The Podcast by KevinMD

"The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist practices. The perceived inevitability of African Americans' natural "extinction" was used to justify many unethical practices within the study, including the decision to withhold known treatment from participants. The USPHS earned the approval of the United States government after making the case that African Americans would not seek out treatment of their own volition, a harmful preconception linked to the theory of social Darwinism." Bintou Diarra is a premedical student. She shares her story and discusses her KevinMD article, "COVID-19 and the Tuskegee syphilis study." 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

"Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a way to help pay for extra medical costs almost always incurred under a high deductible health plan. Perhaps a better option is to require all health insurance plans come with free primary care office visits. That can encourage patients to seek care earlier at lower costs (especially when compared to hospital emergency rooms or urgent care facilities, sites of choice if patients wait). One compelling example of this is when plans build in access to direct primary care. In addition, we should advocate for price transparency at all levels and guide patients better on the "total cost" of their health care on an annual basis and not just the monthly premium cost. High deductible health plans are not going away, but we can guide our community better to make costs transparent for better decision making." Ben Aiken is a family physician and health care executive. He shares his story and discusses his KevinMD article, "High deductible health insurance is bankrupting Americans." 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 the next COVID-19 variant hits our country, I feel a renewed sense of urgency. We need to move faster to invest in an infrastructure that protects our nation's health care workforce before we lose more nurses, doctors, and other care team members. Every day they risk their own safety for ours and our loved ones. It is time to reimagine safety and take action to make lasting change. That means investing in new policies, processes, resources, and solutions that ease the burden of team members and safeguard their physical, emotional, and psychological wellbeing. It means coming together as a nation and recognizing that health care is an essential infrastructure and that the people who work in health care are national assets and that their safety and wellbeing matters. We cannot afford to lose another nurse, physician, or frontline care team member." Bridget Duffy is an internal medicine physician and health care executive. She shares her story and discusses her KevinMD article, "End the trauma, stop health care's great resignation, and protect care teams now." 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 we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient's reserve of positive energy. Despite all their best efforts, diabetes is a disease that can often spiral out of control and make a patient feel helpless. While it's critical to maintain this "whole body" approach, it's also important to prioritize complications. One of the most debilitating complications of diabetes is diabetic amputation, but it's often not top of mind for many patients with diabetes — or the providers treating other diabetic complications. Yet every four minutes, a lower limb is amputated due to diabetes." Jon Bloom is an anesthesiologist and health care executive. He shares his story and discusses his KevinMD article, "Diabetes impacts the whole body, but the foot can't be forgotten." 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

"Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying 'no' to low compensation, setting a time limit on conversations with friends, setting a limit on our after-hours availability for work-related texts and emails and taking time off as a 'pause' rather than getting to a point where we are so burned out we lose any interest in medicine and leave. Boundaries help the system keep physicians even though it may be inconvenient in the short term. Boundaries help us design the careers we deserve and the life we want. What boundaries do you need to preserve the 'masterpiece' in 2022?" Maryna Mammoliti is a psychiatrist. She shares her story and discusses her KevinMD article, "Why boundaries should be part of your 2022 physician goals." 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

"Remember the things that we've discussed as the majority of people are broke. And just because your friends are showing off the 'stuff' things they buy doesn't mean they can actually afford them. Once you realize that everybody in the world is after your money, the quicker you know how the 'money game' is really being played. Just don't get played yourself." Jeff Anzalone is a periodontist who blogs at Debt Free Dr. He shares his story and discusses his KevinMD article, "How not to be a broke doctor (5 ways)." 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's a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We've been talking about it throughout this article series in terms of doing more with less and making the system work for you: it's group coaching combined with remote patient monitoring. And, based on the coding changes and expanded reimbursements, the data show that patient outcomes are vastly improving under this new model. The conclusion: It's time to expand and modernize your practice by offering group coaching services and having your patients' commercial insurance, Medicare, or workers comp pay the bill." James Maskell is a health care executive. He shares his story and discusses his KevinMD article, "Get familiar with the 2021/2022 coding changes." 