The Podcast by KevinMD

"It makes sense that the body's reaction to the onslaught of perceived threats would have a detrimental effect on physical and mental well-being. Perceived threats trigger the exact same physiological response as actual threats, activating a fight, flight or freeze reaction. It's the constant stimulating of these stress responses that can lock some people (and others, not) in a chronic state of stress, not the actual events that people experience. We all react differently—some more intensely than others. Once you begin the process of regulating your nervous system, you'll notice a gradual change in your physical and emotional well-being. You'll feel increasingly safe, spacious, and resilient. You will have more capacity to metabolize stress, and to give and receive love—all without the constant presence of a false threat response. It may sound too good to be true, but time and again, I've seen people's lives completely change when they learn to do this work." Rebecca A. Ward is a marriage and family therapist and author of The Paper Tiger Syndrome: How to Liberate Yourself from the Illusion of Fear. She shares her story and discusses her KevinMD article, "The body is the gateway to the Original Blueprint." This episode is sponsored by the American College of Lifestyle Medicine (ACLM). Chronic disease is a global emergency. If you're interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it's time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. 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

"Certificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private resources, but none of these gains has materialized. A joint report from two federal agencies—the Federal Trade Commission and the Antitrust Division of the Justice Department—finds no evidence that CON laws achieve any public benefit. A supermajority of studies agrees. More importantly, decades of real-world experience show that CON laws do not work as advertised. Recognizing the policy error, Congress reversed itself in 1986 and repealed CON mandates it had imposed just 12 years earlier." Jaimie Cavanaugh is an attorney. She shares her story and discusses the KevinMD article, "As cancer patients wait, states play favorites." This episode is sponsored by the American College of Lifestyle Medicine (ACLM). Chronic disease is a global emergency. If you're interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it's time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. 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 take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, race, diabetes, and other risk factors should be considered for such screening, especially in the face of potential asymptomatic damage. How often have doctors said, 'If you had only come in sooner …' To the Task Force, I pose the following question: If your mother, father, brother, sister, or child had known risk factors for glaucoma, wouldn't you want your loved one evaluated before signs and symptoms develop?" Paul Pender is an ophthalmologist and can be reached at his self-titled site, Dr. Paul Pender. He is the author of Rebuilding Trust in Healthcare: A Doctor's Prescription for a Post-Pandemic America. He shares his story and discusses his KevinMD article, "Open-angle glaucoma: To screen or not to screen?" This episode is sponsored by the American College of Lifestyle Medicine (ACLM). Chronic disease is a global emergency. If you're interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it's time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. 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

"In my medical training, we were taught five ways to treat pain: lifestyle modifications, physical therapy, medications, injections, and surgery. Lifestyle modifications are positive changes in diet, exercise, sleep, and stress levels. This is the first-line treatment for painful inflammation. Yet we tend to overlook this option in favor of tools that produce quicker results. Passive treatments (medications, injections, some surgeries) can relieve acute pain or nerve damage but do not always provide lasting relief for ongoing or recurring pain. And even these passive treatments work better when coupled with lifestyle changes. To decrease chronic pain, we must consider what we consume. Better fuel reduces inflammation, improves function, and restores balance." Saloni Sharma is a pain management and rehabilitation medicine physician and author of The Pain Solution: 5 Steps to Relieve and Prevent Back Pain, Muscle Pain, and Joint Pain without Medication. She shares her story and discusses her KevinMD article, "Current pain treatments and their deficiencies." 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

"Very few are talking about workplace bullying, yet many are benefitting from it. It acts contrary to the principles of care at the heart of medicine — and we need to do something about it. How many physicians have wanted to leave medicine because they were subject to horizontal violence or bullying in the workplace? Who has felt undermined, belittled or humiliated when showing up to work on a daily or weekly basis? Are there those of you who have been used for skills yet have never been acknowledged for your contributions or work? Have you had someone in a position of power act as a gatekeeper in your career path? How many have been subject to some kind of mental, emotional, physical or sexual harassment? In a profession with the core principle to heal, it is sad, disappointing and sparks anger to know of and experience workplace bullying. It has grown like a festered fungus in health systems already under pressure from decades of under-resourcing and underfunding. This has worsened with the COVID-19 pandemic." Maria Peach is a general practitioner in Rarotonga, the South Pacific. She shares her story and discusses her KevinMD article, "Let's talk about bullying in 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. 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

