Succeed in Medicine

Luana Colloca, MD, Ph.D., MS, is a physician-scientist, professor at the University of Maryland, Baltimore, Director of the TL1 program, Chair of the Pain and Placebo Special Interest Group for the International Association for Study of Pain Society (IASP), and steering member and treasurer for the Society for Interdisciplinary Studies of Placebo (SIPS). Prof. Colloca holds an MD, a Ph.D. in Neuroscience, and a masters in Bioethics.   She completed a post-doc training at the Karolinska Institute in Stockholm, Sweden, and a senior research fellowship at the National Institutes of Health in Bethesda, USA.  Prof. Colloca received several prestigious awards such as the IASP Wall Patrick Award for basic research on pain mechanisms. Prof Colloca leads an NIH-funded research portfolio on endogenous pain modulation including placebo/nocebo effects and other nonpharmacological interventions such as virtual reality at the School of Nursing, University of Maryland, Baltimore.    We talk about the placebo effect and its evil twin, the nocebo effect, and the dicey ethical territory that comes with recommending an intervention that you know only works if the placebo effect occurs. We also discuss the ethical dilemma of the nocebo effect, in which we prime patients to feel more pain by warning them about impending pain. Today's Sponsor is Locumstory. For more information visit: www.financialresidency.com/locumstory 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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Carmen Brown, MD, is an author, blogger, practicing OB-GYN, and managing partner and founder of ExpatMD. She currently resides in Melbourne, Australia with her husband and young son. We talk about how she ended up practicing down-under, how to make it happen, what some of the differences about practicing down there and focused a bit on practice of OB-GYN. She dispelled some myths about limitations to practicing abroad and we discussed a little about what it’s like being a black woman in down under. Dr. Brown has been overseas for over eight years and has become passionate about helping other physicians realize their options to live and work overseas. After assisting several doctors find jobs in either New Zealand or Australia, Dr. Brown decided to start ExpatMD, a full-service consulting firm dedicated to helping American doctors achieve their dream of becoming an expat.  She also published ‘ExpatMD: Your Guide to Living and Working in Australia and New Zealand as a Physician.’ She also writes a blog about life as a doctor mom with a child with Autism at www.autismdrmom.blogspot.com  You can follow her on LinkedIn or Instagram @ExpatMD  or on Twitter @DoctorCarmenB  or @AutismDrMom    Today's Sponsor is LocumStory. To find out more visit: www.financialresidency.com/locumstory 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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Kate Mangona, MD, began practicing as a board-certified pediatric radiologist in 2015 after completing a 6-year medical school program at The University of Missouri-Kansas City, Radiology Residency at Beaumont Health System in Royal Oak, MI, and Pediatric Radiology Fellowship at Texas Children’s Hospital in Houston, Texas.    Dr. Mangona is a supportive physician’s wife and mother to three little girls and a mini poodle. She and her husband Victor, a pediatric radiation oncologist and tax code enthusiast, are active and passive real estate investors in over 3 thousand multifamily units and single-family rentals including a luxury Airbnb and lead a Multifamily Masterclass course where they teach others how to passively invest in real estate to grow their wealth as they sleep.  As a certified life coach, Kate hosts the Medicine, Marriage & Money podcast and leads the Medicine, Marriage, & Money Coaching Program where she helps married women physicians with children spend less time arguing with their spouse, and more time reigniting the sparks once felt during their honeymoon.    We discuss the non-financial challenges that are specific to being in a dual physician couple and then we talk about money, like double student loans, talking to your spouse about money, their path to real estate investing, and handling 3 kids under 4.  Looking for your next locum tenens assignment? Go to www.financialresidency.com/locumstory to learn more!  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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