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 is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn't do all that was initially promised. It has become even harder with the erosion of trust and civility. Back to the poop. It stinks. It's not pleasant to slip and slide in, and even today, I saw a bag hanging from a tree! Was that owner practicing his pitch? Trying to hit a squirrel? Or did she toss it to the heavens for God to catch? Only God knows! Perhaps our way forward in these challenging times is to start small. Scoop up your dog poop and put the bag in the trash can. And if you are feeling kind, pick up the bag full of poop sitting at the side of the walking path. And please cover your nose when you are wearing a mask. Of course, wear a mask. Don't forget to get online and order the COVID tests for your household. And please get your vaccines and booster." Therese Zink is a family physician and can be reached at her self-titled site, ThereseZink.com. She shares her story and discusses her KevinMD article, "Dog poop, the social contract, and pandemic behaviors." 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 been to a new city and realized you'd been pronouncing a street or a town name all wrong? Have you ever been from one of those cities and has it broken your heart to hear someone call Copley Square Cope-ly? Or pronounce the Schuylkill River or Worcester how it is spelled? This is how neurologists feel when you call a stroke a cerebrovascular accident, or a CVA. It's just … not what we do. Maybe it was in 1992, and maybe it is in the world of billing and coding, but it's not 1992, and billing and coding have never made sense. If we did call it a CVA, there'd be a high-impact factor journal called CVA instead of one called Stroke. And the International Stroke Conference (ISC) that brings together hundreds of thousands of stroke (not CVA) neurologists from around the world would be called the ICVAC. That acronym is just not as sexy or easy to say, you get the drift." Aleksandra Yakhkind is a neurointensivist. She shares her story and discusses her KevinMD article, "A PSA from a neurologist to the medical community." 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

"Tears and sweat drown my face as I try to rip off my PPE and exit the room. I didn't want to leave him, but I couldn't bear another second in that reality. A whirlwind of emotions crash over me, and my knees weaken. I thought, "If I can just get this gown and mask off, I'll be able to breathe again." Even after ripping the damp N95 from my face, I was still breathless, speechless, and broken in disbelief of what happened in that room. I was suffocating. I nearly collapsed as I stepped through the barrier of his room with my coworkers there to catch me. Never in my life had I felt that level of hysteria as COVID showed us that what we were fearing was actually much worse than we could've imagined. This became the new standard for the worst night I've ever had. The best way I can describe the frontlines is trying to scream as loud as you can while underwater. We are all underwater, trapped in our fishbowl-like glass rooms behind closed doors, praying that someone will hear us. Imagine being the only thing standing between life and death for another human being, and everything you need to keep them alive is through a glass door that you can not open. While screaming underwater. We are drowning." Lauren Powers is a critical care nurse. She shares her story and discusses her KevinMD article, "I am an ICU nurse. We are drowning." 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 starting point is to do our best to approach discussing COVID and vaccination with the appropriate type of empathy and understanding. To understand that our patients don't have access to the same level of data and research that we do, and even if they did, they might not understand it. To understand, they likely have fears underlying their reticence. Understand you may not ever reach them, or you may need to back off for a short time. This can all be done without acknowledging their conspiracy theory or misleading talking point from 24-hour cable news is a legitimate point of view. While admittedly anecdotal, I've reached more anti-vaxxers starting with empathy and understanding than with a 'that's the way it is, that's what the data shows' mentality. Even if I don't reach them, I'm a lot less stressed. Last but not least, take care of yourselves and each other." Kenneth Szwak is a physician assistant. He shares his story and discusses his KevinMD article, "A milligram of understanding for anti-vaxxers." 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

"Instead of trading up for a faster horse by drawing in the exam room, it felt like I'd just built a motor car. I created a new workflow around my digital assets. When patients checked in for a clinic visit, I scanned the chart for their visit diagnosis and fired off a content link with the relevant videos. My MA roomed the patient and they watched content while I completed other tasks. When I enter the room, their questions are more targeted, insightful and our visits are faster and more satisfying. Doctors are unique in that our knowledge and experience are incredibly valuable, but distributed scarcely via single episode live events. When we convert our knowledge into digital assets that can be consumed at scale, we earn time, efficiency and carve space to do only the things we can do." David Grew is a radiation oncologist and can be reached on Twitter @doctorgrew. He shares his story and discusses his KevinMD article, "How to convert medical knowledge into digital assets that work for you." 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

"When my patients asked me about losing weight, I would say, 'Eat less and exercise more.' I know that it is more complicated than that. There are psychological and socioeconomic factors. There is bariatric surgery and there are medications. But 'eat less and exercise more' is common sense, and every intervention should include 'eat less and exercise more.' Limiting guns is common sense too. If people do not have guns, they cannot kill and maim others with guns. They cannot kill teenagers playing basketball, children who happen to be on the street, or a 66-year-old man driving by. Fewer guns = fewer deaths. It is common sense." David Galinsky is a geriatrician. He shares his story and discusses his KevinMD article, "It is time for the Supreme Court to help stem gun deaths." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. 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.

