PW editorial board member and regular host Alex McDonald, MD, speaks with stress expert Jay Winner, MD, about stress reduction techniques for you and your patients. Too much stress can ruin our days and shorten our lives. It ages us, harms relationships, and impairs job performance. Excessive stress can exacerbate almost any medical condition, including obesity, heart disease, chronic pain, depression, and headaches. And in our busy lives, reducing stress can seem like just one more time-consuming and overwhelming task. Dr. Winner shares that some of the best stress reduction techniques take only seconds!

Dr Winner is author of the book “Relaxation on the Run” and hosts a number of stress relief videos on his Stress Remedy website. 

 Take a deep breath and enjoy listening!

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Regular contributor Dr. MedLaw explores what to do when you get a negative online review. We also speak with Drs. John Sayer (University of Newcastle, UK) and Roman-Ulrich Müller (University Clinic Cologne, Germany), live from the 61st European Renal Association annual meeting to discuss the 11% of the world’s population that has genetic kidney disease. We talk about how one-third of renal failure is attributable to faulty genes, as well as the ethical considerations of sequencing all babies at birth.
 
Enjoy listening!

More reading: 

BabySeq project https://www.genomes2people.org/research/babyseq/

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PW Editorial Board member Alex McDonald, MD (Southern California Kaiser Permanente Medical Group), speaks with Joanna Bisgrove, MD (Rush Universitiy), who has broken remarkable boundaries as a hard-of-hearing physician. As a physician with a disability, Dr. Bisgrove is determined to advocate for a country where there are no barriers for persons with disabilities anywhere. 

In this conversation, Dr. Bisgrove shares insights on ableism and antiableism. Also discussed is the pioneering work of Dr. Phil Zazove, whose groundbreaking efforts in family medicine particularly advanced healthcare access and outcomes for the deaf and hard-of-hearing community. Dr. Zazove's work has not only influenced public health policies but also inspired healthcare professionals nationwide, including Dr. Bisgrove, to think differently about patient communication and inclusivity. This discussion aims to provide the framework for understanding able-ism and anti-ableism, fundamental concepts all physicians should know!

Enjoy listening!

Docs with disabilities initiative https://www.docswithdisabilities.org/

Medical Students with Disability and Chronic Illness https://msdci.org/

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We speak with Gregg Stone, MD, who presented findings at ACC 2024 from RELIEVE-HF, a randomized trial designed to evaluate the safety and effectiveness of treating patients with heart failure with an interatrial shunt. The results are clear, so keep listening to hear his interpretation of the results. We next talk to, Javed Butler, MD, who presented results from the EMPACT-MI randomized trial, which examined treating patients with empagliflozin following a heart attack. The results add to our understanding of SGLT2 inhibitors and how they can impact major outcomes in a broad population of adults with heart failure, chronic kidney disease, or type 2 diabetes. 

We also hear from regular contributor Dr. Medlaw (radiologist and medical malpractice attorney), who turns her attention to the harsh reality that the divorce rate when at least one spouse is a physician is >20% higher than in non-physician marriages. Is a pre-nuptial agreement a good idea? Dr. Medlaw explains all the aspects to consider. 

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Dike Drummond, MD (TheHappyMD@PW author) brings a wealth of knowledge and experience in preventing physician burnout through innovative strategies and leadership principles to a lively discussion. Dr. Drummond explores the concept of "leadership power tools," one of the seven healthy habits for doctors to maintain wellbeing and stave off burnout. These tools are not just about managing teams but also about managing oneself in the high-stakes environment of healthcare.

We also look at "servant leadership," a style that emphasizes the growth, well-being, and empowerment of employees. Dr. Drummond shares insights into how this approach can create an inclusive environment where everyone can thrive authentically. As part of that, we discuss the importance of leading by asking questions and the simple yet powerful act of saying "thank you," both to individuals and teams. Additionally, our conversation touches on innovative healthcare models like direct primary care and concierge medical practice, which are reshaping patient care and physician job satisfaction.

Join us as Dr. Drummond shares his valuable insights and practical advice on building a fulfilling career in medicine without sacrificing personal health and happiness.

Enjoy listening!

Additional reading:

Play to Win:  https://www.thehappymd.com/blog/the-7-habits-of-physician-wellbeing

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PW editorial board member and regular contributor Alex McDonald, MD, speaks with  Kim Yu, MD, FAAFP (PRIME National Strategy Consultant, American Board of Family Medicine; Director of Health Care Strategy, KCS Inc.), about new mandates concerning value-based care and what they might mean to you.

