The Podcast by KevinMD

"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

"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

"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

"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 a pediatric hospitalist 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

"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

"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

"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

"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

"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

"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