The Podcast by KevinMD

"Technology continues to evolve every day. In the near-term future, portable and easily deployable robots will allow surgeons all over the world to perform minimally invasive surgery in an increasing number of procedure types and become even more effective surgeons. To achieve our goal of having a future surgeon workforce that meets the demands of an aging population and delivers good patient outcomes, we need training and knowledge-sharing at scale. Surgical robotics is poised to be an important part of the solution." Barry Greene is a general and bariatric surgeon. He shares his story and discusses his KevinMD article, "Robotic surgery's impact on training the next generation of surgeons." (https://www.kevinmd.com/blog/2021/08/robotic-surgerys-impact-on-training-the-next-generation-of-surgeons.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"Dear resident physicians: Soon you'll finish residency, and you may be wondering what's next. Some of you will start fellowships, but most of you will practice your specialty. You may be looking for opportunities that are a good match with your needs and wants. Virtually all of you are looking forward to greater income. I hope that this ending is also a beginning – a renewal of your commitment to the life-long learning that is medicine. One of the current concerns of our society is the possibility of a physician shortage. Some of that shortfall is attributed to a mass exodus of physicians experiencing "burnout." Pervasive pessimism is the rule. It's time to break the rule. You can thrive, not just survive." Faith A. Coleman is a family physician. She shares her story and discusses her KevinMD article, "Physicians and the importance of servant leadership." (https://www.kevinmd.com/blog/2021/08/physicians-and-the-importance-of-servant-leadership.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"The problem with feeling like an imposter is thinking there's something wrong with it. I know this is different from any way you have thought about it, but humor me. What happens when we are offered an opportunity but we feel like an imposter? We hide. We overwork to compensate. We look around at our colleagues and resent them. Because why do they get to feel so secure? Why aren't they feeling insecure? They don't even spend time worrying about it, and that leads to more resentment! They are not working as hard as you, and now they are not stressing about the opportunity like you are. What is the result of those actions? We spend lots of time in indecision, overwhelm, fear, resentment, and overwork. We might take the opportunity, do well even, but hate the whole process and add it to the bad feelings we already feel about ourselves. What is behind feeling like an imposter? It's the thoughts that we tell ourselves. It helps to understand the motivation behind these thoughts. We were wired to survive." Amy Vertrees is a general surgeon and co-founder, The Common Thread Women Surgeon Coaching. She shares her story and discusses her KevinMD article, "Stop resisting the imposter." (https://www.kevinmd.com/blog/2021/08/stop-resisting-the-imposter.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"Sufferers of diseases, particularly terrible ones like Alzheimer's disease, and their loved ones need and deserve something better than science can deliver today. However, the scientific rigor of the clinical trials process where approval is only granted to drugs with a clear benefit in excess of risk needs to return. Imagine the position this puts neurologists in today. Having a conversation with an Alzheimer's disease patient and family about why prescribing Aduhelm does not make sense. The only thing they would likely hear is they are being robbed of hope, false though it may be. And yet, if the American Academy of Neurology were to actively advise against using Aduhelm and every neurologist in the U.S. treating Alzheimer's disease sufferers were to refuse to prescribe it, the message to the pharmaceutical industry and the FDA would be crystal clear." Wes Campbell is a health care economist. He shares his story and discusses his KevinMD article, "Aduhelm and how money and politics supersede science." (https://www.kevinmd.com/blog/2021/07/aduhelm-and-how-money-and-politics-supersede-science.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"'Hi, my name is Kristin Yates, and I am the OB/GYN doctor.' This is how I greet most patients for the first time. It has never really felt natural to introduce myself as 'Dr. Yates,' even now that I have been an attending physician for more than five years. To be fair, for the first several years of my career, it felt uncomfortable to refer to myself as 'Dr. Yates' because part of me felt like a total fraud. But as I began to make strides to overcome my self-doubt and realized that imposter syndrome was just a normal part of being human, I realized that my aversion to being called 'Dr. Yates' was about way more than just awkwardness." Kristin Yates is an obstetrics-gynecology physician. She shares her story and discusses her KevinMD article, "Don't call me 'doctor.'" (https://www.kevinmd.com/blog/2021/06/dont-call-me-doctor.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"Although people think of medicine as a science—the facts reveal the diagnosis, the diagnosis dictates the treatment—most physicians acknowledge that medicine is as much an art as a science. It's not like a simple math equation with one undeniably right answer. Even when the diagnosis is clear, there may still be multiple appropriate treatment paths that deliver similar outcomes. And there are many cases where the diagnosis is not definitive, especially in the case of complex diseases and many types of cancer. That's why a second opinion is an important tool for people who have received a cancer diagnosis. Not only can it help lower the risk of misdiagnosis or an inappropriate plan of treatment, but it's also essential for decision making. A second opinion from a specialist who has extensive experience treating people with the type of cancer you've been diagnosed with can change or confirm your diagnosis." Miles J. Varn is chief executive officer, PinnacleCare, and can be reached on LinkedIn. He shares his story and discusses his KevinMD article, "Why people diagnosed with cancer should get a second opinion." (https://www.kevinmd.com/blog/2021/06/why-people-diagnosed-with-cancer-should-get-a-second-opinion.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"I was a bit nervous about how she would perceive my advice. She could find it inappropriate and report me for making personal remarks. But I believe she sensed the sincerity in my words and appeared invigorated, uplifted, and excited. She was smiling now and exclaimed, 'Doctor, you will see now how I get my game on!' She asked me when her next scans would be, and I told her, 'First, you make an appointment at the hair salon, and I will schedule your next scans after that.' We struck a deal, and her body language changed. She jumped out of her chair and walked out of the room like a woman on a mission. A mission to look good. A mission to not feel ugly. I don't know how much longer she has to live. She may have another two months or another two years. I will be ready to treat any symptom she gets from cancer, but I will also make sure that we do everything for her to feel beautiful. Just like she actually is." Farhan S. Imran is a hematology-oncology physician who blogs at Did I Ask? He shares his story and discusses his KevinMD article, "After all the years of medical training, I learned how to treat ugly on my own." (https://www.kevinmd.com/blog/2021/04/after-all-the-years-of-medical-training-i-learned-how-to-treat-ugly-on-my-own.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"Always remember your humanity. You are not super-human. Make connections to your heart, to your mind, to others. Look closely at the situation that lies before you, listen carefully to all that is around you, and calm the pounding heart. Dig deep within your psyche, ask the big questions, and most importantly, listen to the answers. Rediscover the reasons that have been your motivation, your driving force. Uncover those layers you have put in place for your protection to cushion against the harshness. Open your eyes. Open your heart. Your lifeline is within your grasp. This lifeline is tethered to your core, to those you care for, to those who care for you. Once lost, you are now found. You are at equilibrium. You have found your way back." Michele Luckenbaugh is a patient advocate. She shares her story and discusses her KevinMD article, "A message from a patient to health care workers: Always remember your humanity." (https://www.kevinmd.com/blog/2021/08/a-message-from-a-patient-to-health-care-workers-always-remember-your-humanity.html) This episode is sponsored by Tradeoffs, available on your favorite podcast platform.

