Succeed in Medicine

In this episode, Dr. Block interviews Nneka Unachukwu, MD, (Dr. Una) a successful pediatrician who built up her own practice and created the EntreMD business school to help other physicians gain business skills and build profitable businesses. They discuss the importance of business education for physician entrepreneurs, the benefits of emailing patients, and the need to overcome discomfort in order to succeed in business. Dr. Udochukwu shares the origin story of her business school, which was inspired by her own success in building a thriving practice. This episode is sponsored by Doc2Doc Lending.  Looking for something specific within the show? Here you go! [00:01:28] Physician entrepreneurs need business skills.  [00:03:41] Physician to Entrepreneur Transition.  [00:06:27] Selling value over product.  [00:10:48] Business skills are learnable.  [00:15:20] Email marketing for private practices.  [00:16:31] Building a sellable business.  [00:19:33] Networking tips for entrepreneurs.  [00:23:53] The Power of Networking.  [00:25:58] Building relationships in entrepreneurship. [00:29:27] Shortcut to success. Guest bio: Dr. Una is a remarkable individual who transitioned from being a physician to becoming a successful entrepreneur, captivating speaker, and esteemed author with a #1 Best-Selling book. As the host of a Top 100 Podcast and a business coach specifically tailored for physicians, Dr. Una's mission is to empower her fellow doctors in constructing lucrative enterprises that allow them to earn more, work less, and create a profound impact. Connect with Dr. Una via her LinkedIn.  Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect.  Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

This episode is sponsored by Charm Economics– data-driven solutions for digital health & MedTech businesses. Dr. Block and his guest, Dr. Ken Milne, delve into the concept of knowledge translation and the time it takes for new information to be integrated into clinical practice. They reference a famous paper that found it takes an average of 17 years for clinically relevant information to reach the patient's bedside.  However, the hosts believe that this time frame can be shortened with the help of social media and evidence-based medicine. They emphasize the importance of evidence-based medicine but also note that it should not be the only factor in decision-making. The hosts also discuss their checklist for evaluating the validity of studies and how they use their podcast to share new information with their audience. Overall, the hosts believe that shortening the time it takes for new information to be integrated into clinical practice can lead to improved patient outcomes. The episode also touches on the potential benefits of vitamin C in treating sepsis patients. One study conducted at Dr. Paul Merrick's Institution showed a significant mortality benefit in patients who were given a cocktail of thiamine, Vitamin C, and hydrocortisone. However, the study was not a randomized control trial and was before-and-after observational, leading to skepticism about the conclusions. Over the next few years, properly designed randomized control trials were conducted and found that vitamin C had no significant impact on sepsis patients. Therefore, while there was initial interest in the potential benefits of vitamin C in treating sepsis, further research has shown that it is not an effective treatment. Looking for something specific within the show? Here you go! [00:00:00] Evidence-based medicine in practice.  [00:05:27] Knowledge translation takes 17 years.  [00:07:26] Randomized control trial questions.  [00:10:59] Shared decision-making in medicine.  [00:14:53] Evidence-based medicine in emergency room.  [00:18:18] Physicians' big egos.  [00:22:20] TXA: The Duct Tape.  [00:24:01] Health interventions and cost.  [00:27:46] Subgroup analysis in studies.  [00:31:12] Epistemology and scientific bias.  [00:34:32] Vitamin C and its benefits.  [00:38:17] Losing to get better. Guest bio: Dr. Milne is a staff physician at Staff at South Huron Hospital Association in Exeter, Ontario, Canada. He has been doing medical research for over 35 years publishing on a variety of topics. Dr. Milne has been working clinically for 25 years and is an adjunct professor in the Department of Medicine (Division of Emergency Medicine) and Department of Family Medicine at the Schulich School of Medicine and Dentistry. He teaches evidence-based medicine, clinical epidemiology, critical appraisal and biostatistics at Western University in London, Ontario. Dr. Milne is passionate about skepticism and critical thinking. He is the creator of the knowledge translation project, The Skeptics’ Guide to Emergency Medicine (TheSGEM). Ken is married to Barb and has three amazing children. Dr. Milne serves as a senior editor of Academic Emergency Medicine. He has no funding from the pharmaceutical or biomedical device industry. He is on faculty for the Center for Medical Education and EMRAP. Dr. Milne does partake in medical malpractice reviews and does hold a patent on a pediatric resuscitation device. Connect with Dr. Milne on his LinkedIn.  Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect.  Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

