The Podcast by KevinMD

"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

"The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade against the pandemic, has created a new branch of emotions for health care workers towards unvaccinated patients or those with vaccine hesitancy. The empathy we are often expected to have without fail can be difficult to maintain in the face of these new challenges. Nonetheless, COVID-19 persists. We owe it to ourselves and our patients to find ways to deal with these complex emotions." Masood R. Mohammed is an emergency medicine resident. He shares his story and discusses his KevinMD article, "How to cope with pandemic fatigue." 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 remember our first day in the cystic fibrosis clinic like it was yesterday. I cried in the parking garage and struggled to nurse my daughter in the waiting room. And then it happened. That moment is forever etched in my mind. The pediatric pulmonologist took my hands, looked me in the eye, and said, 'Your daughter is going to live a long and full life.' She went on to say that it was her job as a physician and my role as a parent to help enable this. At that moment, she recognized me as a mother and earned my trust. She forged the beginning of a partnership that would continue for years to come. And to this day, her words remain imprinted on my heart. I've spoken with hundreds of families like mine, and nearly all remember the exact moment their lives separated into 'before' and 'after.' That is why it is so important for physicians to deliver pediatric diagnoses with intention. Words and actions matter big time." Laura Spiegel is founder and president, Paint Her in Color. She shares her story and discusses her KevinMD article, "10 tips for delivering difficult pediatric diagnoses." 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

"So how can health systems and clinicians provide patients with an improved, consumer-friendly experience while also making strides to decrease provider administrative burden and burnout? They need to embrace virtual care beyond just video visits and look toward asynchronous telehealth. Asynchronous care allows providers to treat patients for common, low-acuity conditions online without a real-time, face-to-face interaction. It automates both the patient interview and clinician documentation, and provides clinical decision support while maintaining provider autonomy, keeping the clinician in control of diagnosis and treatment. Looking ahead, asynchronous telehealth holds unlocked potential for improving access and convenience for patients, reducing physician burnout, and driving efficiencies in care delivery to ultimately lower costs and improve outcomes." Christina Chen is a family medicine physician. She shares her story and discusses her KevinMD article, "Debunking the myths around asynchronous 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

"She kept quiet, but she had planted the seed. Interestingly I did not talk much about work during the appointment, so her question stirred my thoughts. Why did she think it was work-related? I started to look at my daily routine. I was able to recognize where I needed to set boundaries at work. At home, I delegated some simple chores to the kids. I must say kids are excellent learners if given the right directions. Small steps and changes made my life much more manageable. My somatic symptoms went away along with my stress. I owe it to my PCP for recognizing what I was struggling with and bringing it to the surface for me to address it." Sirosh Masuood is a psychiatrist. She shares her story and discusses her KevinMD article, "When primary care helps a psychiatrist." 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

"Pfizer has a particular onus to help intervene globally as one of the largest and most profitable pharmaceutical companies in the world. With its immense capital power, Pfizer should shift some of their spending from national ads promoting their vaccine product in a country that has large booster vaccine availability to sharing the technology that can help countries self-produce and vaccinate their citizens much faster. Even if new production facilities had delays from receiving the mRNA technology protocol to production, the months spent toward self-producing could be expediting vaccine receipt for countries otherwise waiting until the end of 2022 for donated vaccines. In a pandemic that is approaching six million global deaths, time is the most valuable resource in fulfilling vaccine equity. Countries cannot wait to save lives while wealthy pharmaceutical companies gatekeep vital technology." Amber Gipson-Fine is a project manager. She shares her story and discusses her KevinMD article, "People over profit: Pfizer and Moderna must share vaccine technology." 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

"Too often in medicine, health care providers assume what patients want or need. Like the crocodile, we may assume all patients would want a tire removed in order to help extend their life – even if the cure meant losing the only thing that made their unique life worth living. The burden of changing health care should not rest on the shoulders of patients facing major medical decisions, suffering symptoms, worrying about their future, and struggling to advocate for themselves. It is important we help patients recognize just how important their opinions are." Resources mentioned in the show: The Ottawa Hospital Research Institute: A to Z Inventory of Decision Aids MGH Health Decision Sciences Center Karen Sepucha is a research scientist. She shares her story and discusses her KevinMD article, "We must help patients recognize how important their opinions are." 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 am ashamed of the callous, avoidant goodbyes that have been made in my name, and I regret the distress caused by this widely accepted standard. The determined patients will figure it out anyway, and the less-resourceful ones are left confused, hurt, and more likely to avoid important medical care." Karen Dong is a family physician. She shares her story and discusses her KevinMD article, "The missing doctors' goodbyes." 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

