The Podcast by KevinMD

Kevin Pho, MD
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Mar 4, 2023 • 18min

Wrongful prolongation of life: a growing concern in the health care system

In this episode, we sit down with patient advocate Althea Halchuck to discuss the importance of advance directives in end-of-life care. We delve into the story of Dr. Gerald Greenberg, a New York dentist who was diagnosed with early-onset dementia and executed a living will stating his preferences for end-of-life care. Despite this, he was subjected to unwanted medical treatment that prolonged his life and caused him immense pain and suffering. Althea will discuss the growing trend of wrongful prolongation of life lawsuits and the duty of medical providers to follow a legally executed advance directive or medical order. She will explain the legal precedent set by recent cases and the importance of creating an advance directive before becoming incapacitated. Join us as we explore the consequences of not following a patient's wishes and the right to refuse medical treatment, even if it may result in death. Althea Halchuck is a patient advocate. She shares her story and discusses her KevinMD article, "What's the sense of having a living will if it's not honored?" The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/YmiOAQ Powered by CMEfy.
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Mar 3, 2023 • 21min

Become your own health advocate: Navigating the doctor shortage

In this episode, Ann M. Hester, a board-certified internal medicine physician, dives into the perfect storm brewing in the U.S. health care system and what we can do to prepare for it. The country is facing a projected shortage of doctors and the increasing number of elderly citizens with chronic diseases. Additionally, physician burnout and the COVID-19 pandemic have contributed to many doctors leaving the practice of medicine. But as patients, there are things we can do to empower ourselves and make the most of every minute with our doctor. Ann shares tips on how to prepare a brief history of present illness to explain our symptoms and help our doctor make a more focused examination. Don't wait until it's too late. Tune in to learn how to be your own successful health advocate. Ann M. Hester is a board-certified internal medicine physician with over 25 years of experience and can be reached on Twitter @Patient101Book, TikTok @patientempowerment101. She is the author of Patient Empowerment 101: More than a book, it's an adventure! She shares her story and discusses her KevinMD article, "How you can thrive despite the looming physician shortage." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/mBqA2G Powered by CMEfy.
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Mar 2, 2023 • 19min

Navigating the complexities of academic medicine contracts

Join us on this episode, where we welcome Dennis Hursh, a physician contract lawyer, to discuss the ins and outs of academic physician employment agreements. Dennis will share his expertise on the common pitfalls and what to look out for when accepting an academic appointment. He will also delve into the key differences between academic and hospital physician employment agreements, the importance of having the appropriate academic title, and the flexibility of compensation packages. If you're considering a move to academia, this episode is a must-listen. Dennis will provide valuable insights on protecting yourself and ensuring that you're treated fairly in your academic physician employment agreement. Don't miss this informative discussion on the world of academic medicine. Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "Things to know before signing an academic physician employment agreement." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/rRTIvk Powered by CMEfy.
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Mar 1, 2023 • 22min

TikTok takeover: How social media consumed my life

Join us on this episode, where we welcome Brian Boxer Wachler, an ophthalmologist and author of Influenced: The Impact of Social Media on Our Perception. During the COVID shutdowns, Brian had a lot of extra time on his hands, and his twin daughters urged him to join TikTok to dispel misinformation and have some fun. What started as a fun experiment turned into an addiction as Brian chased the dopamine rush of more followers, views, and likes. But as his obsession grew, he began neglecting his real-life family and eventually hit rock bottom. As a recovered "TikTokaholic," Brian shares his cautionary tale of the dangers of being an influencer and the importance of maintaining a healthy balance between virtual and real life. Don't miss this insightful episode on the impact of social media on our perception. Brian Boxer Wachler is an ophthalmologist. He shares his story and discusses his book, Influenced: The Impact of Social Media on Our Perception. The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/yQyeBI Powered by CMEfy.
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Feb 28, 2023 • 30min

Reducing burnout and improving patient care with ambient clinical intelligence

In this special sponsored episode, we're discussing how ambient clinical intelligence can improve patient care and reduce clinician burnout. Our sponsor is the Dragon Ambient Experience, or DAX, an ambient clinical intelligence solution from Nuance Communications and Microsoft. I'm joined by Alfred Atanda Jr., MD, a pediatric orthopedic surgeon at Nemours Children's Health in Delaware. He is chief of the Center for Sports Medicine and the Chief of Clinician Experience, as well as an assistant professor of orthopedic surgery at the Sidney Kimmel Medical College at Thomas Jefferson University. We discuss the challenges of declining physician well-being and the potential solutions to address it. We'll also be discussing the impact of clinical documentation on burnout and how ambient clinical intelligence solutions like DAX can help alleviate these burdens. Join us as we discuss Dr. Atanda's experiences with burnout and clinical documentation and the benefits of using ambient clinical intelligence in their practice. Find out more at https://nuance.com/exploreDAX The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/exploreDAX SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd
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Feb 27, 2023 • 15min