"In fully-humanized health care, I envision patients as clients, with doctors as part of the health care team in a role more akin to expert consultants and skilled proceduralists. The consumer is empowered in the network to drive his or her own health — taking the central role rather than the physician. By continuously humanizing health care and creating therapeutic alliances, we gain one more benefit. We enlist the efforts of the client's natural support network, a free army of caregivers to reduce the load on our overburdened health care system. But to be effective, the support network will need engaging and actionable information. Together with providers, they will help individuals integrate multiple modalities in their journey toward healthfulness. Therapeutic alliances not only would reduce costs by sharing information with people in a way that encourages them to take more responsibility for their own health, but they would also reduce the dehumanization rampant in health care today." Summer Knight is a family physician and physician executive. She is the author of Humanizing Healthcare: Hardwire Humanity into the Future of Health. She shares her story and discusses her KevinMD article, "Humane health care outcomes by creating therapeutic alliances." (https://www.kevinmd.com/blog/2021/04/humane-health-care-outcomes-by-creating-therapeutic-alliances.html)

"While opposition to the vaccine may be hardening, pediatricians and family physicians enjoy an advantage the CDC and Dr. Fauci may not: namely, they are liked and trusted by patients. In general, parents look to personal physicians for guidance and usually follow their advice on health care for their children. Doctors can use that trust to convince skeptical parents of the benefits of getting their children vaccinated. Even the medical office setting can be an advantage. Unlike a bustling pharmacy or a crowded mass vaccination site, a doctor's office offers a low-key, familiar environment, one in which a parent might be more open to counseling." Rich Parker is an internal medicine physician. He shares his story and discusses his KevinMD article, "How to get young patients vaccinated against COVID-19." (https://www.kevinmd.com/blog/2021/08/how-to-get-young-patients-vaccinated-against-covid-19.html)

"The idea was to try working in Rome for a year and see how it went. This sensible American plan collapsed under the weight of Italian bureaucracy. Luckily I didn't investigate every angle before starting off; if I had known the true lay of the land I might not have kept going after that Italian medical license like a donkey after his carrot. I'd have taken a job in some clinic in the Bronx, where I'd be seeing four patients an hour to this day. Instead, I made those steps you can't retrace: gave up my three-bedroom apartment on the Upper West Side with views of the Empire State Building and the Tri- borough Bridge, and sold my Dodge Challenger convertible to a pinky-ringed Turkish importer-exporter who planned to strip it down to the skeleton of an Oriental low-rider. Months beforehand I started focusing my Manhattanite efficiency on getting registered in Italy, my Italian husband leading me by the hand through the wilderness of Old World red tape. The first step was "getting my documents together," an Italian ritual repeated before every encounter with officialdom. Sticking to a list kindly provided by the Italian Consulate, I collected my birth certificate, passport, high school diploma, college diploma, college transcript, medical school diploma, medical school transcript, certificates of internship and residency, National Board Examination certificates, American Board of Internal Medicine test results, and specialization diploma. Then I got them transfigured into Italian by the one person in New York authorized by the Italian Consulate to crown his translation with an imprimatur. We judiciously gave him a set of our own translations as crib notes, tailored by my husband to match the Rome medical school curriculum." Susan Levenstein is an internal medicine physician and author of Dottoressa: An American Doctor in Rome. She shares her story and discusses her KevinMD article, "An American doctor in Rome." (https://www.kevinmd.com/blog/2019/09/an-american-doctor-in-rome.html)

"I have no doubt, given my extensive experience in health care and being a Black woman in America, that we as health care professionals have made the same mistakes as Chris Harrison with our patients. Instead of listening to and validating our patients' concerns, we make excuses for ourselves or the people who have caused the injustice that our patients are experiencing. Effectively we delegitimize or invalidate their concerns, and we exacerbate their pain due to the experience. In some ways, our role as clinicians, combined with the reason for them seeking health care, magnifies and even eclipses the pain from the original experience causing an even more damaging effect. Whether or not we believe their experience is real or perceived is irrelevant. We are no authority to know the difference, and when a patient is in our care, it is our responsibility to place their needs first. As health care professionals, we should strive to validate our patients' feelings and offer comfort whether or not we agree about the etiology. Resist the urge to justify or defend the perceived abusers. I believe that this could potentially improve our relationship with our patients and improve their care and, as a bonus, make us more empathetic to the other people in our lives." Monique Rainford is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "When it comes to bias, doctors need to do their homework." (https://www.kevinmd.com/blog/2021/07/when-it-comes-to-bias-doctors-need-to-do-their-homework.html)