"A resurgent CDC is necessary to recapture the vitality of U.S. medical science. A scientific researcher alone cannot do this work. This will also require heavy managerial work and restructuring and charting a different course altogether. CDC will need a double-headed leader approach, one excelling in scientific expertise and another proficient in managerial miracles. The current messaging algorithms at the CDC are misplaced. The CDC tried to placate diverse constituencies at different times without having a solid baseline policy. In some instances, the CDC came to wrong conclusions because there were no accurate scientific data to depend on. And the U.S. did not produce that data when COVID-19 was ravaging in 2020 and 2021." P. Dileep Kumar is a hospitalist. He shares his story and discusses his KevinMD article, "The CDC's continuing failures: Is there a way out?" Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. 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.

"I'm a small-time doc in a small town, and I work at a small hospital in the Midwest, and I'm proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory (especially in society and in the press), but small hospitals like mine drive this country. It has been really weird working at a small hospital, where it seems like the emotions are more magnified than in the big city. A year ago, it seems like there was a local community group every day bringing food or treats for the hospital workers. Nationally, there was this outcry to recognize those in the medical field. And, then, something changed. Now, for some reason, both nationally and locally, medical workers are seen as "the problem," and there is a lot of negative emotion directed at us. And, it seems locally, like that negative emotion is magnified. Why did that happen, and how did we get here?" Mike Sevilla is a family physician who blogs at his self-titled site, Dr. Mike Sevilla. He shares his story and discusses his KevinMD article, "A shout out to small hospitals." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and clinical epidemiology. We'll sit with each of our patients, listening as much as possible, attempting to understand and address their concerns. With some, the bloc of silence may be impenetrable. This is heartbreaking, especially for those of us who've penned more condolence cards this past year than we have in a lifetime of clinical practice. But such is the reality of our society's self-inflicted wounds." Danielle Ofri is an internal medicine physician and editor-in-chief, Bellevue Literary Review. She can be reached at her self-titled site, Danielle Ofri. She shares her story and discusses her KevinMD article, "Emotional epidemiology of disease is as critical as clinical epidemiology." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. I started this field 14 years ago and have trained over 1,600 physicians to be medical-legal consultants. Most physicians do medical-legal consulting as a part-time side gig. All of the work is pre-litigation and pre-trial. I don't act as a medical expert, and I don't participate in medical malpractice cases. There are over a dozen services and types of consultations I offer attorneys. One service we frequently provide is to give our opinions regarding specific medical questions that arise in cases. Usually, these reports help the attorney to prove a particular medical theory for the case." Armin Feldman is a medical consultant to attorneys. He shares his story and discusses his KevinMD article, "Medical-legal consulting as a side gig." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Instead of trying to earn a spot on a talk show to help a person dealing with costly treatments for illness, perhaps it is best to lobby policymakers to pass legislation that impacts big numbers of patients dealing with the high costs of treatment, ultimately including that person. Perhaps encouraging businesses, institutions, and organizations to allot funds for health care programs is a more salient idea. Talk shows end. The need to close the gap in medical funding does not." Amanda LaMonica-Weier is a nurse practitioner. She shares her story and discusses her KevinMD article, "Fund this: Policies can fill medical funding gaps for all." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of mask, a metaphorical mask. These are the masks we put on to present who we want the world to see. People who are referred to as having "high functioning autism" often put on the greatest masks of all; masks that society does not allow them to take off. "High functioning autism" is a term used to describe people with autism spectrum disorder (ASD) that have average or above IQ level and good language ability, which currently is about 44 percent of autistic people. As our understanding of autism expands, this number will grow. It is this group that is often left behind in advocating for individuals with ASD. The term "high functioning autism" obfuscates the real struggles that they endure. You may not realize there is a person with autism in your world hiding behind a mask that you could help." Lisa Yeh is a psychiatrist. She shares her story and discusses her KevinMD article, "Autism spectrum disorder and the masks we wear." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"As a clinician who has received two Pfizer doses and a booster without any side effects, I wholeheartedly embrace vaccination to solve this pressing public health crisis. The key is for policymakers to identify the best tool for the job (i.e., Covaxin) and utilize it effectively to solve the widest-ranging public health crisis of the past century." Tayson DeLengocky is an ophthalmologist. He shares his story and discusses his KevinMD article, "Why is the world's first universal coronavirus vaccine not in the FDA's toolbox?" Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"At the beginning of my time as a CMIO, I needed to remain clinical to build camaraderie with my colleagues. This proved essential as the health system was going through a transition to a new EMR. The medical staff needed to know that every decision I made affected me as much as it affected them. As time went on and the EMR matured, it became less relevant if I practiced and more critical to perform as a change agent. However, I elected to still practice in a part-time fashion because of my love for orthopedics. I also recognized the importance of a minority surgeon for the community." Nathan Gause is an orthopedic surgeon and former CMIO. Afua Aning is a physician informaticist. They share their stories and discuss the KevinMD article, "Innovation and the ever-changing role of the CMIO." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Patients die. This is a tragic truism in the world of medicine. Usually, the patients who die are elderly. Patients die from diabetes and kidney disease, or from alcohol abuse and liver failure, or from heavy smoking and lung disease. Or patients die from cancer. As a physician, I take these deaths in stride. I try to provide comfort care as they lay dying. Patients often pass into a dreamlike state, at the end. They are not fully conscious. I provide morphine for any pain, which may or may not hasten their entry into the final, dreamlike state." Janet Tamaren is a family physician and author of Yankee Doctor in the Bible Belt: A Memoir. She can be reached at her self-titled site, Dr. Janet Tamaren, and on Twitter @jtamaren. She shares her story and discusses her KevinMD article, "Patients should never underestimate the self-flagellation of the physician." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"The U.S. health care industry has large challenges that can be overcome if we remember why our systems and services exist. We are here to help patients, and we must obtain the needed staffing capacity to drive throughput so patients can receive the care they need. Our system will cease to exist if hospitals are forced to close or begin to limit services offered due to financial concerns. As stated in the title of this paper, the 'goal' is in peril. However, by remembering and instituting key principles from operations, accounting, and with federal assistance, we can overcome the challenges worsened by the pandemic and build a resilient health care system that will be in place in this country for years to come." Vincent Roddy is an emergency physician. He shares his story and discusses his KevinMD article, "The goal of health care is in peril." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Absolutely, there are times when you need to be face-to-face with your patient. Yet looking at the broader picture, COVID-19 has shown us that in many instances, we can perform at an optimal level while remote. In my experience, I'm often able to see more patients, and the quality of the connections I form with them is higher when I don't have to shuffle them around in an office. Aside from the bonds I'm able to create with my patients, I'm also more productive without the distractions of sitting in an office. Expanding the options that we as patients and providers have readily available to us is, in turn, making health care more efficient for all of us." Kirk Heath is a health care executive and can be reached on Twitter @ModioHealth. He shares his story and discusses his KevinMD article, "Can medicine transcend beyond the clinic walls? I'd like to see us try." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Gastroenterology clinics in rural areas have the unique opportunity to innovate the field by working with local community organizations and farms. Patients and physicians develop a deeper understanding of the root cause for chronic disease, particularly digestive diseases using a food as medicine approach. Cultivating gut microbes in the soil and gut can re-shape the management of chronic diseases rooted in inflammation and metabolic dysfunction. Rural gastroenterology clinics can be at the forefront of shaping the innovative clinic-to-farm-to-table paradigm in health care that can lead to cost savings and improved outcomes. This model ultimately can foster deeper connections between patients, physicians, communities, and nature as well as better health outcomes." Savita Srivastava is a gastroenterologist. She shares her story and discusses the KevinMD article, "Innovation in a rural gastroenterology practice using a farm." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"In the end, the patient-physician relationship is crucial to overall decision-making for any plan of care, treatment, or surgery. There are many variations in the reviewed studies in health care literature as to the cost-effectiveness of second opinions in medicine. These studies could be easily misconstrued that there are no benefits to second opinions, thus possibly leading to little pay or no pay by insurance companies. A patient should consider the substantial short and long-term implications of their body's health and well-being. In other words … it is worth it. Go with your intuition. When in doubt, or if you have more questions, get a second opinion." Sonya M. Sloan is an orthopedic surgeon and author of The Rules of Medicine: A Medical Professional's Guide for Success. She shares her story and discusses her KevinMD article, "Think again: Get a second opinion." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"The more I spoke with individuals who had experienced a shared crossing event, the more I also noticed repeating patterns. A woman in West Virginia and a woman in Australia with deeply similar experiences around the loss of a baby. A grown daughter in California and a grown daughter in Pennsylvania; a woman in Alabama and a man in Spain. None had met, yet each spoke a common language. Again and again, I found that this moment of shared connection that they had experienced also changed their lives and how they chose to live them in unexpected ways. It provided insight. It provided closure. It made end-of-life decisions easier. It eased grief." William Peters is a grief and bereavement therapist and author of At Heaven's Door: What Shared Journeys to the Afterlife Teach About Dying Well and Living Better. He shares his story and discusses his KevinMD article, "What shared journeys to the afterlife teach about dying well and living better." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"As individual patients, we often don't think about these costs. In my Instagram poll, nearly everyone taking Descovy reported receiving the drug effectively for free, largely due to Gilead's copay coupons. However, as with anything in life, nothing really ever is free. More patients taking Descovy rather than generic Truvada means higher overall spending by insurance companies. This eventually comes back to haunt us in the form of higher premiums, and is why we shouldn't simply adopt a costlier drug like Descovy without good reason to do so." Frank F. Zhou is a medical student. He shares his story and discusses his KevinMD article, "Is Descovy really the better option?" Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

Emergency physician and financial planner Noah Kaufman gives a general cryptocurrency market update. He discusses the state of Bitcoin and the impact of fiscal tightening by the Federal Reserve and also comments on Paul Krugman's recent New York Times column comparing cryptocurrency to the subprime mortgage crisis. Finally, we talk about Crypto Pulse, a free newsletter he runs with Chris Palmer, MD, educating clinicians about Bitcoin and cryptocurrency. Noah Kaufman is an emergency physician, financial planner, and can be reached on Twitter @noahkaufmanmd. He is co-founder of the free newsletter, Crypto Pulse, an educational and actionable bi-weekly newsletter written by passionate crypto investors/traders (and medical doctors) for health care professionals. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"When I came into the business world, I saw a huge spectrum of ethics and am still shocked at how there aren't any standards. Why must one be in a professional career only to have some guidelines and/or rules to follow? I don't currently have patients in the entrepreneurial world, but I do have a lot of people in my sphere with whom I have the ability to educate and empower. I am bringing the Hippocratic Oath into the field of venture capital and entrepreneurship in an effort to impact the world on a different but equally important scale." Navin Goyal is a physician-entrepreneur and author of Physician Underdog. He shares his story and discusses his KevinMD article, "Bringing the Hippocratic Oath into the field of venture capital and entrepreneurship." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Lifestyle medicine's foundational pillars include a specialized look into diet, physical activity, sleep, stress, mood, substance use, and relationships. Creating a patient-centered plan of care based on these areas are proven successful in preventing, treating, and reversing chronic diseases. Some may say that health care providers do not have time to focus on intensive lifestyle modification in their visits with patients. This is true in the current fee-for-service, physician-dominated care delivery model. But to be successful in obtaining shared-cost savings in the value-based care and as accountable care organizations, it is urgent to shift to utilizing more nurse practitioners, dietitians, nurses, social workers, and health coaches in chronic disease treatment and prevention. This makes it possible to reduce the social and economic impact that many chronic illnesses place on individuals, the health care system, and society. There is indeed a better way to better health for all Americans." Elizabeth Simkus is a nurse practitioner. She shares her story and discusses her KevinMD article, "It's a lifestyle: Adopting a behavioral approach to health care is urgent." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Ultimately, patients need doctors to help them be healthy, and need their doctors to be healthy to help them! Unless interventions are done now, our health care system risks a downward spiral. While the pandemic has brought increased levels of stress and burnout, it has prompted us to take action on mitigating this serious issue. Hospitals, practices, administrators, and physicians must realize that working together to combat burnout is essential for the health of our entire health care system." Lalitha Sundararaman is an anesthesiologist. She shares her story and discusses her KevinMD article, "Prioritizing physician wellness: Reducing burnout during the COVID-19 pandemic and beyond." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Anyone can win at poker when dealt a royal flush. But what can you do when the cards you are dealt don't appear winning at all? My answer: Make the best of what you have. Recently I learned of a colleague who sustained a broken back in an accident. He continues to work, wearing a brace and not taking pain medication. I know from watching his videos that he routinely handles the most complicated eye surgeries. Such cases are challenging to any seasoned ophthalmologist, without physical constraints and constant pain. This internationally renowned eye surgeon dubbed his constant pain 'background noise.' How on earth has he maintained a positive attitude despite such a major setback?" 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, "Playing the hand you are dealt." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Taking stock of all these experiences, I feel like I have no answers. They lead me to a space of unrest and dissatisfaction for not having a pill that would instantly drop 10 kilos, cure hep E, curb food craving or resolve a heartache. But I feel grateful for bypassing most life hurdles that people live with, those hurdles that life chooses for them rather than themselves." Natasha Khalid is a physician in Pakistan. She shares her story and discusses her KevinMD article, "Pay heed to the little life traumas that hit us daily." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Inaccurate patient records aren't just an inconvenience. They're a risk. The EHR might speak for the patient when they cannot speak for themselves, and if it's wrong, it's a serious liability. In lieu of any system-wide improvements to EHRs, I try to be vigilant. I ask the medical assistants to review the medication list at every appointment, if I can. Luckily for me, my chart's problem list is accurate now that the HNHSA diagnosis has been removed. All the same, I worry that if a medical assistant mixes up my conditions and punches in the wrong ICD code again, the chart will suffer. And I worry that if it happens, correcting the issue will prove difficult again. EHRs are wonderful additions to the clinician's toolbox, and they aid patients in accessing their records and having clear information about their health. However, some adjustments are necessary, including a more effective way to screen for and correct errors, so this tool will always be helpful and do no harm." Denise Reich is a patient advocate. She shares her story and discusses her KevinMD article, "When records are wrong, patients are at risk." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"The reality of the last two years is that almost all of us have experienced some mental health disorder symptoms, and that mental and physical health are equally important components of overall health. We call these subclinical symptoms, or symptoms that are there but that don't meet full criteria for a disorder. Most of us have experienced subclinical symptoms, or psychosocial stressors, since the start of the pandemic due to the stress that we've been under. These can include things like divorce, illness, job loss, and even things like stressful homeschooling. If you get enough of them, you're more likely to tip over into subclinical or clinical levels of symptoms, including increasing the risk for many types of physical health problems, particularly long-lasting conditions like diabetes, heart disease, and stroke. The setpoint of our average well-being levels has shifted down the spectrum over the last few years. That means that almost all of us can benefit from seeing a provider and getting professional mental health support, whether through a digital tool or via face-to-face therapy. It's important to think about the total person, and all of the facets that may need treatment. Using technology that integrates siloed services into one ecosystem has the advantage of being able to provide highly coordinated care, whether that's for mental health, chronic condition management, substance use monitoring, managed behavioral health, or other needs." Jay Spence is a psychologist. He shares his story and discusses his KevinMD article, "Mental health and the balance between technology and the human touch." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"A hundred years ago, women lived one year longer than men, but now they live five years longer than men. And things are getting worse. Currently, the lifespan of men in the U.S. is declining due to alcohol, opioids, and suicide. These trends need to change. I take care of men. I've been a urologist for almost 25 years and have seen thousands of men as patients, many of whom have shared their most personal thoughts and feelings with me. I've followed many men in my practice for 15 to 20 years and have witnessed the slow physical decline that is inevitable with age. Over that time, I have also aged, yet many of my patients have had it far worse than I have. As a urologic surgeon, clinical researcher, physician educator, and practicing clinician, I have embarked on a journey to help myself, my patients, and other physicians meet these challenges, to maximize our health and maintain the glow and vitality of youth." Judson Brandeis is a urologist. He shares his story and discusses his KevinMD article, "The catastrophe of men's health and how we can help." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Studies show that those physicians with negative online reviews were more often scored poorly due to non-physician specific causes. In my career, I've read comments from patients that said they were not satisfied with their provider because they didn't like the color of the walls in the exam room. Another mentioned that tea wasn't offered in the waiting room, just coffee. Surveys are not necessarily bad, but they have changed the way we interact with patients. Doctors are now feeling pressured to provide care patients don't need because of fears of bad patient satisfaction scores or negative reviews online. This causes more stress on health care professionals. In a national study, 78 percent of clinicians said patient satisfaction scores moderately or severely affected their job satisfaction negatively, and 28 percent said the scores made them consider quitting." Peter Valenzuela is a family physician and author of Doc-Related: A Physician's Guide to Fixing Our Ailing Health Care System. He shares his story and discusses his KevinMD article, "Patient surveys: the quest for positive reviews." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"All the faceless young men who are brought to his operating table, prepped and draped, broken and bleeding, are finding their experience of war bears little resemblance to their reveries of war. They should have known better. At corner taverns in Chicago, Albuquerque, and Murphysboro, there were tired veterans with scars and limps; men with faded names of regiments or slogans like "Semper Fi" tattooed on their biceps; men with creased faces and shuttered eyes, who quietly nursed schooners of beer while they watched the Sox or the Dodgers on the TV behind the bar; men who had been to places like Bastogne and Peleliu and the Chosin Reservoir. They, too, once had reveries. Carelessly fingering an old scar or slowly twisting a worn ring, they might have explained some things to these un-blooded young men, things forever indecipherable to those who have never worn the uniform, who have never lit the flame. But words are weapons, slashing open memories, ripping open wounds, stirring the smoldering fires of pain that old warriors have doused with alcohol and denial for millennia. And while they spoke, these old veterans could not help but see distorted reflections of their own youthful faces on the bar's polished surface and could not help but remember things they had tried so long to forget." Michael J. Collins is an orthopedic surgeon and author of All Bleeding Stops. He can be reached on Twitter @mjcollinsmd. He shares his story and discusses his KevinMD article, "War is really not all it's cracked up to be." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"No matter what, your healing work matters. No one should tell you otherwise, and nothing can change that, not even a shortcoming. You provide healing in a way no one else can. Care for yourself, and you can be the healer you truly wish to be." J. C. Sue is a family medicine resident. He shares his story and discusses his KevinMD article, "Self-care should now be your plan." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

Welcome to a special episode of The Podcast by KevinMD. In this 60-minute episode, I partner with DrFirst, a pioneer in health IT for over 20 years. We bring together physicians with different backgrounds to explore information overload and physician burnout. Dr. Sameer Badlani is chief digital officer, M. Health Fairview, a major health system in Minnesota. He is also adjunct faculty at Carnegie Mellon University. Dr. Colin Banas is chief medical officer, DrFirst. He was an internal medicine hospitalist and served as the chief medical information officer for VCU Health System in Richmond, VA. They share their stories and discuss the following questions: Based on your roles as physicians and as leaders in health IT, what are your insights into what is contributing to clinician burnout? How did you look at it differently when you became a tech leader? Did your perspectives change? Does tech sometimes contribute to burnout? How can tech best help burnout? What advice do you have for docs? For other IT leaders? Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"For me, my own personal stories of opioid patients come to mind, including one who keyed my car when I stopped prescribing his opioid after an acute injury. I think of some local opioid overdose deaths in my community. I would love to hear what other doctors and clinicians have to say about these issues, like the 'not responsible' verdict and the Sackler family running away liability-free and still worth billions of dollars. Does anybody feel like the opioid companies were pushy in the '90s and 2000s? Were they in the right? Is the California ruling in line with the common good? Are our prescribing practices under scrutiny? What runs through our heads right now, doctors? I would love to know." Rebecca Thaxton is a family physician. She shares her story and discusses her KevinMD article, "The people vs. opioid pharma: Pharma wins again." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Advanced analytics can provide the insights needed to understand social determinants and help develop interventions that assist patients in overcoming some of the challenges and adverse environmental and social factors that are barriers to healthier behavior. Analytics are needed to support the team-based approach to care delivery. With advanced analytics bringing together data on clinical and social needs, as well as health behaviors, providers and payors can enable effective care coordination and successfully implement value-based care models." Mike Dulin is a family physician and health care executive. He shares his story and discusses his KevinMD article, "How advanced analytics can help social determinants of health." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Guiding kindly illustrates mentorship, whether it be in the dojo or in an academic medical setting. Regardless of one's stage in medical training, certain errors in patient management will be made … this is part of the learning process. It is the role of the mentor (i.e., attending physician to resident, resident to medical student, attending physician to medical student) to help identify these errors, determine their causes, and work through solutions, while being cognizant of the educational level of the learner. Through all the chaos of the House of Pain, Doc would remind us to find calmness, controlling our breathing and minds. Above all, he encouraged us to pursue good health as good health precedes good life. If the House of Pain was a blacksmith, then its teachings are the forged, intangible swords I have gained to become a better man and future physician." Casey Paul Schukow is a medical student. He shares his story and discusses his KevinMD article, "What I learned about medicine in the House of Pain." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"For too long have gardeners allowed our food supply to be dependent on mysterious logistics. We have criminally allowed our own food growing capacity to be displaced. Growing something you eat and trading with people who grow what you don't are ways to be less reliant on Big Food and its failed connections and also to help your neighbors. We have the opportunity to subvert the dominant supply chain. Local gardens and gardeners should be at the center of a new, three-part food supply chain — grow, share, eat." John La Puma is an internal medicine physician and author of ChefMD's Big Book of Culinary Medicine. He can be reached at What is Nature Therapy? He shares his story and discusses his KevinMD article, "Grow, share, eat: We have the opportunity to subvert the dominant supply chain." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"The lack of diversity in academic medicine is a significant issue that can compromise our patients' health and the education of our training clinicians. There is a vicious cycle in which there are few black academic physicians, leading to seemingly fewer available mentors for black students, which in turn leads to even less of them pursuing careers in academic medicine. As a medical community at large, it is imperative that we understand the implications of this problem, not just on the black patient population, but on the nation as a whole. Its effects ripple through our economy and finances, public health/disease transmission, and educational infrastructure. Knowing this, it is more important now than ever that we promote diversity in academic medicine and to be more specific, that we encourage students, residents, and fellows to pursue such careers." Mary Branch is a cardiology fellow. She shares her story and discusses her KevinMD article, "Analyzing the deficit of African-Americans in academic medicine." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Through empathy-based training, physicians and other health care providers learn the skills to have honest informed consent discussions without causing undo fear, while also preparing patients for all possible outcomes. Empathic skills make for better physicians, better communications, and better conversations for all outcomes. With a strong alliance, a reduction in medical professional liability claims is the result of increased trust, better understanding and expectations of all possible outcomes, and knowledge that physicians deeply care about their patients, because, when it comes to health care, empathy matters." Helen Riess is a psychiatrist and author of The Empathy Effect: Seven Neuroscience-Based Keys for Transforming the Way We Live, Love, Work, and Connect Across Differences. She shares her story and discusses her KevinMD article, "The role of empathy in improving patient care and decreasing medical liability." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Today, more students are disclosing and speaking out about their disability and how their disability is an asset to their way of learning and what they can bring to their field. Across college campuses, more student-led organizations are forming to promote initiatives to identify and remove structural and systematic barriers to ensure equal access in all aspects of the educational experience. While aging clinicians may have had to live in the shadows with their disabilities, we have a new generation of aspiring clinicians who want to be "out" with their disability and share their experiences to bring more representation to their respective fields. It seems like a new generation of real superheroes is in the making." Marie Lusk is a social worker and disability specialist. She shares her story and discusses her KevinMD article, "Superheroes can have disabilities, too." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"The classic thinking has always been that a career in medicine is more than just a job; it is a passion, a calling, an anchor of identity. There is a pervasive stigma in medicine against the self-advocacy of the worker. Bedside care providers who push back against their work/life imbalance are often made to feel guilty for putting themselves before their patients. Antiwork challenges those assumptions and inspires health care workers to reevaluate what role they want their jobs to play in their lives. The empathy and work ethic that inspired most of us to choose a career in medicine are not inexhaustible resources, and they should not be treated as such. Doctors and nurses can and should use their newfound bargaining power to demand better compensation, improved working conditions, and protected time to enjoy life outside of the hospital or clinic. The past year of working in medicine has been so enormously challenging that it has caused many to question how much we are willing to sacrifice for our jobs. This is a painful but necessary process. Learning from some of the lessons of antiwork can hopefully help us find a new balance that still allows us to care for our patients while taking better care of ourselves." Brendan James Flanagan is an emergency physician. He shares his story and discusses his KevinMD article, "What medicine can learn from the antiwork movement." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"The weekend after Isabelle's discharge, I take my shoes outside onto the driveway. The sky is a brilliant blue, and green tinges of leaves poke through shells of buds; the wind slips through my fleece. I scrub the spots of blood with an antibacterial wipe, and tan shoe polish comes off instead, leaving the burgundy spots haloed and dark. Next, I smear shoe polish into the leather and brush away the brown curds of polish with a horsehair brush. The drops of blood remain. All these years later, those spots are still there, and I think of Isabelle every time I wear those tan shoes. And like those marks on my shoes, memories of babies and families remain etched in my mind—stories of failures, tragedies, successes, and joys. Our patients become an inextricable part of our lives. We carry their stories with us." Benjamin Rattray is a neonatologist. He shares his story and discusses his KevinMD article, "Our patients become an inextricable part of our lives." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.