"It turns out that living beings are less like bags of sloshing water, as I imagined in grade school, and more like a stew. While water makes up most of it, water alone is thin and empty of the organic molecules from which organisms are built—the stew thickeners. Water alone is lifeless. Instead, it is the mucus in our bodies that—so long as it has the correct qualities and consistency—is the key to a healthy life. The 'fact' that our bodies are made mostly of water is misleading. What we are actually made of is mucus." Jonathan Reisman is an internal medicine-pediatrics physician and author of The Unseen Body: A Doctor's Journey Through the Hidden Wonders of Human Anatomy. He shares his story and discusses his KevinMD article, "We are actually made of mucus." 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

"Unconscious bias in health care describes associations or attitudes that reflexively alter our perceptions, thereby unintentionally affecting behavior, interactions, and decision-making. Health care organizations need to be actively discussing this subject at the highest level to find gaps and learn where to dedicate resources for improvement, even if it means confronting awkward topics and having uncomfortable conversations. The time has come for organizations to be deliberate in their efforts to improve diversity in their workforce and active in their outreach to improve inclusivity. The problem does not improve if we choose to ignore it, or worse, deny it." Brooke Trainer is an anesthesiologist. She shares her story and discusses her KevinMD article, "Acknowledging and mitigating unconscious bias in 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 need to address the underlying preventable factors that cause more Black Americans to die of heart attacks and strokes and suffer from high blood pressure and diabetes complications than white Americans instead of focusing on non-existent biological differences. I would like to see the scientific disciplines unite to call out the mislabeling of race as a biological category and stop using race in place of structural racism, toxic stress caused by discrimination, and systemic inequities in social determinants of health. Instead of emphasizing our biological differences, the research community needs to focus on the real problems Black Americans continue to face that increase their risk of illness and death." Carmen Presti is a nurse practitioner. She shares her story and discusses her KevinMD article, "Remove race from clinical guidelines." 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 something about physically putting pen to paper, that connection between your mind and your body that is just very health-inducing. And it takes time. And often we do not dedicate the time to taking care of ourselves and something as simple as writing in a journal, writing these, you know, these pieces. In eight minutes, you can get a lot done. It's been amazing what people come up with. And so I think the first part is just committing the time and giving yourself the space to do something that is fun and really brings pleasure." Janet E. Patin is a family physician. She shares her story and discusses her KevinMD article, "Stunning new medical conditions overlooked!" 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

"Two issues drive teen substance use: drug availability and perception of risk. Availability: Today's teens know that obtaining substances is far too easy. For example, 70 percent of high school seniors say marijuana is either "fairly easy" or "very easy" to obtain. Seventy-seven percent say getting their hands on alcohol is very easy and twenty-one percent of seniors believe it is easy to find MDMA (ecstasy). Thirty percent say getting their hands on amphetamines is also very easy. Perhaps more alarming, 27 percent of eighth-graders said getting ahold of a drug like marijuana is either fairly easy or very easy to do. And nearly 50 percent said alcohol is easy to find." Richard Capriola is a counselor and author of The Addicted Child: A Parent's Guide to Adolescent Substance Abuse. He shares his story and discusses his KevinMD article, "The pandemic drives a decline in teen substance abuse." 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

