Succeed in Medicine

This interview is one of my most important. If you are doing to share any of my episodes, this is one that I would implore you to share with your friends, family and colleagues. This is part 1 of 2 of my interviews with BJ Fogg, PhD, author of the book Tiny Habits: The Small Changes That Change Everything. We all struggle to change our behaviors, to develop good habits and stop bad habits. There is a lot of popular wisdom about this and most, if not all, is just wrong. This is where Dr. Fogg steps in. Dr. Fogg discovered the keys to changing behavior through changing habits. For those of you on medical school faculty, this should be a class. This should actually be taught in high school. Until then, as physicians, this information is critical, not just for lifestyle changes that can help patients eat better, move more, and smoke less, but even applies to checking their blood pressure and taking their medication. Popular wisdom is wrong. Guilt and shame are destructive. People don’t start habits by feeling badly, they start habits by feeling successful. And we are more likely to be successful by starting a habit that is small, that we actually want to do, and the third key to this is a prompt that reminds you it is time to perform the behavior. If you are going to learn piano, you start with chopsticks. If you are going to start to exercise, you do one sit-up. The smallest increment that you can fall back on when you motivation is waning so you don’t fall off the wagon completely and you keep your habit. And you do it at a point in your day that you can associate with the new behavior, even if they are completely unrelated. You’ll have a reminder that is baked into your day. Dr. Fogg founded the Behavior Design Lab at Stanford University. In addition to his research, Dr. Fogg teaches industry innovators how human behavior really works. He created the Tiny Habits Academy to help people around the world and interestingly, the Tiny Habits Academy long preceded the Tiny Habits book. He lives in Northern California and Maui. He can be found at BJFOGG.com and tinyhabits.com This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Ryan Inman was a fee-only financial advisor who works exclusively with physicians and he teaches how to pick a financial advisor.  How did he end up in the physician niche?  He understands us.  His wife is a pediatric pulmonologist and part of why he understands the struggle so well is that they’ve been together since college.  He graduated from the University of San Diego and has two masters, one in business administration and another in Accounting and financial management.  We discuss how to find a financial advisor and answer questions like, what is a fiduciary, who should I buy life and disability insurance from, is picking stocks and timing the market possible with enough research, what services should a financial advisor provide and what is the most common financial mistake he sees physicians make. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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. Altelisha “Lisha” Taylor is a family medicine resident, professional speaker, doctor-preneur, and money coach who promotes physician wellness through financial literacy. She is the founder of  CareerMoneyMoves.com and creator of the Facebook Group Financial Grand Rounds, two platforms that help busy young professionals, especially doctors, put systems in place to build wealth. We first discussed something unrelated to personal finance and it was how someone who went to a super competitive undergrad like Duke, chose the not so competitive specialty of family medicine, and ultimately it came down how one defines success, and why its important to make sure we have internal measures of success rather than external ones. Then we got into the money stuff, like how as a resident she can discuss real estate when none of us had two nickels to rub together, the worst advice she every got, money mistakes she’s made, common advice she gives to colleagues, why physicians love Robert Kiyosaki so much (who has become a doomsday prepper).  Dr. Taylor got her bachelors from Duke University, MPH from George Washington University, MD from the University of Florida, and did her residency at Emory University. She was an exclusive content writer for Doximity, worked at the Center on Budget and Policy Priorities, spent time in private equity, and even created the Personal Finance guide for Residents and Fellows at Emory University that is now on the GME website. This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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. Jeff Jarvis, the EMS Medical Director for Williamson County EMS and Marble Falls Area EMS in Central Texas, teaches us about cardiac arrest for every physician, from pathologists to podiatrists.  We learn how to identify and manage a cardiac arrest if we happen to be the medical professional on the scene.  We cover multiple circumstances from the woods to the mall to a plane.  After this talk, you will feel better equipped to know what you can and can’t, should and shouldn’t do in those situations. Dr. Jarvis maintains his clinical practice at Baylor Scott & White Hospital in Round Rock, Texas. He is board certified in both Emergency Medicine and Emergency Medical Services. He began his career in EMS over 30 years ago, has worked in three states as a paramedic, and retains his active paramedic license today. He teaches extensively and has authored multiple articles on EMS issues in both peer-reviewed and industry journals. His research interests include airway management and clinical performance measures. He discusses EMS research on his podcast “EMS Lighthouse Project Podcast”. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Naomi Lawrence-Reid, M.D. is a pediatrician and founder of Doctoring Differently, a course and coaching platform designed to teach physicians of all specialties how to transition out of full-time clinical and academic practice while starting lucrative and flexible careers that best utilize their medical training and experience. We discuss all of her different income streams, like per-diem, locum tenens, veteran and social security disability exams, medical expert witness work, aesthetics, how she got into each of them, how we can get started, and why it is OK for a pediatrician to inject Botox into adults. Dr. Lawrence-Reid initially intended on a career as a pediatric emergency medicine specialist, but she was unwilling to yield to the confines of restrictive hospital contracts, non-negotiable salaries, exhaustive administrative duties, and oppressive call schedules. She developed the Doctoring Differently curriculum in order to give physicians the tools to choose themselves and transform their individual passions and expertise into gratifying careers with increased income, tremendous freedom, and enhanced quality of life. Dr. Lawrence-Reid is a proud Boston-area native currently based in San Diego, California. She attended Wake Forest University, University of Massachusetts Medical School, and she completed her pediatrics residency at Children’s Hospital at Montefiore/Albert Einstein College of Medicine in Bronx, New York. You can find her at www.doctoringdifferently.com This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Megan Gerber, MD, MPH is a general internist with a career-long focus on the medical care of trauma-exposed women. We start out defining trauma and then get introduced to trauma-informed care.  