The Doctor’s Crossing Carpe Diem Podcast

On today’s episode, we’re exploring the transformative world of direct care models with the inspiring Dr. Maryal Concepcion. Dr. Concepcion is a family medicine physician, founder of Big Trees MD in rural Northern California, and host of the My DPC Story podcast. We discuss the direct primary care (DPC) and direct specialty care (DSC) models that allow physicians to practice on their terms while fostering deeper patient relationships. Dr. Concepcion shares her journey from fee-for-service medicine to creating a thriving DPC practice, the freedom and flexibility these models offer, and how they empower both physicians and patients. Whether you’re a primary care provider or a specialist, this conversation will open your eyes to new possibilities in medical practice.   You can find the show notes for this episode and more information by clicking here:   www.doctorscrossing.com/episode214   In this episode we’re talking about:   What direct primary care and direct specialty care models are and how they differ from traditional practice. The autonomy and flexibility direct care models offer physicians. How DPC allows for smaller patient panels and stronger doctor-patient relationships. Strategies for starting a direct care practice, including financial considerations. The importance of building transparent, patient-focused healthcare systems. Leveraging technology to streamline operations and enhance patient engagement in direct care practices. Insights on pricing strategies and communicating value to patients in a cash-based system. Links for this episode:   Dr. Concepcion’s Links: https://mydpcstory.com https://maryal.me https://bigtreesmd.co https://thedpcdirectory.com    Dr. Concepcion’s Book Recommendations: "Spark Start Fires" by Dr. Julie Gunther   "The Official Guide to Starting Your Own Direct Primary Care Clinic" by Dr. Douglas Farrago   "Byja Blueprint" by Dr. Byron Jasper   Episode 98 Take Back Control With A Direct Primary Care Practice - Featuring a married couple who share a DPC practice and love their freedom and lifestyle.    Episode 150 - Are You Paralyzed By The Siz of Your Goal? Start with a Lemonade Stand. Featuring how a physician started a DPC practice on a shoe-string budget with no prior business experience.  Private 1:1 Consultations - If you would like some confidential help with your career situation, Dr. Heather Fork offers one-hour paid  Zoom consultations. This one-hour coaching session may be all that you need to gain clarity and have some concrete steps for moving forward. Dr. Fork also has a 5-month coaching program for those physicians wanting additional assistance (subject to availability). For more information including pricing please reach out to Kati at team@doctorscrosing.com.

Today we’re tackling the topic of high-stakes exams and board certification—a challenge that many physicians face. Struggling with these exams can lead to feelings of low self-esteem, test-taking anxiety, and even impact career opportunities. To lend their guidance and expertise, I’m joined by two wonderful guests, Dr. Rob Steele and Dr. Charles Bell, founders of Physician Test Prep Professionals. With decades of experience in physician assessment and remediation, they bring a wealth of knowledge to this important topic. In this episode, we discuss actionable strategies for exam preparation, managing anxiety, addressing knowledge gaps, and achieving success on high-stakes exams. In this episode we’re talking about: Common missteps physicians make when preparing for board exams. Why creating a structured study plan is essential for success. Techniques for identifying and addressing knowledge gaps. The benefits of focusing on question-and-answer study formats. Strategies for managing anxiety and building confidence on test day. Tips for balancing study time with clinical responsibilities and personal life. Recognizing and avoiding burnout during intense study phases. Links for this episode: Physician Test Prep Professionals Email address: md.test.prep.ceb@gmail.com Text messages can be sent to: 512.442.6195 ⏰Time Management Resource - Download a list of books and apps that can help you with time management, procrastination, building successful habits and finding ways to focus.  

Today we’re diving into five transformative steps to help you uncover clarity and alignment in your career and life. As physicians, we often feel stuck, unsure of the next best move. Whether you’re questioning your future in clinical medicine, considering nonclinical options, or exploring entrepreneurial opportunities, these steps will help you polish your "crystal ball" and uncover what’s right for you. We’ll explore how to assess your career satisfaction, follow your energy, identify internal drivers, develop inner guidance, and give yourself the permission to pursue your true path. By the end of our discussion, you’ll have actionable insights to help guide you toward the career and life that fulfill you most.   You can find the show notes for this episode and more information by clicking here:   www.doctorscrossing.com/episode212   In this episode we’re talking about: How to quantify your career satisfaction and use it as a guide for decision-making. The importance of following your energy to uncover what excites and motivates you. Identifying internal drivers and recognizing when they come from a healthy or unhealthy place. Developing an inner guidance practice to connect with your deeper self. Giving yourself permission to explore new directions and honor your true desires. Recognizing external pressures and how to prioritize your own needs and values. Links for this episode: Episode #191: How a Daily Inspirational Reading Practice Can Be Transformative Episode #209: Break the Stress Cycle: Mindfulness Techniques to Master Your Thoughts and Emotions Leave Your Work at Work (LYWAW) is a free Zoom training designed to help physicians and APPs shave off at least 1 hour from their evening charting. When: Thursday, Jan 30th at 7pm CT Here’s what you’ll walk away with: How training and the culture of medicine keep physicians stuck charting Practical tips and efficiencies to complete work at the office Junaid’s 4-Step framework (the You First Charting Method) to build their own system to finish charting before going home *Folks can sign up for free to get access to the training live as well as replay access for 48 hours. Sign up here: https://www.chartingconquered.com/a/2148027704/eRbeEBhn