"We have a chance to take a meaningful step in fighting burnout and mental health issues in the health care profession. We have lost too many valued and vibrant health care professionals due to an illness that is treatable but stigmatized – including the devastating loss of Dr. Lorna Breen. The Dr. Lorna Breen Health Care Provider Protection Act will leave a lasting legacy for bettering our health care community, taking the first step in addressing this horrible crisis. Endorsement of the Lorna Breen Act is not limited to medical students, other health care workers, students, and hospitals have a stake." Corey Feist is co-founder, Dr. Lorna Breen Heroes Foundation. He shares his story and discusses the KevinMD article, "A step forward: a way to advance the mental health of health care professionals." (https://www.kevinmd.com/blog/2021/05/a-step-forward-a-way-to-advance-the-mental-health-of-health-care-professionals.html)

"Five years into my practice as an academic allergist/immunologist, my perceptions continue to evolve. Though once primarily informed by my mentors' wisdom, I continue incorporating my experiences as both physician and autoimmune patient to guide my practice. Though we all know medicine isn't like it used to be, nostalgia is bittersweet. In its wake, the real question remains: how are we going to respond to ongoing changes and fight for the health of our patients and our colleagues? From the loss of autonomy with the advent of managed care and corporate takeovers, we find ourselves practicing under increased pressure from all sides. Less time and resources to help sicker patients. Answering not only to our patients' needs but those of insurance companies and other interested parties whose motives are less than altruistic." Kara Wada is an allergist-immunologist. She shares her story and discusses her KevinMD article, "Burnout and bias? Or medical gaslighting?" (https://www.kevinmd.com/blog/2021/07/burnout-and-bias-or-medical-gaslighting.html)

"It is no wonder that in 2020, a Doximity physician compensation report revealed there were no specialties in medicine in which women earned the same or more than men. We can all agree that many things could account for this, including structural barriers and lack of diversity or mentorship. It may also include factors such as women not maximizing billing knowledge, not knowing how to negotiate, not asking for the same or more of what is offered and just not thinking about what they really want. Instead as women, we think of others first, or what others expect of us. Yes, we know we want the job or the position. But is that position truly, truly, taking you towards your true purpose? Becoming chief of department, manager or CEO, are remarkable goals and should be pursued. But are the pursuits authentic to what you consciously found your purpose is? It is not about what your family thought you should achieve, but about doing something that truly takes you and continues to propel you on your true-life purpose. If you have not thought about it, then I challenge you to find introspection. Find consciousness and think about your true purpose. Continue to follow its path to experience joy so it will not leave you with regret when you look back. Find your purpose. Ask yourself, 'What do I really want in life?' And do it today." Diana Londoño is a urologist and can be reached at her self-titled site, Dr. Diana Londono, and on Twitter @DianaLondonoMD. She shares her story and discusses her KevinMD article, "What do you really want in life?" (https://www.kevinmd.com/blog/2021/08/what-do-you-really-want-in-life.html)

"The problem with health care isn't 'fixing' the system. The problem is continuing to ensure that profits can be made and millions can be employed while better health care outcomes and experiences are achieved. We won't find the solution to that problem by embracing the solutions offered by either the right or the left. We need to leave the past behind and start again, building a new health care system that better meets our needs. We have to build from the ground up, starting with a new foundation. I can't wish away the political realities that stand in the way of such fundamental reform. But given all that's at stake, I'm unwilling to accept anything less than this goal. Hopefully, you agree." Jeb Dunkelberger is a health care executive and author of Rich & Dying: An Insider Calls Bullsh*t on America's Healthcare Economy. He shares his story and discusses his KevinMD article, "Our health care system may be failing, but it isn't broken." (https://www.kevinmd.com/blog/2021/06/our-health-care-system-may-be-failing-but-it-isnt-broken.html)

"Fifteen minutes for a checkup or urgent problem, thirty minutes for a physical. In the tiny gasps of time in between: Refilling scripts, checking labs, and signing medical supply orders and insurance authorization requests. Maybe lunch. Maybe a chance to get to the restroom if I am lucky. Clicking, always clicking away on my EMR, hoping to finish my notes. Maybe typing notes while holding on a phone call (why do patients call with a question about a medicine, but they leave the vial upstairs and have to retrieve it while you wait?), while trying to cram a few bites of lunch, while wondering if I will get out of there in time to get the blasted Valentine's napkins before picking up the kids from their after-school program. I take a deep breath." Melissa Schiffman is an internal medicine physician. She shares her story and discusses her KevinMD article, "Primary care: I love the variety and the intimacy of the problems that are placed before me." (https://www.kevinmd.com/blog/2021/08/primary-care-i-love-the-variety-and-the-intimacy-of-the-problems-that-are-placed-before-me.html)

"When we hear skepticism, our first instinct may be to end the conversation. After all, why spend our time trying to convince someone who has made up their mind? Our second instinct may be to counter the person's position without pausing to hear more about their perspective. Unfortunately, trying to force someone into getting the vaccine often results in defensiveness and anger." Alicia DiGiammarino is a health educator. She shares her story and discusses her KevinMD article, "Try this new technique when talking to vaccine skeptics." (https://www.kevinmd.com/blog/2021/08/try-this-new-technique-when-talking-to-vaccine-skeptics.html)