This episode is sponsored by Charm Economics– data-driven solutions for digital health & MedTech businesses. Dr. Block and Dr. Kara Hartl delve into the concept of fractional doctors, a well-known practice in the medical world.  The episode highlights the benefits of telehealth, including the ability to work from anywhere and the opportunity to take on interesting cases. It can also help alleviate burnout among doctors, who can work for a few hours a week and augment their income. Patients in remote areas benefit from the expertise of these doctors, particularly for chronic long-term management and subspecialty care. Telehealth offers a flexible and rewarding alternative to traditional medical practice. The ultimate goal of medicine is to improve people’s lives, and doctors involved in telemedicine, such as those at Troy Medical, find it fulfilling to see the positive impact of their expertise on patients. They take ownership of their patients and manage their diseases, helping them navigate the complex medical infrastructure. Patients with chronic diseases, such as lupus, are grateful for the care they receive from doctors who manage their long-term conditions.  The doctors at Troy Medical believe that the reward of helping people cannot be measured in monetary value and that, overall, telemedicine offers a fulfilling way to help people and make a positive impact on their lives. Looking for something specific within the show? Here you go! [00:02:07] Rural medicine in Alaska.  [00:05:30] Building a medical practice.  [00:07:39] Fighting for Scope of Practice.  [00:12:57] Hybrid telehealth for rural medicine.  [00:15:03] Fractional doctor concept.  [00:19:59] Quality of life for doctors.  [00:21:31] Telemedicine vs. Troy Medical.  [00:23:57] Rural healthcare technology challenges.  [00:27:11] Fractional surgeons  [00:30:21] Rural healthcare shortage.  [00:33:19] Outpatient telehealth surgeries.  [00:36:49] Flexible doctor lifestyle. Guest bio: Dr. Kara Hartl is a physician, philanthropist, Harvard graduate and the founder and CEO of Troy Medical, an innovative approach to telemedicine that uses technology to bring high-quality medical specialists to remote and medically underserved communities. Dr. Hartl was inspired to start Troy Medical after witnessing one of her own patients become overwhelmed by a debilitating medical condition. Unable to find a medical specialist in his region, his condition had progressed to the point where even walking was a challenge. Dr. Hartl recognized the potential of telemedicine to bring life-changing care to remote areas, so she reached out to specialists across the country to organize a team of doctors who can provide world-class, personalized medical care to patients anywhere. She chose to name this project after her patient, Troy. Connect with Dr. Hartl on LinkedIn.  Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect.  Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Dr. Alin Gragossian talks about her experience with a health issue that interrupted her graduate medical education. She developed cardiogenic shock, was in the ICU, received a heart transplant and still managed to finish her emergency medicine residency and critical care fellowship! [00:00:23] Interrupted Medical Training.  [00:05:33] Cardiogenic shock and resuscitation.  [00:06:41] Severe heart failure.  [00:12:44] Heart transplant urgency.  [00:16:04] Heart transplant candidacy.  [00:20:36] Facing mortality before surgery.  [00:23:44] Phrases that helped.  [00:25:36] Caregivers and support people.  [00:28:13] Patient privacy in hospitals.  [00:31:39] Patient support in transplant.  [00:34:39] Heart transplant support group.  [00:37:07] Meeting a hero.  [00:41:35] Power of social media.  [00:43:29] Transplant patient as a resident. Many thanks to Doc2Doc Lending for supporting the show. If you’re needing a doctor loan expert to help guide you on your financial journey, this company comes highly recommended by our audience! Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect.  Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