Today’s episode is about the profound and sometimes challenging topic of purpose. Have you ever felt unsure about your life’s direction or struggled to define your “why”? In this episode, Dr. Jordan Grumet, a hospice physician, author, and host of the Earn & Invest Podcast, shares insights from his latest book, The Purpose Code: How to Unlock Meaning, Maximize Happiness, and Leave a Lasting Legacy. We discuss how to shift from focusing on lofty "whys" to finding joy in purposeful actions, explore common myths about purpose, and examine how regret can be a surprising catalyst for growth. If you’ve been questioning your career, your goals, or even your daily activities, this conversation offers a refreshing perspective on how to reconnect with what truly lights you up.   In this episode we’re talking about: The difference between purpose as action and purpose as “why.” How purpose anchors can help you build a more fulfilling life. How aligning daily actions with core values can create a sense of purpose. Practical steps to move from feeling lost to creating meaningful activities. Leveraging regret as a catalyst for personal growth and uncovering your purpose. Tips for navigating crossroads in your personal and professional life.   Links for this episode: jordangrumet.com earnandinvest.com The Purpose Code: How to unlock meaning, maximize happiness, and leave a lasting legacy 7 Key Tips for Writing a Standout Physician Resume Ready to stand out in the competitive nonclinical job market? Download this guide to learn how to create a concise, focused resume that highlights your unique skills and achievements. Get Started Using AI: Unlock ChatGPT to Transform Your Work and Life Discover how ChatGPT can simplify your life and supercharge your productivity with this free guide. It's packed with practical prompts to help you tackle career planning, time management, difficult conversations, meal prep, and more. Start using AI as your 24/7 assistant to streamline your day and achieve your goals!

In this discussion, Dr. Takashi Nakamura, an emergency medicine physician and co-founder of the AIR Academy, shares his journey into the telemedicine field. He discusses how synchronous and asynchronous models can enhance income potential and the importance of obtaining multiple state licenses. Dr. Nakamura emphasizes diversifying practices with roles like consulting and directorships. He also offers productivity tips and stresses the value of networking and mentorship in telehealth for maximizing opportunities and fulfillment.

This week’s episode explores how mindfulness can help physicians manage stress, lengthen the pause between trigger and response, and create a sense of calm amidst the chaos. Joining me are two incredible guests, Dr. Jessie Mahoney and Dr. Ni-Cheng Liang, co-hosts of The Mindful Healers Podcast and leaders in mindfulness and physician well-being. We explore practical strategies for incorporating mindfulness into daily life, from clinical settings to home routines to navigating difficult situations. Whether you’re dealing with burnout, struggling to stay present, or simply curious about mindfulness, this episode will give you the tools and inspiration to take the first step. You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/episode209   In this episode we’re talking about: What mindfulness really means and how it helps physicians stay present. How honing your capacity to pause and separate triggers and responses can improve interactions with patients and colleagues. Practical, quick techniques for staying present and focused that can be used throughout the day. The role of cultivating awareness in transforming limiting beliefs and building resilience. Mindfulness as a tool for navigating toxic environments or personal challenges. Explore the connection between mindfulness and self-compassion.   Links for this episode: www.jessiemahoneymd.com mindfulhealthcarecollective.com awakenbreath.org A 12-Minute 4-7-8 Breathing Meditation  

In this discussion, Dr. Carolyn McClanahan, a former physician now certified financial planner, shares her expertise on retirement planning tailored for medical professionals. She delves into crucial topics like determining retirement savings, the necessity of long-term care insurance, and effective tax strategies. Dr. McClanahan also addresses the challenges faced by the sandwich generation—balancing financial responsibilities for aging parents and children. Her insights pave the way for a secure and fulfilling retirement for those in the medical field.