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Regular contributor Dr. MedLaw discusses the question many physicians are asking themselves: what are the rules regarding AI use in medicine and physician liability? Also, Saby George, MD, FACP (Roswell Park Cancer Institute), discusses results of the Checkmate 67T trial, which he recently presented at the 2024 ASCO Genitourinary Cancers symposium. The study compared subcutaneous nivolumab with intravenous nivolumab in patients with advanced kidney cancer. Dr. George reviews the impact the trial results will have on all cancer types with nivolumab in their treatment arsenal.

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PW Editorial Board member and columnist Alex McDonald, MD (family and sports medicine, Kaiser Permanente), speaks with Erika Roshanravan, MD (family physician and medical director, CommuniCare+OLE), about trauma-informed care and the need to shift the focus in patient conversations from “What’s wrong with you?” to “What happened to you?” A trauma-informed approach to care acknowledges that healthcare organizations and care teams need a complete picture of a patient’s life situation—past and present—to provide effective healthcare services with a healing orientation. Adopting trauma-informed practices can potentially improve patient engagement, treatment adherence, and health outcomes, as well as healthcare provider and staff wellness. It can also help reduce avoidable care and excess costs for both the healthcare and social service sectors.

Enjoy listening!

 More information: 

Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58. 

The Sanctuary Model: https://www.thesanct

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“Healthcare is at a very delicate moment,” says Jeanne Haggerty, a lobbyist for Williams & Jensen in Washington DC. With 25 years of governmental affairs experience in Washington, she should know. Haggerty’s successful career on the Hill has included working on the Senate Finance Committee, and later, the House Energy and Commerce Committee. During this time, she built strong relationships and knowledge in a wide variety of policy areas, but her specialty is healthcare policy. Haggerty takes the time to explain the upcoming health policy issues to watch in Congress in 2024 and conjectures on what might happen to healthcare policy depending on who wins the upcoming presidential election. This discussion is bipartisan and has no political leaning. There is, however, a strong call to action for physicians interested in policy to contact the AMA or other specialist society to ensure that the voice of clinicians is heard, no matter what the topic is you are passionate about. 

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Regular contributor Dike Drummond, MD, (family physician, CEO of TheHappyMD.com, PW columnist) talks about the difference between your job and your medical practice, recognizing the fact that they are almost never attuned. More importantly, he provides critical tools to mend the bridge and regain your grip on the work that you love. What are the changes that need to happen and how do you go about that? Dr. Drummond talks us through this complex and sensitive process.

                                                                         ~~~~~~~~~~~~
                                   3 Work Life Balance Shortcuts for Physicians
                                  Our Proven Top 3 Balance & Boundaries Tools
                            FREE Online Video Training – LEARN MORE HERE
                                                                       ~~~~~~~~~~~~

Dr. Drummond has coached and trained more than 40,000 doctors for more than 175 organization and association clients since 2010. His Burnout Prevention MATRIX White Paper shares 235 different ways to stop physician burnout.

Enjoy Listening!


Additional reading:

Book recommended in the podcast:  The First 90 Days by Michael Watkins

Gottman Institute 5:1 Ratio for a trusting relationship: https://www.gottman.com/blog/the-magic-relationship-ratio-according-science/

Harvard Business Review article Managing your boss: https://hbr.org/2005/01/managing-your-boss

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Sara Gorman, PhD, MPH, discusses the work she does as executive director of Those Nerdy Girls, along with a group who provide evidence-based answers to common medical questions in order to battle medical mistrust and misinformation. Dr. Gorman is also the founder of Critica, non-profit organization of scientists and social scientists who counteract science denial.

Also, regular contributor, board-certified radiologist, and medical malpractice lawyer Dr. MedLaw speaks about when and how you might be responsible for another doctor’s actions.
 
 Enjoy listening!

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Physician’s Weekly editorial Board member Alex McDonald, MD, CAQSM, FAAFP (Kaiser Permanente), speaks with Scott Nass, MD, MPA, FAAFP, AAHIVS (Aledade), about LGBTQ+ healthcare. Since 2019, Dr. Nass has served as Chief Medical Officer for the transgender community-founded and -led Transgender Health and Wellness Center in Palm Springs, Riverside, and San Diego, CA. Additionally, he is past president of GLMA: Health Professionals Advancing LGBTQ Equality, a national organization committed to ensuring health equity for all sexual and gender minority individuals. His areas of expertise and practice focus include primary care, HIV, LGBTQ health, and addiction medicine.

Please note that the cadence of the PW Podcast has moved to every other week.

Enjoy listening! 
 

Additional reading: 

The Gender Unicorn

The National LGBTQIA+ Health Education Center

Health Professionals Advancing LGBQT+ Equality

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The medical field is constantly evolving, with innovative advancements revolutionizing the way we diagnose, treat, and prevent diseases. As we move into 2024, there are numerous promising developments that hold the potential to significantly impact healthcare and improve the lives of individuals worldwide. PW Podcast host, Rachel Giles, MD, and PW editorial board member Alex McDonald, MD, offer their perspectives on anticipated medical breakthroughs they feel could shape the future of healthcare in 2024.

