The Podcast by KevinMD

"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

"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

"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

"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

"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

"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

"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

"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

"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

"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