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Heartline

Heartline

Changemaking in Healthcare with Dr. Andrea Austin

Beyond Fine: Navigating Mental Health in Healthcare

In episode 91, Dr. Jessie Gold—psychiatrist and author of "How Do You Feel?"—joins us to unpack the mental health challenges unique to healthcare professionals. As the inaugural Chief Wellness Officer for the University of Tennessee System, Dr. Gold brings a wealth of knowledge and experience to the conversation, focusing on curiosity and self-reflection as tools for resilience and growth. Dr. Gold shares her insights on the importance of curiosity and self-reflection in navigating the complexities of a medical career. We discuss the prevalence of mental health issues among healthcare workers, the impact of workplace culture on well-being, and innovative approaches to addressing these challenges. Key insights from our conversation include: The nuanced relationship between personal predisposition and workplace environment in mental health outcomes for healthcare professionals The importance of acknowledging and normalizing emotional responses to traumatic medical events Strategies for incorporating self-care and boundary-setting into high-pressure medical careers The potential of external, independently-funded mental health resources for healthcare workers Discover how to: Cultivate curiosity about your own emotional responses and reactions in medical settings Implement effective debriefing practices after challenging cases Navigate the complexities of countertransference in patient interactions Prioritize meaning and purpose in your medical career to combat burnout This episode offers valuable perspectives for healthcare professionals at all stages of their careers, as well as administrators and policymakers seeking to create more supportive work environments. Dr. Gold's expertise provides a roadmap for addressing the mental health challenges inherent in medical professions while fostering resilience and job satisfaction. Join us for this thought-provoking conversation that bridges the gap between mental health expertise and the lived experiences of healthcare professionals. Learn how cultivating curiosity about yourself and your reactions can lead to profound personal and professional growth in the medical field. Connect with Dr. Jessie Gold: Website Social media: @rjessiegold across platforms "How Do You Feel?" By Jessi Gold
December 17, 2024

Moral Injury, Motivation, and Meaning: Redefining Burnout in Medicine

In episode 90, I sit down with Dr. Jonathan Fisher, a cardiologist and expert in well-being, to examine the intricate challenges of burnout in healthcare. Our discussion explores moral injury, the critical role of social connections, the power of positive psychology, and the importance of a holistic approach to supporting physician well-being. Dr. Fisher offers a unique perspective, shaped by growing up in a family of seven physicians, which informs his understanding of the profession’s pressures. Together, we challenge traditional views on burnout and uncover strategies for creating meaningful change. Key insights include: Understanding burnout as a multifaceted issue beyond moral injury Reigniting passion for healthcare through a sense of agency Harnessing positive psychology to boost resilience and motivation Building supportive relationships among healthcare professionals Discover how to: View burnout through a comprehensive lens Foster a sense of purpose and agency in your career Leverage positive psychology to enhance personal and professional well-being Nurture collegial relationships to improve workplace dynamics Address the emotional and spiritual dimensions of heart health This episode offers actionable advice for healthcare professionals seeking sustainable solutions to the challenges of modern medicine. Whether you’re a seasoned practitioner or just starting out, it’s an inspiring conversation to help you prioritize well-being and resilience in your professional and personal life. "We have to look at our emotional hearts and address the root causes of rising anxiety, depression, PTSD, and burnout." – Dr. Jonathan Fisher Tune in for this thoughtful discussion and learn how shifts in mindset, the application of positive psychology, and stronger interpersonal connections can create lasting positive change. Resources mentioned in this episode: Ending Clinician Burnout Global Community on LinkedIn Dr. Jonathan Fisher's book "Just One Heart" on Amazon Connect with Dr. Jonathan Fisher: LinkedIn Instagram Join Dr. Fisher and Dr. Austin for The Heart of Medicine Conference: When: 29-31 July 2026 Where: Uluru Resort, Central Australia
December 10, 2024

