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The Podcast by KevinMD

The Podcast by KevinMD

Social media's leading physician voice, Kevin Pho, MD, shares the stories of the many who intersect with our health care system but are rarely heard from. Welcome to The Podcast by KevinMD.

All Episodes

We are all responsible for women physicians’ pay discrepancy

"Take the time to invest in yourself; it is the best investment you can make. Work to improve your communication, negotiation skills, and financial literacy skills. Think twice before accepting the first offer at face value; you owe it to yourself. Have a contract lawyer review your contract. A number of factors go into a contract, more so than salary. Consider vacation time, CME time, the amount of call, noncompetes, partnership eligibility, and benefits. Both parties: Have the discussion. Why is this? What can be done about it? Openly discuss and don’t shy away from difficult conversations. Be the change maker." Sharon McLaughlin is a surgeon. She shares her story and discusses her KevinMD article, "We are all responsible for women physicians’ pay discrepancy." This episode is sponsored by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 27, 2022
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Practical solutions to prevent and prepare for hypoglycemia

Despite advances in diabetes care, hypoglycemia remains a common complication. Yes, new therapies are associated with less hypoglycemia risk, and patients are increasingly using continuous glucose monitoring, but episodes of hypoglycemia still occur. Some of these episodes are severe, and patients require assistance for recovery. To better support health care providers, Davida Kruger, APN-BC and Anne Peters, MD, in collaboration with the Academy for Continued Healthcare Learning (ACHL), developed a simple, systematic approach to quality improvement to ensure that patients are prepared to prevent, recognize, and manage hypoglycemia. The framework and tools are intended for easy access and application in any practice setting. Visit the tools and a CME quality improvement activity at preventhypotoolkit.org. This activity is supported by an educational grant from Lilly. This activity was sponsored by Purdue University College of Pharmacy in partnership with ACHL. VISIT THE CME QUALITY IMPROVEMENT ACTIVITY → http://preventhypotoolkit.org/ 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.
September 26, 2022
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If you can’t connect the issues, think connective tissues

"When Lauren came to my office as a 16-year-old, she had been diagnosed with postural orthostatic tachycardia syndrome (POTS) and a few other chronic illnesses. By the end of the appointment, she left with a diagnosis of Ehlers-Danlos Syndrome (EDS)." Linda Bluestein is an integrative medicine physician. Lauren Vasko is a patient advocate. They share their stories and discuss the KevinMD article, "The journey to diagnosing a mysterious illness." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 25, 2022
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A 15-minute relationship fix

"Depression involves withdrawal, withdrawal from oneself and others. Feeling safe enough in a relationship to reveal our innermost feelings safely is connective and should be considered a valued part of the anti-depressant lifestyle. Continued relationship satisfaction is based on respectful openness and validation, the kind of communication that built love in the early days. To do otherwise is to risk a relationship with no real relating, and to miss out on a factor that may not only be part of the treatment for depression but a powerful deterrent." Joel Block is a psychologist and author of The 15-Minute Relationship Fix: A Clinically-Proven Strategy That Will Repair and Strengthen Your Love Life. He shares his story and discusses his KevinMD article, "Personal intimacy as an overlooked antidepressant." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 24, 2022
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KevinMD on PermanenteDocs Chat

In this special episode, KevinMD is on the other side of the microphone as he's interviewed by Dr. Alex McDonald, originally aired as a PermanenteDocs Chat presented by The Permanente Federation at Kaiser Permanente. He shares his social media story, reasons why physicians should be involved with social media, criteria for reliable online sources, and tips for those interested in taking the next online steps. Catch up on other PermanenteDocs Chats: https://permanente.org/news/permanente-live/permanentedocs-chat/ 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.
September 23, 2022
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We need a mental health infrastructure bill

"As we slowly emerge from the physical withdrawal required during the pandemic, the emotional toll of this past year will become increasingly apparent. Complicated problems demand organized, financially-supported solutions. We need a mental health infrastructure bill now, and we need to start rebuilding." Jennifer Reid is a psychiatrist and can be reached at her self-titled site, Jennifer Reid, M.D. She shares her story and discusses her KevinMD article, "We need a mental health infrastructure bill."   This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 22, 2022
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Walk to reduce your loneliness and improve your well-being

"Just before the pandemic, I walked 96 miles (154.5 km) in seven days on the West Highland Way in Scotland, though I was hardly alone in this endeavor. About 250 people start the walk each day, including the amazing group of primary women that I walked with, indicative of both the attraction of the trail and the popularity of this form of physical activity. All types of people were walking. There were young people and old people, some fit and some not so obviously so. The walk was exhilarating and at the same time hard and very long. Much of the great feeling of satisfaction I had at the end of every day was the feeling of achievement at having physically and emotionally pushed my own limits." Paula Rochon is a geriatrician. She shares her story and discusses her KevinMD article, "Reduce your loneliness, improve your well-being, and take the first step." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 21, 2022
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Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID

"ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive).  It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, gastrointestinal malfunctions, unrefreshing sleep, pain, and much more. As a person who has lived with ME/CFS for 13 years, I urge everyone to avoid getting it at all costs.  I also want to protect people like myself from getting sick with COVID and having our illnesses worsen to even graver severities." Stephanie Marcovici is a patient advocate. She shares her story and discusses her KevinMD article, "The consequences of unmasking and ending quarantines." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 20, 2022
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4 steps to de-escalate hostile people

"The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, movie stars, health care providers, the health care system, and society, in general, are all acting badly occasionally. I’m amazed but no longer surprised every time it happens. Patients and family members behaving badly have captured headlines lately. I’m sad that in addition to Code Blue and Code Red, my hospital now has a Code Purple, indicating out-of-control parents. And I’m saddened that now, teaching residents how to deal with unruly people is a routine part of my curriculum." Ann F. Beach is a pediatric hospitalist. She shares her story and discusses her KevinMD article, "People behaving badly: 4 steps to de-escalate hostile people." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.  Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 19, 2022
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Lessons from Radonda Vaught: Nurses need to raise their voices

"One thing is hard to ignore – nurses need better treatment. Nurses need a seat at the table and advocacy. Nurses need to raise their voices, listen to each other, and unify to achieve the progress that we need to improve our workplace safety, manage and prevent burnout, and promote patient safety. Nurses have traditionally operated with our patients’ best interests at the core of our professional life. Now is the time to advocate for our best interests as strongly as our patients. If not us, then who? If not now, then when?" Jessica Reeves is a nurse practitioner. She shares her story and discusses her KevinMD article, "Florence Nightingale. Clara Barton. Radonda Vaught?" This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 18, 2022
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A neurosurgeon puts down the knife

"MRI studies of these patients determined that it was not only the circuitry that was affected by the burnout but also the size of the brain structures. Compared with the controls, patients suffering from burnout showed volume loss in the prefrontal cortex. Burnout patients appeared to also have shrinking in their dorsal striatum (caudate and putamen nuclei (areas that modify movement) and hippocampus (an area involved in emotion and memory), but an increased volume of tissue in the amygdalae. So, put down the knife. Keep a work-life balance. Don’t burn out. Working too hard is bad for your brain." Resources: Buddhism Without Beliefs: A Contemporary Guide to Awakening Azazel’s Public House Marc Arginteanu is a neurosurgeon. He shares his story and discusses his KevinMD article, "Put down the knife: A neurosurgeon explains the importance of a work-life balance." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 17, 2022
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How to stay off my operating table

"Health isn't about luck — it's about intentionality. But even if you're doing and saying all the right things, you might not be any closer to your goals. I know because I was there. As a heart surgeon, I was very good at following the rules. But I was still morbidly obese. I followed the food pyramid to a T. I exercised for the recommended amount of time each day. I thought I was doing everything right. And yet, my heart was at its breaking point. I knew there had to be something more. So in 2015, I started digging into what modern science had to say about maintaining metabolic health. And it changed my life." Philip Ovadia is a cardiothoracic surgeon and author of Stay off My Operating Table: A Heart Surgeon’s Metabolic Health Guide to Lose Weight, Prevent Disease, and Feel Your Best Every Day. He shares his story and discusses his KevinMD article, "How to stay off my operating table." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 16, 2022
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Why are women leaving medicine? Gaslighting.

"We cannot change societal norms, gender biases, childhood needs, the education system, or stop a pandemic. But, we can stop gaslighting 50% of the population. We can start acknowledging that the simple fact of gender does greatly affect patient and support staff expectations, time, power, compensation, and career trajectory. Women physicians have gained much ground, but this world and life are nowhere near a level playing field yet. When we all work together to allow our women physicians some flexibility in schedules, 10 to 20% more administrative time, transparent salary offerings, remote work options, extra “flex days” for children’s medical appointments, on-site childcare, and considerate timing of “mandatory” meetings we can set us all up for success. These are radical proposals that are not “fair and equal,” but they address the reality of unequal experiences. Maybe then we can stop the hemorrhaging of women physicians from health care. When we acknowledge and tweak current systems and structures to accommodate the 50% of medical students graduating, we are setting ourselves up for success." Dawn Sears is a gastroenterologist and can be reached on Twitter @GutGirlMD, YouTube, and at GutGirlMD Consulting. She shares her story and discusses her KevinMD article, "Why are women leaving medicine? Gaslighting." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 15, 2022
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Why physicians require business skills

"There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education. About 98 percent of physicians and medical students have never had an academic business education. About 30 to 50 percent of graduating medical students prefer private medical practice—which requires business and marketing knowledge to reach their optimal potential in private medical practice." Curtis G. Graham is a physician. He shares his story and discusses his KevinMD article, "Financial survival for physicians in private medical practice." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 14, 2022
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A nut allergy nightmare at 35,000 feet

"People developing anaphylaxis will not always have five extra minutes to spare. I do appreciate that auto-injectors are expensive, but it is not at all expensive to have an ampule or vial of epinephrine on board, which can be drawn up in five seconds. Those also come in a much friendlier concentration of 1 mg/1 mL. The chances of using epinephrine to treat a cardiac arrest patient are astronomically small compared to the chances of needing it to arrest an anaphylactic reaction, particularly if they continue to serve food containing nut products. Parents in the nut allergy community have advocated for these changes for years. And while the airlines have taken the important step of no longer serving packets of nuts on board, little else has been done to make air travel safer for the food-allergy community. I call upon the major airlines to revise their medical kits and to offer allergy-safe meals for those in need. It is such a simple measure, and you can quite literally save a life." Samara Friedman is a pediatric orthopedic surgeon. She shares her story and discusses her KevinMD article, "A nut allergy nightmare at 35,000 feet." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 13, 2022
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Negotiating employment contracts from a place of strength

"The most important lesson when negotiating contracts is picking your battles and coming at them with optimism and positivity. Yes, you can and should be excited about this new opportunity, but you need to receive what’s fair and reasonable in the market. Don’t be afraid to push back on things that matter, and be smart enough to let the smaller things go." Amanda Hill is a health care attorney. She shares her story and discusses her KevinMD article, "Know your worth: Negotiating employment contracts from a place of strength." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 12, 2022
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What to do if you’re involved in a medical malpractice lawsuit

"The worry and anticipation of getting sued are heightened more than ever in the wake of the pandemic. It is in all physicians’ minds. I recently did a quick poll in some of my physician groups on social media, and roughly 500 physicians responded to this question: Do we need medical malpractice reform? I only had one say no, and one said it would depend. Every other physician said yes. Now, this is a small group, but I believe asking this on a larger scale would get similar results – the majority would want this. We desperately need to change, but change takes time and debate. So, what can we do now in this pandemic to avoid litigation?" Laura Fortner is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "Avoiding medical malpractice in the wake of the pandemic." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 11, 2022
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Antibodies are the future of cancer treatment

"Since President Nixon declared war on cancer in 1971, and despite some great victories and many losses, there continues to be a never-ending battle in this long-fought war that seems never-ending. The convergence of great intellect and resources of academia and industry, fueled by continued entrepreneurship and investment funding into the biotechnology sector, despite the many risks of failure and expense, is one that is obvious to yield the greatest rewards to both prosperity and health. Ultimately, targeted therapies will improve lifespans and quality of life for cancer patients." Eugene Chan is a health care executive. He shares his story and discusses his KevinMD article, "Cancer of the future: diagnosis, treatment, and impact on the health care system and patients." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 10, 2022
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How you can donate effectively after tragedy

"Gun violence, war, pandemic, natural disasters — listening to the news or doom scrolling on social media during times of tragedy can leave us feeling devastated, discouraged, and angry. Tragedy can also make us feel like helping. We’re motivated to reach those affected and do something. Giving money can be a simple way to help. In the wake of a tragedy, many of us react fast and give to the first plea that comes across our Facebook feed. This is reactive giving, and while it’s significant, reactive givers often feel like they didn’t actually make a difference.There is another approach to giving that will leave you confident about your contribution. After recent mass shootings, many people asked me how to help. So I am providing tools to put the power of your money to work effectively in any tragedy." Recha Bergstrom is a women’s imaging radiologist. She is founder and CEO, The Physician Philanthropist, helping doctors learn how to donate effectively and invest responsibly so they can maximize their positive impact on the world, and can be reached on LinkedIn, Facebook, and Instagram. Join the private Facebook group, The Physician Philanthropist Group. She shares her story and discusses her KevinMD article, "How you can donate effectively after tragedy." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 9, 2022
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Contractual issues for female physicians

"All physicians need to be concerned about issues such as potential delays in the start date, restrictive covenants, potential ownership in a private practice, malpractice tail coverage, employee benefits, etc. Unfortunately, until discrimination against female physicians ends, female physicians need to be especially vigilant in protecting their rights." Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "Special contractual issues for female physicians." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 8, 2022
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5 things this allergist-immunologist will never do

"Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist." Kara Wada is an allergist-immunologist. She shares her story and discusses her KevinMD article, "5 things I would never do as an allergy and immune system expert." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 7, 2022
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Top tips for new interns

"New resident physicians who have earned their MD degrees will be heading to hospitals to start their residencies during the last two week in June and the first week in July. What can a beginning doctor do during the first month of internship to get his or her career off to a good start, and in so doing, also learn to provide the best care to patients?" Vijay Rajput is an internal medicine physician. He shares his story and discusses his KevinMD article, "Top 10 things new interns should do." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 6, 2022
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When it comes to feeding infants, support is best

"What really is best and first when it comes to infant feeding: support. Support is best. Whether we are talking about infant feeding or frankly anything else related to postpartum or the fourth trimester, support is critical. The other slogans just fall short." Michelle Haggerty is an integrative family physician and breastfeeding medicine specialist. She shares her story and discusses her KevinMD article, "When it comes to feeding infants, support is best." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 5, 2022
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How to make primary care rotations more appealing for students

"It is time that every health profession school specifies their criteria for optimal teaching primary care practices and for the training that would optimize their students’ experience. It is time that we, as primary care physicians, advocate for the resources necessary to expose ourselves and our students to the best that primary care has to offer — and, in doing so, provide the best possible care to our patients. We deserve that, as do our students and most importantly, our patients." Russell Phillips is an internal medicine physician. He shares his story and discusses the KevinMD article, "Flip the axis: primary care rotations." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 4, 2022
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Skinny fat and normal weight obesity

"Obesity is genetically common in our family. I was being gaslighted and judged by a bunch of obese people, most of whom were doing nothing to improve their health and obesity issues. Yet they fully believe to this day that I am just naturally thin and could not possibly understand their obesity issues. When all I have ever suffered from is normal weight obesity and, in my adult years, being overweight and obese, no matter how diligent my diet, exercise, and lifestyle." Marc Nelson is a scientific researcher. He shares his story and discusses his KevinMD article, "My journey being gaslighted about obesity, skinny fat, and body type." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 3, 2022
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If it’s not clinically pertinent, then stay out of my uterus 

"No matter how far we’ve come, women are still judged by fertility status but shouldn’t be. If it’s clinically pertinent to ask about reproductive health, then yes, absolutely ask … in a respectful way. That doesn’t mean judging personal decisions or situations – it means asking pertinent questions and responding with an assessment of the need for support. Make appropriate referrals when that support is needed. Don’t assume. Everyone has their own story." Gail Miller is a life and wellness coach and a maternal-fetal medicine physician. She is the founder, Path Onward Life Coaching, and can be reached on LinkedIn, Facebook, and Instagram. She shares her story and discusses her KevinMD article, "If it’s not clinically pertinent, then stay out of my uterus." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 2, 2022
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How technology can streamline tedious health care processes