"Change is overdue. Physicians who need help for mental health issues or substance use disorders need to get it in a manner that is free of financial and other conflicts of interest. They need to be able to go to academic centers and/or the best clinicians possible and get unbiased opinions and advice. Boards of medicine need to stop giving PHPs carte blanche to dictate what physicians need if there is suspicion of a substance use disorder. Every physician in the U.S.—and, in fact, every patient—ought to join in calling for fairness and transparency in PHP recommendations. Until there is a groundswell of opposition against standard practices, physicians will continue to get extorted, and they and their patients will continue to suffer." J. Wesley Boyd is a psychiatrist. He shares his story and discusses his KevinMD article, "The extortion of physicians: If doctors don't pay up they don't work." 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 are in an epidemic of gaslighting in medicine. The best definition I heard of gaslighting is transferring your authority on yourself from you to someone else. We give up our authority on ourselves to everyone else but ourselves. We leave our feelings of work ethic to our current culture: we are lazy if we don't step in line and do everything asked of us. We are told we aren't worth our salaries as physicians are replaced with less expensive nurse practitioners and physician assistants. We are told our education is not important as the public ignores our expertise, and the judicial and legislative system tells us they know better for our patients. And it is somehow our fault, or at least we are left to deal with it. Show up and work hard to pay outrageous student loans gathered in pursuit of the cause. I don't know the right answer for all of this. But I do know where we need to start." Amy Vertrees is a general surgeon and founder, BOSS Business of Surgery Series. She shares her story and discusses her KevinMD article, "A call to stop overworking." 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

"I never thought social media hacking would offer such important reminders and lessons, but here we are. By the way, I am the first to admit that it's easy to gloss over phrases and lessons because you've heard them a million times before, and we think we know. But in reality, we merely understand, but do not know. Because if we really knew, then there wouldn't be the need for the lessons to appear. So while I would never have wished for this to happen, I am grateful to learn and for this opportunity to 'know.' Have you experienced hacking before? How did you respond? What did you learn from it?" Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, "What I learned after being hacked on social media." 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 wife is a urogynecologist lucky enough to get through her seven years of residency plus fellowship with "only" $124,000 of student debt. When we discussed how we were going to get rid of this debt, she had always assumed that it was going to take a couple decades to pay off. With our combined income, we certainly could've lived like paupers and extinguished her loans rapidly. However, I knew a strategy that involved extreme deprivation after her long years of training could grow old and not be successful. Instead, we targeted a repayment period of fewer than five years instead of 10 years or more. We focused on cutting our spending in three key areas that I typically see trip up physicians more than any others." Travis Hornsby is a chartered financial analyst. He shares his story and discusses his KevinMD article, "3 ways to cut years off your medical school loan repayment period." 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

"For many health care professionals, the stresses of their roles routinely take a heavy toll on their mental and physical well-being. It did for me. The pandemic and the unprecedented loss of life were more overwhelming than any of us could have imagined, and for some, it simply pushed them over the edge. But, even before the pandemic, our peers have been suffering from depression, anxiety, and exhaustion and needed resources to help them better cope and manage their well-being. For me, I learned the path to a healthier, more balanced, and purposeful life. I took up ultra-running, which has helped me enormously. I also developed strategies and tactics that I can rely on to keep me on an even keel, even when things get extra challenging. My journey is what inspired me to write a book and share what I have learned with others. The resources which will now be made available as a result of the Dr. Lorna Breen Health Care Provider Protection Act are vital to supporting more health care professionals. Many medical associations are applauding the new legislation. We as medical professionals should not hesitate to avail ourselves of any and all resources designed to help us improve our mental and physical well-being so we can continue to help and heal others." Anthony Avellino is a pediatric neurosurgeon and the author of Finding Purpose: A Neurosurgeon's Journey of Hope and Healing. He shares his story and discusses his KevinMD article, "New legislation addresses health care professionals' mental health needs." 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

"Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many physicians already engage in managerial and entrepreneurial-like practices without labeling these skills. By formalizing these skills into medical education, physicians will be able to take their ambitions and ideas about how to best run existing health care institutions and translate them into innovations for the future of the field." Sofia Yunez is a medical student. She shares her story and discusses her KevinMD article, "To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate." 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