After experiencing paralyzing burnout as a newly-minted primary care physician, Dr. Diane Shannon made the hard decision to leave practice and pursue a career in writing. Her focus for 20 years has been drawing attention to ways to address clinician burnout, system inefficiency, and patient safety problems. She is co-author of Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine, which was published in 2016.  Her personal experience with burnout and her desire to support clinicians motivated her to become a certified coach three years ago. She now helps clinicians gain clarity on their goals, increase their bandwidth, overcome barriers, and improve their professional and personal lives. Dr. Shannon attended Williams College, Jefferson Medical College, and Harvard University. She completed training in Internal Medicine at St. Elizabeth’s Medical Center in Boston and practiced general internal medicine before making the shift to writing and coaching.  This interview was suggested by Dr. Tam Tiet, a family physician at Sutter Health so thank you for the suggestion, Dr. Tiet. We’ve spoken in the past about burnout from the physician perspective, but what can health systems do in order to address burnout? That was the topic for today’s discussion. We discuss the importance of physician retention and how we can accomplish that, addressing gender and racial disparities in compensation, retention and promotion, and what all of this has to do with pebbles in shoes.   Today's sponsor is LocumStory. For more locum tenens information, www.financialresidency.com/locumstory is your final destination.  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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Talya Miron-Shatz, PhD, is a leader in research at the intersection of medicine and behavioral economics. She is professor and founding Director of the Center for Medical Decision Making at Ono Academic College in Israel, senior fellow at the Center for Medicine in the Public Interest in New York, and a visiting researcher at the Winton Centre for Risk and Evidence Communication at the University of Cambridge. Miron-Shatz was a post-doctoral researcher at Princeton University, and a lecturer at Wharton, the University of Pennsylvania. She is the author of over 60 academic papers on medical decision making. She is CEO of CureMyWay, an international health consulting firm whose clients include Johnson & Johnson, Pfizer, and Samsung.   She wrote the book Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. She wrote it for patients and clinicians alike. We discuss how patients are frequently overwhelmed with the information we give them. How to give it to them in a more digestible way, while still being time efficient, how we can tell if they are understanding us and how to tell if they don’t plan on following our recommendations. She also teaches us how to increase the chances that a patient will choose us as their doctor. Find her at www.talyamironshatz.com   Today's Sponsor is Locumstory. To find out more visit: www.financialresidency.com/locumstory    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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

I’m re-releasing this episode because of how critical it is. In my quest to be taught how best to have a fruitful discussion with those hesitant about the vaccine, I interviewed two science communicators, a social engineer, a lawyer, an expert in cognitive biases, and a motivational interview and of all of those, the last one was the most powerful tool for moving the needle on those hesitant to get the vaccine.  Motivational interviewing comes from addiction medicine, but using it for vaccine hesitancy actually precedes the COVID pandemic. It is used for new parents who are considering forgoing their newborns' vaccines. Mandates are going to get some to get the vaccine, but for others, a conversation with their trusted physician can be a powerful thing. Dr. Joseph Weiner teaches us how to use it to help our patients with vaccination and other decisions.  Dr. Joseph Weiner is an Associate Professor of Clinical Psychiatry, Medicine and Science Education at the Zucker School of Medicine at Hofstra/Northwell, where he co-directs the four-year curriculum in Physician-Patient Communication and Interpersonal Skills. Thinking and writing about how patients and clinicians communicate with each other has been a major interest in his career. This episode is sponsored by CompHealth Just head to financialresidency.com/comphealth and see what locums can do for you financially. 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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

I’m re-releasing this episode because of how critical it is. In my quest to be taught how best to have a fruitful discussion with those hesitant about the vaccine, I interviewed two science communicators, a social engineer, a lawyer, an expert in cognitive biases, and a motivational interview and of all of those, the last one was the most powerful tool for moving the needle on those hesitant to get the vaccine.  Motivational interviewing comes from addiction medicine, but using it for vaccine hesitancy actually precedes the COVID pandemic. It is used for new parents who are considering forgoing their newborns' vaccines. Mandates are going to get some to get the vaccine, but for others, a conversation with their trusted physician can be a powerful thing. Dr. Joseph Weiner teaches us how to use it to help our patients with vaccination and other decisions.  Dr. Joseph Weiner is an Associate Professor of Clinical Psychiatry, Medicine and Science Education at the Zucker School of Medicine at Hofstra/Northwell, where he co-directs the four-year curriculum in Physician-Patient Communication and Interpersonal Skills. Thinking and writing about how patients and clinicians communicate with each other has been a major interest in his career. This episode is sponsored by CompHealth Just head to financialresidency.com/comphealth and see what locums can do for you financially. 