"The pandemic has demonstrated the value of online platforms, especially in health care – but equitable access has not matched this growth. Sadly, many Americans cannot reap the benefits of connectivity. State and federal funding sources are required to enable digital health equity. Moreover, there should be a focus on measuring/creating standards of care in digital health equity. Public financing and public infrastructure (broadband) will be essential to coordinate organizations and defragmenting care. Now is our moment to create a new and better health care system that emerges from the dark days of COVID-19." Joshua W. Elder is an emergency physician. He shares his story and discusses the KevinMD article, "Digital health equity is an emerging gap in health." (https://www.kevinmd.com/blog/2021/06/digital-health-equity-is-an-emerging-gap-in-health.html)

"As we enter a year and a half into a worldwide pandemic, many of us working in health care are fatigued, over-worked, and burned out on compassion. Burnout has been so widespread that the CDC published guidelines on how to cope with the stresses of the job as COVID-19 cases persist. As the Delta variant continues to spread and individuals remain unvaccinated despite the data, health care workers find themselves attempting to care for their patients and simultaneously try and care for themselves. This episode outlines some myths about the "softer side" of health care and focuses on compassion and rapport building— exploring the ways in which providing patient-centered care for those who seek our help not only improves clinical outcomes but can also help improve ourselves." Katherine Buaron is a community nurse consultant, Rush University. She shares her story and discusses her KevinMD article, "5 myths about compassion and patient rapport building in health care." (https://www.kevinmd.com/blog/2021/09/5-myths-about-compassion-and-patient-rapport-building-in-health-care.html) This episode is sponsored by the Rush University Series at The Podcast by KevinMD. (https://www.rushu.rush.edu/)

"As a practicing surgeon for 30 years in the super-specialized field of otology, neurotology and skull base surgery, I have been privy to some of the most disturbing realities of surgical care. Often, these realities are bleaker than most people expect. One thing physicians, and the general population, need to be more aware of is the very real racial disparity in surgical care. Are the outcomes for Black and Hispanic patients truly different than white patients when it comes to surgery? The answer is an astounding yes. Are the differences related to other factors such as socioeconomic class, insurance status, gender, income, extent of disease at presentation or other comorbidities? Even when controlling for many of these factors, racial disparities in the delivery of surgical care persist." Sanjay Prasad is a surgeon and founder, SurgiQuality. He shares his story and discusses his KevinMD article, "The bleak reality of racial disparity in surgical care." (https://www.kevinmd.com/blog/2021/08/the-bleak-reality-of-racial-disparity-in-surgical-care.html)

"The same question could be asked about the joy and meaning in medicine. Where does it dwell? And the answer may be the same. It dwells wherever we choose to let joy and meaning in medicine into our physician-healer lives. As I look back upon my career, it saddens me to know that those doors to my dwelling were closed shut so often. For so often, I had not a clue as to where lay the key to unlock them. For so many years, this encounter would have been chalked up to another annoying, unfathomable "little old lady dizziness syndrome." But, on that day, in that encounter, I was graced to have those doors opened by an 86-year-old, dizzy, square dancing roller skater. I hope the doors of that dwelling never close again." Scott Abramson is a neurologist who blogs at Doctor Wisdom. He shares his story and discusses his KevinMD article, "Where does the joy and meaning in medicine dwell?" (https://www.kevinmd.com/blog/2021/07/where-does-the-the-joy-and-meaning-in-medicine-dwell.html)

"I am a proud science-trained medical doctor and concerned mother. I am not going to remain silent when the biggest tragedies are yet to hit earth yet. Like seriously, I do not want to become like the dinosaurs. History wasn't too kind to them. Just saying. Scientists say the worst is yet to come if America doesn't listen. What do scientists know anyway? You might disagree with my words, but If you want to get angry, write many insults, and be in denial, go ahead. I am a mother bear, and I do bite, as it's called self-defense. To all my fellow scientists and torchbearers of the truth, I salute you. Let us not stop speaking the truth until real change happens." Tomi Mitchell is a family physician. She shares her story and discusses her KevinMD article, "Who needs scientists? It's not like we listen to them anyway." (https://www.kevinmd.com/blog/2021/08/who-needs-scientists-its-not-like-we-listen-to-them-anyway.html)

"This is where we are: Hospitalizations rising, new variants that are more infectious, and many people believing that this is all a hoax, or that millions of people have conspired together to make injections that harm people rather than helping them. Patients leaving AMA and dying because there's no trust anymore. This is where we should be: People recognizing that we don't like wearing masks or getting shots but maybe we should in order to get things under control, people trusting that health care workers are really working toward the best interest of everyone, health care workers optimistic because they see progress. How do we get from here to there?" Steve Burgess is a hospitalist and creator, Hospital Medicine Seminars, where he teaches CME focused on updates for those who practice hospital medicine. He shares his story and discusses his KevinMD article, "Dying after leaving AMA." (https://www.kevinmd.com/blog/2021/08/dying-after-leaving-ama.html)