Beyond Training: Reframing Simulation as a Strategic Healthcare Asset

In episode 89, I sit down with Dr. Rebecca Szabo, a simulation educator from Australia, to explore the transformative impact of healthcare simulation. Our discussion highlights the challenges and opportunities in integrating simulation-based education programs within teaching hospitals, drawing from Dr. Szabo's recent publication in Advances in Simulation. My special guest is Dr. Rebecca Szabo who provides valuable insights on advancing simulation-based education in teaching hospitals. We discuss strategies for tailoring your approach to different audiences when advocating for simulation, methods for demonstrating its value to decision-makers, and ways to manage the balance between revenue generation and internal cost savings in simulation centers. Dr. Szabo also offers a global perspective on regulatory requirements for simulation, with a focus on Australia's standards. This episode is packed with practical advice for anyone invested in patient safety and healthcare quality through simulation. In This Episode, Discover How To: Effectively communicate the benefits of simulation to diverse stakeholders Navigate the complexities of establishing and sustaining a simulation program Leverage incentive programs to support simulation initiatives Balance clinical work with roles in simulation education and research This episode is a rich resource for healthcare professionals who are passionate about enhancing patient safety and quality improvement through simulation. Whether you're a seasoned expert or new to the field, you'll find practical insights to help you champion and implement effective simulation programs in your organization. Join us for this thought-provoking conversation that will inspire you to reimagine the role of simulation in healthcare education and patient safety, helping you to build a persuasive case for simulation within your institution. Resources mentioned in this episode: Gandel Simulation Service The Royal Women's Hospital Connect with Dr. Szabo Linkedin Instagram
December 3, 2024

From Scalpel To Pen: The Remarkable Journey Of A Transplant Surgeon

Episode 88: In this episode, I sit down with Dr. David Weill, a renowned transplant surgeon and accomplished author, to uncover the intricate world of organ transplants. Dr. Weill takes us on a journey through his impressive career, from his early days as an intern to his rise as a leading expert in lung transplants. We discuss the emotional highs and lows of transplant surgery, the critical decisions involved in patient selection, and how personal experiences have shaped his professional approach.  In this candid conversation, Dr. Weill opens up about the often-overlooked struggles within the healthcare system, the concept of moral injury among healthcare workers, and the immense challenges that came with balancing life-saving procedures with the harsh realities of medicine today. His unique perspective offers listeners an inside look into one of the most transformative fields in healthcare.  Key Highlights: The serendipitous path that led Dr. Weill to specialize in transplant surgery The unique challenges of lung transplantation compared to other organs Navigating the complex decision-making process in organ allocation The emotional toll of long-term patient relationships in transplant care Dr. Weill's transition from clinical practice to writing and consulting Discover how: Personal experiences, such as a family member's transplant, can reshape a surgeon's approach to patient care The concept of "moral injury" offers a new perspective on healthcare worker burnout Writing can serve as both a therapeutic outlet and a means to educate the public about healthcare realities Maintaining connections with family, friends, and personal beliefs can help healthcare professionals navigate career challenges This episode provides valuable insights for healthcare professionals at all stages of their careers, as well as anyone drawn to the human side of medicine. Through Dr. Weill's journey from transplant surgeon to author and consultant, we explore the emotional complexities of patient care, the ethical dilemmas of organ allocation, and the concept of "moral injury" in healthcare—highlighting how personal experiences can shape both medical practice and career paths beyond the operating room. Resources Mentioned: "Exhale" by Dr. Weill "All that Really Matters" by Dr. Weill Davidweill.com Join us for this enlightening conversation that bridges the gap between medical expertise and human experience, offering a rare glimpse into the world of organ transplantation and the evolving landscape of healthcare. Connect with Andrea on Instagram (@andreaaustinmd) or LinkedIn about the show and more, or visit her website www.andreaaustinmd.com.
November 26, 2024