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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Last month marked the 20th anniversary of 9/11. Two weeks after that tragic day, The Onion, the famed comedy newspaper, put out an issue with jokes about 9/11. How did they do that? Scott Dikkers, one of The Onion’s founders teaches us how. His rule is that comedy is meant to “afflict the comfortable and comfort the afflicted.” That’s why they put out that issue. To comfort the afflicted. As physicians, that’s what we do! How can we be funny, even in the face of tragedy? Mr. Dikkers teaches comedy writing and has turned what seems unteachable into a science. He has described funny filters and all comedy fits into one of those filters. He teaches us which are the best for the exam room, how to recover from a failed joke, how to work humor into our office visits and lectures, and what jokes comedians can’t use, but we can!   Scott Dikkers founded the world’s first humor website, TheOnion.com, in 1996. A few years earlier he helped found the original Onion newspaper. He’s served as The Onion’s owner and editor-in-chief, on and off, for much of the last quarter century.  He led The Onion’s rise from small, unknown college humor publication to internationally respected comedy brand.  He is also a New York Times best seller, and Peabody Award winner.  He documented his process for creating humor in his book, How to Write Funny, and the second in the series, How to Write Funnier, and next on the way, How to Write Funniest, which are the basis of the Writing with The Onion program he created and teaches at The Second City Training Center in Chicago. Scott offers other courses and free resources for comedy writers on the How to Write Funny website. Today's sponsor is CompHealth. To find out more visit financialresidency.com/comphealth  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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This was one of my favorite interviews. I was a fledgling podcaster at the time when I interviewed Dr. Stephanie Sogg, a clinical psychologist at the Harvard Weight Center. She had been quoted in an article in the Huffington Post that lambasted physicians for not knowing how to talk to our patients about their weight. Interviews like this were the reason why I started podcasting. I emailed her and asked her if she could teach us the right way to have these discussions and she agreed! Talking to patients about their weight is fraught with landmines created by inordinately complex psychosocial issues. It is very easy to alienate a patient. Dr. Sogg teaches us the power of language and this has come up in other interviews since. Changing racial language from minority to minoritize and slave to enslaved changes the perspective of the listener. It subtly influences how that person is perceived. The same applies to discussing weight; when we change our language about body habitus to be less stigmatizing, it subtly influences the listener, be it our patients, students or colleagues. We also need to change the way we talk about food. According to Dr. Sogg, the only bad food has gone bad, tastes bad or is poisonous. Dr. Stephanie Sogg is a clinical psychologist and an Assistant Professor of Psychology at Harvard Medical School. She has treated patients with obesity at the MGH Weight Center since 2003. Dr. Sogg earned her PhD in clinical psychology from Rutgers University in 1998, and completed a post-doctoral fellowship with Harvard Medical School. In addition to her clinical work, Dr. Sogg conducts research on obesity and bariatric surgery, and the intersection between obesity and addiction, and has published widely on obesity and related topics. She is an author of the Boston Interview for Bariatric Surgery, and of the official ASMBS Recommendations for the Pre-Surgical Psychosocial Evaluation of Bariatric Surgery Patients. She is the director of the Weight Center rotation for Behavioral Medicine psychology interns, and is active in national and international scientific obesity and weight loss surgery societies. She is currently serving as a member-at-large on the Integrated Health Executive Council for the American Society for Metabolic and Bariatric Surgery. Today’s sponsor is Locumstory. You can find out more by visiting: www.locumstory.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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is going to flip the script. I’m going to be the one interviewed. I was interviewed by Dr. Indu Partha, Assistant Professor of Medicine at the University of Arizona College of Medicine – Tuscon, on her podcast, The Ajo Way, Primary Care Pearls from South Campus. We talked about dizziness. If you are an otolaryngologist like me, you can stop listening now, but for everyone else who finds dizziness to be mystifying, this will be a good primer to understanding otologic causes of dizziness. We aren’t getting granular here; no need to differentiate the saccule from the utricle. You’re getting lost in the weeds. If you have trouble differentiating postural dizziness from positional vertigo, this episode is for you.  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. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.