The Podcast by KevinMD

"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

"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

"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

"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

"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