Healing the Healers: Trauma Informed Leadership in Healthcare

In Episode 87, I sit down with Dr. Stephanie Byerly, an obstetrical anesthesiologist and certified life coach, to dive deep into how trauma shapes our careers and personal lives. As healthcare providers, we’re trained to care for others—but how often do we address our own wounds? Dr. Byerly shares her powerful story of overcoming burnout and becoming a passionate advocate for physician wellness. We unpack the often-missed link between childhood experiences and our medical careers, discussing the Adverse Childhood Experiences (ACEs) score and its surprising relevance to healthcare professionals. In this episode, we explore: The real definition of trauma and how it impacts our nervous systems Trauma-informed care and its potential to transform patient interactions The unique challenges faced by women and people of color in the medical field Actionable tips for bringing trauma-informed leadership into healthcare settings Dr. Byerly’s insights offer a fresh perspective on self-compassion, navigating tough patient interactions, and fostering a culture of psychological safety in healthcare. Her message is clear: "Hurt people hurt people, but healing people heal people." This episode is a must for healthcare professionals looking to understand how trauma influences both their work and personal lives. Dr. Byerly’s wisdom provides a pathway toward creating more compassionate and effective healthcare environments—starting with ourselves. Key Takeaways: Understanding the ACEs score and its relevance to healthcare careers Practical tips for de-escalating tense patient interactions The importance of cultural humility in providing trauma-informed care Strategies for implementing trauma-informed leadership in healthcare settings The power of self-compassion and personal growth in healing ourselves and our patients Resources Mentioned: Dr. Stephanie Byerly's website National Institute for the Clinical Application of Behavioral Medicine (NICABM) Book: "The Body Keeps the Score" by Dr. Bessel van der Kolk Lodestar Executive Coaching Join us as we explore the intersection of trauma, healing, and healthcare, and discover how addressing our own wounds can lead to more compassionate, effective patient care.
November 19, 2024

Autonomy in Medicine The Path to Fulfillment and Innovation with Dr. Brian Cohen

In episode 86, I sit down with Dr. Brian Cohen, a practicing anesthesiologist and entrepreneurial innovator in healthcare. We explore his journey from traditional medical practice to founding Miami Anesthesia Services, a concierge ambulatory surgery center anesthesia company. Dr. Cohen shares his insights on the evolving landscape of anesthesiology, highlighting the shift towards independent practice models and the importance of physician autonomy. He discusses how his experiences in various healthcare settings led him to create a practice that prioritizes physician satisfaction and patient care. We delve into the world of healthcare technology, examining Dr. Cohen's role as Chief Medical Officer of Adaptrack and his involvement with CMEfy and Learner Plus. These platforms aim to revolutionize continuing medical education by focusing on reflective practice and personalized learning experiences. Key takeaways from our conversation include: The benefits of independent practice models in anesthesiology How technology can enhance physician learning and improve patient care The importance of reflective practice in medical education Strategies for physicians looking to explore entrepreneurial opportunities in healthcare Dr. Cohen offers valuable advice for healthcare professionals considering leadership roles or entrepreneurial ventures, emphasizing the importance of finding supportive partners and embracing calculated risks. Resources mentioned in this episode: - Learner Plus - A platform for personalized medical education and reflective practice "Success is not about agreeing all the time. It's about finding the best path forward for the overall success of the organization or whatever group that you're working in." - Dr. Brian Cohen Join us for this inspiring conversation that challenges traditional notions of medical practice and education, offering a glimpse into the future of healthcare innovation.
November 12, 2024

Enhancing Fulfillment and Connection through Gratitude with Dr. Linda Lawrence

In episode 85: Thanksgiving is coming up! Dr. Andrea Austin and Dr. Linda Lawrence dive into the transformative power of gratitude in relationships, highlighting the need for genuine appreciation and thoughtful acts of kindness.  Gratitude is more than just appreciation; it's about taking action and showing kindness towards others. - Linda Lawrence My special guest is Linda Lawrence. Dr. Linda Lawrence, CEO of Revitalize, joins Dr. Andrea Austin in this episode to discuss the importance of gratitude in relationships. With her expertise in coaching and empowering professionals, Linda brings a wealth of knowledge and experience to the conversation. As a trailblazer in medicine, she embodies the Revitalize women vision and is dedicated to helping others enhance their relationships through genuine gratitude. Linda emphasizes the action aspect of gratitude, highlighting the importance of thoughtful acts of kindness and appreciation in strengthening connections. Through her personal stories and insights, she provides valuable strategies for expressing gratitude in both personal and professional settings. Get ready to learn practical tips and techniques for cultivating gratitude and experiencing increased fulfillment in your relationships. In this episode, you will be able to: Discover the power of gratitude in relationships and how it can strengthen your personal and professional connections. Uncover effective strategies for expressing gratitude in the workplace, creating a positive and appreciative work environment. Learn how implementing gratitude can have a transformative impact on the organizational culture, fostering a sense of appreciation and boosting employee morale. The gratitude tips mentioned in this episode are: Send handwritten thank you notes: Take the time to write and send personalized thank you notes or emails to express your genuine Connect with Andrea on Instagram (@andreaaustinmd) or LinkedIn about the show and more, or visit her website www.andreaaustinmd.com.
November 5, 2024