"What can we control? Our behavior and our responses to circumstances. Focusing on what is in our power to control and putting all our energy and efforts in the right places and for the right reasons seems to be a step in the right direction to make positive changes and avoid burnout. Now, imagine not only surviving medicine but also enjoying it, using it as an opportunity for personal growth and development, as a catalyst that transforms challenges into amazing outcomes. Close your eyes and remember why you decided to be a doctor. How did you feel the first time using your white coat, hearing the ticking of a heart, saving a life? It's time to recover the power. It's time to reassume the responsibility, the privilege and the joy of being a physician. Be healthy, be happy — and keep helping people and saving lives!" Miriam Zylberglait Lisigurski is an internal medicine physician. Yudith Furman is a psychotherapist. They share their stories and discuss their KevinMD article, "Take back the power and joy of being a doctor." (https://www.kevinmd.com/blog/2021/08/take-back-the-power-and-joy-of-being-a-doctor.html)

"Some may say that we all come into this world with our own luck, and if we end up having to endure a disability, then other people in society should not be held financially responsible. To that I say, do we not have a moral imperative to ensure that we create a society that we would be proud to live in? Humankind has only come so far on the basis of cooperation, trust, and looking after each other. We can't just abdicate our responsibilities in the face of selfishness, or because it feels easier. United we stand, divided we fall. I would hope that if one day you find yourself a victim of fate, someone extends a hand to you in your time of need. Because we're all healthy—only until we're not." Shreya Kumar is a medical student. She shares her story and discusses her KevinMD article, "Eradicate the disability tax, before it's too late." (https://www.kevinmd.com/blog/2021/08/eradicate-the-disability-tax-before-its-too-late.html)

"Attending physicians struggling with a mental health issue should consider contacting a counselor first, rather than a department head or employer resource. A counselor can assess the mental health issue, offer treatment recommendations, and provide therapy that meets the physician's needs – all while protecting that person's privacy. Mental health providers are legally obligated to maintain confidentiality except under the most narrow of circumstances. Despite the concerns that licensing boards and employers have about the risk to patients or impairment, there is little evidence that simply having a mental health issue, or receiving treatment for one, imperils patients. We have abundant evidence, however, that avoidance of treatment imperils physicians. Many physicians have successfully undergone counseling while continuing to work without ever notifying their employer or department, imperiling patient care, or incurring licensing consequences. Until changes occur that mitigate the causes of burnout, depression, anxiety, and substance use disorders among physicians, our priority must be increasing access to and engagement in treatment. Physician-specialized private counseling practices are one way to accomplish that." Vickie Mulkerin is a family physician and owner, White Coat Counseling, LLC. She shares her story and discusses her KevinMD article, "Why physician-specialized private counseling practices are important." (https://www.kevinmd.com/blog/2021/08/why-physician-specialized-private-counseling-practices-are-important.html)

"I called my wife of 31 days, anxious and dazed. I told her that the pace I was on was crushing me. I told her I had done seven admits since 5 p.m. and taken floor calls, too. It was not yet midnight. I told her I don't know if I can do this job. But I soldiered on. It was the first of July. I picked up my first chart of the shift and began to walk to see the patient. Felt some apprehension. I looked at the chart and noticed the name printed in the box for the attending physician. The name was mine. I felt awe. I felt pride. I felt fear." Duane Corsi is an emergency physician. He shares his story and discusses his KevinMD article, "An emergency medicine life." (https://www.kevinmd.com/blog/2021/07/an-emergency-medicine-life.html)

"Chiefs, remember, one of those interns is going to fill your shoes in a few years. They may model you in that role, so you want to raise them well! As a former chief resident, I have lots of pearls for those entering residency. However, what I will tell you now is different from what I would have told you then. I have since learned that there are possibilities to create the results that we want and not just follow the path we are told to take. Recently, a former intern of mine — who went on to be a chief resident and subsequently a program director — tweeted that he received advice from another chief: "If you are unhappy in residency, you need to adjust your expectations." He pondered that this suggestion was a mixed bag. Can you see both sides? Residents, who is responsible for your happiness? Is it the institution, the program, the program director, the chief resident — or you?" Marion McCrary is an internal medicine physician and can be reached at Marion McCrary Wellness. She shares her story and discusses her KevinMD article, "A word of advice from one chief resident to another." (https://www.kevinmd.com/blog/2021/07/a-word-of-advice-from-one-chief-resident-to-another.html)

"In January of 1991, at twenty-two months old, Nick had another heart catheterization. Andy and I had started thinking about the next stage of surgery to finish the heart repair. Just before Nick was discharged, I discussed it briefly with Dr. Kanter. 'Tell me when you would like to do the surgery,' he said. 'Never, if it's up to me.' We were in no hurry for Nick to go into the OR again. The older Nick grew, the more difficult it became to agree to procedures. At least this operation would be one of the planned surgeries. By now, heart surgeons were doing an additional repair, completing the surgery in two stages instead of one. The positive side was that at least we would be taking a step forward. Andy and I wanted the surgery date to be sooner rather than later, but we still had questions. I asked Dr. Kanter to call me. He and I discussed the pros and cons of the repair. There was a pause in the conversation, and then Dr. Kanter asked, 'Susan, are you sitting down?'" Susan May is a writer and author of Nick's New Heart: 30 Years and Counting. She shares her story and discusses her KevinMD article, "The story of a heart transplant in a 1-year-old, as told by his mother." (https://www.kevinmd.com/blog/2021/05/the-story-of-a-heart-transplant-in-a-1-year-old-as-told-by-his-mother.html)