Today we’re addressing a common challenge many of us face—comparison. It’s easy to fall into the “compare and despair” cycle, especially in high-achieving professions like medicine, but you don’t have to stay stuck there. I’m joined by Dr. Jessie Mahoney, a pediatrician, coach, and mindfulness expert who co-hosts the Mindful Healers podcast. Together, we dive into practical strategies for recognizing and breaking free from the comparison trap. Dr. Mahoney shares insights on the roots of comparison in medical training, the harmful effects it can have, and how mindfulness can help you reframe your thinking, find peace, and focus on your unique strengths.   You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/episode207    In this episode we’re talking about:   How the comparison trap can lead to feelings of inadequacy and burnout. The ways medical training fosters a habit of comparing ourselves to others. Practical steps to shift your mindset and focus on your strengths. How to find fulfillment by moving away from comparison and embracing your journey. Shifting to a mindset of abundance rather than scarcity. Mindfulness techniques to help pause, notice, and redirect negative thoughts.   Links for this episode: LinkedIn for Physicians Course  This fun course shows you how to create a stand-out profile on LinkedIn and use the powerful features to advance your career goals. The short video lessons guide you step-by-step on how to grow your connections, network successfully, and search for and apply to jobs. Included are cheat sheets for each lesson, examples of physician profiles, and a bonus PDF on how to rock your informational interviews.

Today we’re diving into the challenges caregivers face and practical advice on how to care for others while also caring for your well-being. Whether you’re caring for an aging parent, an ill spouse, or a child with special needs, being a caregiver often leads to exhaustion and burnout. Joining me is Dr. Delia Chiaramonte, an integrative palliative care physician and host of The Integrative Palliative Podcast. Dr. Chiaramonte shares her personal story and offers strategies for setting boundaries, asking for help, and managing the emotional challenges of caregiving. Whether you're a physician caring for a loved one or know someone in this position, this episode is full of invaluable insights. In this episode we’re talking about: The most common mistakes caregivers make and when to ask for help. Dr. Chiaramonte’s personal journey as a caregiver and how it shaped her approach. Practical steps for balancing caregiving with self-care. The importance of setting boundaries and why it's crucial to get help before reaching burnout. Strategies for overcoming guilt, shame, and challenging emotions that may come up around caregiving. Examples of how families can navigate caregiving challenges successfully. Links for this episode: www.integrativepalliative.com www.CopingCourageously.com Starting November 13th, the Doctor’s Crossing Carpe Diem podcast will be moving to a bi-weekly schedule. There will be no new episode on November 6th, but we’re excited to continue bringing you inspiring and insightful content every other week starting November 13th. Thank you for your continued support, and we look forward to sharing more episodes with you on this new schedule! Thank you for listening!

We are diving into an incredibly important conversation around mental health and well-being for physicians, a topic that is too often overshadowed by stigma. Breaking through the silence is essential, and I’m honored to have Dr. Jonathan Fisher, a cardiologist, mindfulness meditation teacher, and physician coach, join us for this episode. Dr. Fisher is a leader in organizational well-being and resiliency, with a passion for healing both the heart and mind. We explore practical steps that physicians can take to prioritize mental well-being, overcome shame, and break the stigma surrounding mental health in the medical profession.   You can find the show notes for this episode and more information by clicking here:   www.doctorscrossing.com/episode205   In this episode we’re talking about:   Dr. Fisher's personal journey with anxiety, burnout, and finding healing through mindfulness. The challenges physicians face in seeking help for mental health and overcoming the stigma. Practical steps for physicians to protect their mental health while managing demanding careers. Navigating the complexities of disclosing mental health conditions as a physician. The broader impact of mental health on personal and professional well-being in medicine.   Links for this episode: The How of Happiness - mentioned by Dr. Fisher Lorna Breen Foundation - Advocating For the Mental Health and Well-Being of Healthcare Workers Book: Just One Heart: A Cardiologist’s Guide to Healing, Health, and Happiness Social Media: LinkedIn: Jonathan Fisher, MD, FACC Instagram: happyheartMD Website: endingclinicianburnout.com, www.happyheartMD.com Sponsor: PearsonRavitz empowers healthcare professionals to protect life’s most valuable financial assets—their income—and life’s most important people—their families. The company is led by its founders, Dr. Stephanie Pearson, an OB/GYN disabled in the prime of her career, and Scott Ravitz, an insurance expert to the medical community. You can book a complimentary consultation to discuss your disability insurance. Thank you for listening!