The Nursing Exodus: Why Staffing Shortages Keep Getting Worse

In episode 84, Amy Yackowski, founder and chief evolution officer of Painted Porch Strategies, discusses the current state of healthcare staffing. Amy shares her extensive experience in the industry, starting from her early days as a call center staffer in a healthcare staffing organization to her current role, focusing on leveraging technology to connect clinicians with healthcare organizations. The conversation delves into the challenges faced by the nursing profession, particularly the significant attrition. Amy explains that many nurses have shifted towards travel nursing or left the bedside altogether in search of more control and autonomy. Our conversation also touches on the differences in employment models between nurses and physicians, highlighting the benefits and drawbacks of being an employee versus an independent contractor. We explore how healthcare organizations can better support and retain their staff by fostering a culture that values and sees clinicians as essential resources rather than mere commodities. Join us as Amy provides valuable insights into the evolving dynamics of healthcare staffing and the critical need for supportive work environments to combat burnout and improve job satisfaction among healthcare professionals. The better quality nurse you have, the greater relationship that you're going to have with those hospitals and health systems. Over time, you build that trust currency. - Amy Yackowski. My special guest is Amy Yackowski. Amy Yackowski, founder and chief evolution officer of Painted Porch Strategies, brings over 20 years of experience in the healthcare staffing industry. She started at a health care staffing organization in New Orleans, Louisiana, and transitioned to the technology side of the business, focusing on leveraging technology to efficiently connect clinicians with opportunities across the United States. Amy's insights into the challenges and solutions within healthcare staffing provide valuable perspectives for healthcare leaders and administrators looking to create supportive and resilient work environments. Her expertise sheds light on the impact of W-2 employment for travel nurses and the strategies needed to attract and retain healthcare professionals in the evolving industry. In this episode, you will be able to: Discover the key challenges shaping the healthcare staffing industry and how to address them effectively. Explore innovative strategies for retaining and attracting healthcare professionals to create a resilient and supportive work environment. Unlock the valuable benefits of W-2 employment for travel nurses and how it can enhance their work experience. Learn effective solutions for addressing the nursing shortage and improving work conditions to ensure a thriving healthcare workforce. The resources mentioned in this episode are: Visit Painted Porch Strategies to explore a variety of services offered, including targeted services for healthcare staffing firms and individuals looking to embark on a new change in their lives and work. Email Amy Yackowski directly at [email protected] for inquiries about services and to discuss equipping oneself with skills for resilience, mindset, confidence, and curiosity to lean into change. Connect with Amy: LinkedIn X
October 29, 2024
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Heartline

Welcome to "Heartline," a podcast dedicated to exploring the inspiring journeys and impactful work of healthcare changemakers leading the charge in transforming healthcare. Despite the United States spending more on healthcare than any other developed nation, key quality outcomes like life expectancy and maternal mortality lag behind. With over half of American physicians experiencing burnout, the challenges within the system are clear.

Join us as we delve into the stories of thought leaders who defy the status quo. We’ll uncover the unique characteristics and experiences that propel them to be effective changemakers and the organizational factors that support change.

Dr. Austin, host of the podcast, is an emergency physician with real-world experience with the dysfunction in the system. Along with working in the emergency department, she is a medical educator focusing on healthcare worker well-being and how innovative approaches like simulation can improve healthcare. In addition, she researches how we can accelerate changemaking in healthcare. Dr. Austin also uses coaching-informed thinking to unlock the potential of healthcare changemakers, and she will guide you through these narratives with insightful commentary and expert analyses.

Through in-depth interviews and real-world examples, this podcast aims to inspire and equip the next generation to drive meaningful change in healthcare. Whether you're a physician, a medical student, or simply passionate about the future of healthcare, "Heartline" will offer valuable perspectives and actionable ideas to help you thrive in a challenging environment and contribute to improving our healthcare system.

Tune in to the "Heartline" for a deep dive into healthcare transformation and be inspired by the changemakers making a real difference.

Host

Andrea Austin MD

Andrea Austin MD

Dr. Andrea Austin is a leading emergency physician, simulation educator, and advocate for physician well-being. She is dedicated to inspiring more changemakers in healthcare and is researching the individual and organizational factors that promote innovation, creativity, and problem-solving in healthcare.

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