"Companies that embrace digital processes will reap the rewards, as shown by the Forrester survey taken in 2020 after the pandemic began. The survey found that digital document processes were helping organizations maintain their business resilience and even reap direct rewards of their digitization effort. By leveraging digital document processes, organizations can increase employee productivity and collaboration in a remote environment while continuing to serve customers. Nearly three-quarters of respondents said digital document processes supported their business continuity efforts." Bevey Miner is a health care executive. She shares her story and discusses her KevinMD article, "NLP and AI technologies streamline tedious health care processes to enable faster care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
September 1, 2022
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How in silico drug development can improve patient outcomes

"In silico technologies also enable drug developers to perform, in theory, an unlimited number of tests using a wide range of variables that include age, sex, and the health status of each member of the virtual patient pool, compared to the more restrictive parameters of a traditional trial. By reducing the amount of trial and error involved in collecting data, drug developers can focus on therapies that prove to be more effective in treating a specific group of patients." Tanja Dowe is a health care executive. She shares her story and discusses her KevinMD article, "The promise of in silico drug development to improve patient outcomes." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 31, 2022
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Combating antimicrobial resistance during COVID

"While the world has spent the last two years laser-focused on the COVID pandemic, another public health threat is still lurking in the shadows: the rise of antibiotic-resistant bacteria. Antimicrobial resistance (AMR) has been recognized since the early 1900s, yet rigorous research over the past decade has illuminated the magnitude of the threat and its implications for future infection control. More than 35 thousand patients die from antibacterial resistance every year, and antibiotic-resistant infections exceed 2.8 million annually, according to a CDC report released prior to the COVID pandemic." Anne Meneghetti is an internal medicine physician and health care executive. She shares her story and discusses her KevinMD article, "Combatting antimicrobial resistance during COVID: What clinicians need to know." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 30, 2022
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Secrets for managing time, stress, and people

"Every January, millions of people make New Year’s resolutions. It’s a joyous time full of high hopes. Ask people what they wish to achieve or hope to accomplish in the following year, and the answer will usually be something such as any of these: “I want to: lose weight; improve my finances; get a new job; exercise more; revamp a relationship; manage stress; stop smoking; set aside more time for myself.” But according to U.S. News & World Report, the failure rate for New Year’s resolutions is around 80%, and most people lose their resolve by mid-February. Why? Because when it comes time to take action, we hem and haw, deliberate and dither. We wait for the free time, the perfect day, the right season, a better mood, or optimal market conditions. Or we stall until we can resolve a medical crisis, smooth over a problem with the in-laws, or put some money in the bank." Nabil Fanous is a cosmetic surgeon and author of The Universal Rules of Life: 27 Secrets for Managing Time, Stress, and People. He shares his story and discusses his KevinMD article, "Stop the 'I will' habit." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 29, 2022
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Activism is a part of medicine and we cannot remain neutral

"Nowadays, even scientific fact has been politicized. Even though many of us may wish to stay out of politics and stick to our “nobler” lane of medicine, the reality is even your clinical practice could be considered “picking a side.” Do the right thing. If you’re up for it, advocate for what is right too — for your patients, colleagues, yourself, your family, or this country. You are the face of the future, and your MD/DO/MBBS makes you more qualified to shape it than the many voices using their platform to broadcast untruths. If your program has a union, I highly encourage you to join it because your union will fight for fair working conditions, and strength lies in solidarity. The benefits you’ll receive from joining a union will far exceed the cost of dues. If you’re considering forming a union or becoming a union leader, that’s even better. Regardless of your path, activism is becoming a part of medicine, and we cannot remain neutral. So keep learning, take care of yourself and each other, and work toward making the world a better place." Yuemei (Amy) Zhang is an anesthesiologist and can be reached on Twitter @yzhangmd1. She shares her story and discusses her KevinMD article, "Activism is a part of medicine and we cannot remain neutral." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 28, 2022
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Reversing the impact of the pandemic on childhood obesity

"With schools closed, children spent hours upon hours sitting in front of a screen for instruction and homework. Non-academic screen time increased as well, with parents needing to work from home and thus relying more on screens to occupy the children. Parents also were unable to police screen time as much as they had in the past. Much built-in physical activity of school was removed: from the simple act of walking between classes to recess to physical education to field trips. I have started wondering what would happen if we approach the obesity crisis like we approached the pandemic? By using the strategies that were used to “stop the spread,” I believe we can reverse this trend of burgeoning childhood obesity rates." Teresa Fuller is a pediatrician. She shares her story and discusses her KevinMD article, "Reversing the impact of the pandemic on childhood obesity." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 27, 2022
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Getting an appointment with primary care is the Achilles’ heel of medicine

"'Doctor, it’s taken so long to get this appointment with you!' This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, we’re right back where we started—doctors booked for months, patients struggling to get appointments. The difficulty with access to medical care is endemic to our entire medical system. Even before the pandemic, less than a fifth of American doctors were able to take new patients, and more than 80 percent were at capacity or over-extended. Some 16,000 medical practices closed down because of the pandemic. This is especially concerning in primary care, which is on track for a shortage of up to 48,000 physicians. It’s not surprising that lack of access to primary care doctors is associated with higher mortality." Danielle Ofri is an internal medicine physician and editor-in-chief, Bellevue Literary Review, and is the author of When We Do Harm: A Doctor Confronts Medical Error. She shares her story and discusses her KevinMD article, "Getting an appointment with primary care is the Achilles’ heel of medicine." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 26, 2022
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A doctor for LGBTQ+ health needs

"It is uncomfortable to be publically vulnerable with my story. I wish the statistics and research were enough to change the field of medicine for patients and physicians. I want people to care about the experience of their patients and colleagues enough to examine their own implicit bias and privilege without having to hear my traumalouge, but we aren’t there yet. People often need to connect with an individual to reflect and consider change, so I hope you take this moment to consider creating a more inclusive, affirming health care system." Crystal Beal is a family physician. They share their story and discuss their KevinMD article, "A doctor for LGBTQ+ health needs." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 25, 2022
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Why you need to care about oral health

"Guess what? The mouth is attached to the rest of the body. And though dentistry and medicine are typically separated from the very beginning of professional training, they are irrevocably linked for patients and have an impact on each other. Here’s some foundational knowledge that will help set the stage for discussing the connection between overall health and oral health: Our mouths are teeming with bacteria – mostly the good, harmless kind – and when an appropriate hygiene routine is followed, that bacteria is kept in perfect balance to keep our teeth strong and gums healthy. When that bacterial balance is thrown off track, the results can be disastrous. Yes, cavities are one consequence, but so are yeast infections and periodontal disease—i.e., inflammation of the gums and loss of the bony levels around teeth. A quick scan through any wellness magazine and medical journal will tell you that inflammation is bad news. Researchers continue to connect it to some of the worst chronic diseases physicians see in their offices today. Our mouths are a gateway into not only our respiratory system and digestive tract, but also our bloodstreams (there are a lot of surface-level blood vessels right there), so patients’ periodontal inflammation can be a harbinger of other health issues in their bodies." Cindy Roark is a dentist and health care executive. She shares her story and discusses her KevinMD article, "The connection between oral health and overall health." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 24, 2022
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Contract advice for physicians leaving the military

"Military physicians should also realize that not all employers are equal or treat their physicians equally. Military physicians entering the civilian job market are in a 'seller’s market.' They should get a reasonable employment agreement. It is important to remember that while you were serving your country, you also gained valuable experience as a physician. Do not sell yourself short!" Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "Military physicians leaving the military." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 23, 2022
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Melting the iron triangle: Health equity in innovative health care landscapes

"While the technological boom in the health care field is not a circumstance of the pandemic, the accelerated roll-out and adoption of digital features certainly are. And rapid innovation in the health care technology field is not a bad thing in itself. Health care technology discoveries improve health care access, quality of life, patient safety, and even save lives – for example, remote patient monitoring devices and robotic surgery. Although digital health innovations have significantly impacted patient engagement by empowering individuals’ autonomy over their own health, these modern health tools could yield a much greater impact if they were not primarily utilized by populations already advantaged in terms of cost, access, and quality of care." Nina Cloven is a health care administrator. She shares her story and discusses her KevinMD article, "Melting the iron triangle: Prioritizing health equity in dynamic, innovative health care landscapes." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 22, 2022
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Non-judgmental empathy in the exam room

"I think we all have an inclination—at least from time to time—to judge others. No matter how experienced, compassionate, and professional we are as physicians, we’re still human. I can admit that I have indeed struggled with patients like the 65-year-old morbidly obese male who complains at every visit about how hard it is to control his blood sugar levels with the medications prescribed. I want to convince him so badly about diet and exercise, but I have tried, and often, these patients don’t want to hear it. Pharmacological or surgical interventions are the preferred route for many. I know I cannot magically change a patient’s attitudes about their health. Nevertheless, I still believe that the best I can do for my patients is to offer them my sincere professional advice without prejudice or discrimination. If my physical presence is intimidating to some, I won’t begrudge them for seeking a doctor who makes them feel more comfortable. In the end, I still believe that leading by example is essential for a physician and that I can use my personal experience to inspire positive change. After all, I am here to help." Francisco M. Torres is an interventional physiatrist specializing in diagnosing and treating patients with spine-related pain syndromes. He is certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Pain Medicine and can be reached at Florida Spine Institute and Wellness. He shares his story and discusses his KevinMD article, "The importance of non-judgmental empathy." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 21, 2022
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Tips for treating high-weight patients

"It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals. In my 30-plus years of practice as an eating disorders therapist, I’ve heard the same laments from high-weight clients: Doctors only want to talk about weight, blame every health problem on being large-sized, always want to put them on a weight-loss diet, and advise them to get out and exercise. Clients know from experience at varying weights that they’re treated differently when they’re thinner from when they’re fatter." Karen R. Koenig is an eating disorder therapist. She can be reached at her self-titled site, Karen R. Koenig. She shares her story and discusses her KevinMD article, "5 tips for treating high-weight patients." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 20, 2022
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How the culture of health care perpetuates racism

"Many health care professionals go into health care to help people, no matter their race, socioeconomic status, or other identities. Even as white health care professionals start to learn about the systemic nature of racism, something that our Black and other colleagues of color have experienced their whole lives, we may still see health care as “different” from all those other systems out there that are racist. Because we care for people of all races and we think of ourselves as good people who have dedicated our lives to our profession, we don’t see ourselves in that narrative. Unfortunately, health care is just as complicit as the other systems in our society. The data showing the disproportionate effect of COVID on Black and Latinx people wasn’t anything new; it was highlighting health care disparities and inequities that have been there for hundreds of years." Jill Wener is an internal medicine physician and can be reached at her self-titled site, Jill Wener, MD. Maiysha Clairborne is an integrative family physician and is the co-author of Conscious Anti-Racism: Tools for Self-Discovery, Accountability and Meaningful Change. They share their stories and discuss the KevinMD article, "How the culture of health care perpetuates racism." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 19, 2022
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To scribe or not to scribe? That is the question.

"I was working at an urgent treatment center, where a busy Saturday in January would be overwhelming. At one point, I hired a scribe. She was a bright young woman interested in medicine and some alacrity with computers. It was a pleasant change of pace for me. She would accompany me into the exam room under instructions to remain unobtrusive and abide by HIPAA. I found that she could record the pertinent negatives and positives on the physical exam and the review of systems. She could record the assessment and plan as well. I was then able to give the patient my full attention during their 15-minute visit. I could even maintain eye contact and have a conversation without the distraction of a computer screen demanding my attention. I could feel like a human being instead of a data entry clerk." 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, "To scribe or not to scribe? That is the question." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 18, 2022
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What you need to know about monkeypox

"What is currently known is that monkeypox is transmitted primarily through close contact with skin lesions, bodily fluids, and respiratory droplets. Men aged between 20 and 50 years, many of whom have sex with other men (MSM), are notably included in a majority of the cluster cases, thereby indicating that sexual contact may be a significant route of transmission. The correlation with sexual activity does not corroborate increased contamination or virulence; it simply highlights that close contact and skin lesions may allow for monkeypox to spread most effectively." Divya Srinivasan is an undergraduate student. Tejas Sekhar is a graduate student. They share their stories and discuss the KevinMD article, "What you need to know about monkeypox." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 17, 2022
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Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders

"Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each of the tables and manage the billing? What about sorting out the restaurant's finances or understanding the number of patrons that need to flow through per night to optimize income? If this sounds unreasonable, how did we end up asking physicians to undertake multiple roles in our health care organizations for which they have not trained? This expectation has led to untenable work environments, and we need to find solutions." Amanda Brisebois is an internal medicine physician and palliative medicine specialist. Book a call with Dr. B to talk about conflict in your workplace. She shares her story and discusses her KevinMD article, "Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 16, 2022
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A medical student’s advocacy journey

"As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, involvement in the Student Osteopathic Medical Association (SOMA) Advocacy Day showed me the difference that medical student voices make." Scott Landman is an osteopathic medical student. He shares his story and discusses his KevinMD article, "Student advocacy through the Student Osteopathic Medical Association (SOMA)." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 15, 2022
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Are you ready to hear the truths about perfectionism?

"Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to motivate yourself. But the reality is, nothing is perfect. What does “perfect” even mean? What does it look like? Who has the instruction manual? It’s different for everyone. What’s “perfect” in your eyes may not be perfect in someone else’s eyes and vice versa. As you can see, there is no end to this game. There is no way to win." Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, "Perfectionism is a myth: Are you ready to hear the truths about perfectionism?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 14, 2022
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Preserving humanity in the ICU

"Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is trapped, that little division between the professional and me, the person. Where I stopped being a doctor and became a woman holding a baby." Sylvia Belda-Hofheinz is a pediatric intensivist in Spain. She shares her story and discusses her KevinMD article, "A dead baby in my arms." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 13, 2022
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What a lifetime of gaslighting by other doctors feels like

"Ehlers-Danlos syndrome patients take an average of 10 years to be diagnosed. In that time, the pain from microtrauma and joint instability can become unbearable. “Just exercising more” can backfire, causing injury and disability and creating a cycle of added stress from chronic illness. But the biggest challenge is when our physicians are our opposition. It’s been more than 20 years since the first time I tried to convince a doctor to believe me. I was just a child, and the trauma of repeated dismissal still haunts me at every new appointment. Thankfully, I am a physician myself now, and I am no longer powerless. I can advocate for myself AND my patients in ways most people cannot. I can navigate the system and find specialists independently. But I shouldn’t have to, and neither should our patients. And none of us should fear what our doctors say about us when they leave the room." Sarah Cohen Solomon and Linda Bluestein are physicians. They share their stories and discuss the KevinMD article, "What a lifetime of gaslighting by other doctors feels like." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 12, 2022
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A caregiver’s love story

"Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill’s poor prognosis and impending death began to reflect on our life, it was getting harder to respond to the living as we had in the past. Bill seemed to be pulling away from everyone he knew, except for a handful of friends and me. As a dying person, he seemed to be concentrating on only one thing – dying. The truth is that nature is selfish and dying is just part of the natural transition as someone ages. You can’t avoid it, and sometimes it can even sneak up on you." Nancie Wiseman Attwater is the author of A Caregiver's Love Story. She shares her story and discusses her KevinMD article, "Dying is a selfish business." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 11, 2022
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A physician’s work dread and what he did about it

"Work dread. Even if you didn’t know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don’t want it to come. Sometimes it begins on Sunday afternoon when you want to be enjoying time with your family. Other times, you might find yourself sitting in the hospital or clinic parking lot, resisting the beginning of another busy day. Maybe you sit in your car for an extra 10 minutes and allow yourself to finish a podcast episode. Or perhaps you doomscroll on Facebook for a few minutes before taking a deep breath, getting out of your car, and starting your day." Michael Hersh is a gastroenterologist. He shares his story and discusses his KevinMD article, "The epidemic of work dread." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 10, 2022
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I’m a physician, not a provider

