The Podcast by KevinMD

Kevin Pho, MD
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Jun 1, 2022 • 16min

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
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May 31, 2022 • 18min

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
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May 30, 2022 • 13min

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
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May 29, 2022 • 15min

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
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May 28, 2022 • 20min

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
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May 27, 2022 • 18min

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
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May 26, 2022 • 22min

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
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May 25, 2022 • 19min

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
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May 24, 2022 • 17min

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
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May 23, 2022 • 21min

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

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