"It was probably in early 1803, as Jenner's fame swelled and more doctors were adopting vaccination, when Bell met a farmer with a curious story. The farmer's name was Benjamin Jesty, from the Downshay farm in a nearby village. Seeing the growing practice of vaccination, Jesty was eager to tell his story and claimed he deserved rewards just like Jenner. Bell, probably intrigued, recorded Jesty's account." Rod Tanchanco is an internal medicine physician and can be reached on Twitter @rodtmd. He is the author of First Patients: The incredible true stories of pioneer patients. He shares his story and discusses his KevinMD article, "Farmer Jesty's bold experiment." 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 suspect that some of the nearly 20 percent of physicians who have quit their jobs during this pandemic needed to feel this relief, too. They needed to feel the relief of having no plan. No 'if this, then that.' They needed to just exist in the now. Because who knows how long the now will be around anyway? Will we wake up one day and find that years have gone by without knowing it because we were so busy planning ahead for scenarios that never occurred? This is not something that worksite wellness programs can provide or resilience training can foster. It is a reality of COVID-19 when you are caring for anyone who needs you, as much as (or more than) your patients. The miracle is that there are so many of us left in the workforce at all, riding the waves of uncertainty feeling like the only COVID contingency plan we can depend upon is ourselves." Margaret B. Nolan is a physician-scientist. She shares her story and discusses her KevinMD article, "Am I a doctor or a contingency plan?" 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

"Reducing the occurrence of comorbid mental and physical disorders will require an integrated model combining medical and behavioral health care services. The window of opportunity is open for health insurers and employers to invest in employee assistance programs and telehealth platforms and build on a newfound acceptance of mental health services. Additionally, health care providers can mitigate the cost of care and improve their outcomes with an increased focus on interdisciplinary training that accounts for the common occurrence of both physical and mental health conditions. With a new approach to mental health services, we will see a noticeable decrease of stress levels, happier patients, and higher productivity in the workplace." Christopher Valerian is a health care executive. He shares his story and discusses his KevinMD article, "New strategies are needed for mental health 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

"If we want a more effective health care system, it needs to be re-engineered to revolve around the true center of gravity – the patient. We must involve patients early and often in the design of health policy, health technology, and health care ecosystems. We must reinvent health care payment models to tie incentives to what is of value to patients. And we must give every American access to a high-quality PCP. Until we do this, we'll continue to pay too much money for too little value, and we'll all suffer in a system perfectly designed to keep getting the results it's getting." Sara Pastoor is a family physician. She shares her story and discusses her KevinMD article, "The center of gravity in health care and the role of primary 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

"I do not hesitate to share what I endured. I recognize that there is a code of silence that must be broken when one is involved in legal action. It is imperative that we speak out to patients, legislators, and other physicians against these types of injustices. The sense of isolation can be overwhelming. I do not want anyone to go through what I have gone through, questioning myself, my skills, and my self-worth. Hopefully sharing our stories will help to give other physicians added strength. I have come to firmly believe that publicity and sharing our experiences are our best tools against legal injustice." Mark Lopatin is a rheumatologist and author of Rheum for Improvement: The Evolution of a Health-Care Advocate. He shares his story and discusses his KevinMD article, "Publicity and sharing our experiences are our best tools against legal injustice." 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

"Now more than ever, our profession needs to move toward racial healing. There is an urgent need for nursing to acknowledge its history of racism, boldly confront racism wherever it shows up, and address the racism that nurses witness when delivering care to those they serve. This will not happen until nurses engage in self-awareness and reflection as well as confront any personal racist attitudes and behaviors. When nursing demonstrates a commitment to creating an antiracist culture within the profession, nurses and patients, both in need of healing, will be better served. It is our hope that this report will open a window of opportunity for nursing to acknowledge its history of racism and resolve to solidify a future that is welcoming, respectful, and supportive of all nurses regardless of race, ethnicity, or any other unique attributes. Anything less is counter to the core principles of a profession that demands caring, compassion, and respect for everyone." Janice Phillips and Katie Boston-Leary are nurses. They share their stories and discuss their KevinMD article, "Nurses are in need of racial healing." 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 exactly is my obligation to medicine? Am I supposed to practice medicine forever? Is it my duty? Do I have to continue serving my patients, the hospital, and society because of these expectations? The answer is simple: You get to decide. Most physicians I know love practicing medicine. It is and has always been a calling. The problem lies only in the thought that you should practice medicine. When used in this way, the word should is a cognitive distortion. A cognitive distortion is a pattern of thinking that is generally false or inaccurate and carries the potential to cause psychological harm. When you use the word should, there is often an accompanying shift in focus from what you want to what others might think." Michael Hersh is a gastroenterologist. He shares his story and discusses his KevinMD article, "Stop 'shoulding' all over yourself." 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