"After my last promotion, my institution adopted new guidelines and criteria for incorporating social media into promotion. I understand several other academic institutions have taken similar approaches, and it is enlightening to learn that academic medicine is evolving to match the current state of medical education. I encourage anyone considering promotion to become familiar with your institution's criteria and consider how to leverage that with your work. I also encourage you not to discount the work you do on social media and consider how you can translate into more traditional checkboxes such as teaching, advocacy, and national reputation. Social media has fundamentally changed how the world receives information. Science, medical expertise, and fundamental facts are under constant assault. Thousands of medical professionals are engaged online and interacting in positive ways to help combat misinformation. It's time for this important work to be recognized and rewarded by academic institutions. Good luck, colleagues, and please feel free to reach out on social media if I can help in any way." David R. Stukus is a pediatric allergist and can be reached on Twitter @AllergyKidsDoc. He shares his story and discusses his KevinMD article, "How I used social media to get promoted to professor." (https://www.kevinmd.com/blog/2021/07/how-i-used-social-media-to-get-promoted-to-professor.html)

"Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend the family go to the emergency department (ED). When the family arrives at the ED, the stresses of enforced isolation show on their exhausted, tearful faces. And unfortunately, in these extraordinary times, they're far from alone." Gregg Miller and Seth Thomas are emergency physicians. They share their stories and discuss their KevinMD article, "As the pandemic winds down, another crisis may be looming." (https://www.kevinmd.com/blog/2021/05/as-the-pandemic-winds-down-another-crisis-may-be-looming.html)

How does a physician become a thriller author? Where do his stories come from? How long does it take to go from idea to finished product? How did his experience as a physician influence his books? John Bishop is a retired orthopedic surgeon. He shares his story and discusses his transition from physician to medical thriller author.

"Feedback in the assessment stage is always useful for improving the design of a device — especially as it relates to improving long-term aspects, such as patient outcomes or cost-effectiveness. This kind of feedback can only come after a device has been on the market and in use for a while, and after doctors have had a chance to see the long-term effects that use of a product has for their patients — for example, in the recovery period following procedures. The involvement of doctors is of utmost importance in all stages of the development of any medical technology. Doctors should recognize the value their feedback holds for improving the technologies they will ultimately use. When it comes to understanding the problems in need of solutions, doctors should see themselves as partners in the development of medical technologies that will serve the ultimate goal — better care of and outcomes for patients." Lena Levin is a health care executive. She shares her story and discusses her KevinMD article, "Here's how doctors can support medtech innovation." (https://www.kevinmd.com/blog/2021/06/heres-how-doctors-can-support-medtech-innovation.html)

"As I approach this last stretch of residency, still entrenched in the rigors of training and the intensity of raising three young children under five years old, I am in a unique position of being able to reflect on the years and look ahead at what I want to build at the same time. It has been a lonely, emotional, seemingly endless journey at times. We mothers and doctors are barraged with messages that we do not belong here, straddling both roles. The work of dismantling these messages will be impossible for any single person, but cumulatively we can. And for future young women who are budding doctors and hopeful mothers, I hope their search for answers and advice results in them finding a large community of support and belongingness. And I will continue my part to advocate, to mentor, to fight this cycle of self-blame that our training system perpetuates, to continually question these messages of what priorities 'belong' in medicine, until finally, we expand this radius of belonging. Despite all that I have encountered, my spirit is not broken. I have work to do." Eunice Stallman is a psychiatry resident. She shares her story and discusses her KevinMD article, "So, are you committed to medicine — or your baby?" (https://www.kevinmd.com/blog/2021/07/so-are-you-committed-to-medicine-or-your-baby.html)

"While the COVID-19 pandemic exposed and normalized the need for increased mental and behavioral health services over the last year and a half, addressing mental health issues as a regular form of their wellness will persist beyond the pandemic. However, as the adoption of virtual technologies continues to open up more access to care, the potential to successfully meet the rising demand for these services is promising. The last 18 months have shown us that providers are making huge strides in helping patients from all walks of life facilitate their own care virtually. Even with the challenges we are still experiencing in the current pandemic, it's an exciting time for the evolution of mental health care." Sara Smucker Barnwell is a licensed clinical psychologist and clinical director of behavioral health, 98point6. She can be reached on LinkedIn and at her self-titled site, Sara Smucker Barnwell PhD. She shares her story and discusses her KevinMD article, "Debunking common virtual therapy myths and 4 tips for new patients." (https://www.kevinmd.com/blog/2021/08/debunking-common-virtual-therapy-myths-and-4-tips-for-new-patients.html)

"I'm smart enough to be a physician. As if being the smartest person in the room makes you the best physician in the room. Hint, it doesn't. Being a good physician is a culmination of knowledge, skills, and strengths that you, as an individual physician, uniquely brings to the field. It's taken some rewiring to pull shame out of my professional narrative. Shame is not there to serve you. It's there to diminish you and to prevent you from fully embracing and accepting all parts of yourself, flaws and all. It chokes off growth and evolution. It starts with subtly shifting the narrative in difficult situations from who you are to what you did. You can deal with what you did. You can learn and do differently next time. On that first call night of my formal medical career, I wasn't a mistake. I made a mistake." Tracy Asamoah is a child and adolescent psychiatrist and can be reached at Tracy Asamoah Coaching. She shares her story and discusses her KevinMD article, "How shame tried to hijack my medical training." (https://www.kevinmd.com/blog/2021/04/how-shame-tried-to-hijack-my-medical-training.html)

"In times of uncertainty, human behavior often makes people resort to less-than-stellar behaviors; unhealthy personal environments can become manifest as well. Often, these coincide with health care being used more frequently and the safe haven of health care delivery being sought. With all physicians being leaders, it is incumbent upon us to demonstrate a variety of professional qualities, and we must also draw on our own human qualities to succeed as well." Peter Angood is CEO and president, American Association for Physician Leadership, and author of All Physicians are Leaders: Reflections on Inspiring Change Together for Better Healthcare. He shares his story and discusses his KevinMD article, "Professionalism: We must also draw on our own human qualities to succeed." (https://www.kevinmd.com/blog/2021/03/professionalism-we-must-also-draw-on-our-own-human-qualities-to-succeed.html)