Navigating the ethical minefield of assisted suicide

Join us as we delve into the controversial topic of assisted suicide with our guest, Nicholas S. Tito, a medical student. This thought-provoking episode will explore the Western world's growing support for legally assisted euthanasia and the redefinition of "immense suffering." Our guest argues that considering mental health disorders eligible for assisted euthanasia is a pathology of reason and questions the idea of absolute patient autonomy. He also touches on the role of psychiatrists in defining "the good" and the importance of rejecting the current postmodern craze. This is a must-listen for anyone interested in the ethics of medical practice and the future of end-of-life care. Nicholas S. Tito is a medical student. He shares his story and discusses his KevinMD article, "The slippery slope of legal assisted suicide and euthanasia." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/8d1rvA Powered by CMEfy.
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Feb 26, 2023 • 16min

Telehealth takes the stage: How virtual visits are revolutionizing health care

Join us for an insightful conversation with Lyle Berkowitz, a physician executive, as he discusses the growing trend of telehealth and its impact on patient care. With the COVID-19 pandemic accelerating the use of virtual visits, consumers are realizing the value and convenience of telehealth for minor urgent issues, chronic disease management, and mental health services. Dr. Berkowitz will delve into the results of a recent consumer survey that found an overwhelming majority of consumers believe it's important for their regular doctor and telehealth provider to have access to their health records for sharing critical data. He'll also discuss the challenges that health systems face in expanding access to telehealth, including the importance of seamless data sharing, partnerships with virtual care providers, and creating a patient-centered experience. Tune in to learn more about the future of telehealth and its role in delivering high-quality care. Lyle Berkowitz is a physician executive. He shares his story and discusses his KevinMD article, "What consumers want from telehealth." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/sHpBCh Powered by CMEfy.
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Feb 25, 2023 • 17min

Unlocking the power of gratitude

Join us on this episode as we explore the power of gratitude with Cindy Tsai, an internal medicine physician. We all hear about the benefits of gratitude and the importance of being thankful for what we have. But gratitude is not just about thinking positive thoughts. It's about embodying gratitude, feeling it in your body, and connecting with it on a deeper level. Dr. Tsai will discuss the importance of connecting our mind and body and how this can lead to true wellness. She will also share insights on how to bring more gratitude into our lives, even in the midst of challenges and difficulties. If you want to uplevel your gratitude practice, this episode is for you. Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd. She shares her story and discusses her KevinMD article, "Don't make this mistake with gratitude." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/lFC3XS Powered by CMEfy.
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Feb 24, 2023 • 19min

Moving beyond weight-centered approaches in childhood obesity

In this episode, we sit down with guest Wendy Schofer, a pediatrician, to discuss the current state of childhood obesity and the need for a change in approach. Over the past two decades, the prevalence of children being diagnosed as overweight and obese has increased. However, the reasons behind this are still unknown. The conventional approach to childhood weight focuses on controlling it, but labeling it creates shame and fear, which can negatively impact mental health. Wendy advocates for shifting the focus from weight to improving the relationship with food, bodies, and our kids. Join the conversation and learn how to promote healthy lifestyles for children. Wendy Schofer is a pediatrician. She shares her story and discusses her KevinMD article, "It's time to stop focusing on family weight." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/igJ2uF Powered by CMEfy.
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Feb 23, 2023 • 21min

From CV to career: How to enhance your medical portfolio

In this episode, we're talking about how to stand out from the crowd in a competitive job market for physicians. Our guests, Aaron Morgenstein, a board-certified orthopedic surgeon, and Claire Unis, a pediatrician, will discuss how to enhance your portfolio with individual content to supplement your CV. In a post-pandemic world, more and more physicians are looking to leave their current positions and explore new opportunities in telemedicine, utilization management, med-legal review, and industry consulting. But with a growing pool of applicants, it's becoming increasingly challenging to stand out from the crowd with just a great CV and cover letter. That's why we're proposing that you take your job search to the next level by building an impressive portfolio of your work. Whether it's through creating online articles, designing a website, publishing in peer-reviewed journals, participating in a podcast, or going back to school, there are many ways to enhance your portfolio and set yourself apart from other applicants. So tune in to hear insights and tips on how you can build a strong portfolio and become a sought-after physician in the job market. Aaron Morgenstein is a board-certified orthopedic surgeon and founder, FlexMedStaff.com, a fully transparent and free marketplace for physicians to find new clinical and non-clinical opportunities to improve work-life balance. He can be reached on Twitter @flexmedstaff. Claire Unis is a pediatrician and author of Balance, Pedal, Breathe: A Journey Through Medical School. They share their stories and discuss the KevinMD article, "Having a great CV is not enough: Start building your portfolio." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/czArZE Powered by CMEfy.

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