"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones who took an oath to benefit patients according to our most extraordinary ability and judgment to keep pure and holy both our lives and our art. It is time to take back what belongs to us. It is ours. It is time to rise and start the revolution. Our title will not be taken away. You would never accept being called Laura when your name is Sarah. Our title has power. It is our healers’ birthright. Start the revolution. It starts with your title. Reclaim your power. Hi. My name is Diana Londono, and I am a physician — #notaprovider. Diana Londoño is a urologist and can be reached on Twitter @DianaLondonoMD. She shares her story and discusses her KevinMD article, "I’m a physician, not a provider." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 9, 2022
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Why doctors are getting their asses kicked by technology

"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science. Physicians are certainly suffering from poorly-designed electronic medical records (EHR), but they are also guilty of wilful blindness in abdicating responsibility for technology in medicine. This must change. Physicians have a higher suicide rate than post-combat troops in the military. A lot of this is due to widespread burnout from poorly designed EHRs. Yes, it sucks, but who is really at fault? What if this problem was a consequence of a professional stance medicine can choose to reverse? What if it won’t go away until we do?" Drea Burbank is a physician-entrepreneur. She shares her story and discusses her KevinMD article, "Why doctors are getting their asses kicked by technology." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 8, 2022
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Teen dies when blood culture protocol botched

"Address the patient’s chief complaint first. In this case, the other symptoms were only side effects of the main problem. Pay attention to lab work. In this case, the elevated white blood count and the related blood culture results. Keep an open mind, broaden your differential and document your medical decision-making (MDM), especially when sending a patient home with pending blood cultures. Avoid anchoring bias and premature closure based on a patient’s self-diagnosis. This teen’s report of a lifting injury does not comport with his signs and symptoms. Follow your hospital’s procedures on abnormal lab results. Don’t automatically write off 'preliminary' culture results." Charles A. Pilcher is an emergency physician and editor, Medical Malpractice Insights - Learning from Lawsuits. He shares his story and discusses his KevinMD article, "Teen dies when blood culture protocol botched: What can we learn from this tragedy?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 7, 2022
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Less resiliency may heal burnout

The word “resiliency” has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why? Because physicians are resilient. We are, in fact, the walking, talking, breathing personification of the word. We cannot manage to get through medical school, residency, and boards, without being resilient." Dympna Weil is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "Less resiliency may heal burnout." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 6, 2022
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What it takes to build a pediatric weight management program

"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, and the C-suite looks at the medical component as a necessary evil to drive adolescent bariatric surgeries. In fact, they are OK with medical treatment failing because it means more adolescent bariatric surgeries. The medical arm is what helps document six months of failed treatment which is a requirement for consideration for bariatric surgery." Karla Lester is a pediatrician. She shares her story and discusses her KevinMD article, "What it takes to build a pediatric weight management program." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 5, 2022
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Patient-initiated collaborative texting

"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply. But the rise of artificial intelligence has led to further advances in smart texting, including the ability to answer simple questions — such as “when is my next appointment?” — without human intervention. Texts regarding certain actions like prescription refills or payment questions can be automatically routed to the correct department for follow-up. Because of privacy concerns, texting in a medical setting must occur on a HIPAA-compliant platform, but solutions exist today where secure text communications flow to the patient record and enable video calls and the ability for patients to pay their bills by text." Keith Dressler is a health care executive. He shares his story and discusses his KevinMD article, "3 reasons practices should implement patient-initiated collaborative texting." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 4, 2022
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A breast cancer story from an Asian perspective

"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gynecologist and told him I felt a small, pea-sized lump under my right armpit close to my breast. He confirmed what I felt and said it was probably nothing but still wanted me to get a mammogram. I got an appointment the next day, and with much squeezing, because my itty-bitties measured as A minuses (in size), the technician couldn’t find or see anything during the mammogram. But I told her where I felt the lump, and she also felt it, so she brought out the ultrasound machine." Bianca Haines is a patient advocate. She shares her story and discusses her KevinMD article, "Candid about my breast cancer." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 3, 2022
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How to improve medication adherence

"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to achieve common goals: Better managed chronic conditions, fewer complications, and improved experience for patients and physicians." Tony Willoughby is a health care executive. He shares his story and discusses his KevinMD article, "Automatic refill and 90-day fill programs don’t improve medication adherence." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 2, 2022
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What this physician-mom learned about shame

Subscribe to The Podcast by KevinMD. "I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I’ve cried many times at home, watching screens, reading books, talking on the phone, and at work, where I am a doctor who cannot always suppress my emotions. And I’ve cried in front of health care providers as a patient or family member, something that I have the most trouble admitting because the tears were virtually involuntary and unwelcome in a health care space that did not feel safe to me. In that setting, there is shame." Christine J. Ko is a dermatopathologist. She shares her story and discusses her KevinMD article, "Is there more to patient safety than preventing medical error?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
August 1, 2022
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A physician mom’s take on telemedicine

"In early 2018 when I started full-time telemedicine, I was quite reluctant about losing the physical hands-on evaluation, especially the palpation, percussion, and auscultation components in the physical exam, and the holding hands, hugs, and handshakes of in-person visits. But thankfully, I remembered one of my favorite medical school professors who said how important history is in a diagnosis. He said nothing else matters as much as a good history from the patient. I shed my trepidation and gave it a brave shot, and I’ve never looked back. I absolutely enjoy it. I enjoy not only the urgent care but also the primary care side of it. I also enjoy that I am showing up at patients’ homes nationwide rather than having them coming to my office at a Houston clinic. I love that so many patients know me by my name and choose an appointment with me, whether it’s an urgent care or a primary care issue. It is a truly fulfilling moment for a physician." Sabari L. Sundarraj is a family medicine physician. She shares her story and discusses her KevinMD article, "A physician mom’s take on telemedicine." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 31, 2022
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Transition planning: financial moves for medical residents and fellows

"While you may not know exactly what your transition period will look like ahead of time, you can do your best to prepare for this change. By having a plan in place, you can make sure you are ready for the time between training and your new career so that you have financial stability in this uncertain transitional period." Shane Tenny is managing partner, Spaugh Dameron Tenny, LLC, and host of The Prosperous Doc podcast. He shares his story and discusses his KevinMD article, "Transition planning: financial moves for medical residents and fellows." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 30, 2022
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Robotic interventional cardiology

"In the majority of robotic-assisted cases I perform, automated movements are particularly helpful in delivering gear – I can easily get balloons and stents around the C-shaped curve in the right coronary artery from the cockpit just like I would be able to if I were at the table. In addition to ensuring precision, this means that I’m offered a level of protection from the radiation exposure that interventional cardiologists typically experience. Robotics is one of the many components that can contribute to a radiation safety-based culture, which is a key area of focus for many teams in the interventional space to create safe working conditions and encourage strong teamwork and longevity." Rhian E. Davies is an interventional cardiologist. She shares her story and discusses her KevinMD article, "Robotics, automation, and the future of remote health care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 29, 2022
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What needs to change in medicine for it to be sustainable?

"A prospect seeking a career in medicine must start with their own awareness of boundaries and perfectionism before entering the field. This inner work must be indoctrinated in schools and encouraged through residencies and mentorships. Furthermore, administration must model this and valued it as highly as continuing education, credentialing, and skill training. In a profession that is innately human, we have to bring humanity back for it to be sustainable." Amanda Gwin is a nurse and physician assistant. She shares her story and discusses her KevinMD article, "What and who needs to change in medicine for it to be sustainable?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 28, 2022
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What a good death looked like

"He needed to be taken to the hospital to be pronounced, and he was put on a gurney. One frequently mouthed wish was to be taken from his home feet first. I stood beside him as he was placed in the ambulance. His soft, sweet smile told me everything I needed to know. His wishes had been honored, and we had done it together." Yvonne Caputo is a writer and author of Dying With Dad: Tough Talks for Easier Endings. She shares her story and discusses her KevinMD article, "What a good death looked like." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 27, 2022
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Allow yourself the space you need to heal

"As doctors, we are called to heal. We are called to serve. It’s in us. Our ability to heal and serve others does not have to be limited to the hospital and clinic walls. I want all our brilliant doctor minds to be part of the solution to the growing epidemics. However, many of us are caught in the epidemics ourselves right now. Living with passion is beautiful. It’s peaceful. It’s contagious. It will allow you to help at a larger scale and live a purpose-driven life. Healing ourselves first will allow us to have the energy and inspiration we need to tackle these epidemics and other challenges that we are facing as a nation. Life will always have its ups and downs. At times, it will be hard. However, when we care for ourselves and follow our passions, then it becomes less hard and more rewarding. Only by saying #MeFirst can our creative minds blossom to their full potential. Only by saying #MeFirst can we see how much of a gift this life is." Liz Aguirre is an internal medicine physician. She shares her story and discusses her KevinMD article, "Nurture yourself, get rest, and allow yourself the space you need to heal. #MeFirst." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 26, 2022
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We are humans first and gifted healers second

"If I knew back in training and practice what I know now, I would have looked for the support and mentoring that would have helped me to forge a path in clinical medicine. But I saw help as an admission of weakness. I felt too much shame and guilt to even consider asking for any. While I regret that I didn’t access help before leaving practice, I am grateful to have learned an important lesson early and had the chance to course-correct my life. I’m a happier, more balanced person because of it. I am awed by my physician colleagues who have known all along to put their human needs first—the old oxygen-mask-on-the-plane analogy. Thank you for the example you set for our profession. Over time, perhaps there will be a new message that we all embrace: We are humans first and inspiring, gifted healers second." Diane W. Shannon is an internal medicine physician and physician coach and can be reached at her self-titled site, Diane W. Shannon. She shares her story and discusses her KevinMD article, "We are humans first and inspiring, gifted healers second." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 25, 2022
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Stop financially handicapping non-citizen physicians

"I acknowledge that as a physician, I am overall financially secure. However, after jumping over multiple extra hurdles to prove myself throughout my medical career, I couldn’t help but feel I have been handicapped financially compared to my non-immigrant colleagues. While others are being celebrated for bridging the healthcare gap in rural areas, I have been “punished” to a later start in life. There is only one primary care physician for every 2,500 patients in rural America, compared to one for every 1,800 in urban regions. Foreign-born physicians are vital in many isolated, rural communities in the U.S. Offering loan repayment or forgiveness options to providers like me is not just a matter of fairness but a necessary step to mitigate provider shortage in underserved areas." Zed Zha is a family physician. She shares her story and discusses her KevinMD article, "Stop financially handicapping non-citizen physicians." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 24, 2022
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Guns and public health advocacy

"Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakroom TV. My stomach drops. Again? How is it possible? I step back into the ED and immediately am called over by an agitated mother whose infant came in with respiratory distress 30 minutes earlier. Any moment they would be transferred to the intensive care unit – I hurry over, worried a crisis with her infant awaits me. She wants to talk about the shooting. In despair, she asks how she can send her other child to kindergarten the next day." Marina Mai is a medical student. She shares her story and discusses her KevinMD article, "Senators are killing children by failing to enact gun control laws." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 23, 2022
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Patient platforms should be intuitive in design and execution

"Communication is both the sending and receiving of information. Data is as difficult to receive and act upon as the ingredients of a meal because much work is left to be done. Information is palatable, actionable, and leads to measurable results in the short and long term. Patient platforms ought to be intuitive in design and execution, utilizing pictures, animation, mapping, and data-point conversion into meaningful associations with body systems. Developers will be well served to learn from the social sciences, learning theories, and from every 4-year-old using an iPad." Christopher Noll is a nurse and risk manager. He shares his story and discusses his KevinMD article, "Patient platforms should be intuitive in design and execution." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 22, 2022
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Fibromyalgia is not a trash can diagnosis

"How would you like to see your career slip away from you as you gradually become less and less able to sleep, to rest, to feel awake, to feel like your memory is failing you, to be taking pills every night on call because your legs ache so badly, to become upset so easily you don’t trust yourself to handle stressful situations at work? How would you like to have to stop working because you can’t do it anymore? This would certainly be a catastrophe. But not one of your making. So, the next time your patient appears at their wit’s end, please don’t assume they are just somehow lacking in coping ability. Take them seriously. Show them some empathy. You will both be better off for it." Margaret Macdonald is a family physician. She shares her story and discusses her KevinMD article, "Fibromyalgia is not a trash can diagnosis." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 21, 2022
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Don’t give up on intermittent fasting just yet

"So don’t give up your eating window just yet! The good question I am hoping researchers will answer next: who loses the most weight? Is it the human who eats three meals and no snacks that include protein, fiber, and healthy fats, or the human who eats two or three meals of that same formula in an 8-hour eating window? I recommend people eat healthy fats, like olive oil, at all their meals for good health and weight loss. We need more studies on intermittent fasting that do not include calorie-restricted diets. I’m not giving up on intermittent fasting yet." Heather Awad is a family physician. She shares her story and discusses her KevinMD article, "Don’t give up on intermittent fasting just yet." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 20, 2022
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A bullied medical assistant's tragic story

"Today, I’d like to tell you the story of one who was exemplary. He was never late to work. He never came in and insisted on finishing his breakfast at his desk before rooming our first patient. He was so personable that they would pour their hearts out to him while rooming patients. They would tell him all kinds of things about their personal or academic life that they were unlikely to tell me in just the 3 to 5 minutes he was there." Nanette Nuessle is a pediatric hospitalist and physician coach. She shares her story and discusses her KevinMD article, "Warning: Your words can kill." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 19, 2022
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Why a nurse should not go to jail

"From a place of personal accountability and commitment to system improvement, RaDonda Vaught’s conduct in the aftermath of this tragic event has been exemplary. She told what she knew, as soon as she knew it, to any stakeholder, for any purpose in hopes that understanding her actions, state of mind, priorities, omissions, and flaws could help her patient or any other. Much of what we have learned comes from the painful, candid narrative of RaDonda Vaught, at no small consequence to herself. She is the nurse the patient safety community has longed for, indeed has spent two-and-half decades nurturing. She should not go to jail." Barbara L. Olson is a nurse and senior advisor, The Just Culture Company. She supports health care clients in planning and sustaining Just Culture as a system of workplace justice and can be reached on Twitter @safetynurse. She shares her story and discusses her KevinMD article, "Why a nurse should not go to jail." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 18, 2022
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Malpractice may be negative, but its data can generate positive results

"When most health care professionals hear the word 'malpractice,' they want to run the other way. This is understandable—but also a missed opportunity. We can leverage malpractice data to target and drive investment in patient safety efforts. Malpractice data shows us that good communication and teamwork are vital to preventing adverse events and malpractice claims—while dramatically improving working conditions and enhancing patient safety. Malpractice data shows that communication-related factors contribute to about 30 percent of claims. When communication is disrespectful, unclear, or simply missing, risks to patient safety and provider liability are amplified, whether the communication is between providers or between a provider and the patient/family." David L. Feldman is chief medical officer, The Doctors Company and Healthcare Risk Advisors. He shares his story and discusses his KevinMD article, "Malpractice may be negative, but its data can generate positive results." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 17, 2022
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Historical lessons to improve health care today

"Medical advances can often stir up ethical issues, which ripple into two courts: the court of law and the court of public opinion. These news articles described a public relations nightmare brewing at the National Pituitary Agency (NPA), which operated with NIH funding. Founded in 1963, the NPA had been collecting 72,000 cadaver pituitary glands annually for research purposes. The intent was noble." Alfred Sadler is a physician. Blair Sadler is an attorney. They are authors of the book, Pluck: Lessons We Learned for Improving Healthcare and the World. They share their stories and discuss their KevinMD article, "Medical advances can often stir up ethical issues." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 16, 2022
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Why the new 988 hotline has the potential to transform mental health care