"I implore you — even if it's difficult — if you don't like your doctor, take the time and find a new one! How do you do that? Check your insurance for who they cover, and then ask your friends who they see and like. Google the physician. Google the practice. Google the hospital. Put as much effort into this as you would buying a car. This person needs to be reliable, safe, up-to-date and needs to make sense for you. Let's all make 2021 the year we take better care of ourselves. You deserve excellent care and goodness of fit." Caitlin Bass is a hospice and palliative care fellow. She shares her story and discusses her KevinMD article, "You deserve a doctor who's a good fit for you." (https://www.kevinmd.com/blog/2021/04/you-deserve-a-doctor-whos-a-good-fit-for-you.html)

"We focus on ensuring our solution works equally well for English speakers with any accent. We regularly hear from doctors how much of a difference this makes in their ability to deliver high-quality patient care. It's our hope that more health tech vendors will take a good look at what they've chosen to prioritize and how that may contribute to inequities within the system. The factors which inspired the American Medical Association to recognize racism as a public health threat demand that we all play our role in the multi-faceted structures that contribute to delivering equitable health care to all Americans." Matthew Ko is co-founder and COO, DeepScribe Inc., and can be reached on Facebook and Twitter @DeepScribeAI. He shares his story and discusses his KevinMD article, "Examining structural racism in health tech." (https://www.kevinmd.com/blog/2021/06/examining-structural-racism-in-health-tech.html)

"I bring this to your attention because, in 1971, I took an oath to impart precept, oral instruction, and all other instruction to all indentured pupils who have taken the Healer's Oath. Having done so, if it strikes you that, during the aforementioned trial, an opportunity was missed, only to be rectified by the Court of Special Appeals, then I leave you with this admonition. When you are a defendant in a malpractice suit, and you believe you are in the right, be relentless and use everything at your disposal to expose the opposing expert as a miscreant. Had defendants in this suit been so disposed, likely, the outcome would have been different." Editor's note: This show refers to the Abeline paradox, which is when "a group of people collectively decide on a course of action that is counter to the preferences of many or all of the individuals in the group." Howard Smith is an obstetrics-gynecology physician. He shares his story and discusses his KevinMD article, "A counterintuitive strategy when you are sued for medical malpractice." (https://www.kevinmd.com/blog/2021/07/a-counterintuitive-strategy-when-you-are-sued-for-medical-malpractice.html)

"The first step to hospital recovery is the collection and analysis of data. Organizations that effectively leverage data to optimize surgery can see rapid, quantifiable, and sustained improvements in metrics that directly link to operational efficiency and associated financial benefits. The current situation presents a unique opportunity for hospitals to implement new tools to recalibrate how surgical services are evaluated, delivered, and experienced by the patient and provider. Doing this now will accelerate resolving the backlog, better positioning the organization to handle the day-to-day schedule moving forward with unprecedented confidence and clarity. Heading down the path now to leverage historical and current data will enable health care organizations to create a robust, data-driven, surgical management plan to overcome the backlog created by the pandemic. A data-first strategy will also allow hospitals to better prepare for future disasters and re-establish a solid revenue stream sooner. Who knows? They may even grow market share." Michael Woods is a health care executive. He shares his story and discusses his KevinMD article, "Surgical volumes are still down. A data-first strategy is the key to recovery." (https://www.kevinmd.com/blog/2021/06/surgical-volumes-are-still-down-a-data-first-strategy-is-the-key-to-recovery.html)

"The dramatic uptick in mental distress, trauma, and substance use since last year has driven a corresponding rise in the use of virtual mental health therapy and psychiatric care, helping us, as a society, more effectively grapple with the fallout from the pandemic. According to one study, more than half of the people who used telehealth in May 2020 used it for a mental health concern. Virtual care has the added benefit of increased privacy and access to care for people who have difficulty getting to in-person care or end up on a waitlist for weeks to see a provider. Virtual care reduces the time commitment for therapy since it doesn't require a commute. Overall, it's a method that provides patients with more control over how they access mental health care. Providing treatment to those in need is no small task, but with new digital tools and more accepting attitudes, the hope is that those struggling with suicidal thoughts and other mental health challenges will feel supported and optimistic." Erik Vanderlip is a psychiatry and family medicine physician. He shares his story and discusses his KevinMD article, "Suicide is never the answer, especially during the COVID-19 pandemic." (https://www.kevinmd.com/blog/2021/05/suicide-is-never-the-answer-especially-during-the-covid-19-pandemic.html)

"When I teach medical students who rotate with me at my clinic, I ask them to write about the single most negative and single most positive emotional experiences they have had in their 3 to 4 years of training thus far. Commonly, I see fear as a negative emotion and pride in self-worth as the positive. When we break it down, their fear often stems from not knowing if they did a good enough job working up a tough case. The students talk about facts, etiologies, treatment plans, and what could have been done better clinically. Interestingly, their positive emotion of self-worth is often described as the patient thanking them or even hugging them after they shared stories and bonded that they both like wake surfing, went to the same Metallica concert, exchanged jokes or photos of their same breed of dog or that the patient reminded them of their grandparent and they just sat and talked about their families. After describing the case, students usually do not mention disease, workup, or treatment with me this time. In fact, very little medical terminology is used when I ask why this experience was so positive, and the words I do hear are usually centered on how they felt bonded with the patient after learning something they have in common. What beauty lies in this space when doctor and patient connect." Erika Visser Aragona is a family physician. She shares her story and discusses her KevinMD article, "Can doctors have personalities?" (https://www.kevinmd.com/blog/2021/08/can-doctors-have-personalities.html)

