The Doctor's Art

Dean Winslow, MD has led an extraordinarily multifaceted career as an infectious disease specialist and former US Air Force colonel. In his pioneering work at the front lines of the AIDS epidemic, he headed one of the first HIV clinics in the country and created HIV treatments and diagnostics still used today. During his multiple deployments to Afghanistan and Iraq as a flight surgeon, he commanded field hospitals that treated military personnel and local civilians alike. As a long-time professor of medicine at Stanford, he has been a popular mentor to hundreds of medical professionals. In this episode, with his trademark cheerful and humble demeanor, Dr. Winslow shares the colorful, poignant, and amusing stories he has collected over his decades of service.In this episode, you will hear about: Dr. Winslow’s personal path that led him to medicine and his initial work during the early days of the AIDS epidemic - 2:51How Dr. Winslow manages the emotional burden that comes with treating seriously ill patients with HIV - 20:24Dr. Winslow’s experiences in military medicine and how they have shaped his medical career - 25:31A humorous story on solving a tough infectious disease case through medical detective work - 32:09Dr. Winslow’s advice to medical trainees who may be struggling with burnout, and what improvements should be made to the healthcare system to take pressure off medical professionals - 36:51A narrative essay by Dr. Winslow about his military medical career: Treating the Enemy.Follow Dr. Winslow’s work at StanfordHealthcare.orgVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

Ira Byock, MD is a leading figure in hospice and palliative medicine, having developed many practices and tools that now define the specialty. For him, this profession is a continual pursuit of balancing the scientific and human aspects of medical care, to address patient well-being in a way that transcends conventional concepts of disease and illness. In this episode, Dr. Byock joins us to discuss how palliative medicine developed into what it is today, how viewing death as a normal part of human living can allow patients to create meaning at the end of life, and what all clinicians can learn from palliative care about good doctoring.In this episode, you will hear about: Dr. Byock’s early work in family and rural medicine and the moral crisis that awakened him to the need for palliative medicine - 1:51Dr. Byock’s experiences in pioneering the nascent field of palliative medicine - 7:53Combating the prevailing notion that medicine is only about treating injuries and curing illnesses - 11:16A story about a dying patient and the extra mile Dr. Byock went for her, which solidified his belief in the power of palliative care - 17:05Reimagining our relationship to death, both from the clinician’s and patient’s perspectives - 24:10The Four Things that Matter Most - 31:19Lessons learned from patients experiencing the end of their lives - 35:52Dr. Byock’s advice to young medical professionals and students - 39:31Connect with Dr. Byock on Twitter @IraByock.Dr. Byock is the author of several books: Dying Well The Four Things that Matter MostThe Best Care PossibleVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

A crisis of burnout is rippling through the medical community; physicians are experiencing ever-increasing mental, physical, and social strain while the healthcare system offers little assistance with that burden. For leadership coach Rebecca Merrill, this crisis is a calling. For years, she has been coaching senior leaders in healthcare to help them reconnect with what brought them to medicine in the first place. In this episode, we speak with Merrill about how she helps clinicians lead a purposeful life and how healthcare institutions can better safeguard against workforce attrition.In this episode, you will hear about: What coaching is, how it compares to therapy, and how it can help doctors -  2:20What makes physicians unique when it comes to coaching them - 10:40How Merrill responds to skepticism of coaching - 14:44The primary causes causes of physician burnout - 16:32How healthcare administrators can balance patient satisfaction with physician well-being - 24:32 Merrill’s advice to medical professionals around self-care 38:06Merrill’s advice to healthcare leaders and administrators who want to better support and protect their staff from burnout - 40:28Merrill's website can be found at MerrillLeadership.com.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

Adjoa Boateng, MD has always felt drawn to helping those at the margins of society. An intensivist and physician-writer at Stanford, Dr. Boateng has found language to be a crucial part of not only her clinical work, but of her art as well. In a medical specialty that can often be mired in technical jargon and dehumanizing shorthand, she champions an even greater importance on the choice of words physicians use as a critical aspect of care.In this episode, you will hear about: Dr. Boateng’s career in helping individuals from marginalized populations - 1:51How she maintains a connection to the spiritual dimensions of medicine despite working in what can often be the most impersonal of medical settings, the ICU - 4:45Her reflection on a particularly transcendent moment with a patient approaching death - 7:21Making space for the sacred, even in the antiseptic rooms of a hospital - 9:57How she discovered her passion for narrative medicine and writing poetry - 15:40The importance of humanizing language, especially when talking to patients - 17:37The concept of “miracles” in medicine - 22:26The difficulties Dr. Boateng experienced during the COVID-19 pandemic as a new attending and new mother - 26:17The intense scrutiny she has experienced as a black woman working in medicine - 30:39A poem Dr. Boateng has been writing for her son about his birth - 35:23Connect with Dr. Boateng on Twitter @BoatengMD.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

As a college student, Samuel Brown, MD never believed he would work in medicine. Yet today, he is not only an accomplished intensivist at Intermountain Healthcare and a professor of medicine at the University of Utah, but also an acclaimed writer, theologian, and religious historian. For Dr. Brown, this career is truly a spiritual calling. In this heartfelt and frequently humorous episode, we meet with him to discuss his unusual journey to medicine and to understand how his personal philosophy helps him connect with the sick and dying.In this episode, you will hear about: Dr. Brown’s personal history of religiosity and his initial resistance to a career in medicine – 2:43How Dr. Brown’s belief in the divinity of each human informs his work as a physician – 11:16The changing social, cultural, and medical contexts of death and dying in America, and the development of the modern ICU, as explored in his book Through the Valley of Shadows - 15:09The depersonalization of patients in the ICU and how spirituality helps foster the doctor-patient relationship – 21:36Finding meaning in tragedy, especially one as massive and widespread as the COVID-19 pandemic – 28:33Dr. Brown’s advice for all students and new medical professionals on maintaining a healthy outlook in an often-harrowing world – 33:29Dr. Brown’s most recent book is Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human.Connect with Dr. Brown on Twitter @DrSamuelBrown.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