How can we, as doctors, be better communicators? Dr. Block sits down with Dr. John Schneider, MD and the two discuss communicating with your patients, acknowledging congitive biases, and informing the patients about the uncertainty of a diagnosis while keeping authority. Dr. John Schneider earned his BA, MA, and MD at the University of Chicago. He is an experienced otolaryngologist.    This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/   The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

In this episode, a sequel to the earlier episode "A Guide to Flourishing" Dr. Jordyn Feingold and Dr. Sanj Katyal address the question, "So what is clinician well-being anyway?" and unpack six core elements that evidence shows best predict well-being: relationships, engagement, vitality, accomplishment, meaning, and positive emotions, or REVAMP. REVAMP is both an acronym and a call-to-action for clinicians to pursue whole-person well-being, and help our patients do the same. Both Jordyn and Sanj are experts in the science of well-being, Positive Psychology, and are living, teaching, and practicing medicine with Positive Psychology or "Positive Medicine" at the forefront. Like what you hear? Take their fully online course at: https://www.physicianflourishing.com/ Check out Sanj's book: https://www.amazon.com/stores/Sanj-Katyal/author/B07JD32SRC?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Check out Jordyn's work including her book: https://jordynfeingold.norby.live/   This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today.    The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Asking patients about their sex life can be awkward, but it's important. Rachel Rubin MD, a urologist and sexual medicine specialist, breaks down how sex is helpful to your health, and how being otherwise healthy is good for your sex life. Dr. Block and Dr. Rubin go down the path of mythbusting menopause, goop, and other sexual myths. Dr Rubin is one of only a few physicians with fellowship training in sexual medicine for all genders. She is the education chair for the International Society for the Study of Women's Sexual Health (ISSWSH), as well as an associate editor for the journal Sexual Medicine Reviews.   This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/   The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Investing in real estate is one of the most common side gigs for physicians. Pranay Parikh, MD of From MD to Entrepreneur Podcast shares his story of how he got started with real estate, what he enjoys about it, what to look out for, and why you should do it too. Despite loving medicine, Dr Parikh felt like he had little control over his time, and little financial stability. Today, he's a serial entrepreneur, and he practices medicine on his own terms.   This episode is sponsored by charmeconomics.com   The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

How do we, as doctors, prescribe antibiotics responsibly? Dr. Mackenzie Keintz, an Infectious Disease Fellow with the University of Nebraska chats with Dr. Block about antibiotics, antibiotic stewardship, when to prescribe them, what does antibiotic resistance really means, and how to avoid it. Dr Mackenzie Keintz graduated from the University of Wisconsin-Madison, majoring in Medical Microbiology and Immunology and Biology. She attended medical school at St. George's University, and completed her residency at the University of Nebraska Medical Center. Dr Keintz's Twiter: https://twitter.com/MKeintzMD   This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/   The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Those on this podcast accept no liability for the outcomes of medical decisions based on this information. As the radiologists like to say "clinical correlation is required". This is not medical advice and this does not constitute a physician-patient relationship. If you have a medical problem, seek medical attention.   Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

What would your life be like if you chose everything that you are doing the next day? Jordan Grumet, MD talks about how he stepped away from things that didn't fulfil him, and found more purpose in life, specifically aligning them with his values.   Dr Jordan Grumet graduated from the University of Michigan, and received his medical degree from Northwestern University. He practices internal medicine, and is an associate medical director at Journeycare Hospice. Dr Grumet blogs about about financial independence and wellness, and created the Earn & Invest podcast in 2018. Dr Grumet's Twiter: https://twitter.com/jordangrumet Dr Grumet's Podcast: https://www.earnandinvest.com/   This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today.    The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow!  Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.