"The federal 988 hotline represents a promising new approach to alleviating the nation's growing mental health crisis, but several key challenges loom that could derail this well-intentioned initiative. One significant information technology challenge the hotline will face involves how to uniformly store and interpret mental health data (more on that later) but the most immediate roadblock is a lack of awareness. Though the hotline is scheduled to debut in July, the program, which is federally sanctioned and funded but left up to individual states to implement, was announced with little fanfare, so many people within and outside of the medical community likely are unaware of its existence." Rich Parker is an internal medicine physician. He shares his story and discusses his KevinMD article, "The new 988 hotline has potential to transform mental health care, but challenges loom." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 15, 2022
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Using inquiry-based stress reduction to treat medical malpractice stress syndrome

"We are busy people who have had much success; looking at our painful thoughts is not something we have had the need or opportunity to do. We may be a little anxious, neurotic, even, but we are respected, helpful, and successful. We tell ourselves that our anxiety is a small price to pay for all this success. Sometimes it takes a life-changing event to see that the truths we hold so close are not helping us. We are successful despite our anxiety, not because of it. Opposing counsel desperately hopes we do not question our thinking. They bank on the legal process bringing up so many underlying beliefs that we settle cases early or show up to trial withdrawn, anxious or angry. Our mental clarity, unfettered by stressful thoughts sometimes carried for a lifetime, is our best legal defense." Lara Patriquin is a radiologist and physician coach and speaker. She shares her story and discusses her KevinMD article, "Using inquiry-based stress reduction to treat medical malpractice stress syndrome." Resources: Putting stressful thoughts on trial: A live one-on-one Zoom course to thrive during malpractice Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 14, 2022
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How to tackle the physician shortage

"The national physician shortage is an urgent issue that requires immediate attention. Otherwise, the next time you seek medical care, you might be treated by a non-physician for a condition that requires physician attention. This could be expensive and detrimental unless we solve the issue of training and retaining physicians. Physicians are uniquely positioned to advocate for solutions in three roles: trusted messenger, physician-administrator, and political officeholders. Surveys consistently show that health care is in the top three motivators for voters, yet patients are likely unaware that the physician shortage is a grave threat to their health and wellness. As trusted messengers, physicians can educate and inform the public about this particular peril in our broadly broken health care system. Voters can only effectively advocate for themselves and their communities and compel their elected officials to legislate change if they understand the roots of these issues." Sujan Gogu is a family physician. He shares his story and discusses the KevinMD article, "How to tackle the physician shortage." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 13, 2022
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Not a cancer survivor or previvor, but a cancer preventer

"I know how different my experience is. I am not facing potentially debilitating treatment(s) or the fear of death. Still, I am experiencing a physical transformation, a redefining of my feminine self, yet I do not feel as if I have the 'right' to be scared, saddened or supported. This is a "me" problem but raises the broad need for inclusivity, acceptance, and support in general and by health care professionals. I no longer have breasts. Pathology confirmed for me that this was the right choice — no cancer yet. Findings indicated that it was 'just a matter of time.' While I truly have no regrets (even looking at my now truly, scarred flat chest) my vanity is still an issue. Time, a lavish, beautiful tattoo of lilacs or orchids and working toward washboard abs to match my washboard chest will help to heal this wound — and, most importantly, no more worries about breast cancer. The guilt and doubt still linger, but then I see the relief in the faces of my family and understand that preventive mastectomy (and going flat) may not be right for everyone, but it was right for me. I am not a survivor, not a previvor, but a preventer." Nanette Elster is a bioethicist. She shares her story and discusses her KevinMD article, "Not a cancer survivor, not a cancer previvor: Am I a cancer preventer?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 12, 2022
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A hospice doctor's advice on financial independence and living a regret-free life

"Unlike my dad, I grew up with very different feelings about my own longevity. I have always believed that I would live to a ripe old age. This belief has colored my approach to career and finances. In many ways, I was able to delay my passions in order to build the appropriate amount of jet fuel to power my transatlantic flight. The urgency of now was replaced with a wholehearted wish to delay gratification now to benefit the future. Getting your financial house in order requires understanding these concepts, weighing them, and coming to terms with what scares you most. Armed with this knowledge you can create a financial plan which balances the urgency of now and your wealth needs for the future." Jordan Grumet is an internal medicine physician, host of the Earn & Invest Podcast, and author of Taking Stock: A Hospice Doctor’s Advice on Financial Independence, Building Wealth, and Living a Regret-Free Life. He shares his story and discusses his KevinMD article, "A hospice doctor’s advice on getting your finances in order." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 11, 2022
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An example of medical-legal consulting

"To a reasonable degree of medical probability, it was my opinion that the long hours the client spent typing, in addition to the poor ergonomics of his workstation, contributed to him being pre-disposed to a cervical injury sustained after lifting heavy boxes for several days. I was able to back up my opinions with evidence from the medical literature." Armin Feldman is a medical consultant to attorneys. He shares his story and discusses his KevinMD article, "An example of medical-legal consulting." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 10, 2022
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Allow yourself a moment to focus on yourself, not the next patient

"Allow yourself a moment to focus on yourself, not the next patient. Take a drink of cold water, go to the bathroom, and maybe take a lap around the room. Physically relax those tensed muscles. This will allow you to start the journey of healing. Instead of just pushing yourself deeper until the bottle of unprocessed emotions causes an explosion, notice each moment. The more that we are aware of what we are experiencing, the easier it is each time to ground yourself and process before moving on. This is not easy and requires practice, but we can do hard things. We graduated from medical school and residency! We spend so much time healing other people. It is time we heal ourselves too." Mallory Salentine is a pediatrician and leadership coach. She shares her story and discusses her KevinMD article, "Allow yourself a moment to focus on yourself, not the next patient." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 9, 2022
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A shortage of geriatric doctors

"Policymakers and educators can introduce incentives and new educational programs to recruit more physicians to fill the care gaps for elderly patients. Perhaps one solution is raising Medicare reimbursements to doctors at the same rate that private insurance pays. Another avenue might be recruiting doctors that are licensed in other countries offering citizenship opportunities. Health care professionals and pharmacists may help address the gaps in care for elderly individuals by using innovative approaches involving collaboration between physicians, pharmacists, and sometimes nurses have demonstrated reductions in inappropriate medications. These approaches build on growing evidence that highlights the importance of team-based care delivery in ensuring that care practices are patient-centered, safer, timelier, and more effective. Providing the aging adult population with high-level care is crucial in building a just and equal society where all vulnerable categories of people are protected, and their needs are recognized." Michael Pessman is a gerontologist. He shares his story and discusses his KevinMD article, "The forgotten crisis: a shortage of geriatric doctors in the U.S." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 8, 2022
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Regulate your nervous system to improve your physical and emotional well-being

"It makes sense that the body’s reaction to the onslaught of perceived threats would have a detrimental effect on physical and mental well-being. Perceived threats trigger the exact same physiological response as actual threats, activating a fight, flight or freeze reaction. It’s the constant stimulating of these stress responses that can lock some people (and others, not) in a chronic state of stress, not the actual events that people experience. We all react differently—some more intensely than others. Once you begin the process of regulating your nervous system, you’ll notice a gradual change in your physical and emotional well-being. You’ll feel increasingly safe, spacious, and resilient. You will have more capacity to metabolize stress, and to give and receive love—all without the constant presence of a false threat response. It may sound too good to be true, but time and again, I’ve seen people’s lives completely change when they learn to do this work." Rebecca A. Ward is a marriage and family therapist and author of The Paper Tiger Syndrome: How to Liberate Yourself from the Illusion of Fear. She shares her story and discusses her KevinMD article, "The body is the gateway to the Original Blueprint." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 7, 2022
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Be skeptical of certificate of need laws

"Certificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private resources, but none of these gains has materialized. A joint report from two federal agencies—the Federal Trade Commission and the Antitrust Division of the Justice Department—finds no evidence that CON laws achieve any public benefit. A supermajority of studies agrees. More importantly, decades of real-world experience show that CON laws do not work as advertised. Recognizing the policy error, Congress reversed itself in 1986 and repealed CON mandates it had imposed just 12 years earlier." Jaimie Cavanaugh is an attorney. She shares her story and discusses the KevinMD article, "As cancer patients wait, states play favorites." This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 6, 2022
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Open-angle glaucoma: To screen or not to screen?

"My take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, race, diabetes, and other risk factors should be considered for such screening, especially in the face of potential asymptomatic damage. How often have doctors said, 'If you had only come in sooner …' To the Task Force, I pose the following question: If your mother, father, brother, sister, or child had known risk factors for glaucoma, wouldn’t you want your loved one evaluated before signs and symptoms develop?" Paul Pender is an ophthalmologist and can be reached at his self-titled site, Dr. Paul Pender. He is the author of Rebuilding Trust in Healthcare: A Doctor’s Prescription for a Post-Pandemic America. He shares his story and discusses his KevinMD article, "Open-angle glaucoma: To screen or not to screen?" This episode is sponsored by the American College of Lifestyle Medicine (ACLM).  Chronic disease is a global emergency. If you’re interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it’s time you heard about the American College of Lifestyle Medicine (ACLM). Experience ACLM’s annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts. Become an ACLM member before the conference and save up to 22 percent off registration. Go to lifestylemedicine.org/membership to learn more. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 5, 2022
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Treating pain without medication

“In my medical training, we were taught five ways to treat pain: lifestyle modifications, physical therapy, medications, injections, and surgery. Lifestyle modifications are positive changes in diet, exercise, sleep, and stress levels. This is the first-line treatment for painful inflammation. Yet we tend to overlook this option in favor of tools that produce quicker results. Passive treatments (medications, injections, some surgeries) can relieve acute pain or nerve damage but do not always provide lasting relief for ongoing or recurring pain. And even these passive treatments work better when coupled with lifestyle changes. To decrease chronic pain, we must consider what we consume. Better fuel reduces inflammation, improves function, and restores balance.” Saloni Sharma is a pain management and rehabilitation medicine physician and author of The Pain Solution: 5 Steps to Relieve and Prevent Back Pain, Muscle Pain, and Joint Pain without Medication. She shares her story and discusses her KevinMD article, “Current pain treatments and their deficiencies.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 3, 2022
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Let’s talk about bullying in medicine

“Very few are talking about workplace bullying, yet many are benefitting from it. It acts contrary to the principles of care at the heart of medicine — and we need to do something about it. How many physicians have wanted to leave medicine because they were subject to horizontal violence or bullying in the workplace? Who has felt undermined, belittled or humiliated when showing up to work on a daily or weekly basis? Are there those of you who have been used for skills yet have never been acknowledged for your contributions or work? Have you had someone in a position of power act as a gatekeeper in your career path? How many have been subject to some kind of mental, emotional, physical or sexual harassment? In a profession with the core principle to heal, it is sad, disappointing and sparks anger to know of and experience workplace bullying. It has grown like a festered fungus in health systems already under pressure from decades of under-resourcing and underfunding. This has worsened with the COVID-19 pandemic.” Maria Peach is a general practitioner in Rarotonga, the South Pacific. She shares her story and discusses her KevinMD article, “Let’s talk about bullying in medicine.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 2, 2022
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What doctors need to know about physician health programs

“Change is overdue. Physicians who need help for mental health issues or substance use disorders need to get it in a manner that is free of financial and other conflicts of interest. They need to be able to go to academic centers and/or the best clinicians possible and get unbiased opinions and advice. Boards of medicine need to stop giving PHPs carte blanche to dictate what physicians need if there is suspicion of a substance use disorder. Every physician in the U.S.—and, in fact, every patient—ought to join in calling for fairness and transparency in PHP recommendations. Until there is a groundswell of opposition against standard practices, physicians will continue to get extorted, and they and their patients will continue to suffer.” J. Wesley Boyd is a psychiatrist. He shares his story and discusses his KevinMD article, “The extortion of physicians: If doctors don’t pay up they don’t work.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
July 1, 2022
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A call to stop overworking

“We are in an epidemic of gaslighting in medicine. The best definition I heard of gaslighting is transferring your authority on yourself from you to someone else. We give up our authority on ourselves to everyone else but ourselves. We leave our feelings of work ethic to our current culture: we are lazy if we don’t step in line and do everything asked of us. We are told we aren’t worth our salaries as physicians are replaced with less expensive nurse practitioners and physician assistants. We are told our education is not important as the public ignores our expertise, and the judicial and legislative system tells us they know better for our patients. And it is somehow our fault, or at least we are left to deal with it. Show up and work hard to pay outrageous student loans gathered in pursuit of the cause. I don’t know the right answer for all of this. But I do know where we need to start.” Amy Vertrees is a general surgeon and founder, BOSS Business of Surgery Series. She shares her story and discusses her KevinMD article, “A call to stop overworking.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 30, 2022
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What I learned after being hacked on social media

“I never thought social media hacking would offer such important reminders and lessons, but here we are. By the way, I am the first to admit that it’s easy to gloss over phrases and lessons because you’ve heard them a million times before, and we think we know. But in reality, we merely understand, but do not know. Because if we really knew, then there wouldn’t be the need for the lessons to appear. So while I would never have wished for this to happen, I am grateful to learn and for this opportunity to “know.” Have you experienced hacking before? How did you respond? What did you learn from it?” Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, “What I learned after being hacked on social media.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 29, 2022
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Medical school loan repayment tips

“My wife is a urogynecologist lucky enough to get through her seven years of residency plus fellowship with “only” $124,000 of student debt. When we discussed how we were going to get rid of this debt, she had always assumed that it was going to take a couple decades to pay off. With our combined income, we certainly could’ve lived like paupers and extinguished her loans rapidly. However, I knew a strategy that involved extreme deprivation after her long years of training could grow old and not be successful. Instead, we targeted a repayment period of fewer than five years instead of 10 years or more. We focused on cutting our spending in three key areas that I typically see trip up physicians more than any others.” Travis Hornsby is a chartered financial analyst. He shares his story and discusses his KevinMD article, “3 ways to cut years off your medical school loan repayment period.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 28, 2022
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New legislation addresses health care professionals' mental health needs

“For many health care professionals, the stresses of their roles routinely take a heavy toll on their mental and physical well-being. It did for me. The pandemic and the unprecedented loss of life were more overwhelming than any of us could have imagined, and for some, it simply pushed them over the edge. But, even before the pandemic, our peers have been suffering from depression, anxiety, and exhaustion and needed resources to help them better cope and manage their well-being. For me, I learned the path to a healthier, more balanced, and purposeful life. I took up ultra-running, which has helped me enormously. I also developed strategies and tactics that I can rely on to keep me on an even keel, even when things get extra challenging. My journey is what inspired me to write a book and share what I have learned with others. The resources which will now be made available as a result of the Dr. Lorna Breen Health Care Provider Protection Act are vital to supporting more health care professionals. Many medical associations are applauding the new legislation. We as medical professionals should not hesitate to avail ourselves of any and all resources designed to help us improve our mental and physical well-being so we can continue to help and heal others.” Anthony Avellino is a pediatric neurosurgeon and the author of Finding Purpose: A Neurosurgeon’s Journey of Hope and Healing. He shares his story and discusses his KevinMD article, “New legislation addresses health care professionals’ mental health needs.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 27, 2022
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Physicians need to be trained as entrepreneurs and encouraged to innovate

“Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many physicians already engage in managerial and entrepreneurial-like practices without labeling these skills. By formalizing these skills into medical education, physicians will be able to take their ambitions and ideas about how to best run existing health care institutions and translate them into innovations for the future of the field.” Sofia Yunez is a medical student. She shares her story and discusses her KevinMD article, “To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 26, 2022
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Want your skin to look better? Then consider your mental health.