Please note that the PW Podcast is moving to an every-other-week cadence. Our next episode will be on January 17. 

 Enjoy listening! 

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PW Podcast host Rachel Giles, MD, and PW editorial board member Alex McDonald, MD, offer their perspectives on what they feel are the top 10 medical innovations of 2023. Some are already in practice, whereas others are recent breakthroughs not quite ready for “prime time.” All in all, it was a great year for medical science. Think we missed a top medical innovation of 2023? Let us know!
 
We’ll be back the first week of January 2024 with a look at anticipated medical breakthroughs in 2024! Until then, we wish you all safe and healthy holidays! 

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In a lively discussion, E. David Crawford, MD (University of Colorado), explains the controversy around prostate-specific antigen (PSA) test screening. The National Cancer Institute describes the PSA controversy as follows: “Using the PSA test to screen men for prostate cancer is controversial because it is not yet known for certain whether this test actually saves lives.”

Also, regular contributor Dr. MedLaw addresses how to handle when you find yourself at odds with an insurance company over the decision to settle a malpractice lawsuit. While many doctors may express a desire to go to trial in the face of a malpractice lawsuit, seeking vindication and clearing their name, the reality is that the majority of these cases settle out of court. On the other hand, a doctor who is eager to put the matter behind them may feel pressured into settling. So, how does a doctor navigate the situation when they find themselves at odds with their insurance company over the decision to settle?

Enjoy listening!

PS: Stay tuned for next week! PW editorial board member Alex McDonald, MD, joins host Rachel Giles, MD, in their annual discussion of the top medical news stories of the year!

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Physician’s Weekly’s editorial Board member Alex McDonald, MD, FAAFP, speaks with Jill Grimes, MD (best known as @tiktokcollegedoc), about hercommitment to empowering individuals with accurate medical information and practical advice that has made her a respected figure in the field of healthcare communication and education. Dr. Grimes is a highly regarded physician, author, and educator with a passion for promoting health literacy and preventive care, with a special focus on targeting teens and young adults. She is known for her expertise in primary care, women's health, and adolescent medicine. Dr. Grimes is an accomplished author, having written extensively on health-related topics in books, articles, and blogs. 

Enjoy listening! 
 
 Additional Reading:

https://jillgrimesmd.com/

Threaldhealth focusing on teens and early adults: https://www.threadhealth.com/

Shots heard round the world (a comprehensive guide to preparing for, defending against, and cleaning up after an anti-vax attack online)

There is a reference to an earlier Physician’s Weekly podcast from January 2023, in which we interview Dana Corriel, MD, a board certified internist, entrepreneur & digital strategist. She is the founder of an online platform that works to centralize the efforts of verified health experts in social media (Social Media for Docs, @SoMeDocs, https://twitter.com/SoMeDocs). 

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This week, we take the time to delve into the important topic of physician burnout with our single guest, Dike Drummond, MD, family physicians and CEO of TheHappyMD.com. In this first episode of a series of in-depth conversations, Dr. Drummond speaks with us about how and when to quit your practice. More importantly, he talks about the vast majority of cases in which that is not necessary. What are the changes that need to happen and how do you go about that? Dr. Drummond talks us through this complex and sensitive process.

If you feel it’s time to move on, check out Dr. Drummond’s step-by-step formula to find, interview, negotiate, and onboard yourself and your family into a new and much better practice. Dr. Drummond has coached and trained more than 40,000 physicians for more than 175 organization and association clients since 2010. His Burnout Prevention MATRIX White Paper shares 235 different ways to stop physician burnout.
 
 

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The Know Your Lemons Foundation was founded in 2014 by Corrine Ellsworth-Beaumont, MA, PhD, a designer who lost her grandmothers and a close friend to breast cancer. She created the #knowyourlemons campaign as an initiative to help improve early detection of breast cancer through symptoms and screening education in a fun, accessible, and inclusive way. We interviewed Dr. Ellsworth-Beaumont at the World Cancer Leaders’ Summit. Using 12 lemons instead of breasts helps the campaign achieve a global reach, overcoming cultural taboos around breasts. Learn how an image can save lives from breast cancer, as was featured in a Ted Talk. 

We also speak with regular contributor Dr. MedLaw, a licensed radiologist and medical malpractice attorney, about where the line can be drawn between medical and ordinary professional negligence. Doctors are usually concerned about liability for medical malpractice, but what about liability as operators of their office? A busy medical office, with staff, patients, and visitors coming and going, can be a real liability arena. As a business and premises owner, what do you need to think about?