"Stigma surrounding mental illness often prevents patients from seeking the mental health care they need, delaying care and prolonging suffering. Fear, embarrassment, and impaired quality of life are a reality for many patients suffering from skin disorders like severe cases of psoriasis, hair loss, or acne. In these cases, assistance from a dermatologist who bridges both specialties might be better accepted by patients and can help them find relief for their skin and mind more quickly. When it comes to helping the millions of Americans suffering from skin issues, whether a flare-up or the management of a chronic condition, exploring both the physical and emotional causes of disease is key to a successful treatment. Neglecting how our emotional lives affect the largest organ of the human body is a mistake, and thankfully, psychodermatological treatments are now available to complement conventional therapies." Katlein França is a dermatologist. She shares her story and discusses her KevinMD article, "Want your skin to look better? Then consider your mental 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. 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 owe it to our patients to do better. Every time I picture the couple leaving the pharmacy unvaccinated, I am reminded that true health care requires accountability and a willingness to challenge the status quo. That means challenging a 'no' or 'that's too much work' rather than accepting it passively. If I could do it all over again, I would tell my 18-year-old past self that her voice is more powerful than she realizes. The same applies to any person in a similar situation who feels that their voice is not worth hearing. Our voices are our means to advocate for the patient. We must use them. It took me over a year to find my own voice, but I'm finally raising it now." Ananya Raghavan is an undergraduate student. She shares her story and discusses her KevinMD article, "Reflecting on my experience as a teenage health care worker during the COVID-19 pandemic." 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

"Diabetes uniquely requires patients be experts in their own care and demands 24/7/365 vigilance. Close communication with a health care team eases the burden and improves outcomes. Glucose management revolves around numbers. Unfortunately, numbers are just noise unless translated into actions. Innovations, such as color for people with low numeracy, are essential for improving outcomes. Alarmingly, 80 million, fully one-fourth of our population, have low literacy and numeracy. People want to better care for themselves; they just need to be shown how. With a diabetes self-management tool in the palms of their hands, people can use colors to engage and more effectively care for their diabetes. Society also benefits if health care disparities lessen. When access to care is more equitable, people with diabetes should increasingly see those indicators move from red to green." Elizabeth Holt is an endocrinologist. She shares her story and discusses her KevinMD article, "If we better manage diabetes, can we better manage COVID?" 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

"Lifestyle medicine is part of regular medicine but stands apart in that it is health care that directly benefits patients through the restoration of vitality and health, primarily by lifestyle interventions. And its healing capacity does not stop there. Because it unlocks the door to health and well-being, its effects reach well beyond patient care, to entire families, communities, and indeed to the lives of health care providers themselves. Changing the health care system within which physicians work will have positive ripple effects throughout all of health care. It will not only improve their wellness in the workplace — but also optimize patient care. And it will get us closer to the quintuple aim because a rising tide lifts all the boats." Iris Schrijver is a lifestyle medicine physician. She shares her story and discusses her KevinMD article, "Healthy patients and healthy physicians: Is it possible?" 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 bottom line is that while you can't predict exactly which MMI prompt you'll be given, you can absolutely start preparing for the MMI. Become familiar with the format, practice your delivery, start reading about issues in health care, and start thinking about major points to discuss around these issues. While this won't take away your anxiety, it can absolutely help improve your confidence and performance–so that the next time you're faced with an 'angry' interviewer, you'll be prepared." Rajani Katta is a dermatologist and author of Conquer the Medical School Interview and The Successful Match. She shares her story and discusses her KevinMD article, "The MMI: 3 strategies to help you prepare." 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 tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients and their caregivers. Now, we must activate those instruments for our own sustainability, and for our patients' benefit. If the neighborly primary care practice is going to survive, we must embrace a more comprehensive and connected health data usage program reassuring patients that we truly know them and are properly equipped to assess future risk. Because that daily frappuccino could be doing more harm than good – and that's data your doctor can use." Paul Helmuth is an internal medicine-pediatrics physician. He shares his story and discusses his KevinMD article, "The inevitable reboot of the primary care experience." 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

"I had also used arts and crafts previously in my own experience to help with healing. Including the previous year when I had a breast cancer recurrence did many crochet projects and took classes in mosaics making as I navigated from victim to survivor. However, following my catastrophic accident, I didn't know how to do these activities until I could again use my left arm. Which now I am a little thankful for, as I might not otherwise have been as open to trying drawing. As I go forward, I will be taking myself more seriously as an artist and looking to learn how my patients can access actively learning art as a tool to manage pain." Martha Sommers is a family physician. She shares her story and discusses her KevinMD article, "Art as a tool to manage pain." 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

