personality science to find the values of everyone around you, then listen to, and speak to their values. Don't speak in your code of values. Speak in the code of values of the other person. Do you know what this does? First, it makes the other person feel valued. Secondly, it causes you to place more value on that person. You value them more as a person! This is huge. We spend a lot of time on just this concept. This alone can turn a dysfunctional physician into a leader." Nanette Nuessle is a pediatric hospitalist and physician coach. She shares her story and discusses her KevinMD article, "The relationship between communication and burnout." More information about the BANKCODE personality report. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"To reduce eating disorder risks and to support those who may be suffering in silence, we need to keep talking and promote awareness of the issues while clarifying long-held misconceptions about eating disorders. We can't help those who do not feel able to speak up. We can't help people that speak up and can't access treatment. We can't help when we constantly contribute to the problem through the cultures we create and perpetuate. With awareness of these concerns, we must use our voices to improve the culture of medicine and the military, including combating harmful messages around weight that instill shame and avoidance while lacking evidence-based rigor to back up their claims. We must reduce mental health stigmatization and the shame associated with asking for help. We must create psychological safety to talk about the hard things and end anyone's suffering in silence." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "Military and medicine: 10 shared risk factors for eating disorder development." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those who have been denied fair treatment. Going backwards only infringes our ability to pursue life, liberty, and the pursuit of happiness. Future laws that could be overturned include Griswold v. Connecticut, protecting the right of marital privacy against state restrictions on contraception. As an experienced physician with a strong interest in patient safety, I feel the need to educate our patients about potential changes in their health care because of this possible decision and ask for their partnership in getting out the vote for candidates that would support women's rights. Time is of the essence." Susan Mann and Haywood L. Brown are obstetrician-gynecologists. They share their stories and discuss the KevinMD article, "Reproductive and abortion care is health care." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to share and reflect on our experiences — especially when we were clearly incompetent. There are a number of systems in place that reinforce structural heteronormative care. We need to identify these structures and work to make them more inclusive. The confines of iPLEDGE are exemplary of the problem — the health care system is structurally heteronormative." Naila Russell is a nurse practitioner. She can be reached on Twitter @nailarussell. She shares her story and discusses her KevinMD article, "A call to dismantle structural heteronormative care." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps more important these days is that our physical presence is less important than the voices that whisper through space and time into their ears, hearts, and souls, saying that we are, truly, here. It may not be much solace, but it's all we have." Carol Ewig is a retired teacher who blogs at Teaching-365.com and can be reached on Twitter @carol_ewig. She shares her story and discusses her KevinMD article, "A story of a good death." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture. Peer review. Physician health and wellness committees. Social events. CMEs about burnout. Burnout surveys. State-run physician health programs. These have positive impacts. But what else? When we go home and collapse on the couch, wondering what happened to that pre-med we used to be, the one who rejoiced at the acceptance letter to medical school, thinking the hard part was over. Naive? Yes. But there is beauty in that innocence. How do we find that joy in the privilege we have to be health care professionals? How do we love medicine again?" Marsha Hamner is a hospitalist. She shares her story and discusses her KevinMD article, "Why is it hard to find grace in medicine?" Suggested reading: The Case for Grace: A Journalist Explores the Evidence of Transformed Lives Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant others. Now, I am referring to romantic relationships here, but the same concept also applies to friendships. I've put together a list of tips from my own experience to hopefully give some advice and encouragement to future, current and even past nursing students. I was dating, planned a wedding, got married, moved and had a baby all through my years of nursing school. And yes, I'm still married, so I must have done something right." Amanda Lundberg is a nurse. She shares her story and discusses her KevinMD article, "How to maintain your relationships during nursing school." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further analyze these programs' results to determine the future for this person-centered care model. The movement from inpatient to in-home acute-level care started long before COVID-19, and the pandemic accelerated it. Congress should extend the acute care at home waivers to ensure these innovative and patient-centered programs continue for those who rely on them." Stephen Parodi is an infectious disease physician and health care executive. He shares his story and discusses his KevinMD article, "The public health emergency brought health care into the 21st century. Let's keep moving forward." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"At the interpersonal level, people can help to normalize vaccination as the standard among their friends and family–not by lecturing or hectoring, simply by openly sharing that they themselves are vaccinated. Health care providers also have a role to play in de-sensationalizing the issue and making discussions about COVID vaccination a more routine part of their standard practice. Even as the U.S. looks forward to a summer of possibility, the true end of COVID is still a long way off. The virus will continue to evolve, perhaps in unpredictable ways. Science has done the heavy lifting to create an extraordinarily effective vaccine; it will take individuals adapting to social norms to keep those defenses working." Stefanie Demetriades is a communications researcher. She shares her story and discusses her KevinMD article, "Done with COVID? Not so fast." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"No one anticipated how the pandemic would impact their Deaf colleagues' work environment and career opportunities. Yet, 15% of adults report some form of hearing difficulty. This number increases dramatically with advancing age, with 50% of those aged 75 years or older experiencing hearing difficulty. The exact number of Deaf/Hard of Hearing (DHH) physicians and other health care providers is unknown. However, according to the Association of Medical Professionals With Hearing Losses, the numbers have increased over the past few decades. This increase is in part due to legislation (such as the Americans With Disabilities Act of 1990) and evolving technologies (such as electronic and visual stethoscopes and speech-to-text applications). Although these changes have enabled more DHH professionals to work in health care, none was sufficient to address the COVID-19 pandemic's effect on DHH physicians. I grieved this change in my life. I could not rely on my usual communication methods to understand people. To succeed in this new reality, I had to advocate for full-time interpreters at work to treat my patients, urgently help a colleague with their shift, or attend a last-minute meeting. I needed to select skilled, compatible interpreters while consciously redesigning my work environment to consider their needs, methods, and availability." Carolyn Stern is a family physician. She shares her story and discusses her KevinMD article, "Practicing medicine as a Deaf physician is an uphill battle. COVID makes it worse." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

In this episode, we talk to pathologist Hoda Zeinab M. Amer who discusses her work with non-profits, along with her book detailing the behind-the-scenes lives of pathologists. We also open the proverbial black box of pathology and she explores the traits interested students should have if they pursue the field. Hoda Zeinab M. Amer is a pathologist and author of Animals of Undetermined Significance. She shares her story and discusses her KevinMD article, "Scenes from a pathology resident's day." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"If you have never heard the term 'financial infidelity,' it doesn't mean you don't know what it is. In fact, according to a recent creditcards.com survey, 32 percent of respondents have financially cheated on their partners. Both finances and cheating can be complex subjects to discuss, even with and, sometimes especially with, those closest to you. Not surprisingly, this topic is pertinent to physicians and dentists because they tend to have more money available. In hopes that if there are any seeds of financial secrecy in your relationship, you can identify them, you can admit it, and you can begin to weed that garden of your relationship before it gets out of hand. And if you see financial infidelity or the signs of it in a close friend or family member, perhaps you'll be better equipped to help them make decisions to strengthen their relationship instead of destroying it." Shane Tenny is a certified financial planner. He shares his story and discusses his KevinMD article, "Financial infidelity: It's not about the money, it's about trust." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"As physicians, we are masterful at suppressing so many of our emotions, and the thoughts and memories associated with them. However, trauma has a way of impacting us in great big obvious ways (as we saw with Will Smith), and not such obvious ways (perfectionism, workaholism, lack of boundaries). I'm not suggesting any of us go unearthing swaths of past trauma. Simply be aware that it may be impacting you in ways you recognize and have yet to address, or in ways you never quite thought of as being associated with trauma. And, if needed, allow yourself to get the support you need by working with a trauma-informed therapist, trauma-informed coach, or other trauma-informed specialist." Melissa Hankins is a psychiatrist and physician coach. She shares her story and discusses her KevinMD article, "Will Smith's slap is a trauma response." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I almost quit my job in 2014. I didn't like my life, and I didn't like myself. I had a lot of problems personally and professionally, and I wondered if I was good enough to solve them. I often felt weak and powerless. People were coming to me for answers, but I sometimes felt like a fraud. My usual strategies of working harder and reading more books weren't helping me, and I knew it, but I didn't know what to do. I felt frustrated, angry, sad, tired, and lonely. All I knew was I wanted these feelings to go away. And then I would shame myself for feeling this way. I kept asking myself: What is wrong with you? Brett Linzer is an internal medicine-pediatrics physician. He shares his story and discusses his KevinMD article, "A burnout coach saved my medical career — and possibly my life." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Physicians have a deep well of experiences to draw from in their writing. They witness dramatic episodes of heroism, cures, disappointments, and failures. They see unforgettable scenes, hear devastating words, make difficult decisions, and observe people at crucial moments in their lives. Most importantly, they witness the power of cause and effect – one action producing a resulting action – a building block of fiction, nonfiction, and poetical narratives. Great writing comes out of these experiences. The stresses of the COVID pandemic intensified the need for my students to creatively express themselves. There is more to medicine than science, and physician-writers can feel their doctoring strengthen as they synthesize and imagine experiences and explore on the page what it means to be observant, compassionate, and curious. They regain their original purpose in pursuing medicine as a profession. Complementing their grounding in science, they reclaim their grounding in humanity." Jack El-Hai is a writer and creative writing coach. He shares his story and discusses his KevinMD article, "Why I help physicians write." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I had no recollection of this, but as I processed what Yael said, my response was the opposite of what one might expect—I felt tremendous relief! I was happy. My pain had a name and hopefully that meant that I could get well. I was a doctor, and I knew well that the first step toward treatment is a diagnosis. I was determined to approach DID the way I had most things in my life—medical school, marriage, mothering, and advocating for women's health care—with passion and an intensity of purpose." Shelley Kolton is an obstetrician-gynecologist and author of Brain Storm: A Life in Pieces. She shares her story and discusses her KevinMD article, "A physician's story of dissociative identity disorder." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Looking to the future, since I only froze one embryo and my ovary reserve is diminishing, we are hoping to go through another infertility treatment cycle. Although, once again, the medications are once again being denied. Infertility is just like any other mental or physical health condition and should be fully covered, including pharmaceutical, medical, and surgical treatment. As data suggests, 1 in 4 female physicians will experience infertility, which is twice the general population's rate, which is 1 in 8 women. The reasons for the increase in infertility include significant stress levels during the education and profession, deferred family planning, and long hours of medical careers. Like myself, Black and Latinx women have higher risks of experiencing infertility, not explained by biological differences but by social inequalities and disparities in health." Stephanie E. Moss is a medical student. She shares her story and discusses her KevinMD article, "The hidden costs of fully covered infertility treatment." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I know many physicians are already maxed out. Technology can make that worse. As soon as you introduce what will be perceived as new obstacles to moving from A to Z, all they're going to think is, "I can't do what I need to do. I'm exhausted and I'm behind. And now you're introducing seemingly arbitrary expectations and steps with new tech, and you're just sitting there with your arms crossed, shaking your head at me?" That further exacerbates this feeling of a loss of autonomy, a feeling that you're not appreciated, a feeling that there's no respect for efforts. Look at all of the accepted definitions of burnout, and it makes it worse. But I'm not here to burn you out. I'm here to say that your voice is valuable, and there are very real ways to positively influence the strategy, adoption, and ongoing maintenance for technology you depend on as a physician." Rodrigo Martínez is an otolaryngologist and health care executive. He shares his story and discusses his KevinMD article, "Here's a crazy thought: Make technology work for doctors." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Having a physician partner who knows us well, who we can trust, and whose judgment we value exponentially increases the odds of accurately making the distinction between self-limited illness versus a significant disease process. This will also assist us in navigating the health care system such that we receive only that testing and treatment that is appropriate for our individual situation. Just imagine how much better we would have fared in the U.S. had our individual responses to the COVID-19 pandemic been guided by trusted and qualified medical experts. To make this novel partnership more feasible, I would propose at minimum an immediate 50 percent increase in the rate of pay for both adult and pediatric primary care physicians, thus encouraging more new physicians to choose those professions while allowing for more time for physicians and patients to spend together." Drew Remignanti is an emergency physician. He shares his story and discusses his KevinMD article, "Only patients can save U.S. health care." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"We're encouraged to mentally rehearse life-saving procedures for conditions that occur so rarely we might go our entire career without performing them. And the reality is that I could spend every minute of my free time this way and still have an unexpected situation arise during my next shift. So, is there a way, as experts in disaster preparedness, to accept what we cannot control? Thankfully time, medication, and therapy helped me out of a very dark place, and the journey has prompted me to reconsider my priorities. Tessa and I only meet about once a month now. With her continued help, I'm hoping to find a way forward in the specialty I love, but with the understanding that I'm no longer willing to sacrifice my own mental wellness." Adrienne Van Curen is an emergency physician. She shares her story and discusses her KevinMD article, "Are my coping skills a result of my emergency medicine training?" Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Have you ever wondered how many times death has not come, but could have? On the corner of Church Street and Dubuque how close was I, pausing to assess an ice-sheeted puddle just before a woman turns, her head turned too, searching for what? A snack? A phone? A child crying? The summer I almost drowned, my mother said no you will not, and I did not. Hotel pool, a single cool eye seeking, floaters upstairs in the room. Every backseat I slid into under the cloaks of dark and youth and rebellion with every driver that palmed the wheel like a dare—I will not be struck down tonight. How many near-deaths have I walked towards without hesitation, another door, another elevator another escalator on its way up. And now—every mouth and nose just a house for fear. Oh, but how I dare to smile." Liana Meffert is a medical student. She shares her story and discusses her KevinMD article, "It goes without saying: a residency interview." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Oh no, it's a doctor hopper. You know who I'm talking about: the patients with twenty previous doctors documented in their chart. The ones who took years to be diagnosed. The ones who still have not been diagnosed, but insist something is wrong. They're just jumping around until they get their way, you seethe. Really? Every doctor's appointment is a commitment of time and money for a patient. I think I speak for a lot of us when I say that we'd greatly prefer it if things went right the first time. Unfortunately, that's not always the case. If one of your patients has hopped, instead of immediately assuming they're a problem, consider this: they're trying to find the help that will allow them to stop hopping." Denise Reich is a patient advocate. She shares her story and discusses her KevinMD article, "How about those doctor hoppers?" Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"A few months ago, I embarked on an ethnographic study to understand what health care professionals saw as the psychosocial needs of pediatric patients. This involved conversations with several doctors in Pakistan, who had volunteered to share their views about pediatric patient care. As I engaged in deep, organic discussions with my interlocutors, I found doctors willing to explore personal experiences which had left indelible memories. I had somehow tapped into a need for them to reflect on their own struggles to gain trust, counsel, and understand patients psychologically and the impact this had on them. An unexpected by-product of my research was that I had created a safe space for doctors to unpack their emotions. While they appear clinical and detached, doctors have a heartbeat that races when they share personally meaningful stories about their work in rare places where they feel completely comfortable." Maryam Chloé Pervaiz is an anthropologist. She shares her story and discusses her KevinMD article, "Listening to the doctor's heart." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

In this episode, we talk with writer Dustin Grinnell. He takes us behind the scenes on his ideas for his books, his research process, and how he brings medical stories to life. We also delve into the realm of speculative fiction, and how that intersects with medicine, technology, and ethical dilemmas. Dustin Grinnell is a writer. He shares his story and discusses his book, The Empathy Academy. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"The Great Resignation. I doubt there is a medical practice out there that has not been affected by it. And experts predict we are just at the beginning. The U.S. Bureau of Labor Statistics' early data from 2022 shows that health care is among the top three industries increasing in monthly "quit rate," second only to accommodation and food services. 2.6 million health care workers quit their jobs from May to September 2021, and 1 in 5 physicians plan to leave their current practice in the next two years, according to a survey funded by the American Medical Association. So this is likely the tip of the iceberg." Jessica de Jarnette is a family physician. She shares her story and discusses her KevinMD article, "COVID-19 and the Great Resignation: a catalyst, not the cause." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