"Stigma surrounding mental illness often prevents patients from seeking the mental health care they need, delaying care and prolonging suffering. Fear, embarrassment, and impaired quality of life are a reality for many patients suffering from skin disorders like severe cases of psoriasis, hair loss, or acne. In these cases, assistance from a dermatologist who bridges both specialties might be better accepted by patients and can help them find relief for their skin and mind more quickly. When it comes to helping the millions of Americans suffering from skin issues, whether a flare-up or the management of a chronic condition, exploring both the physical and emotional causes of disease is key to a successful treatment. Neglecting how our emotional lives affect the largest organ of the human body is a mistake, and thankfully, psychodermatological treatments are now available to complement conventional therapies." Katlein França is a dermatologist. She shares her story and discusses her KevinMD article, "Want your skin to look better? Then consider your mental health." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 25, 2022
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My experience as a teenage health care worker during the COVID-19 pandemic

"We owe it to our patients to do better. Every time I picture the couple leaving the pharmacy unvaccinated, I am reminded that true health care requires accountability and a willingness to challenge the status quo. That means challenging a “no” or “that’s too much work” rather than accepting it passively. If I could do it all over again, I would tell my 18-year-old past self that her voice is more powerful than she realizes. The same applies to any person in a similar situation who feels that their voice is not worth hearing. Our voices are our means to advocate for the patient. We must use them. It took me over a year to find my own voice, but I’m finally raising it now." Ananya Raghavan is an undergraduate student. She shares her story and discusses her KevinMD article, "Reflecting on my experience as a teenage health care worker during the COVID-19 pandemic." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 24, 2022
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Combining personalized education and digital technology to improve glucose monitors

“Diabetes uniquely requires patients be experts in their own care and demands 24/7/365 vigilance. Close communication with a health care team eases the burden and improves outcomes. Glucose management revolves around numbers. Unfortunately, numbers are just noise unless translated into actions. Innovations, such as color for people with low numeracy, are essential for improving outcomes. Alarmingly, 80 million, fully one-fourth of our population, have low literacy and numeracy. People want to better care for themselves; they just need to be shown how. With a diabetes self-management tool in the palms of their hands, people can use colors to engage and more effectively care for their diabetes. Society also benefits if health care disparities lessen. When access to care is more equitable, people with diabetes should increasingly see those indicators move from red to green.” Elizabeth Holt is an endocrinologist. She shares her story and discusses her KevinMD article, “If we better manage diabetes, can we better manage COVID?” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 23, 2022
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Healthy patients and healthy physicians: Is it possible?

“Lifestyle medicine is part of regular medicine but stands apart in that it is health care that directly benefits patients through the restoration of vitality and health, primarily by lifestyle interventions. And its healing capacity does not stop there. Because it unlocks the door to health and well-being, its effects reach well beyond patient care, to entire families, communities, and indeed to the lives of health care providers themselves. Changing the health care system within which physicians work will have positive ripple effects throughout all of health care. It will not only improve their wellness in the workplace — but also optimize patient care. And it will get us closer to the quintuple aim because a rising tide lifts all the boats.” Iris Schrijver is a lifestyle medicine physician. She shares her story and discusses her KevinMD article, “Healthy patients and healthy physicians: Is it possible?” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 22, 2022
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Strategies to help you prepare for multiple mini interviews (MMIs)

“The bottom line is that while you can’t predict exactly which MMI prompt you’ll be given, you can absolutely start preparing for the MMI. Become familiar with the format, practice your delivery, start reading about issues in health care, and start thinking about major points to discuss around these issues. While this won’t take away your anxiety, it can absolutely help improve your confidence and performance–so that the next time you’re faced with an “angry” interviewer, you’ll be prepared.” Rajani Katta is a dermatologist and author of Conquer the Medical School Interview and The Successful Match. She shares her story and discusses her KevinMD article, “The MMI: 3 strategies to help you prepare.” Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 21, 2022
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Primary care's inevitable reboot

"The tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients and their caregivers. Now, we must activate those instruments for our own sustainability, and for our patients’ benefit. If the neighborly primary care practice is going to survive, we must embrace a more comprehensive and connected health data usage program reassuring patients that we truly know them and are properly equipped to assess future risk. Because that daily frappuccino could be doing more harm than good – and that’s data your doctor can use." Paul Helmuth is an internal medicine-pediatrics physician. He shares his story and discusses his KevinMD article, "The inevitable reboot of the primary care experience." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 20, 2022
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Art as a tool to manage pain

"I had also used arts and crafts previously in my own experience to help with healing. Including the previous year when I had a breast cancer recurrence did many crochet projects and took classes in mosaics making as I navigated from victim to survivor. However, following my catastrophic accident, I didn’t know how to do these activities until I could again use my left arm. Which now I am a little thankful for, as I might not otherwise have been as open to trying drawing. As I go forward, I will be taking myself more seriously as an artist and looking to learn how my patients can access actively learning art as a tool to manage pain." Martha Sommers is a family physician. She shares her story and discusses her KevinMD article, "Art as a tool to manage pain." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 19, 2022
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A bad death: the importance of truth-telling at end-of-life

"In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grandchildren. From diagnosis to death, it was two short months. During those weeks, she waited for test results, went back and forth to the hospital to drain her lungs, and was on infusions for a useless Hail Mary treatment, all of which robbed her and her family of precious time to talk about what mattered most. She died in the hospital with her family around her, but everyone had a bad death." Althea Halchuck is a patient advocate and founder, Ending Well! Patient Advocacy. She focuses on end-of-life care and planning, aiming to help people have a “good death,” and can be reached at the Final Exit Network and on LinkedIn. She shares her story and discusses her KevinMD article, "A bad death: the importance of truth-telling at end-of-life." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 18, 2022
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It’s time to flip the script on peer evaluations

"It’s time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone of genius? How can we recognize that we all have different, complementary strengths that overlap so that there are no weaknesses; there are just different approaches or different strengths to mobilize? When we are all working in our own zones of genius, that’s where we create a culture of well-being." Wendy Schofer is a pediatrician. She shares her story and discusses her KevinMD article, "It’s time to flip the script on peer evaluations." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 17, 2022
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Burnout is a spiritual crisis

"It is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the world, and what are you grateful for? When we deviate from this true calling, when we deviate from love, from creativity, our spiritual crisis occurs. Our body breaks down with negative thought patterns, pain and illness. Even though burnout is the end-stage symptom of chronic stress, it is, in essence, the deviation of our spiritual self. How do we reverse this? We begin to ask ourselves the essential spiritual questions. When we practice them during the time of introspection/quiet/meditation/prayer on asserting our truths of being loving, joyful and creative beings, the process begins and continues. Stress and creativity cannot co-exist. We cannot wait until our health crisis or until we hit rock bottom, deviating into greed, anger, shame or lust. That is not our nature. We must prioritize time to get back to our true selves and, as Gandhi said, “be the change” we want to see in this world: be love, be joy, be creation." Diana Londoño is a urologist and can be reached on Twitter @DianaLondonoMD. She shares her story and discusses her KevinMD article, "Burnout is a spiritual crisis." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 16, 2022
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Virtual care is convenient, but is it better for everyone?

"2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. We have self-driving cars, drones delivering food, and most of us spend our entire day on video calls, and the rest on social media. Who knows what innovations will emerge next year (or, to be cynical, the next pandemic). I am all for the conveniences offered to us by innovation and forward-thinking companies, but I hope we can come to an understanding that a 'one size fits all' approach to health care should be a non-starter. While it may work for some people in some situations, trying to make every aspect of health care as virtual as possible will likely lead to disillusionment, uncertainty, or indifference – not things anyone should experience when discussing their health care. And to put aside all technical or logistical concerns, some people just appreciate the importance of touch and connection. It is, as they say, what makes us human." Shruti Singal is an emergency physician and health care executive. She shares her story and discusses her KevinMD article, "Virtual care is convenient, but is it better for everyone?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 15, 2022
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How long will it take to address clinical inertia in T2DM?

"It’s been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and when it exists across the treatment paradigm. Every year, scores of information cross HCP’s desks on clinical inertia, but when it comes to your patients, how do you determine whether your decisions to delay treatment intensification are clinical inertia or 'appropriate inaction?' And what about obesity? Individualizing treatment targets for patients with diabetes requires a comprehensive approach to minimize associated morbidity and mortality. Because most patients with T2DM are overweight or obese, effective glucose control and weight loss are needed to reduce cardiovascular risk factors and other complications of T2DM. However, misconceptions about the causes and mechanisms of obesity, and the false assumption that patients can manage their weight with simple behavioral modifications, contribute to ongoing clinical inertia in patients with diabetes." Visit the CME activity and Clinical Inertia Assessment Tool. Donna Ryan is professor emerita at Pennington Biomedical in Baton Rouge, LA. Robert Kushner is professor of medicine and medicine education at Northwestern University Feinberg School of Medicine, and director of the Center for Lifestyle Medicine in Chicago, IL. This episode is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years. Visit the CME activity and Clinical Inertia Assessment Tool.
June 14, 2022
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Eating disorder myths debunked

"When people think of eating disorders, the image is often of an emaciated, white teenage girl in the hospital hooked up to feeding tubes. In fact, eating disorders are varied in how they present in a person, and they certainly do not 'look' a certain way. Eating disorders occur in all cultures, ethnicities, age groups, genders, and socioeconomic groups. Eating disorders do not discriminate. So, no, eating disorders do not 'look' a certain way, and you cannot tell by looking at a person if they for sure have an eating disorder." Melissa Geraghty is a psychologist and can be reached on Twitter @mindfuldrg. She shares her story and discusses her KevinMD article, "3 eating disorder myths that health care professionals should debunk." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 13, 2022
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Gender inequality is making burnout worse

"If we want to alleviate the fatigue and frustration women physicians are experiencing, we can always start by solving two old problems: (1) All doctors need fewer bureaucratic tasks forced upon them, and (2) women physicians must be able to work in environments free of harassment and discrimination. There’s yet another solution that must come from outside the workplace. The spouses and partners of women physicians must confront any gender inequalities that may exist within their relationship. It would be impossible for anyone to work eight extra hours each week at home — on top of a busy work schedule — without experiencing greater exhaustion, cynicism, and feelings of detachment (a.k.a. burnout). We know from the data that occupational burnout harms personal relationships. If not addressed, it will continue to add stress to doctors’ home lives. But physicians must also recognize that gender inequality at home strongly contributes to burnout in the workplace. It, too, must be addressed." Robert Pearl is a plastic surgeon and author of Uncaring: How the Culture of Medicine Kills Doctors and Patients. He can be reached on Twitter @RobertPearlMD. He shares his story and discusses his KevinMD article, "Gender inequality is making burnout worse." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 12, 2022
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Thoughts of a retired physician

"COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care. Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our communications to flow without interruption, and maintains most of our transportation systems, even though many of us have fewer places to go. Our elected and appointed officials went to work, most no smarter or less contentious than they were before, but emergency support came through in the form of research subsidies to enable better treatment and prevention, mass purchases to enhance lab capacity, and for many an emergency boost to available personal funds. Heroes all, except for the ones you see on TV that you wish to exclude." Richard Plotzker is an endocrinologist who blogs at Consult Maven. He shares his story and discusses his KevinMD article, "Doctors as organizational stewards." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 11, 2022
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Nurses are struggling in isolation

"It’s apparent to most that the dark clouds and stormy waters in the business of health care continue. There is much that needs attention from both health care workers and consumers. We have learned that when we work together, strength, creativity, and energy multiply exponentially. We need to move forward and create a sustainable and caring health care system. We can accomplish this by joining together and acknowledging our struggles, sharing and learning from them. The next step is key to change — we must take those narratives of drowning and shift their energy in a positive direction. We need to help each other start swimming toward a vision for the future of healing. Just think about it; what are the possibilities? No dream is too big or too small. Put it out there. You may be surprised at what sticks. And who knows better than you, the working nurse?" Beth Quaas is a nurse practitioner. She shares her story and discusses the KevinMD article, "A tale of 2 nurses." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 10, 2022
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A psychiatrist presenting emotion

"Many families still prefer their providers to wear a mask. I have no way to know who carries what political or health views around their mask-wearing. Their masks were off, and mine was on. When I asked them for their preference of whether they feel comfortable with me wearing a mask or not, the parent’s response was: 'Whatever you want. It doesn’t really matter.' But it does matter. Doesn’t it? It matters if you feel comfortable and safe. It matters if I am an agent of viral infectivity. It matters if you want to be able to read my emotions as much as I need to read yours. It matters if your child has autism, is hearing impaired, or even if English is your second language. It matters if we want to 'get back to normal.' But for all the reasons listed above, I find that I don’t want to lift my mask just yet. Given a choice, I find myself behind the mask still. At least, for now, this continues to give me the semblance of safety: to wear my heart on my sleeve and my emotion on my face. I will not feel guilty about this. I am just a psychiatrist presenting emotion. PPE for me. Shivana Naidoo is a child psychiatrist. She shares her story and discusses her KevinMD article, "PPE: psychiatrist presenting emotion." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 9, 2022
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A physician's infertility story

"My IVF baby turns 12 this week — and having attempted frozen and fresh IVF cycles six years ago, which did not result in pregnancies — I can also hold tenderly the space for those who have heard those words, 'Only one child?' Yes. Only one. Only one, magical, amazing, child destined to be ours. How blessed am I? Our thoughts are so very powerful, and I would like to leave you with these thoughts: You are not broken. You never were. Be gentle with yourself." Dympna Weil is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "A physician’s infertility story." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 8, 2022
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Burnout follows from physician to wellness director

"Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of faculty wellness at one institution and the director of wellness at another. This “’final” evasive strategy, working on physician wellness and resilience. Over the years, I have increased the number of disclaimers in my talks: “I know that the system must change, and until it does, here are tips for your own individual resilience.” I have tried to impress upon administrators the need to improve staffing, workflow, and documentation requirements. I understand the constraints. There are statewide and nationwide policies. There are requirements set by payors. I am certain that the impact of policy decisions is often not understood by those creating them. I feel that the fundamental structural flaws must be addressed: a daunting task." Claudia Finkelstein is an internal medicine physician. She shares her story and discusses her KevinMD article, "Burnout follows from physician to wellness director." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 7, 2022
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Patient care is not a spectator sport

"Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical tool. The approach itself is not nearly as important as the discipline to use a formal approach. One approach, for example, is a simple, proven framework that, on average, leads to a significant reduction in the time to resolve problems. " Jim Sholler is a consultant and author of Solved in 7: The Power of Disciplined Problem-Solving. He shares his story and discusses his KevinMD article, "Patient care is not a spectator sport." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 6, 2022
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The Great Resignation is a great opportunity to renegotiate physician employment contracts

"There are numerous ways your contract (and your life) can be made better. If you do not want to do it for yourself, do it for your patients. A burned-out physician will not give those patients the same quality of care as a reasonably rested physician would give. For the sake of your patients, please renegotiate your contract!" Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "The Great Resignation is a great opportunity to renegotiate physician employment agreements." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 5, 2022
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How to solve burnout with communication

"How does it work? We teach people to speak to one another’s values. Have you heard of listening to answer vs. listening to understand? Well, we take that one step further. We teach first to use personality science to find the values of everyone around you, then listen to, and speak to their values. Don’t speak in your code of values. Speak in the code of values of the other person. Do you know what this does? First, it makes the other person feel valued. Secondly, it causes you to place more value on that person. You value them more as a person! This is huge. We spend a lot of time on just this concept. This alone can turn a dysfunctional physician into a leader." Nanette Nuessle is an obstetrician-gynecologist and physician coach. She shares her story and discusses her KevinMD article, "The relationship between communication and burnout." More information about the BANKCODE personality report. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 4, 2022
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Military and medicine: shared risk factors for eating disorder development

"To reduce eating disorder risks and to support those who may be suffering in silence, we need to keep talking and promote awareness of the issues while clarifying long-held misconceptions about eating disorders. We can’t help those who do not feel able to speak up. We can’t help people that speak up and can’t access treatment. We can’t help when we constantly contribute to the problem through the cultures we create and perpetuate. With awareness of these concerns, we must use our voices to improve the culture of medicine and the military, including combating harmful messages around weight that instill shame and avoidance while lacking evidence-based rigor to back up their claims. We must reduce mental health stigmatization and the shame associated with asking for help. We must create psychological safety to talk about the hard things and end anyone’s suffering in silence." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "Military and medicine: 10 shared risk factors for eating disorder development." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 3, 2022
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How reversing Roe v. Wade will affect physicians and patients

[arve url="https://youtu.be/sIv0XnrrzPU" /] "These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those who have been denied fair treatment. Going backwards only infringes our ability to pursue life, liberty, and the pursuit of happiness. Future laws that could be overturned include Griswold v. Connecticut, protecting the right of marital privacy against state restrictions on contraception. As an experienced physician with a strong interest in patient safety, I feel the need to educate our patients about potential changes in their health care because of this possible decision and ask for their partnership in getting out the vote for candidates that would support women’s rights. Time is of the essence." Susan Mann and Haywood L. Brown are obstetrician-gynecologists. They share their stories and discuss the KevinMD article, "Reproductive and abortion care is health care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 2, 2022
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A call to dismantle structural heteronormative care

"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to share and reflect on our experiences — especially when we were clearly incompetent. There are a number of systems in place that reinforce structural heteronormative care. We need to identify these structures and work to make them more inclusive. The confines of iPLEDGE are exemplary of the problem — the health care system is structurally heteronormative." Naila Russell is a nurse practitioner. She can be reached on Twitter @nailarussell. She shares her story and discusses her KevinMD article, "A call to dismantle structural heteronormative care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
June 1, 2022
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A story of a good death

"We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps more important these days is that our physical presence is less important than the voices that whisper through space and time into their ears, hearts, and souls, saying that we are, truly, here. It may not be much solace, but it’s all we have." Carol Ewig is a retired teacher who blogs at Teaching-365.com and can be reached on Twitter @carol_ewig. She shares her story and discusses her KevinMD article, "A story of a good death." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 31, 2022
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Why is it hard to find grace in medicine?