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Digital health expert Patty Riskind (CEO, Orbita) digs into three main barriers physicians may perceive in incorporating chatbots into their practice. Virtual assistants, such as chatbots, have changed the way businesses operate, and how people navigate their day-to-day tasks. From making travel plans to scheduling car services, digital tools are improving consumer access while conserving staff resources, but the medical world has been falling behind.

Also, Marc Bonaca, MD, MPH (University of Colorado), discusses the first 10 prescription drugs that will be subject to Medicare price negotiations under the Inflation Reduction Act. A critical step in the Biden administration’s attempt to drive down the high cost of prescription drugs for older people. While Medicare wields enormous power over the costs of other aspects of medical care, dictating how much doctors and hospitals can be paid for medical services, it has been barred from negotiating drug costs. That will change next year, when Medicare for the first time will be able to directly haggle with drug-makers over prices for the costliest medications. The negotiated prices will go into effect in 2026.

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Caryssa Lim, MPH, a third-year medical student at Kaiser Permanente Bernard J. Tyson School of Medicine, talks with PW editorial board member Alex McDonald, MD, about whether medical school can/should be looked at as a time of despair and paralysis or the best opportunity of a lifetime to affect change. They also discuss what it was like being a medical student during the pandemic, how medical education is changing, and the three things Lim would like to see changed in medical school.

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Heather Raymond shares her remarkable story of breast cancer survival, following a diagnosis while working at Kaiser Permanente in 2021, with PW editorial board member Alex McDonald, MD. They discuss the importance of screening and how to talk with patients, because awareness in October isn’t enough.
 
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Cambrian Liu, PhD (University of Chicago), explains regenerative medicine and what it can mean for patients. He tells us about how his lab focusses on cells that can travel from another organ into the colon when tissue there is damaged by inflammatory bowel disease. Also, regular contributor Dr. MedLaw walks us through the ins and outs of what to do when you get a subpoena, depending on the circumstances. As a physician bound to shield patient privacy, you must be particularly alert for confidentiality issues in subpoena situations. She also talks about the safeguards in place for HIPAA compliance and how and when a doctor can object to a subpoena. 
 
 Enjoy listening!

 Resource:

Liu CY, Girish N, Gomez ML, Kalski M, Bernard JK, Simons BD, Polk DB. Wound-healing plasticity enables clonal expansion of founder progenitor cells in colitis. Dev Cell. 2023 Aug 25:S1534-5807(23)00407-0. doi: 10.1016/j.devcel.2023.08.011. Epub ahead of print. PMID: 37652012.

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In the fourth episode of a series on physician burnout, TheHappyMD@PW columnist Dike Drummond, MD (family physician and CEO of TheHappyMD.com), talks about revenue models for medical practices and whether being an employee is always the right choice. He offers several innovative possibilities for ensuring you are practicing in the best possible environment.

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Reilly Bealer, MD (University of North Carolina), speaks with PW Editorial Board member Alex McDonald, MD, offering insights to help answer this question, noting that maternal mortality rates more than tripled among Native American and Alaska Native moms while continuing to be highest among Black mothers, according to a study recently published in JAMA. Dr. Bealer, who was a Government Relations and Advocacy Fellow at the AMA in 2020-2021—where she fought for access to Medicaid up to 12 months post-partum—adds that, unfortunately, worsening healthcare for Black and BIPOC mothers—a trend typically relegated to southern states—is expanding. According to the study, New York and New Jersey saw an increase in Black and Latina deaths, while more Asian mothers died in Wyoming and Montana. Dr Bealer gives some great insights into the problems at hand. 

 Additional reading

Trends in State-Level Maternal Mortality by Racial and Ethnic Group in the United States. Fleszar LG, Bryant AS, Johnson CO, Blacker BF, Aravkin A, Baumann M, Dwyer-Lindgren L, Kelly YO, Maass K, Zheng P, Roth GA. JAMA. 2023 Jul 3;330(1):52-61. 

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Viktoria Bogner-Flatz, MD (Ludwig Maximilian University, Germany), discusses observations from use of a mobile CT scanner equipped with AT to detect head injuries at the 2022 Munich Oktoberfest. Using lessons from 2022, the mobile scanner is back right now for the 2023 event. Also, regular contributor Dr. MedLaw explores the concept of pre-contracting with patients to limit legal issues, on the heels of the OceanGate Titan submersible disaster which saw the media giving attention to long disclaimers that specifically listed death as a risk.

Enjoy Listening!

Additional reading

Flatz W, Hinzmann D, Kampmann P, Poehlmann L, Reidler P, Schlichtiger J, Kanz KG, Ricke J, Bazarian J, Bogner-Flatz V. Mobile Computed Tomography at Munich Oktoberfest. N Engl J Med. 2023 Sep 14;389(11):1051-1052. 

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