In this episode, I interview Jim Dahle, creator of the White Coat Investor. He has literally created a new asset class of content: the health care professional personal finance space. He discusses how he got his start with the White Coat Investor, why his message still resonates today, and how financial literacy can combat burnout. He then moves on to his take on real estate and cryptocurrency. Finally, we end by discussing his most recent book on asset protection. James M. Dahle is an emergency physician and founder, the White Coat Investor. He is the author of The White Coat Investor's Guide to Asset Protection: How to Protect Your Life Savings from Frivolous Lawsuits and Runaway Judgments. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I propose that we look at what each choice in food does for us: How does it make my body feel? How am I able to sleep and move and focus when I eat this food? How am I giving my body what it needs right now and what will keep it strong over time? And, how is this food the perfect one that my body needs right now? Eating the food that fuels aspirations and performance is much better to produce positive change than fueling shame, guilt, and misery. As we practice doing better, we will find ways to help ourselves and our communities create the habit of positive change. Because you are not defined by what you eat." Wendy Schofer is a pediatrician. She shares her story and discusses the KevinMD article, "We are not defined by what we eat." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Medical errors exist at the far end of a continuum of unexpected events in clinical practice and they are devastating for all involved. Even when care is attentive and patient compliance perfect, unexpected outcomes occur in medicine. Unanticipated diagnoses, delays in diagnosis, premature death — these are all included in the realm of "unexpected events" even if nothing has gone "wrong" in medical care. These events cause physicians to suffer self-doubt, worry, shame and guilt, sometimes exacerbated by the magnitude of the event, the temperament of the clinician and the institutional climate in which these events occur." Eliza Humphreys is a pediatrician and certified life coach. She shares her story and discusses her KevinMD article, "Who will heal the physician?" Editor's note: Dr. Humphreys would like to clarify that she completed a general preventive medicine residency, inadvertently referred to as a fellowship during the recording. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Even low dose mercury toxicity can be harmful to human health in a variety of ways: enhanced free radical stress, reduced glutathione levels, increase in apolipoprotein E g4 genotype expression, promotion of neurofibrillary tangles and altered immune sensitivity. It has been implicated in contributing to autism, Alzheimer's disease, Parkinsonism, and even lupus erythematosus, an autoimmune disease that may have neurologic involvement. Mercury toxicity has been reported as an occupational risk to dental staff, goldminers, and chloralkali factory workers. My father, a dentist, developed neurological symptoms of mercury poisoning after handling many dental amalgams, so I have some firsthand experience with its danger. Even in remote parts of the world like the Amazonian basin evidence of neurotoxic levels of methyl mercury contamination has been observed. Testing adults in a remote village on the Tapajos River, investigators found that loss of manual dexterity and visual contrast acuity correlated with mercury levels even in a range considered non-toxic." Arnold R. Eiser is an internal medicine physician. He shares his story and discusses his book, Preserving Brain Health in a Toxic Age: New Insights from Neuroscience, Integrative Medicine, and Public Health. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"One initiative that more administrators should support is global medical outreach. The ability to practice pure medicine, like the neighborhood doctor from long ago, renews a love for the vocation that physicians sought when they first entered medical school. Humanitarian outreach will help reinvigorate physician workforces immediately, allowing physicians to have the opportunity to treat patients who are overwhelmingly grateful for the care provided while also teaching local partner doctors dedicated to changing the lives of adults and children in their own community. Meaning in medicine can be found again. I know, it happened to me." Danielle Sweeney is a pediatric urologist. She shares her story and discusses her KevinMD article, "I left medicine. Then I found meaning." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Patients want more than simply learning about a problem and how to treat it. Patients want reassurance. While I summarized the proposed surgical treatment, I watched for signs of anxiety or lack of understanding. Ultimately, my patient wanted to have confidence that I was the right person for the job and that I would do whatever was necessary to make things turn out well. I believed that delivering the message personally was important. I was both providing knowledge and gaining trust as I described the surgery and its potential risks and benefits. It has been well documented that patients facing surgery may remember only half of what they have been told ahead of time. Given that statistic, even if patients cannot recall many details, I hoped that my patients felt comfortable that their questions had been answered, that surgery was indicated, and that they were in good hands. I was reminded of the aphorism: 'They may not remember what you said, but they remember how you made them feel.'" Paul Pender is an ophthalmologist and can be reached at his self-titled site, Dr. Paul Pender. He shares his story and discusses his KevinMD article, "The dichotomy of patient needs and patient wants." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Arguably one of the most overlooked yet incredibly important aspects of your malpractice insurance policy is the Consent to Settle Provision. You're paying thousands of dollars a year for your malpractice insurance; you should have a say in how your claims are handled, don't you think? Today we're going to talk about the consent to settle provision – why it's important, how carriers can limit you, and what you can do to ensure that you're in the driver's seat for the handling of your malpractice claims in the future. One of the most important features of a malpractice insurance policy is the consent provision, which gives you the authority to settle (or not settle) a claim that you are involved in. While this may feel like it does not concern you now, it could make a huge difference if and when you are involved in a malpractice case in the future." Jennifer Wiggins is a health care executive. She shares her story and discusses her KevinMD article, "Understanding consent-to-settle in your malpractice insurance policy." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Sufferers of mental illness often believe that others feel they have control of their symptoms, only having to decide to not be, for example, depressed. While they themselves suffer the symptoms of mental illness, they often have the feeling that they should be able to control them. Depending upon their experience, the observer of the mental illness sufferer believes that the patient can decide to some extent to not feel the symptoms. Others feel that the mental illness sufferer is somehow to blame for their suffering. When observing someone with mental illness, the examiner does not see signs referable to the condition. Information concerning the patient's clinical condition consists entirely of symptoms and must be related to the clinician. There are no true signs of mental illness, but rather feelings; conditions that are inside, and hence invisible to everyone else. This invisibility leads to feelings of isolation and the destructive feeling that their suffering is by the fault of themselves." William Lynes is a urologist. He shares his story and discusses his KevinMD article, "The invisibility of mental illness." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I started planning my escape in late 2020. I would find a way to quit health care, to cease being a practicing physician altogether. Living the life of a doctor-mom, I felt consumed with daily obligations and duties. Guilt plagued me for feeling burdened by this life, for feeling it was a monotonous prison. The guilt soon transformed to anger. I was not showing up to my life in a meaningful way. I held many limiting beliefs that blocked me from change. How did I get here? A child's dream of becoming a doctor sustained me into adulthood. The dream was an all-encompassing mass-like occupancy in my brain with space for few other dreams. Upon becoming an attending, my dream was realized, but I found myself with a huge void where this space-occupying lesion once lived. Now what? In the absence of childlike wonder, it did not occur to me to create new dreams." Cathi Whaley is a hospice and palliative care physician. She shares her story and discusses her KevinMD article, "Permission to burn the manual." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Before retirement, I switched everything I cared about to my personal one and unsubscribed to everything I didn't care about. For the first few months, I religiously checked my work email. Sure, I was missing important information. I finally weaned myself like a reluctant nursing baby. On the rare occasions I check my work email, it has spam, irrelevant ads, missives from my previous employer about meetings or new incentive plans I care nothing about. In contrast, my personal email has lunch invitations from friends and interesting articles from Smithsonian, National Geographic, Atlas Obscura, and NY Times. Don't get me wrong. I still read the frequent emails from the pediatric hospitalist listserv, a very busy means of communication for the nation's pediatric hospitalists. It helps me stay up to date on new therapies and new issues in pediatrics. But most of my emails now evoke pleasure, not duty." Ann F. Beach is a pediatric hospitalist. She shares her story and discusses her KevinMD article, "A physician's personal great resignation." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Patients look to providers for guidance, wisdom, and hope. When patients receive a new chronic disease diagnosis, it can feel terminal to the layperson. Even pre-diabetes is traumatizing to an otherwise healthy adult. We must not underestimate the power of our words. Learn to see selling as a key skill to develop. As with other skills, it gets easier the more you do it. When you have the know-how and enjoy selling, you will have more belief in yourself, your patient, and the treatment/healing process. You reconnect to your purpose and share the gifts only you have. You live life with ease and joy. You feel better. Patients do better. Everyone wins." Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, "Why selling will make you a happier doctor." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"There is a lot of confusion and outright falsehoods about fasting. You can search the internet for clarity and end up more confused than when you started. The fact is, fasting can be a very effective tool to improve your metabolic health, increase insulin sensitivity and help you lose weight. But, who should and shouldn't use fasting for weight loss and how long to fast for effective weight loss are questions that need to be answered before you rush into fasting. The main thing to consider is to what end? What's your why?" Karla Lester is a pediatrician. She shares her story and discusses her KevinMD article, "Don't be in a hurry to fast." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"In St. Louis, asthma is the greatest health care inequity, with African-American children having an incidence rate greater than 10x that of white children. Children in St. Louis are afflicted by rates of asthma 3x higher than that of the national average, and asthma is currently the leading chief complaint at St. Louis Children's Hospital. Underserved communities face a multitude of issues that exist beyond the medical aspects of health care. And unfortunately, asthma is not only an issue due to its accompanying signs and symptoms, but for its pertinence well beyond its pathology." Tejas Sekhar is a graduate student. He shares his story and discusses his KevinMD article, "Inhaler nonadherence and social determinants of health." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"As a family physician for more than 40 years, I have seen countless patients struggling to alleviate chronic pain, with far too many turning to self-destructive coping methods such as alcohol and opioids. Unfortunately, the struggle with chronic pain isn't going away – and more alarming is the fact that those suffering from it are getting younger and younger. The latest data on chronic pain show patients between age 18 and 34 are reporting the most chronic pain, and they are desperately seeking relief. It's our job as physicians to help them. Right now, we may be failing." Resources mentioned in the show: Healing Oriented Practices & Environments Wayne B. Jonas is a family physician. He shares his story and discusses his KevinMD article, "Listening to pain in our younger patients." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"COVID has brought us new challenges and a genuine opportunity to be part of the critical response to optimize the care we deliver not just to our patients but also to their families and caregivers. I am lucky, blessed to do this work every day and carry such a deep passion. We are making a difference and impacting care in positive ways. We support not only patients, families, and caregivers but also each other, our colleagues, and other members of the health care teams. We are all in this together — a shared commitment for assuring humanity in medicine. And each day, we hope that our eyes will see the best in people, our hearts forgive the worst, our minds forget the bad, and our souls remain ever steadfast in our faith, commitment, and love for this sacred medical work we are so lucky to do." Patricia M. Fogelman is a nurse practitioner. She shares her story and discusses her KevinMD article, "A soul that never loses faith." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I spent the first three days sitting next to my dad's hospital bed, watching his chest rise and fall slowly. He was asleep the majority of the time, fighting off something unknown. Anytime he moved, I jumped up from my chair and stood where he could see me just in case his eyes fluttered open for a split second. I wanted him to know that I was there, that I cared. I sat for hours listening to the unfamiliar noises in the room, like the IV pump, which sounded like a miniature helicopter hovering nearby. As the doctors and nurses came in and out of his room, running tests, trying to figure out what was wrong, I repeatedly had to say to them, 'This is not his normal. He has late-onset Huntington's disease (HD).'" Erin Paterson is a writer and the author of All Good Things: A Memoir About Genetic Testing, Infertility and One Woman's Relentless Search for Happiness. She shares her story and discusses her KevinMD article, "Advocating for a sick parent by confronting physician bias." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"What these substances have in common is that they are widely considered to fall into the category of psychedelics. What else they have in common is that the vast majority of us physicians learned nothing about them in medical school or residency, as most psychedelics are classified as Schedule 1 substances, which suggests they have no currently accepted medical use and pose a high potential for abuse. With these psychedelic-based therapies, clinicians are now presented with options to help patients who haven't benefited from traditional treatments. These therapies are vastly different from current medical models in that there is generally no pill to take every day, and some treatments need to be done only one or two times to have a lasting effect. As some psychedelic therapies are already available, and more are coming soon, now is the time for us to get up to speed on what these psychedelic medicines are, how they work, what conditions they may be able to treat, how they interact with other medications, possible dangers, and what our role may be in facilitating patient access to these medicines." Lynn Marie Morski is a physician, attorney, and president, Psychedelic Medicine Association. She shares her story and discusses her KevinMD article, "What doctors need to know about psychedelic medicine." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Greater demands in the U.S. for billing and regulation-related documentation contribute to the excess time burden of EHR systems compared with other countries. A high volume of clinical alerts and other distractions in the EHR, as well as various other inefficiencies (such as locked computer screens and repetitive sign-in requirements), encumber physicians as they navigate the EHR. As a result, physicians can spend half of their total EHR time on clerical and administrative tasks, and another quarter on inbox management. Only half of a doctor's day remains for direct clinical interactions with patients. Physicians spend about one-fourth of EHR time outside the clinical session. The essential lesson from this EHR evidence is that the time burden it imposes on physicians is substantial in the U.S., occupying hours that could otherwise be spent building truly meaningful relationships with patients (not "meaningful use" metrics!) and providing quality care.' James G. Kahn is a health policy professor. Thrisha Gogineni is a student intern. They share their stories and discuss the KevinMD article, "How much time do physicians spend in the EHR?" Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info