"We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture. Peer review. Physician health and wellness committees. Social events. CMEs about burnout. Burnout surveys. State-run physician health programs. These have positive impacts. But what else? When we go home and collapse on the couch, wondering what happened to that pre-med we used to be, the one who rejoiced at the acceptance letter to medical school, thinking the hard part was over. Naive? Yes. But there is beauty in that innocence. How do we find that joy in the privilege we have to be health care professionals? How do we love medicine again?" Marsha Hamner is a hospitalist. She shares her story and discusses her KevinMD article, "Why is it hard to find grace in medicine?" Suggested reading: The Case for Grace: A Journalist Explores the Evidence of Transformed Lives Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 30, 2022
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How to maintain your relationships during nursing school

"Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant others. Now, I am referring to romantic relationships here, but the same concept also applies to friendships. I’ve put together a list of tips from my own experience to hopefully give some advice and encouragement to future, current and even past nursing students. I was dating, planned a wedding, got married, moved and had a baby all through my years of nursing school. And yes, I’m still married, so I must have done something right." Amanda Lundberg is a nurse. She shares her story and discusses her KevinMD article, "How to maintain your relationships during nursing school." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 29, 2022
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Why Congress should extend acute care at home waivers

"More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further analyze these programs’ results to determine the future for this person-centered care model. The movement from inpatient to in-home acute-level care started long before COVID-19, and the pandemic accelerated it. Congress should extend the acute care at home waivers to ensure these innovative and patient-centered programs continue for those who rely on them." Stephen Parodi is an infectious disease physician and health care executive. He shares his story and discusses his KevinMD article, "The public health emergency brought health care into the 21st century. Let’s keep moving forward." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 28, 2022
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Health care communications during the pandemic era

"At the interpersonal level, people can help to normalize vaccination as the standard among their friends and family–not by lecturing or hectoring, simply by openly sharing that they themselves are vaccinated. Health care providers also have a role to play in de-sensationalizing the issue and making discussions about COVID vaccination a more routine part of their standard practice. Even as the U.S. looks forward to a summer of possibility, the true end of COVID is still a long way off. The virus will continue to evolve, perhaps in unpredictable ways. Science has done the heavy lifting to create an extraordinarily effective vaccine; it will take individuals adapting to social norms to keep those defenses working." Stefanie Demetriades is a communications researcher. She shares her story and discusses her KevinMD article, "Done with COVID? Not so fast." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 27, 2022
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Practicing medicine as a Deaf physician is an uphill battle

"No one anticipated how the pandemic would impact their Deaf colleagues’ work environment and career opportunities. Yet, 15% of adults report some form of hearing difficulty. This number increases dramatically with advancing age, with 50% of those aged 75 years or older experiencing hearing difficulty. The exact number of Deaf/Hard of Hearing (DHH) physicians and other health care providers is unknown. However, according to the Association of Medical Professionals With Hearing Losses, the numbers have increased over the past few decades. This increase is in part due to legislation (such as the Americans With Disabilities Act of 1990) and evolving technologies (such as electronic and visual stethoscopes and speech-to-text applications). Although these changes have enabled more DHH professionals to work in health care, none was sufficient to address the COVID-19 pandemic’s effect on DHH physicians. I grieved this change in my life. I could not rely on my usual communication methods to understand people. To succeed in this new reality, I had to advocate for full-time interpreters at work to treat my patients, urgently help a colleague with their shift, or attend a last-minute meeting. I needed to select skilled, compatible interpreters while consciously redesigning my work environment to consider their needs, methods, and availability." Carolyn Stern is a family physician. She shares her story and discusses her KevinMD article, "Practicing medicine as a Deaf physician is an uphill battle. COVID makes it worse." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 26, 2022
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Non-profit work and exploring the life of a pathologist

In this episode, we talk to pathologist Hoda Zeinab M. Amer who discusses her work with non-profits, along with her book detailing the behind-the-scenes lives of pathologists. We also open the proverbial black box of pathology and she explores the traits interested students should have if they pursue the field. Hoda Zeinab M. Amer is a pathologist and author of Animals of Undetermined Significance. She shares her story and discusses her KevinMD article, "Scenes from a pathology resident’s day." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 25, 2022
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Are you financially cheating on your spouse?

"If you have never heard the term 'financial infidelity,' it doesn’t mean you don’t know what it is. In fact, according to a recent creditcards.com survey, 32 percent of respondents have financially cheated on their partners. Both finances and cheating can be complex subjects to discuss, even with and, sometimes especially with, those closest to you. Not surprisingly, this topic is pertinent to physicians and dentists because they tend to have more money available. In hopes that if there are any seeds of financial secrecy in your relationship, you can identify them, you can admit it, and you can begin to weed that garden of your relationship before it gets out of hand. And if you see financial infidelity or the signs of it in a close friend or family member, perhaps you’ll be better equipped to help them make decisions to strengthen their relationship instead of destroying it." Shane Tenny is a certified financial planner. He shares his story and discusses his KevinMD article, "Financial infidelity: It’s not about the money, it’s about trust." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 24, 2022
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Will Smith’s slap is a trauma response

"As physicians, we are masterful at suppressing so many of our emotions, and the thoughts and memories associated with them. However, trauma has a way of impacting us in great big obvious ways (as we saw with Will Smith), and not such obvious ways (perfectionism, workaholism, lack of boundaries). I’m not suggesting any of us go unearthing swaths of past trauma. Simply be aware that it may be impacting you in ways you recognize and have yet to address, or in ways you never quite thought of as being associated with trauma. And, if needed, allow yourself to get the support you need by working with a trauma-informed therapist, trauma-informed coach, or other trauma-informed specialist." Melissa Hankins is a psychiatrist and physician coach. She shares her story and discusses her KevinMD article, "Will Smith’s slap is a trauma response." This episode is sponsored by Pattern, physician disability and life insurance made simple. Shopping for disability insurance can be complicated and time-consuming. Wondering if you are getting the best prices and discounts while in training can make the process even more overwhelming. Pattern believes doctors have more important things to do than spend hours sorting through numerous insurance options. This is why thousands of doctors trust Pattern to help them compare and understand the insurance they are buying. They do this in three simple steps: First, request your quotes online. Second, compare your options and ask questions. And third, secure your policy. Be confident that you have the right policy so that your income is protected. With huge discounts for doctors in training and fewer requirements on labs and physicals, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com.  Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 23, 2022
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A burnout coach saved my medical career — and possibly my life

"I almost quit my job in 2014. I didn’t like my life, and I didn’t like myself. I had a lot of problems personally and professionally, and I wondered if I was good enough to solve them. I often felt weak and powerless. People were coming to me for answers, but I sometimes felt like a fraud. My usual strategies of working harder and reading more books weren’t helping me, and I knew it, but I didn’t know what to do. I felt frustrated, angry, sad, tired, and lonely. All I knew was I wanted these feelings to go away. And then I would shame myself for feeling this way. I kept asking myself: What is wrong with you? Brett Linzer is an internal medicine-pediatrics physician. He shares his story and discusses his KevinMD article, "A burnout coach saved my medical career — and possibly my life." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 22, 2022
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Why I help physicians write

"Physicians have a deep well of experiences to draw from in their writing. They witness dramatic episodes of heroism, cures, disappointments, and failures. They see unforgettable scenes, hear devastating words, make difficult decisions, and observe people at crucial moments in their lives. Most importantly, they witness the power of cause and effect – one action producing a resulting action – a building block of fiction, nonfiction, and poetical narratives. Great writing comes out of these experiences. The stresses of the COVID pandemic intensified the need for my students to creatively express themselves. There is more to medicine than science, and physician-writers can feel their doctoring strengthen as they synthesize and imagine experiences and explore on the page what it means to be observant, compassionate, and curious. They regain their original purpose in pursuing medicine as a profession. Complementing their grounding in science, they reclaim their grounding in humanity." Jack El-Hai is a writer and creative writing coach. He shares his story and discusses his KevinMD article, "Why I help physicians write." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 21, 2022
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A physician’s story of dissociative identity disorder

"I had no recollection of this, but as I processed what Yael said, my response was the opposite of what one might expect—I felt tremendous relief! I was happy. My pain had a name and hopefully that meant that I could get well. I was a doctor, and I knew well that the first step toward treatment is a diagnosis. I was determined to approach DID the way I had most things in my life—medical school, marriage, mothering, and advocating for women’s health care—with passion and an intensity of purpose." Shelley Kolton is an obstetrician-gynecologist and author of Brain Storm: A Life in Pieces. She shares her story and discusses her KevinMD article, "A physician’s story of dissociative identity disorder." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 20, 2022
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Infertility treatment's hidden costs

"Looking to the future, since I only froze one embryo and my ovary reserve is diminishing, we are hoping to go through another infertility treatment cycle. Although, once again, the medications are once again being denied. Infertility is just like any other mental or physical health condition and should be fully covered, including pharmaceutical, medical, and surgical treatment. As data suggests, 1 in 4 female physicians will experience infertility, which is twice the general population’s rate, which is 1 in 8 women. The reasons for the increase in infertility include significant stress levels during the education and profession, deferred family planning, and long hours of medical careers. Like myself, Black and Latinx women have higher risks of experiencing infertility, not explained by biological differences but by social inequalities and disparities in health." Stephanie E. Moss is a medical student. She shares her story and discusses her KevinMD article, "The hidden costs of fully covered infertility treatment." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 19, 2022
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Make technology work for doctors

"I know many physicians are already maxed out. Technology can make that worse. As soon as you introduce what will be perceived as new obstacles to moving from A to Z, all they’re going to think is, “I can’t do what I need to do. I’m exhausted and I’m behind. And now you’re introducing seemingly arbitrary expectations and steps with new tech, and you’re just sitting there with your arms crossed, shaking your head at me?” That further exacerbates this feeling of a loss of autonomy, a feeling that you’re not appreciated, a feeling that there’s no respect for efforts. Look at all of the accepted definitions of burnout, and it makes it worse. But I’m not here to burn you out. I’m here to say that your voice is valuable, and there are very real ways to positively influence the strategy, adoption, and ongoing maintenance for technology you depend on as a physician." Rodrigo Martínez is an otolaryngologist and health care executive. He shares his story and discusses his KevinMD article, "Here’s a crazy thought: Make technology work for doctors." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 18, 2022
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Only patients can save U.S. health care

"Having a physician partner who knows us well, who we can trust, and whose judgment we value exponentially increases the odds of accurately making the distinction between self-limited illness versus a significant disease process. This will also assist us in navigating the health care system such that we receive only that testing and treatment that is appropriate for our individual situation. Just imagine how much better we would have fared in the U.S. had our individual responses to the COVID-19 pandemic been guided by trusted and qualified medical experts. To make this novel partnership more feasible, I would propose at minimum an immediate 50 percent increase in the rate of pay for both adult and pediatric primary care physicians, thus encouraging more new physicians to choose those professions while allowing for more time for physicians and patients to spend together." Drew Remignanti is an emergency physician. He shares his story and discusses his KevinMD article, "Only patients can save U.S. health care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 17, 2022
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Are my coping skills a result of my emergency medicine training?

"We’re encouraged to mentally rehearse life-saving procedures for conditions that occur so rarely we might go our entire career without performing them. And the reality is that I could spend every minute of my free time this way and still have an unexpected situation arise during my next shift. So, is there a way, as experts in disaster preparedness, to accept what we cannot control? Thankfully time, medication, and therapy helped me out of a very dark place, and the journey has prompted me to reconsider my priorities. Tessa and I only meet about once a month now. With her continued help, I’m hoping to find a way forward in the specialty I love, but with the understanding that I’m no longer willing to sacrifice my own mental wellness." Adrienne Van Curen is an emergency physician. She shares her story and discusses her KevinMD article, "Are my coping skills a result of my emergency medicine training?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 16, 2022
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Residency interviews and the inner muse

"Have you ever wondered how many times death has not come, but could have? On the corner of Church Street and Dubuque how close was I, pausing to assess an ice-sheeted puddle just before a woman turns, her head turned too, searching for what? A snack? A phone? A child crying? The summer I almost drowned, my mother said no you will not, and I did not. Hotel pool, a single cool eye seeking, floaters upstairs in the room. Every backseat I slid into under the cloaks of dark and youth and rebellion with every driver that palmed the wheel like a dare—I will not be struck down tonight. How many near-deaths have I walked towards without hesitation, another door, another elevator another escalator on its way up. And now—every mouth and nose just a house for fear. Oh, but how I dare to smile." Liana Meffert is a medical student. She shares her story and discusses her KevinMD article, "It goes without saying: a residency interview." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 15, 2022
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 A patient explains the reasons behind doctor hopping

"Oh no, it’s a doctor hopper. You know who I’m talking about: the patients with twenty previous doctors documented in their chart. The ones who took years to be diagnosed. The ones who still have not been diagnosed, but insist something is wrong. They’re just jumping around until they get their way, you seethe. Really? Every doctor’s appointment is a commitment of time and money for a patient. I think I speak for a lot of us when I say that we’d greatly prefer it if things went right the first time. Unfortunately, that’s not always the case. If one of your patients has hopped, instead of immediately assuming they’re a problem, consider this: they’re trying to find the help that will allow them to stop hopping." Denise Reich is a patient advocate. She shares her story and discusses her KevinMD article, "How about those doctor hoppers?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 14, 2022
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Listening to the doctor's heart

"A few months ago, I embarked on an ethnographic study to understand what health care professionals saw as the psychosocial needs of pediatric patients. This involved conversations with several doctors in Pakistan, who had volunteered to share their views about pediatric patient care. As I engaged in deep, organic discussions with my interlocutors, I found doctors willing to explore personal experiences which had left indelible memories. I had somehow tapped into a need for them to reflect on their own struggles to gain trust, counsel, and understand patients psychologically and the impact this had on them. An unexpected by-product of my research was that I had created a safe space for doctors to unpack their emotions. While they appear clinical and detached, doctors have a heartbeat that races when they share personally meaningful stories about their work in rare places where they feel completely comfortable." Maryam Chloé Pervaiz is an anthropologist. She shares her story and discusses her KevinMD article, "Listening to the doctor’s heart." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 13, 2022
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Inside the mind of a medical novel writer

In this episode, we talk with writer Dustin Grinnell. He takes us behind the scenes on his ideas for his books, his research process, and how he brings medical stories to life. We also delve into the realm of speculative fiction, and how that intersects with medicine, technology, and ethical dilemmas. Dustin Grinnell is a writer. He shares his story and discusses his book, The Empathy Academy. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 12, 2022
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COVID-19 and the Great Resignation: a catalyst, not the cause

"The Great Resignation. I doubt there is a medical practice out there that has not been affected by it. And experts predict we are just at the beginning. The U.S. Bureau of Labor Statistics’ early data from 2022 shows that health care is among the top three industries increasing in monthly “quit rate,” second only to accommodation and food services. 2.6 million health care workers quit their jobs from May to September 2021, and 1 in 5 physicians plan to leave their current practice in the next two years, according to a survey funded by the American Medical Association. So this is likely the tip of the iceberg." Jessica de Jarnette is a family physician. She shares her story and discusses her KevinMD article, "COVID-19 and the Great Resignation: a catalyst, not the cause." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 11, 2022
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Jim Dahle, MD and the White Coat Investor

In this episode, I interview Jim Dahle, creator of the White Coat Investor. He has literally created a new asset class of content: the health care professional personal finance space. He discusses how he got his start with the White Coat Investor, why his message still resonates today, and how financial literacy can combat burnout. He then moves on to his take on real estate and cryptocurrency. Finally, we end by discussing his most recent book on asset protection. James M. Dahle is an emergency physician and founder, the White Coat Investor. He is the author of The White Coat Investor's Guide to Asset Protection: How to Protect Your Life Savings from Frivolous Lawsuits and Runaway Judgments. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 10, 2022
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We are not defined by what we eat

"I propose that we look at what each choice in food does for us: How does it make my body feel? How am I able to sleep and move and focus when I eat this food? How am I giving my body what it needs right now and what will keep it strong over time? And, how is this food the perfect one that my body needs right now? Eating the food that fuels aspirations and performance is much better to produce positive change than fueling shame, guilt, and misery. As we practice doing better, we will find ways to help ourselves and our communities create the habit of positive change. Because you are not defined by what you eat." Wendy Schofer is a pediatrician. She shares her story and discusses the KevinMD article, "We are not defined by what we eat." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 9, 2022
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Who will heal the physician?