"Deeming individuals 'non-decisional' for misinformed beliefs that are not representative of a psychiatric illness is inappropriate, unfairly medicalizes the narrative and incurs a risk of further public distrust of the health care system. It is not the province of psychiatry to adjudicate uncomfortable social discourse so much as to elicit it. Empathic listening — curiosity rather than social judgment — has always been the most profound and powerful tool at our disposal, and it must remain so." Charles Hebert is a psychiatrist. He shares his story and discusses his KevinMD article, "Can patients just say no to 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

"Far from signaling weakness, asking for and receiving help is not only a sign of strength, but a sign of courageous leadership. And so, I ask you to put on your own oxygen mask, and then to reach out and help your colleagues put on theirs, too. As physicians, the trauma we've experienced through our decades-long education and training, through our competitive medical culture, and through years of silence and self-sacrifice have created a common bond and an unspoken understanding. We must give ourselves the love and compassion that I know is deep within each of us, and we must help each other to do the same. Our greatest power comes from standing in support of each other, together. And it is the only way forward." Tammie Chang is a pediatric hematology-oncology physician and co-founder, Pink Coat, MD. She can be reached on Instagram @tammiechangmd and at her self-titled site, Tammie Chang, MD. She shares her story and discusses her KevinMD article, "Fellow physicians, what is our path forward?" 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

"With government and industry working hand in hand, we can develop and stockpile monoclonal antibody therapeutics in anticipation of variants to come. We need to be thinking several moves ahead to keep ahead of variants so that stockpiles of therapies do not become obsolete as they have now. Our government needs to ensure the proper funding to support the development and manufacturing of such therapies, and we need to begin demanding they do so. These are highly complex and time and resource-intensive endeavors. However, the technology exists today through modern antibody platforms to address these needs, and countless lives can be saved with such an approach. The more action we take now, the more we can be ready for future variants from threatening our nation's health." Ian Chan is a health care executive. He shares his story and discusses his KevinMD article, "To treat future COVID variants, we need more than vaccines." 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 have spent years in silence about my career decisions, nervous that my inability to take call and inability to thrive while sleep-deprived could be seen as weaknesses. Being afraid to admit I was advocating for my mental health and my life. That's a problem. I am experiencing fear for advocating for the health and safety of myself and others for concern that I may sound weak. That's a big problem. Silence is not the answer. Avoiding talking about it is not the answer. I cannot avoid call hard enough for prolonged sleep deprivation to be less of a problem for others. So let's keep talking. Physicians need sleep. The system needs to change. Many are not OK. I was one of them. We need to normalize talking about the hard things and creating environments that promote psychological safety and the ability to truly ask for help, not censor our struggles in mental health appointments to save face. And if you need to hear it: It's OK to crave basic needs and advocate for them. You're a human, not a robot; we need to create a system made for humans, not robots. If you are having dark thoughts, please seek help. While the best time may have been days or months ago, the next best time is now." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "I risked my career to save 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

"That year, 2020, Uğur told the crowd, would be the year BioNTech proved the doubters wrong. There was no time to lose. Soon after he'd finished his talk, Uğur hopped on a plane to Seattle, where he met with a team at the Bill & Melinda Gates Foundation, which had recently signed a $100 million agreement with BioNTech to develop a slew of new drugs. Hours later, he moved on to Boston, to stop by a small cancer immunotherapy company that BioNTech was about to purchase in a $67 million deal. The purpose of the visit was to reassure staff that he, a fellow scientist, was interested in advancing their innovations and was not a vulture disguised in a lab coat who had come to gut the firm and slim down its workforce. At this point, Uğur was still fairly oblivious to events in Wuhan. He walked around the biotech firm's foyer, introducing himself to dozens of soon-to-be employees, shaking each of them vigorously by the hand." Joe Miller is a journalist. He shares his story and discusses the book, The Vaccine: Inside the Race to Conquer 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. 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

"America's health care workers are on the brink of collapse. If we want them to hold on and be there for us when we are too sick to walk, stand or breathe, we must act now. Cast aside political opinions. Follow CDC guidelines. Wear masks when you are in a group of people. Remain properly vaccinated. Maintain social distances. And please extend extra consideration to health care workers. Is that too much to ask to do for someone trying to save your life or the life of your loved one?" Julie Collins is a cardiovascular perfusionist. She shares her story and discusses her KevinMD article, "Support desperate health care workers now, before your life counts on them." 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