"Just as Simone Biles has her detractors, there will always be physicians unable to empathize with their mentally ill colleagues, believing psychological struggles are a constant state of being human. But if taking care of oneself means temporarily leaving the workforce to receive professional treatment, then so be it. Physicians are beginning to feel empowered to protect themselves. Their acts of self-care can be seen as the first step in protecting and preserving mental health. Being mentally tough for practicing medicine is no different than being mentally tough for competing for a gold medal. In either case, it does not mean sacrificing your sanity. It's time medical schools and institutions were on board with this notion." Arthur Lazarus is a psychiatrist. He shares his story and discusses his KevinMD article, "If Simone Biles were a doctor she would be vilified, not praised." (https://www.kevinmd.com/blog/2021/07/if-simone-biles-were-a-doctor-she-would-be-vilified-not-praised.html) Read his story mentioned on the show: "The Most Memorable Patient I Never Saw." (https://alphaomegaalpha.org/pharos/PDFs/2014-3-Lazarus.pdf)

"According to AAMC, the median debt for medical students in 2019 was $200,000. Unfortunately, fundraising for scholarships was difficult for many organizations due to the pandemic despite more students seeking out scholarships. Luckily, more anonymous generous donors have helped the next generations of physicians in recent years, but what happens if you are not as lucky to go to one of those tuition-free schools? Frankly, your options are limited. You can invest, work, apply for scholarships. While I am not an expert in the first two, I would consider myself knowledgeable on the last topic. I started undergraduate with only 25 percent of my tuition covered. Medical school offered me nothing. As a third-year medical student, I fully self-funded my undergraduate tuition and am steadily working towards funding my medical tuition through just scholarships. I wanted to share with you some tips on decreasing your debt." Trisha Chau is a medical student. She shares her story and discusses her KevinMD article, "8 scholarship tips for medical school." (https://www.kevinmd.com/blog/2021/07/8-scholarship-tips-for-medical-school.html)

"Our country is facing a voting crisis with multiple layers: chronically low overall voter participation, even lower voter participation among physicians and — to add insult to injury — an increasing number of laws that make voting more difficult, especially for those with chronic health conditions. Voter registration in health care settings can be part of the solution to all these problems — problems that threaten the health of a democratic society. Through these civic health conversations, both physicians and patients will increase their awareness and be empowered to raise their voices by voting. It is time for the clinic be a place for civic health as well as physical health." This episode mentions the non-partisan organization, Vot-ER (https://vot-er.org/), which integrates voter registration into the health care delivery system. Rio Barrere-Cain is a medical student. She shares her story and discusses her KevinMD article, "Doctors: You can increase voting in the U.S." (https://www.kevinmd.com/blog/2021/06/doctors-you-can-increase-voting-in-the-u-s.html)

"Currently working in a COVID ICU in a tertiary center in Kathmandu, I have experienced how difficult it is for the health system to manage the patient load. A month ago, ICU beds were fully occupied, ventilator alarms would set off time and again, indicating low flow as the hospitals faced shortages of oxygen supplies, emergency rooms were over-occupied, and patients waited in queues to receive oxygen or just to be checked up by a doctor. At such a desperate time, telemedicine is a noble initiative. I thank my patients who taught me more than just mere medical knowledge and my dedicated fellow volunteer doctors who teamed up in this project to help the nation in these dire times." Astha Prasai is a physician in Nepal. She shares her story and discusses her KevinMD article, "Telemedicine in Nepal during COVID-19." (https://www.kevinmd.com/blog/2021/07/telemedicine-in-nepal-during-covid-19.html)

"Until recently, voice changes from menopause and aging have been almost unmentionable. If a woman talked about her challenges, especially if she was a professional singer, it could have meant decreased opportunities and even the end of her career. Most women have stayed silent, coping as best as they can, assuming that they have to deal with their baffling voice issues by themselves. But that is not the case. Millions of women around the world are on the same path, and we no longer need to walk that path alone. Working together gives us a better understanding of the vocal issues women might face and how to minimize them. So how exactly do menopause and the changing hormonal landscape that women experience impact the voice? Estrogen is a major player, vocally speaking." Nancy Bos is a vocologist and co-author of the book Singing Through Change: Women's Voices in Midlife, Menopause, and Beyond. She shares her story and discusses the KevinMD article, "Menopause changes women's singing voices." (https://www.kevinmd.com/blog/2021/07/menopause-changes-womens-singing-voices.html)

"A rough career transition in 2019 followed by the pandemic highlighted how I was still financially tethered to my job — after 10 years of practicing as a subspecialty trained radiologist, saving, maxing out my retirement accounts, and investing in the stock market and in real estate. Looking around, I saw other physicians in a similar predicament. After years dedicated to rigorous training, we were still trapped by "golden handcuffs." High income was not necessarily translating to high net worth or financial freedom. It didn't seem fair or necessary. There had to be a smarter way to financial freedom — without having to live on a shoestring budget or work more shifts. I poured time and money into educating myself — really understood my financial independence numbers, learned the impact of asset allocation and taxes on my retirement nest egg, and put strategies and systems in place to optimize returns." Param Baladandapani is a radiologist and can be reached at GenerationalwealthMD. She shares her story and discusses her KevinMD article, "How doctors think about financial independence is dead wrong." (https://www.kevinmd.com/blog/2021/07/how-doctors-think-about-financial-independence-is-dead-wrong.html)