"Medical errors exist at the far end of a continuum of unexpected events in clinical practice and they are devastating for all involved. Even when care is attentive and patient compliance perfect, unexpected outcomes occur in medicine. Unanticipated diagnoses, delays in diagnosis, premature death — these are all included in the realm of “unexpected events” even if nothing has gone “wrong” in medical care. These events cause physicians to suffer self-doubt, worry, shame and guilt, sometimes exacerbated by the magnitude of the event, the temperament of the clinician and the institutional climate in which these events occur." Eliza Humphreys is a pediatrician and certified life coach. She shares her story and discusses her KevinMD article, "Who will heal the physician?" 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
May 8, 2022
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What we need to know about environmental toxins

"Even low dose mercury toxicity can be harmful to human health in a variety of ways: enhanced free radical stress, reduced glutathione levels, increase in apolipoprotein E g4 genotype expression, promotion of neurofibrillary tangles and altered immune sensitivity. It has been implicated in contributing to autism, Alzheimer’s disease, Parkinsonism, and even lupus erythematosus, an autoimmune disease that may have neurologic involvement. Mercury toxicity has been reported as an occupational risk to dental staff, goldminers, and chloralkali factory workers. My father, a dentist, developed neurological symptoms of mercury poisoning after handling many dental amalgams, so I have some firsthand experience with its danger. Even in remote parts of the world like the Amazonian basin evidence of neurotoxic levels of methyl mercury contamination has been observed. Testing adults in a remote village on the Tapajos River, investigators found that loss of manual dexterity and visual contrast acuity correlated with mercury levels even in a range considered non-toxic." Arnold R. Eiser is an internal medicine physician. He shares his story and discusses his book, Preserving Brain Health in a Toxic Age: New Insights from Neuroscience, Integrative Medicine, and Public Health. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 7, 2022
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Finding meaning with medical missions

"One initiative that more administrators should support is global medical outreach. The ability to practice pure medicine, like the neighborhood doctor from long ago, renews a love for the vocation that physicians sought when they first entered medical school. Humanitarian outreach will help reinvigorate physician workforces immediately, allowing physicians to have the opportunity to treat patients who are overwhelmingly grateful for the care provided while also teaching local partner doctors dedicated to changing the lives of adults and children in their own community. Meaning in medicine can be found again. I know, it happened to me." Danielle Sweeney is a pediatric urologist. She shares her story and discusses her KevinMD article, "I left medicine. Then I found meaning." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 6, 2022
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What patients need vs. what patients want

"Patients want more than simply learning about a problem and how to treat it. Patients want reassurance. While I summarized the proposed surgical treatment, I watched for signs of anxiety or lack of understanding. Ultimately, my patient wanted to have confidence that I was the right person for the job and that I would do whatever was necessary to make things turn out well. I believed that delivering the message personally was important. I was both providing knowledge and gaining trust as I described the surgery and its potential risks and benefits. It has been well documented that patients facing surgery may remember only half of what they have been told ahead of time. Given that statistic, even if patients cannot recall many details, I hoped that my patients felt comfortable that their questions had been answered, that surgery was indicated, and that they were in good hands. I was reminded of the aphorism: 'They may not remember what you said, but they remember how you made them feel.'" Paul Pender is an ophthalmologist and can be reached at his self-titled site, Dr. Paul Pender. He shares his story and discusses his KevinMD article, "The dichotomy of patient needs and patient wants." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 5, 2022
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Understanding your medical malpractice insurance policy

"Arguably one of the most overlooked yet incredibly important aspects of your malpractice insurance policy is the Consent to Settle Provision. You’re paying thousands of dollars a year for your malpractice insurance; you should have a say in how your claims are handled, don’t you think? Today we’re going to talk about the consent to settle provision – why it’s important, how carriers can limit you, and what you can do to ensure that you’re in the driver’s seat for the handling of your malpractice claims in the future. One of the most important features of a malpractice insurance policy is the consent provision, which gives you the authority to settle (or not settle) a claim that you are involved in. While this may feel like it does not concern you now, it could make a huge difference if and when you are involved in a malpractice case in the future." Jennifer Wiggins is a health care executive. She shares her story and discusses her KevinMD article, "Understanding consent-to-settle in your malpractice insurance policy." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 4, 2022
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Mental illness and suicide: a physician's story

"Sufferers of mental illness often believe that others feel they have control of their symptoms, only having to decide to not be, for example, depressed. While they themselves suffer the symptoms of mental illness, they often have the feeling that they should be able to control them. Depending upon their experience, the observer of the mental illness sufferer believes that the patient can decide to some extent to not feel the symptoms. Others feel that the mental illness sufferer is somehow to blame for their suffering. When observing someone with mental illness, the examiner does not see signs referable to the condition. Information concerning the patient’s clinical condition consists entirely of symptoms and must be related to the clinician. There are no true signs of mental illness, but rather feelings; conditions that are inside, and hence invisible to everyone else. This invisibility leads to feelings of isolation and the destructive feeling that their suffering is by the fault of themselves." William Lynes is a urologist. He shares his story and discusses his KevinMD article, "The invisibility of mental illness." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 3, 2022
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Permission to burn the manual

"I started planning my escape in late 2020. I would find a way to quit health care, to cease being a practicing physician altogether. Living the life of a doctor-mom, I felt consumed with daily obligations and duties. Guilt plagued me for feeling burdened by this life, for feeling it was a monotonous prison. The guilt soon transformed to anger. I was not showing up to my life in a meaningful way. I held many limiting beliefs that blocked me from change. How did I get here? A child’s dream of becoming a doctor sustained me into adulthood. The dream was an all-encompassing mass-like occupancy in my brain with space for few other dreams. Upon becoming an attending, my dream was realized, but I found myself with a huge void where this space-occupying lesion once lived. Now what? In the absence of childlike wonder, it did not occur to me to create new dreams." Cathi Whaley is a hospice and palliative care physician. She shares her story and discusses her KevinMD article, "Permission to burn the manual." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 2, 2022
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A physician's personal great resignation

[arve url="https://youtu.be/zLwQXYSs5eo" /] "Before retirement, I switched everything I cared about to my personal one and unsubscribed to everything I didn’t care about. For the first few months, I religiously checked my work email. Sure, I was missing important information. I finally weaned myself like a reluctant nursing baby. On the rare occasions I check my work email, it has spam, irrelevant ads, missives from my previous employer about meetings or new incentive plans I care nothing about. In contrast, my personal email has lunch invitations from friends and interesting articles from Smithsonian, National Geographic, Atlas Obscura, and NY Times. Don’t get me wrong. I still read the frequent emails from the pediatric hospitalist listserv, a very busy means of communication for the nation’s pediatric hospitalists. It helps me stay up to date on new therapies and new issues in pediatrics. But most of my emails now evoke pleasure, not duty." Ann F. Beach is a pediatric hospitalist. She shares her story and discusses her KevinMD article, "A physician’s personal great resignation." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
May 1, 2022
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Why selling will make you a happier doctor

"Patients look to providers for guidance, wisdom, and hope. When patients receive a new chronic disease diagnosis, it can feel terminal to the layperson. Even pre-diabetes is traumatizing to an otherwise healthy adult. We must not underestimate the power of our words. Learn to see selling as a key skill to develop. As with other skills, it gets easier the more you do it. When you have the know-how and enjoy selling, you will have more belief in yourself, your patient, and the treatment/healing process. You reconnect to your purpose and share the gifts only you have. You live life with ease and joy. You feel better. Patients do better. Everyone wins." Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, "Why selling will make you a happier doctor." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 30, 2022
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Don’t be in a hurry to fast

"There is a lot of confusion and outright falsehoods about fasting. You can search the internet for clarity and end up more confused than when you started. The fact is, fasting can be a very effective tool to improve your metabolic health, increase insulin sensitivity and help you lose weight. But, who should and shouldn’t use fasting for weight loss and how long to fast for effective weight loss are questions that need to be answered before you rush into fasting. The main thing to consider is to what end? What’s your why?" Karla Lester is a pediatrician. She shares her story and discusses her KevinMD article, "Don’t be in a hurry to fast." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 29, 2022
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Inhaler nonadherence and social determinants of health

"In St. Louis, asthma is the greatest health care inequity, with African-American children having an incidence rate greater than 10x that of white children. Children in St. Louis are afflicted by rates of asthma 3x higher than that of the national average, and asthma is currently the leading chief complaint at St. Louis Children’s Hospital. Underserved communities face a multitude of issues that exist beyond the medical aspects of health care. And unfortunately, asthma is not only an issue due to its accompanying signs and symptoms, but for its pertinence well beyond its pathology." Tejas Sekhar is a graduate student. He shares his story and discusses his KevinMD article, "Inhaler nonadherence and social determinants of health." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 28, 2022
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Listening to pain in our younger patients

"As a family physician for more than 40 years, I have seen countless patients struggling to alleviate chronic pain, with far too many turning to self-destructive coping methods such as alcohol and opioids. Unfortunately, the struggle with chronic pain isn’t going away – and more alarming is the fact that those suffering from it are getting younger and younger. The latest data on chronic pain show patients between age 18 and 34 are reporting the most chronic pain, and they are desperately seeking relief. It’s our job as physicians to help them. Right now, we may be failing." Resources mentioned in the show: Healing Oriented Practices & Environments Wayne B. Jonas is a family physician. He shares his story and discusses his KevinMD article, "Listening to pain in our younger patients." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 27, 2022
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A deep passion for palliative medicine

"COVID has brought us new challenges and a genuine opportunity to be part of the critical response to optimize the care we deliver not just to our patients but also to their families and caregivers. I am lucky, blessed to do this work every day and carry such a deep passion. We are making a difference and impacting care in positive ways. We support not only patients, families, and caregivers but also each other, our colleagues, and other members of the health care teams. We are all in this together — a shared commitment for assuring humanity in medicine. And each day, we hope that our eyes will see the best in people, our hearts forgive the worst, our minds forget the bad, and our souls remain ever steadfast in our faith, commitment, and love for this sacred medical work we are so lucky to do." Patricia M. Fogelman is a nurse practitioner. She shares her story and discusses her KevinMD article, "A soul that never loses faith." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 26, 2022
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Advocating for a sick parent by confronting physician bias

"I spent the first three days sitting next to my dad’s hospital bed, watching his chest rise and fall slowly. He was asleep the majority of the time, fighting off something unknown. Anytime he moved, I jumped up from my chair and stood where he could see me just in case his eyes fluttered open for a split second. I wanted him to know that I was there, that I cared. I sat for hours listening to the unfamiliar noises in the room, like the IV pump, which sounded like a miniature helicopter hovering nearby. As the doctors and nurses came in and out of his room, running tests, trying to figure out what was wrong, I repeatedly had to say to them, 'This is not his normal. He has late-onset Huntington’s disease (HD).'" Erin Paterson is a writer and the author of All Good Things: A Memoir About Genetic Testing, Infertility and One Woman’s Relentless Search for Happiness. She shares her story and discusses her KevinMD article, "Advocating for a sick parent by confronting physician bias." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 25, 2022
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What clinicians need to know about psychedelic medicine

"What these substances have in common is that they are widely considered to fall into the category of psychedelics. What else they have in common is that the vast majority of us physicians learned nothing about them in medical school or residency, as most psychedelics are classified as Schedule 1 substances, which suggests they have no currently accepted medical use and pose a high potential for abuse. With these psychedelic-based therapies, clinicians are now presented with options to help patients who haven’t benefited from traditional treatments. These therapies are vastly different from current medical models in that there is generally no pill to take every day, and some treatments need to be done only one or two times to have a lasting effect. As some psychedelic therapies are already available, and more are coming soon, now is the time for us to get up to speed on what these psychedelic medicines are, how they work, what conditions they may be able to treat, how they interact with other medications, possible dangers, and what our role may be in facilitating patient access to these medicines." Lynn Marie Morski is a physician, attorney, and president, Psychedelic Medicine Association. She shares her story and discusses her KevinMD article, "What doctors need to know about psychedelic medicine." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 24, 2022
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How much time do physicians spend in the EHR?

"Greater demands in the U.S. for billing and regulation-related documentation contribute to the excess time burden of EHR systems compared with other countries. A high volume of clinical alerts and other distractions in the EHR, as well as various other inefficiencies (such as locked computer screens and repetitive sign-in requirements), encumber physicians as they navigate the EHR. As a result, physicians can spend half of their total EHR time on clerical and administrative tasks, and another quarter on inbox management. Only half of a doctor’s day remains for direct clinical interactions with patients. Physicians spend about one-fourth of EHR time outside the clinical session. The essential lesson from this EHR evidence is that the time burden it imposes on physicians is substantial in the U.S., occupying hours that could otherwise be spent building truly meaningful relationships with patients (not “meaningful use” metrics!) and providing quality care.' James G. Kahn is a health policy professor. Thrisha Gogineni is a student intern.  They share their stories and discuss the KevinMD article, "How much time do physicians spend in the EHR?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 23, 2022
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How to cope with pandemic fatigue

"The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade against the pandemic, has created a new branch of emotions for health care workers towards unvaccinated patients or those with vaccine hesitancy. The empathy we are often expected to have without fail can be difficult to maintain in the face of these new challenges. Nonetheless, COVID-19 persists. We owe it to ourselves and our patients to find ways to deal with these complex emotions." Masood R. Mohammed is an emergency medicine resident. He shares his story and discusses his KevinMD article, "How to cope with pandemic fatigue." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 22, 2022
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Tips for delivering difficult pediatric diagnoses

"I remember our first day in the cystic fibrosis clinic like it was yesterday. I cried in the parking garage and struggled to nurse my daughter in the waiting room. And then it happened. That moment is forever etched in my mind. The pediatric pulmonologist took my hands, looked me in the eye, and said, 'Your daughter is going to live a long and full life.' She went on to say that it was her job as a physician and my role as a parent to help enable this. At that moment, she recognized me as a mother and earned my trust. She forged the beginning of a partnership that would continue for years to come. And to this day, her words remain imprinted on my heart. I’ve spoken with hundreds of families like mine, and nearly all remember the exact moment their lives separated into 'before' and 'after.' That is why it is so important for physicians to deliver pediatric diagnoses with intention. Words and actions matter big time." Laura Spiegel is founder and president, Paint Her in Color. She shares her story and discusses her KevinMD article, "10 tips for delivering difficult pediatric diagnoses." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 21, 2022
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Debunking the myths around asynchronous care