Interfacing with the medical system and physicians can be traumatizing and triggering, so we discussed ways to minimize that, and why it actually isn’t important to identify who needs trauma informed care. We should be taking a “universal precautions” like approach.  She teaches us how to incorporate a routine of respectful care and how we can get the staff involved.  The approach to patients needs to change from questions like “what’s wrong with you?” to “what happened to you?” but this needs to happen within the confines of our time limited schedules, so Dr. Gerber teaches out how to be effective while still respecting the time of those in the waiting room. She is currently an Associate Professor of Medicine at Boston University and Medical Director of Women’s Health at VA Boston. She holds an adjunct appointment as Lecturer on Medicine at Harvard Medical School.  Her work focuses on optimizing medical outcomes for women who have experienced trauma as well as adapting systems of care to be “trauma-informed” and sensitive to the needs of survivors.  She has authored multiple peer-reviewed publications on intimate partner violence and is the editor of the Springer book, “Trauma-informed Healthcare Approaches: A Guide for Primary Care.” She is very active on Twitter at @meggerber This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Steven Kupferman DMD, MD, Co-Founder, and CEO of MedVA, holds D.M.D. and M.D. degrees from the Harvard School of Dental Medicine and UCLA’s David Geffen School of Medicine, respectively. He first pioneered the use of Virtual Assistants to optimize the management of his six oral surgeon practice while simultaneously improving the quality of patient care. He then went on to found MedVA, a healthcare virtual staffing company. They vet the healthcare professionals, mostly registered nurses in the Philippines before hiring and then they are trained in the MedVA proprietary program to optimize practice management. We talked about the advantages and disadvantages of a VA, how he defines a virtual assistant, rather than any pandemic employee who works from home, and where to start when you’re delegating tasks to your new VA.  MedVA.com   This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Brian Cohen, MD, is a practicing anesthesiologist and entrepreneur in the digital health space. In 2015, he co-founded Miami Anesthesia Services, a concierge anesthesia company throughout South Florida. Dr. Cohen acts as Administrative Chief of Miami Anesthesia Services and Chief of their Management Service Organization that supports other independent anesthesia practices throughout Florida. Dr. Cohen is the co-founder and Chief Medical Officer of Adaptrack, a medical risk focused digital platform for clinicians. He is also the co-founder and Chief Medical Officer of CMEfy, a platform that acts as an engagement and reward tool for clinicians co-learning with each other and within organizations. Additionally, Dr. Cohen is the Specialty Medical Director for the Preferred Anesthesia and Pain Management Program of AMS-RRG, an AM Best, A-rated medical liability company. This was a wide-ranging conversation starting with his concierge anesthesia practice, why he started an MSO if he has no intention of selling said MSO, and then we move onto the digital space and discuss Adaptrack, which creates CME accredited content for physicians that is specialty specific based on trends in litigation to help us manage risk. We end on how you all are going to start getting CME credits for listening to this podcast and reflecting on what you learn via CMEfy. Dr. Cohen completed his BA/MD at the University of Missouri-Kansas City and his residency in anesthesia at Washington University in St. Louis. Most importantly, Dr. Cohen is married to his college sweetheart, also a practicing physician, and the father of their two amazing daughters. This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Adam Brown, MD, is a rheumatologist at Cleveland Clinic and the host of the Rheuminations podcast. For the med students out there, we discuss why someone would choose rheumatology and why they are frequently the smartest doctors in the hospital. We discuss the basics of arthritis, how to interpret an ANA and why we shouldn’t be so laser-focused on our own organ systems if a patient isn’t improving as expected. We also discuss why gout is such an underappreciated phenomenon. Dr. Brown went to med school at the University of New Mexico and then did residency Georgetown in Internal Medicine. He then did fellowships in rheumatology and vasculitis, both at Cleveland Clinic, where he currently practices. He authored Rheumatology Made Ridiculously Simple, a herculean feat for such a complex specialty. Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com Please be sure to leave a five-star review, a nice comment and SHARE!!! This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.

Gopi Shah is a Pediatric Otolaryngologist at the University of Texas Southwestern Medical Center in Dallas.  She did her residency in otolaryngology at Thomas Jefferson University Hospital in Philadelphia and her fellowship in peds at UT Southwestern.  Her clinical interests are pediatric sinus and skull base. She loves teaching and is the fellowship director for pediatric otolaryngology. She is also a co-host for the BackTable ENT podcast. We talk a little about the podcast and then get into snotty, stuffy, noisy pediatric ENT problems, like what OTC medications she gives her kids when they're sick, how to tell a sinus infection from just cold after cold, when to order a sleep study, and what to look for when trying to diagnose an ear infection. Not the cone of light!   Backtable.com/shows/ent This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!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.