Few people have a more well-rounded understanding of our healthcare system than Lloyd Minor, MD, Dean of Stanford Medical School. With diverse experiences in research, surgery, healthcare education, clinical care, and institutional leadership, Dean Minor has cultivated a unique bird’s-eye view of the obstacles that face our increasingly complex medical system. In this episode, we ask him to share insights on how to create robust support systems for both patients and medical staff alike, in order to address difficult institutional challenges such as burnout, work-life balance for healthcare staff, and racial inequities in care. In this episode, you will hear about: How Dean Minor’s early interests in math and science shaped his career as a physician scientist - 2:13Dean Minor’s belief that earning trust and respect as a leader is paramount to making a shared vision come to life - 8:57His challenges with work/life balance during his years of training - 10:23Stanford’s commitment to precision health initiatives - 13:23Racial disparities in our healthcare system, and what we can do to create better outcomes - 27:18 The importance of teaching leadership skills to medical trainees - 32:26Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

The practice of medicine has a rich legacy, sharing common themes yet manifesting in myriad forms around the world. For Cesar Padilla, MD, an obstetric anesthesiologist and clinical assistant professor at Stanford, this historical and cultural thread is vivid and alive, informing care and connection with his patients and students. In this episode, we ask Dr. Padilla to reflect on his personal history and that of the wider medical field to gain insights on best practices for care across cultures.In this episode, you will hear about: Dr. Padilla’s childhood summers residing in a Catholic hospital in Mexico and how that ignited his passion for medicine - 3:45Why Dr. Padilla believes the "art" of medicine resides in human connection - 6:18The educational inequities & challenges Dr. Padilla faced as a first generation immigrant - 10:12 How Dr. Padilla draws on the history of medicine to provide quality care - 16:24How clinicians can better connect with patients when differing cultural backgrounds are involved - 26:06The one piece of advice Dr. Padilla wants all medical trainees to remember - 35:19Dr. Padilla writes extensively about the history of medicine. Here are articles mentioned in the episode: The Best Argument for Medicare for All - Our Nation’s First Hospital, Co-founded by Benjamin Franklin, Provided Free Care for the PoorFrom an ICU Doctor - What We Really Think About Death and Dying A partial list of Dr. Padilla’s other writings: https://medium.com/@cesarraudelpadillaConnect with Dr. Padilla on Twitter @TheMillennialMDVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

Chaplain Bruce Feldstein, MD is the director of the Jewish Chaplaincy Service at Stanford University, as well as an adjunct clinical professor at Stanford University School of Medicine. After 19 years practicing as an emergency medicine physician, an injury led Bruce on a path of finding a deeper sense of his life’s work as a Chaplain. He now teaches an award-winning curriculum on spirituality and well-being for medical students and faculty at Stanford. In this episode, you will hear about: Chaplain Feldstein’s unexpected journey from emergency physician to chaplain - 3:35The unforgettable moment when Chaplain Feldstein first prayed with a patient - 5:00How to connect with patients in a spiritual way – even if they’re not religious - 18:04Five key relationships to foster in your life to counter compassion fatigue - 30:57The core teaching within Chaplain Feldstein’s class, ‘The Healer’s Art’ - 37:40Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022 

Medicine is a challenging and complex, yet ultimately fulfilling vocation that has seen much upheaval in recent years, from technological disruptions to the COVID-19 pandemic. For medical student Henry Bair and oncologist Tyler Johnson, both at Stanford University, this moment calls for a mindful investigation of the factors driving those who work in health care, whether as clinicians, educators, or executives. Probing the humanistic dimensions of patient care, they explore the philosophies and realities underpinning the healthcare profession.In this episode, you will hear about: What first drew co-hosts Henry and Tyler to the medical profession - 03:26The moments that epitomized why they pursued healthcare as their life’s calling - 10:08The growing pattern of burnout and alienation among medical workers - 21:40Previews of subjects that will be covered in future episodes of this podcast - 25:03Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022

One aspect of the medical profession that doesn’t often garner a great deal of public attention is that of caring for patients who are dying. For Mimi Dunne, MD, the relief of suffering has been her life’s calling — specifically the mission of relieving mental and social suffering in the lives of terminal patients, and helping them and their families find solace and meaning as they face mortality. This week, we ask Dr. Dunne to share insights and lessons from her experience in palliative care.In this episode, you will hear about: What palliative care entails and what kinds of physicians specialize in it- 02:06Dr. Dunne’s path from emergency care to palliative medicine - 3:36Common misconceptions about palliative care - 7:43Stories of a pivotal patient case that illuminates Dr. Dunne’s career - 11:33What it is like to accompany patients at their end of life - 15:59A discussion of Narrative Medicine and storytelling - 23:44A discussion of the Top Five Regrets of the Dying by Bronnie Ware - 29:29Works, Organizations, and Individuals Discussed:The American Academy of Hospice and Palliative MedicineThe Center to Advance Palliative CareDr. Diane Meier, professor of Geriatrics and Palliative MedicineBill Moyer’s PBS docu-series Healing in the MindDr. Laura Carstensen of the Stanford Center on LongevityDr. Ira Byock’s work on Developmental Tasks of the End of LifeNarrative Medicine: Honoring the Stories of Illness by Dr. Rita CharonProfessor Dan McAdams’ work on Narrative IdentityThe Top Five Regrets of the Dyingby Bronnie WareVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor’s Art Podcast 2022