"So how can health systems and clinicians provide patients with an improved, consumer-friendly experience while also making strides to decrease provider administrative burden and burnout? They need to embrace virtual care beyond just video visits and look toward asynchronous telehealth. Asynchronous care allows providers to treat patients for common, low-acuity conditions online without a real-time, face-to-face interaction. It automates both the patient interview and clinician documentation, and provides clinical decision support while maintaining provider autonomy, keeping the clinician in control of diagnosis and treatment. Looking ahead, asynchronous telehealth holds unlocked potential for improving access and convenience for patients, reducing physician burnout, and driving efficiencies in care delivery to ultimately lower costs and improve outcomes." Christina Chen is a family medicine physician. She shares her story and discusses her KevinMD article, "Debunking the myths around asynchronous care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 20, 2022
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A psychiatrist's part-time journey

"She kept quiet, but she had planted the seed. Interestingly I did not talk much about work during the appointment, so her question stirred my thoughts. Why did she think it was work-related? I started to look at my daily routine. I was able to recognize where I needed to set boundaries at work. At home, I delegated some simple chores to the kids. I must say kids are excellent learners if given the right directions. Small steps and changes made my life much more manageable. My somatic symptoms went away along with my stress. I owe it to my PCP for recognizing what I was struggling with and bringing it to the surface for me to address it." Sirosh Masuood is a psychiatrist. She shares her story and discusses her KevinMD article, "When primary care helps a psychiatrist." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 19, 2022
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Pfizer and Moderna must share vaccine technology

"Pfizer has a particular onus to help intervene globally as one of the largest and most profitable pharmaceutical companies in the world. With its immense capital power, Pfizer should shift some of their spending from national ads promoting their vaccine product in a country that has large booster vaccine availability to sharing the technology that can help countries self-produce and vaccinate their citizens much faster. Even if new production facilities had delays from receiving the mRNA technology protocol to production, the months spent toward self-producing could be expediting vaccine receipt for countries otherwise waiting until the end of 2022 for donated vaccines. In a pandemic that is approaching six million global deaths, time is the most valuable resource in fulfilling vaccine equity. Countries cannot wait to save lives while wealthy pharmaceutical companies gatekeep vital technology." Amber Gipson-Fine is a project manager. She shares her story and discusses her KevinMD article, "People over profit: Pfizer and Moderna must share vaccine technology." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 18, 2022
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Help patients recognize how important their opinions are

"Too often in medicine, health care providers assume what patients want or need. Like the crocodile, we may assume all patients would want a tire removed in order to help extend their life – even if the cure meant losing the only thing that made their unique life worth living. The burden of changing health care should not rest on the shoulders of patients facing major medical decisions, suffering symptoms, worrying about their future, and struggling to advocate for themselves. It is important we help patients recognize just how important their opinions are." Resources mentioned in the show: The Ottawa Hospital Research Institute: A to Z Inventory of Decision Aids MGH Health Decision Sciences Center Karen Sepucha is a research scientist. She shares her story and discusses her KevinMD article, "We must help patients recognize how important their opinions are." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 17, 2022
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When a doctor leaves a practice, who tells the patients?

"I am ashamed of the callous, avoidant goodbyes that have been made in my name, and I regret the distress caused by this widely accepted standard. The determined patients will figure it out anyway, and the less-resourceful ones are left confused, hurt, and more likely to avoid important medical care." Karen Dong is a family physician. She shares her story and discusses her KevinMD article, "The missing doctors’ goodbyes." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 16, 2022
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Hidden wonders of human anatomy

"It turns out that living beings are less like bags of sloshing water, as I imagined in grade school, and more like a stew. While water makes up most of it, water alone is thin and empty of the organic molecules from which organisms are built—the stew thickeners. Water alone is lifeless. Instead, it is the mucus in our bodies that—so long as it has the correct qualities and consistency—is the key to a healthy life. The 'fact' that our bodies are made mostly of water is misleading. What we are actually made of is mucus." Jonathan Reisman is an internal medicine-pediatrics physician and author of The Unseen Body: A Doctor's Journey Through the Hidden Wonders of Human Anatomy. He shares his story and discusses his KevinMD article, "We are actually made of mucus." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 15, 2022
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Acknowledging and mitigating unconscious bias in health care

"Unconscious bias in health care describes associations or attitudes that reflexively alter our perceptions, thereby unintentionally affecting behavior, interactions, and decision-making. Health care organizations need to be actively discussing this subject at the highest level to find gaps and learn where to dedicate resources for improvement, even if it means confronting awkward topics and having uncomfortable conversations. The time has come for organizations to be deliberate in their efforts to improve diversity in their workforce and active in their outreach to improve inclusivity. The problem does not improve if we choose to ignore it, or worse, deny it." Brooke Trainer is an anesthesiologist. She shares her story and discusses her KevinMD article, "Acknowledging and mitigating unconscious bias in health care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 14, 2022
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Remove race from clinical guidelines

"We need to address the underlying preventable factors that cause more Black Americans to die of heart attacks and strokes and suffer from high blood pressure and diabetes complications than white Americans instead of focusing on non-existent biological differences. I would like to see the scientific disciplines unite to call out the mislabeling of race as a biological category and stop using race in place of structural racism, toxic stress caused by discrimination, and systemic inequities in social determinants of health. Instead of emphasizing our biological differences, the research community needs to focus on the real problems Black Americans continue to face that increase their risk of illness and death." Carmen Presti is a nurse practitioner. She shares her story and discusses her KevinMD article, "Remove race from clinical guidelines." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 13, 2022
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Writing is an outlet for this physician

"There is something about physically putting pen to paper, that connection between your mind and your body that is just very health-inducing. And it takes time. And often we do not dedicate the time to taking care of ourselves and something as simple as writing in a journal, writing these, you know, these pieces. In eight minutes, you can get a lot done. It's been amazing what people come up with. And so I think the first part is just committing the time and giving yourself the space to do something that is fun and really brings pleasure." Janet E. Patin is a family physician. She shares her story and discusses her KevinMD article, "Stunning new medical conditions overlooked!" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 12, 2022
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How the pandemic affected teen mental health and substance abuse

[arve url="https://youtu.be/0KLOj4xI16s" loop="no" muted="no" /] "Two issues drive teen substance use: drug availability and perception of risk. Availability: Today’s teens know that obtaining substances is far too easy. For example, 70 percent of high school seniors say marijuana is either “fairly easy” or “very easy” to obtain. Seventy-seven percent say getting their hands on alcohol is very easy and twenty-one percent of seniors believe it is easy to find MDMA (ecstasy). Thirty percent say getting their hands on amphetamines is also very easy. Perhaps more alarming, 27 percent of eighth-graders said getting ahold of a drug like marijuana is either fairly easy or very easy to do. And nearly 50 percent said alcohol is easy to find." Richard Capriola is a counselor and author of The Addicted Child: A Parent’s Guide to Adolescent Substance Abuse. He shares his story and discusses his KevinMD article, "The pandemic drives a decline in teen substance abuse." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 11, 2022
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Incredible true stories of pioneer patients

"It was probably in early 1803, as Jenner’s fame swelled and more doctors were adopting vaccination, when Bell met a farmer with a curious story. The farmer’s name was Benjamin Jesty, from the Downshay farm in a nearby village. Seeing the growing practice of vaccination, Jesty was eager to tell his story and claimed he deserved rewards just like Jenner. Bell, probably intrigued, recorded Jesty’s account." Rod Tanchanco is an internal medicine physician and can be reached on Twitter @rodtmd. He is the author of First Patients: The incredible true stories of pioneer patients. He shares his story and discusses his KevinMD article, "Farmer Jesty’s bold experiment." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 10, 2022
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Am I a doctor or a contingency plan?

[arve url="https://youtu.be/OpabYwuGIz4" loop="no" muted="no" /] "I suspect that some of the nearly 20 percent of physicians who have quit their jobs during this pandemic needed to feel this relief, too. They needed to feel the relief of having no plan. No 'if this, then that.' They needed to just exist in the now. Because who knows how long the now will be around anyway? Will we wake up one day and find that years have gone by without knowing it because we were so busy planning ahead for scenarios that never occurred? This is not something that worksite wellness programs can provide or resilience training can foster. It is a reality of COVID-19 when you are caring for anyone who needs you, as much as (or more than) your patients. The miracle is that there are so many of us left in the workforce at all, riding the waves of uncertainty feeling like the only COVID contingency plan we can depend upon is ourselves." Margaret B. Nolan is a physician-scientist. She shares her story and discusses her KevinMD article, "Am I a doctor or a contingency plan?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 9, 2022
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New strategies are needed for mental health treatment

"Reducing the occurrence of comorbid mental and physical disorders will require an integrated model combining medical and behavioral health care services. The window of opportunity is open for health insurers and employers to invest in employee assistance programs and telehealth platforms and build on a newfound acceptance of mental health services. Additionally, health care providers can mitigate the cost of care and improve their outcomes with an increased focus on interdisciplinary training that accounts for the common occurrence of both physical and mental health conditions. With a new approach to mental health services, we will see a noticeable decrease of stress levels, happier patients, and higher productivity in the workplace." Christopher Valerian is a health care executive. He shares his story and discusses his KevinMD article, "New strategies are needed for mental health treatment." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 8, 2022
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Primary care should be the center of gravity in health care

"If we want a more effective health care system, it needs to be re-engineered to revolve around the true center of gravity – the patient. We must involve patients early and often in the design of health policy, health technology, and health care ecosystems. We must reinvent health care payment models to tie incentives to what is of value to patients. And we must give every American access to a high-quality PCP. Until we do this, we’ll continue to pay too much money for too little value, and we’ll all suffer in a system perfectly designed to keep getting the results it’s getting." Sara Pastoor is a family physician. She shares her story and discusses her KevinMD article, "The center of gravity in health care and the role of primary care." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 7, 2022
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How a legal injustice changed this physician's career

"I do not hesitate to share what I endured. I recognize that there is a code of silence that must be broken when one is involved in legal action. It is imperative that we speak out to patients, legislators, and other physicians against these types of injustices. The sense of isolation can be overwhelming. I do not want anyone to go through what I have gone through, questioning myself, my skills, and my self-worth. Hopefully sharing our stories will help to give other physicians added strength. I have come to firmly believe that publicity and sharing our experiences are our best tools against legal injustice." Mark Lopatin is a rheumatologist and author of Rheum for Improvement: The Evolution of a Health-Care Advocate. He shares his story and discusses his KevinMD article, "Publicity and sharing our experiences are our best tools against legal injustice." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 6, 2022
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Nurses are in need of racial healing

"Now more than ever, our profession needs to move toward racial healing. There is an urgent need for nursing to acknowledge its history of racism, boldly confront racism wherever it shows up, and address the racism that nurses witness when delivering care to those they serve. This will not happen until nurses engage in self-awareness and reflection as well as confront any personal racist attitudes and behaviors. When nursing demonstrates a commitment to creating an antiracist culture within the profession, nurses and patients, both in need of healing, will be better served. It is our hope that this report will open a window of opportunity for nursing to acknowledge its history of racism and resolve to solidify a future that is welcoming, respectful, and supportive of all nurses regardless of race, ethnicity, or any other unique attributes. Anything less is counter to the core principles of a profession that demands caring, compassion, and respect for everyone." Janice Phillips and Katie Boston-Leary are nurses. They share their stories and discuss their KevinMD article, "Nurses are in need of racial healing." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 5, 2022
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Physicians and the weight of expectations

"What exactly is my obligation to medicine? Am I supposed to practice medicine forever? Is it my duty? Do I have to continue serving my patients, the hospital, and society because of these expectations? The answer is simple: You get to decide. Most physicians I know love practicing medicine. It is and has always been a calling. The problem lies only in the thought that you should practice medicine. When used in this way, the word should is a cognitive distortion. A cognitive distortion is a pattern of thinking that is generally false or inaccurate and carries the potential to cause psychological harm. When you use the word should, there is often an accompanying shift in focus from what you want to what others might think." Michael Hersh is a gastroenterologist. He shares his story and discusses his KevinMD article, "Stop 'shoulding' all over yourself." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 4, 2022
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Can patients just say no to treatment?

"Deeming individuals 'non-decisional' for misinformed beliefs that are not representative of a psychiatric illness is inappropriate, unfairly medicalizes the narrative and incurs a risk of further public distrust of the health care system. It is not the province of psychiatry to adjudicate uncomfortable social discourse so much as to elicit it. Empathic listening — curiosity rather than social judgment — has always been the most profound and powerful tool at our disposal, and it must remain so." Charles Hebert is a psychiatrist. He shares her story and discusses his KevinMD article, "Can patients just say no to treatment?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 3, 2022
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Asking for and receiving help is a sign of courageous leadership

"Far from signaling weakness, asking for and receiving help is not only a sign of strength, but a sign of courageous leadership. And so, I ask you to put on your own oxygen mask, and then to reach out and help your colleagues put on theirs, too. As physicians, the trauma we’ve experienced through our decades-long education and training, through our competitive medical culture, and through years of silence and self-sacrifice have created a common bond and an unspoken understanding. We must give ourselves the love and compassion that I know is deep within each of us, and we must help each other to do the same. Our greatest power comes from standing in support of each other, together. And it is the only way forward." Tammie Chang is a pediatric hematology-oncology physician and co-founder, Pink Coat, MD. She can be reached on Instagram @tammiechangmd and at her self-titled site, Tammie Chang, MD. She shares her story and discusses her KevinMD article, "Fellow physicians, what is our path forward?" Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 2, 2022
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To treat future COVID variants, we need more than vaccines

"With government and industry working hand in hand, we can develop and stockpile monoclonal antibody therapeutics in anticipation of variants to come. We need to be thinking several moves ahead to keep ahead of variants so that stockpiles of therapies do not become obsolete as they have now. Our government needs to ensure the proper funding to support the development and manufacturing of such therapies, and we need to begin demanding they do so. These are highly complex and time and resource-intensive endeavors. However, the technology exists today through modern antibody platforms to address these needs, and countless lives can be saved with such an approach. The more action we take now, the more we can be ready for future variants from threatening our nation’s health." Ian Chan is a health care executive. He shares his story and discusses his KevinMD article, "To treat future COVID variants, we need more than vaccines." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
April 1, 2022
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I risked my career to save my life

"I have spent years in silence about my career decisions, nervous that my inability to take call and inability to thrive while sleep-deprived could be seen as weaknesses. Being afraid to admit I was advocating for my mental health and my life. That’s a problem. I am experiencing fear for advocating for the health and safety of myself and others for concern that I may sound weak. That’s a big problem. Silence is not the answer. Avoiding talking about it is not the answer. I cannot avoid call hard enough for prolonged sleep deprivation to be less of a problem for others. So let’s keep talking. Physicians need sleep. The system needs to change. Many are not OK. I was one of them. We need to normalize talking about the hard things and creating environments that promote psychological safety and the ability to truly ask for help, not censor our struggles in mental health appointments to save face. And if you need to hear it: It’s OK to crave basic needs and advocate for them. You’re a human, not a robot; we need to create a system made for humans, not robots. If you are having dark thoughts, please seek help. While the best time may have been days or months ago, the next best time is now." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "I risked my career to save my life." Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
March 31, 2022
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Inside the race to conquer the COVID-19 pandemic

"That year, 2020, Uğur told the crowd, would be the year BioNTech proved the doubters wrong. There was no time to lose. Soon after he’d finished his talk, Uğur hopped on a plane to Seattle, where he met with a team at the Bill & Melinda Gates Foundation, which had recently signed a $100 million agreement with BioNTech to develop a slew of new drugs. Hours later, he moved on to Boston, to stop by a small cancer immunotherapy company that BioNTech was about to purchase in a $67 million deal. The purpose of the visit was to reassure staff that he, a fellow scientist, was interested in advancing their innovations and was not a vulture disguised in a lab coat who had come to gut the firm and slim down its workforce. At this point, Uğur was still fairly oblivious to events in Wuhan. He walked around the biotech firm’s foyer, introducing himself to dozens of soon-to-be employees, shaking each of them vigorously by the hand." Joe Miller is a journalist. He shares his story and discusses the book, The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic. Did you enjoy today’s episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info
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