"In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grandchildren. From diagnosis to death, it was two short months. During those weeks, she waited for test results, went back and forth to the hospital to drain her lungs, and was on infusions for a useless Hail Mary treatment, all of which robbed her and her family of precious time to talk about what mattered most. She died in the hospital with her family around her, but everyone had a bad death." Althea Halchuck is a patient advocate and founder, Ending Well! Patient Advocacy. She focuses on end-of-life care and planning, aiming to help people have a "good death," and can be reached at the Final Exit Network and on LinkedIn. She shares her story and discusses her KevinMD article, "A bad death: the importance of truth-telling at end-of-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. 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 time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone of genius? How can we recognize that we all have different, complementary strengths that overlap so that there are no weaknesses; there are just different approaches or different strengths to mobilize? When we are all working in our own zones of genius, that's where we create a culture of well-being." Wendy Schofer is a pediatrician. She shares her story and discusses her KevinMD article, "It's time to flip the script on peer evaluations." 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 is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the world, and what are you grateful for? When we deviate from this true calling, when we deviate from love, from creativity, our spiritual crisis occurs. Our body breaks down with negative thought patterns, pain and illness. Even though burnout is the end-stage symptom of chronic stress, it is, in essence, the deviation of our spiritual self. How do we reverse this? We begin to ask ourselves the essential spiritual questions. When we practice them during the time of introspection/quiet/meditation/prayer on asserting our truths of being loving, joyful and creative beings, the process begins and continues. Stress and creativity cannot co-exist. We cannot wait until our health crisis or until we hit rock bottom, deviating into greed, anger, shame or lust. That is not our nature. We must prioritize time to get back to our true selves and, as Gandhi said, "be the change" we want to see in this world: be love, be joy, be creation." Diana Londoño is a urologist and can be reached on Twitter @DianaLondonoMD. She shares her story and discusses her KevinMD article, "Burnout is a spiritual crisis." 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

"2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. We have self-driving cars, drones delivering food, and most of us spend our entire day on video calls, and the rest on social media. Who knows what innovations will emerge next year (or, to be cynical, the next pandemic). I am all for the conveniences offered to us by innovation and forward-thinking companies, but I hope we can come to an understanding that a 'one size fits all' approach to health care should be a non-starter. While it may work for some people in some situations, trying to make every aspect of health care as virtual as possible will likely lead to disillusionment, uncertainty, or indifference – not things anyone should experience when discussing their health care. And to put aside all technical or logistical concerns, some people just appreciate the importance of touch and connection. It is, as they say, what makes us human." Shruti Singal is an emergency physician and health care executive. She shares her story and discusses her KevinMD article, "Virtual care is convenient, but is it better for everyone?" 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 been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and when it exists across the treatment paradigm. Every year, scores of information cross HCP's desks on clinical inertia, but when it comes to your patients, how do you determine whether your decisions to delay treatment intensification are clinical inertia or 'appropriate inaction?' And what about obesity? Individualizing treatment targets for patients with diabetes requires a comprehensive approach to minimize associated morbidity and mortality. Because most patients with T2DM are overweight or obese, effective glucose control and weight loss are needed to reduce cardiovascular risk factors and other complications of T2DM. However, misconceptions about the causes and mechanisms of obesity, and the false assumption that patients can manage their weight with simple behavioral modifications, contribute to ongoing clinical inertia in patients with diabetes." Visit the CME activity and Clinical Inertia Assessment Tool. Donna Ryan is professor emerita at Pennington Biomedical in Baton Rouge, LA. Robert Kushner is professor of medicine and medicine education at Northwestern University Feinberg School of Medicine, and director of the Center for Lifestyle Medicine in Chicago, IL. This episode is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years. Visit the CME activity and Clinical Inertia Assessment Tool.

"When people think of eating disorders, the image is often of an emaciated, white teenage girl in the hospital hooked up to feeding tubes. In fact, eating disorders are varied in how they present in a person, and they certainly do not 'look' a certain way. Eating disorders occur in all cultures, ethnicities, age groups, genders, and socioeconomic groups. Eating disorders do not discriminate. So, no, eating disorders do not 'look' a certain way, and you cannot tell by looking at a person if they for sure have an eating disorder." Melissa Geraghty is a psychologist and can be reached on Twitter @mindfuldrg. She shares her story and discusses her KevinMD article, "3 eating disorder myths that health care professionals should debunk." 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

"If we want to alleviate the fatigue and frustration women physicians are experiencing, we can always start by solving two old problems: (1) All doctors need fewer bureaucratic tasks forced upon them, and (2) women physicians must be able to work in environments free of harassment and discrimination. There's yet another solution that must come from outside the workplace. The spouses and partners of women physicians must confront any gender inequalities that may exist within their relationship. It would be impossible for anyone to work eight extra hours each week at home — on top of a busy work schedule — without experiencing greater exhaustion, cynicism, and feelings of detachment (a.k.a. burnout). We know from the data that occupational burnout harms personal relationships. If not addressed, it will continue to add stress to doctors' home lives. But physicians must also recognize that gender inequality at home strongly contributes to burnout in the workplace. It, too, must be addressed." Robert Pearl is a plastic surgeon and author of Uncaring: How the Culture of Medicine Kills Doctors and Patients. He can be reached on Twitter @RobertPearlMD. He shares his story and discusses his KevinMD article, "Gender inequality is making burnout worse." 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

"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